Article

OBJECTIVE: To determine relationships between pain sites and pain
intensity/interference in people with lower limb amputations (LLAs). DESIGN:
Cross-sectional survey. SETTING: Community. PARTICIPANTS:
Lower limb prosthesis
users with unilateral or bilateral amputations (N=1296; mean time since amputation, 14.1y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Patient-Reported Outcomes Measurement Information System (PROMIS) pain intensity
(1 item to assess average pain), PROMIS pain interference (4-item short form to
assess the consequences of pain in desired activities), and questions that asked
participants to rate the extent to which each of the following were a problem:
residual limb pain (RLP), phantom limb pain (PLP), knee pain on the nonamputated
side, back pain, and shoulder pain. RESULTS: Nearly three quarters (72.1%) of
participants reported problematic pain in 1 or more of the listed sites.
Problematic PLP, back pain, and RLP were reported by 48.1%, 39.2%, and 35.1% of
participants, respectively. Knee pain and shoulder pain were less commonly
identified as problems (27.9% and 21.7%, respectively). Participants also
reported significantly (P<.0001) higher pain interference (T-score +/- SD,
54.7+/-9.0) than the normative sample based on the U.S. population (T-score +/-
SD, 50.0+/-10.0). Participants with LLAs rated their pain intensity on average
+/- SD at 3.3+/-2.4 on a 0-to-10 scale. Pain interference (rho=.564, P<.0001) and
intensity (rho=.603, P<.0001) were positively and significantly correlated with
number of pain sites reported. CONCLUSIONS: Problematic pain symptoms, especially
RLP, PLP, and back pain, affect most prosthetic limb users and have the potential
to greatly restrict participation in life activities.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS