Article

The prevalence of back pain and its effect on function
and health-related quality of life across three levels of lower limb amputation
secondary to trauma or tumour was studied. Study design: Cross-sectional survey.
Methods: Forty-six lower limb amputees, aged 19-78 years, participated. The
Roland Morris disability questionnaire (RMDQ) and the short form 36 health survey
(SF-36) were used. Results: Participants reported more back pain after amputation
than before (p < 0.001). There was a significant association between back pain
daily or several times/week and severe or moderate disability reporting on the
RMDQ (p = 0.003). On the SF-36, the group as a whole scored significantly lower
in health-related quality of life with regard to physical functioning, role
physical, bodily pain, general health, social functioning and the physical
component summary (PCS), and significantly higher in the mental component summary
(MCS) compared to normative Swedish data. When all three levels of amputation
were compared, no statistically significant differences were found in the RMDQ or
SF-36 results. Conclusions: There was a high prevalence of back pain after
amputation. Almost all participants having back pain daily or several times per
week reported severe or moderate disability on the RMDQ. The group as a whole
scored significantly lower for health-related quality of life in the PCS and
significantly higher in the MCS compared to normative Swedish data. Clinical
relevance The high prevalence of back pain, and the significant association
between back pain daily or several times per week and severe or moderate
disability on the RMDQ, and the negative correlation between RMDQ and SF-36, may
have clinical relevance with regard to rehabilitation and follow-up of lower limb
amputation.

Langue : ANGLAIS