A cross-sectional study of post-amputation pain in upper and lower limb amputees, experience of a tertiary referral amputee clinic

Davidson, Judith; Khor, Kok Eng; Jones, L. E.

doi:10.3109/09638281003734441

Cited by 58 publications

(33 citation statements)

References 20 publications

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“…Differences between group scores were approximately 5 points, which are within the established MID of 4–6 points. 32 Previous studies have found greater experiences of pain in people with LLL compared to people without LLL, 1,2,34,35 and one study found that more than 90% of 255 participants with LLL reported chronic experiences with pain. 11 Additionally, participants with dysvascular etiology had significantly greater pain interference than people with traumatic etiology.…”

Section: Discussionmentioning

confidence: 98%

Health-Related Profiles of People With Lower Limb Loss

Amtmann

Morgan

Kim

et al. 2015

Archives of Physical Medicine and Rehabilitation

103

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Objective To construct profiles of self-reported health indicators to examine differences and similarities between people with lower limb loss (LLL) and a normative sample (hereafter called the norm), and to compare health indicators between subgroups based on level and etiology of limb loss. Design Survey Setting General community Participants Adults with unilateral lower limb loss (n=1091) participated in this study. Eligibility criteria included LLL resulting from trauma or dysvascular complications and regular use of a prosthesis. Interventions Not applicable Main Outcome Measures Patient-Reported Outcomes Measurement Information System 29-item profile (PROMIS-29) version 1.0 measures physical function, pain interference, fatigue, sleep disturbance, anxiety, depression and satisfaction with participation in social roles. The norms are based on 5,239 individuals representative of the U.S. general population in gender, age, race, ethnicity and education. Results People with LLL reported statistically significantly worse physical function, pain interference and satisfaction with participation in social roles and significantly less fatigue than the norm. People with transfemoral (i.e., above-knee) amputation significantly differed from people with transtibial (i.e., below-knee) amputation on physical function. Similarly, people with amputation due to trauma and dysvascular etiology significantly differed on physical function and satisfaction with social roles after adjusting for relevant clinical characteristics. Conclusions People with LLL generally report worse physical function, pain interference and satisfaction with social roles when compared to norm. People with dysvascular amputation reported worse physical function and satisfaction with social roles than people with traumatic amputation. Health indicator profiles are an efficient way of providing clinically meaningful information about numerous aspects of self-reported health in people with LLL.

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Section: Discussionmentioning

confidence: 98%

Health-Related Profiles of People With Lower Limb Loss

Amtmann

Morgan

Kim

et al. 2015

Archives of Physical Medicine and Rehabilitation

103

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“…This is despite upper extremity amputations having a greater impact on a patient's quality of life than lower extremity amputations. 9,10 In addition, upper extremity amputations make up between 18% and 50% [11][12][13] of all amputations sustained in combat but only about 6% of all combat-related late amputations. 14 There have been numerous studies published examining both acute and late major amputations caused by extremity trauma during the Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn conflicts.…”

Section: Introductionmentioning

confidence: 99%

Common Factors and Outcome in Late Upper Extremity Amputations After Military Injury

Krueger

Wenke

Cho

et al. 2014

Journal of Orthopaedic Trauma

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“…Regardless of etiology, a leg amputation is usually followed by major physical and psychosocial challenges that severely influence the person concerned (Murray & Forshaw, 2013;Norlyk, Martinsen, & Kjaer-Petersen, 2013;Ostler, Ellis-Hill, & Donovan-Hall, 2014;Washington & Williams, 2016). Reduced quality of life (Davidson, Khor, & Jones, 2010;Remes et al, 2010), significantly higher levels of social isolation, depression, and post-traumatic disorder (Horgan & MacLachlan, 2004;Remes et al, 2010) are reported particularly in the first year after the amputation (Phelps, Williams, Raichle, Turner, & Ehde, 2008). Furthermore, a leg amputation includes an existential dimension that refers to limitation of action space and loss of freedom experienced as an exclusion from life (Norlyk et al, 2013).…”

Section: Articlementioning

confidence: 99%

Being In-Between

et al. 2016

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Many persons with leg amputations experience that using a prosthesis enriches their quality of life. However, there is an ongoing concern with underuse and non-use of artificial limbs in lower limb prosthetic rehabilitation. Studies have identified an initial critical stage among potential prosthetic users. The aim of this study was to explore the lived experience of becoming a prosthetic user as seen from the perspective of patients. The study is based on the phenomenological framework of Reflective Lifeworld Research (RLR). Data were collected through three in-depth interviews with each of the eight participants during the first year post-amputation. Data were analyzed according to the guidelines given in RLR. The findings showed that the participants found themselves in a state of in-between existence. They felt disconnected from their usual lives and not yet integrated in a new and different life. In this in-between existence, the participants oscillated between experiences of victory and defeat. The study adds to increased understanding of the initial critical stage of becoming a prosthetic user by showing that this in-between existence is inherent in the process of becoming a prosthetic user. To become a prosthetic user requires a high degree of stamina and resilience as this in-between existence takes its toll on patients' recovering process.

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A cross-sectional study of post-amputation pain in upper and lower limb amputees, experience of a tertiary referral amputee clinic

Cited by 58 publications

References 20 publications

Health-Related Profiles of People With Lower Limb Loss

Health-Related Profiles of People With Lower Limb Loss

Common Factors and Outcome in Late Upper Extremity Amputations After Military Injury

Being In-Between

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