A prospective study of positive adjustment to lower limb amputation

Unwin, Jennifer; Kacperek, Lynn; Clarke, Chris

doi:10.1177/0269215509339001

Cited by 69 publications

(48 citation statements)

References 20 publications

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“…Moreover, they reported high levels of social support. Task-oriented coping strategies were previously associated with lower levels of anxious-depressive symptoms [5,37], and perceived social support has been found to predict a positive adjustment to amputation [38][39][40]. This study also considers different aspect of personality; although there is insufficient knowledge concerning the traits assessed by the EPQR-SF lie scale [36], the participants' high scores on this scale seem to reflect the practical way in which they coped with limb loss.…”

Section: Discussionmentioning

confidence: 93%

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

et al. 2015

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Abstract-This work explores the functional and psychosocial impact of the multigrip Michelangelo (M) prosthetic hand. Transradial myoelectric prosthesis users (6 men, median age: 47 y) participated in a crossover longitudinal study. A multifactorial assessment protocol was applied before the application of M and after 3 mo (functional assessment) and 6 mo (psychosocial assessment) of home use. Functional assessment included both practical tests (i.e., Southampton Hand Assessment Procedure [SHAP], Box and Blocks Test [BBT], and Minnesota Manual Dexterity Test [MMDT]) and self-report functional scales. Psychosocial assessment consisted of a clinical interview and a battery of self-report questionnaires concerning current anxious-depressive symptoms and healthrelated quality of life, body image concerns, adjustment and satisfaction with prosthesis, social support, coping style, and personality. Increased manual dexterity was observed after 3 mo based on improvements in the SHAP, BBT, and MMDT. Two important themes emerged from the clinical interviews at the 6 mo follow-up: (1) the enhanced functionality and (2) the "like a real hand" aspect of the M, which further increased prosthesis integration to the Self. A few patients expressed concerns about M dimension, noise, and weight. The M appeared to restore hand function and natural appearance. The present findings provide preliminary evidence, and additional studies are needed.

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Section: Discussionmentioning

confidence: 93%

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

et al. 2015

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“…20,21 and has been employed in previous studies of LLA. 8,22 General examined using Fisher's exact probability tests, chi-squared tests, and independent ttests, as appropriate.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Goal Management Tendencies Predict Trajectories of Adjustment to Lower Limb Amputation Up to 15 Months Post Rehabilitation Discharge

Coffey

Gallagher

Desmond

et al. 2014

Archives of Physical Medicine and Rehabilitation

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“…The main personal areas focused on by these studies included: body image, [16][17][18] relation with the artificial limb, 5,7,19 phantom limb sensations and pain, [20][21][22] coping strategies 12,23,24 and perceived well-being. 3 Regarding the qualitative studies developed in this field, several themes associated with this experience have been found: 5,10,12,[25][26][27] meanings of being an amputee; identity changes; meanings of using a prosthesis; coping with the loss; relation with own body; relations with the prosthesis and embodiment of an artificial limb; phantom and stump pain; feelings of vulnerability; resilience characteristics; social support changes; and need for emotional support.…”

Section: Introductionmentioning

confidence: 99%

Beyond the body image: a qualitative study on how adults experience lower limb amputation

et al. 2011

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Objective: To explore adults' experiences of lower limb amputation, focusing on the changes in self-identity related to the impairment. Design: A cross-sectional and qualitative study, using semi-structured interviews. Interviews were transcribed, coded and analysed by two independent researchers. Setting: A rehabilitation medicine service from a general public hospital. Participants: A convenience sample of 42 patients with lower limb amputation performed after the age of 18 and followed up in the physical medicine and rehabilitation department of a general hospital. Main outcome measures: A semi-structured interview, addressing three core areas: the emotional impact of amputation; the adjustment process; and the relation with the external resources. Results: Eight themes emerged from interviews: reactions and feelings about becoming amputee; changes in own life; problems in well-being; relation with the prosthesis; self-perceptions; aims related to the rehabilitation and future plans; relation with the rehabilitation; and perceived social support. These results supported a theoretical model for the self-identity changes related to limb loss. Conclusions: The self-identity changes after a lower limb amputation appear beyond the patient's body image and functioning, affecting the patient's awareness of the impairment, biographical self and any future projections.

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A prospective study of positive adjustment to lower limb amputation

Abstract: The findings demonstrate prospectively the importance of psychosocial variables in the prediction of positive adjustment to lower limb amputation.

Cited by 69 publications

References 20 publications

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

Goal Management Tendencies Predict Trajectories of Adjustment to Lower Limb Amputation Up to 15 Months Post Rehabilitation Discharge

Beyond the body image: a qualitative study on how adults experience lower limb amputation

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