Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration

Esquenazi, Alberto

doi:10.1080/09638280410001708850

Cited by 156 publications

(101 citation statements)

References 10 publications

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“…All of our study participants were active servicemembers in combat-field operations at the time of their limb loss. Several things can cause upper-limb loss: congenital conditions [10][11][54][55], non-combatrelated trauma [10,12,[56][57], complications from infections [10,58], dysvascular conditions [3,10], or combatassociated injuries [9]. Surveys from non-combat-associated upper-limb loss populations show similar trends for prosthetic-device use as our population.…”

Section: Discussionmentioning

confidence: 56%

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

McFarland¹,

Winkler²,

Heinemann³

et al. 2010

JRRD

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192

136

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Abstract-Prosthetic use and satisfaction in wounded servicemembers and veterans with unilateral upper-limb loss has not been thoroughly explored. Through a national survey, we enrolled 47 participants from the Vietnam conflict and 50 from Operation Iraqi Freedom/Operation Enduring Freedom (OIF/ OEF) with combat-associated major unilateral upper-limb loss. Upper-limb prosthetic devices were used by 70% of the Vietnam group and 76% of the OIF/OEF group. Mechanical/bodypowered upper-limb devices were favored by the Vietnam group, while a combination of myoelectric/hybrid and mechanical/body-powered devices were favored by the OIF/OEF group. Upper-limb devices were completely abandoned in 30% of the Vietnam and 22% of the OIF/OEF groups. Abandonment was more frequent for transhumeral and more proximal levels (42% of Vietnam and 40% of OIF/OEF) than more distal limb-loss levels. Upper-limb prostheses were rejected because of dissatisfaction with the device by significantly fewer (23%) members of the Vietnam group than the OIF/OEF group (45%) (p < 0.001). Most common reasons for rejection included pain, poor comfort, and lack of functionality. A significant paradigm shift has been noted in the OIF/OEF group, who use a greater number and diversity of upper-limb prostheses than the Vietnam group.

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Section: Discussionmentioning

confidence: 56%

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

McFarland¹,

Winkler²,

Heinemann³

et al. 2010

JRRD

Self Cite

192

136

View full text Add to dashboard Cite

show abstract

“…The complexity and diversity of functions performed by the hands and their salience in communication and self-presentation (4) represent significant and distinct challenges for rehabilitation and prosthetic restoration. In recent years, significant technological advances in design and fabrication of upper limb prosthetic devices have greatly improved the potential functional and cosmetic outcomes for individuals with upper limb amputations (5). There remains, however, a dearth of research explicitly addressing psychosocial adaptation to upper limb amputation and associated mediating factors (6), despite the importance of such variables in clinical rehabilitation, sustained prosthesis use and long-term adjustment and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Coping, affective distress, and psychosocial adjustment among people with traumatic upper limb amputations

Desmond

2007

Journal of Psychosomatic Research

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Coping styles emerged as important predictors of psychosocial adaptation. In particular, avoidance was strongly associated with psychological distress and poor adjustment. Conclusions: These findings suggest the potential benefits of interventions to reduce reliance on avoidant coping and stimulate more problem-focused approaches to coping with difficulties and challenges in order to facilitate adaptation and prevent problems in psychosocial functioning postamputation.

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“…Transfemoral amputation is a life-altering event that currently affects approximately 550,000 people living in the United States of America [1,2]. By the year 2050, this number is expected to more than double, as amputations secondary to diabetes mellitus and dysvascular conditions become increasingly common [2].…”

Section: Introductionmentioning

confidence: 99%

The biomechanical response of persons with transfemoral amputation to variations in prosthetic knee alignment during level walking

2016

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Prosthetic alignment is an important factor in the overall fit and performance of a lower-limb prosthesis. However, the association between prosthetic alignment and control strategies used by persons with transfemoral amputation to coordinate the movement of a passive prosthetic knee is poorly understood. This study investigated the biomechanical response of persons with transfemoral amputation to systematic perturbations in knee joint alignment during a level walking task. Quantitative gait data were collected for three alignment conditions: bench alignment, 2 cm anterior knee translation (ANT), and 2 cm posterior knee translation (POST). In response to a Participation Follow-Up: The authors do not plan to inform participants of the publication of this study. However, participants have been encouraged to check the Northwestern University Prosthetics-Orthotics Center Web site for updated publications related to the program's activities, which include the present study. Disclaimer:The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the VA or the U.S. Government. U.S. Department of Veterans AffairsPublic Access Author manuscript J Rehabil Res Dev. Author manuscript; available in PMC 2017 August 17. VA Author ManuscriptVA Author Manuscript VA Author Manuscript destabilizing alignment perturbation (ANT), subjects significantly increased their early-stance hip extension moment, confirming that persons with transfemoral amputation rely on a hip extensor strategy to maintain knee joint stability. However, subjects also decreased the rate at which they loaded their prosthesis, decreased their step length, increased their trunk flexion, and maintained their limb in a more vertical posture at the time of opposite toe off. Collectively, these results suggest that persons with transfemoral amputation rely on a combination of strategies to coordinate stance-phase knee flexion. Further, no significant changes were observed in response to the POST condition, suggesting that a bias toward posterior alignment may have fewer implications in terms of stance-phase, knee-joint control.

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Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration

Abstract: It is possible to conclude from this review that many advances have occurred that have greatly impacted the functional outcomes of patients with limb amputation.

Cited by 156 publications

References 10 publications

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

Coping, affective distress, and psychosocial adjustment among people with traumatic upper limb amputations

The biomechanical response of persons with transfemoral amputation to variations in prosthetic knee alignment during level walking

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