Characterisation of persons with lower limb amputation who attended a tertiary rehabilitation centre in Bangladesh

Imam, Mahmudul Hassan Al; Alamgir, Hasanat; Akhtar, Noor Jahan; Hossain, Zahid; Islam, Rangila; Hossain, M. Shahadat

doi:10.1080/09638288.2018.1544671

Cited by 10 publications

(11 citation statements)

References 33 publications

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“…29,30 Most participants in this sample were relatively young males with amputation at transtibial or transfemoral level, due to road traffic or workplace accidents many years prior, with either primary or early secondary school education. While these participants were typical of those who have accessed prosthetic rehabilitation in Bangladesh, 6 it is likely that the sampling method favoured those who found participation convenient given their proximity to the rehabilitation centres where the interviews were conducted.…”

Section: Discussionmentioning

confidence: 99%

“…The insights reported in this investigation do not reflect those of people living with LLA who are not aware of, or unable to, access the assistive technology and rehabilitation they require due to poverty or remoteness. 6,44 We hypothesise that for these people, there may well be very different barriers to work participation than for those living with an amputation who have access to rehabilitation.…”

Section: Limitationsmentioning

confidence: 99%

“…There are significant barriers to participation in the years following LLA given limited education and access to timely rehabilitation and prosthetic services, mobility challenges, difficulties accessing the physical environment and public transport, public attitudes to disability, poor mental health, social isolation and loss of roles within family and society that define a person and bring meaning and purpose to life. [3][4][5][6] Our understanding of the impact of these factors on work participation is limited, given that most studies have used quantitative methods to examine the effects of demographic and amputation-related factors on work participation after LLA in countries with well-developed healthcare systems. [7][8][9][10] Few studies have examined the effects of pain, level of mobility or the effect of comorbidities, 11,12 or described the impact of the environmental or psychosocial factors on work participation following LLA.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

Stuckey

Draganovic

Ullah

et al. 2020

Prosthetics &Amp; Orthotics International

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Background: Lower limb amputation due to workplace injury and motor vehicle accident is common in Bangladesh. Qualitative research may extend our understanding of how physical impairment and other factors, such as cultural norms, family roles and the built environment, facilitate or hinder work participation following lower limb amputation and prosthetic rehabilitation. Objectives: The aim of this study was to explore the experience of people in Bangladesh following lower limb amputation and prosthetic rehabilitation to understand the facilitators and barriers to their work participation. Study Design: Qualitative interviews with thematic analysis. Methods: The Worker Role Interview was used to guide semi-structured interviews in a convenience sample of 10 adults living in Bangladesh following lower limb amputation and prosthetic rehabilitation. Interviews were interpreted, and the themes that emerged were evidenced with first-person quotes. Results: Barriers and facilitators to work participation were synthesised into the following themes: spirituality, attitudes, meaning of work, planning for work participation, traditional gender roles, social support, mobility aids, environmental challenges and ergonomic adaptations. Conclusion: This qualitative approach identified barriers and facilitators to work participation, such as the role of spirituality and the effect of gender roles, that have not been well researched in this population. Being aware of their effects can help clinicians reduce barriers to work participation. Clinical relevance Greater awareness of the barriers and facilitators to work participation, such as the role of spirituality or the effect of gender roles, can assist clinicians to reduce barriers and help facilitate work participation for people living in Bangladesh following lower limb amputation and prosthetic rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

Stuckey

Draganovic

Ullah

et al. 2020

Prosthetics &Amp; Orthotics International

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“…4 Peripheral vascular disease is on the rise as well in developing countries and has been reported to be the second dominant cause of amputation in Bangladesh. 4,5…”

Section: Introductionmentioning

confidence: 99%

“…4 It has been estimated that road traffic accidents leave around 426,320–639,480 people injured in Bangladesh annually. 4 The same study also reported that road traffic injuries contributed to most LLA cases in Bangladesh. 4 Peripheral vascular disease is on the rise as well in developing countries and has been reported to be the second dominant cause of amputation in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

Prosthesis use among individuals with lower limb amputation in Bangladesh

Imam

Kader

Islam³

et al. 2022

Prosthetics &Amp; Orthotics International

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Objective:This study aimed to assess factors related to prostheses use among individuals with lower limb amputation in Bangladesh.Methods:Data related to prosthesis use, functional capabilities (as measured with the Locomotor Capabilities Index [LCI]), and user satisfaction were collected using telephone interviews between January 2014 and October 2016. Descriptive and regression analyses were performed.Results:This study involved 183 participants (89.6% male); the mean (SD) age was 49.5 (10.7) years. Most of the participants (95.6%) used prostheses daily, and the mean (SD) duration of use was 7.0 (4.1) hours per day. The mean (SD) basic LCI score, advanced LCI score, and total LCI score were 25.1 (4.9), 20.8 (8.3), and 45.9 (12.2), respectively. Among them, 36.7% were dissatisfied with the weight of the prosthesis. Having a below knee amputation (odds ratio 2.6 and confidence interval 1.3, 5.3) and absence of comorbidities (odds ratio 2.1; confidence interval 1.0, 4.4) were associated significantly with an increased use of prosthesis.Conclusion:Factors such as weight of the prosthesis, amputation level, and presence of comorbidities are important considerations while planning for prosthetic rehabilitation and optimize utilization of the prosthetic devices.

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Secular Trends in Musculoskeletal Rehabilitation Needs in 191 Countries and Territories From 1990 to 2019

2022

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Characterisation of persons with lower limb amputation who attended a tertiary rehabilitation centre in Bangladesh

Cited by 10 publications

References 33 publications

Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

Prosthesis use among individuals with lower limb amputation in Bangladesh

Secular Trends in Musculoskeletal Rehabilitation Needs in 191 Countries and Territories From 1990 to 2019

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