Evaluation of disabilities and activities of daily living of war-related bilateral lower extremity amputees

Ebrahimzadeh, Mohammad Ali; Moradi, Ali; Bozorgnia, Shahram; Hallaj-Moghaddam, Mohammad

doi:10.1177/0309364614547410

Cited by 21 publications

(14 citation statements)

References 24 publications

(50 reference statements)

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“…[ 23 ] Traumatic limb loss mainly affects young individuals and the mean age of the patients in the current study is in consistent with the literature. [ 1 ] It is evident that, with advancing age, cardiovascular consequences of limb loss would affect the whole life of an individual. Therefore, strategies aiming to modulate these risks are of vital importance.…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic lower limb amputation (LLA) commonly affects young and active individuals who have a long life-expectancy. [ 1 ] It is associated with an increased risk for low back pain, degenerative arthritis, and cardiovascular disease which can reduce overall health quality and physical condition of the wounded persons[ 2 ] Rose et al[ 3 ] and Kurdibaylo[ 4 ] reported that pain, psychological illness, insulin resistance, blood hypercoagulability, and metabolic syndrome were the most frequent handicaps after LLA.…”

Section: Introductionmentioning

confidence: 99%

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Cardiometabolic risk parameters of individuals with lower extremity amputation: What is the effect of adherence to DASH diet and Mediterranean diet?

Köroğlu

Adıgüzel

2020

Turk J Phys Med Rehab

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiometabolic risk parameters of individuals with lower extremity amputation: What is the effect of adherence to DASH diet and Mediterranean diet?

Köroğlu

Adıgüzel

2020

Turk J Phys Med Rehab

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“…Evaluating the ADL of veterans with bilateral lower limb amputations showed that the highest level of help was needed for transportation (27.8%) [ 35 ]; however, this was more common in short transfemoral, hip disarticulation and hemipelvectomy amputees. In this study, 54% participated in sporting activities, although 50% of the bilateral lower limb amputees participated in sporting activities [ 36 ]. It was suggested that physical activity should be incorporated into the rehabilitation programs for these patients [ 37 , 38 ]; however, it is important to consider contextual factors, such as the appropriate urban environment, which can cause differences in ADL and IADL.…”

Section: Discussionmentioning

confidence: 99%

Health concerns of veterans with high-level lower extremity amputations

et al. 2018

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BackgroundThe aim of the study was to identify health concerns of veterans with high-level lower extremity amputations.MethodsThrough a cross-sectional study, general practitioners, an orthopedic specialist, psychologists, psychiatrists, physiotherapist and prosthetists examined 100 veterans using a short-form health-related quality of life questionnaire (SF-36) that assessed their ability to perform activities of daily living (ADL), instrumental activities of daily living (IADL) and life satisfaction (SWLS) after hip disarticulation or hemi-pelvectomy amputations. The assessment tool was designed to gather statistically useful information about their health needs.ResultsThe means of the Physical Component Summary (PCS), Mental Component Summary (MCS), SWLS, ADL and IADL were 48.58 ± 29.6, 33.33 ± 22.0, 19.30 ± 7.7, 48.10 ± 10.5 and 5.08 ± 1.8, respectively. Somatization, depression, and anxiety were the most prevalent disorders; among the veterans who were visited by psychiatrists, 11.6% had a history of hospitalization in a psychiatry section, and 53.2% had a psychiatric visit. Regardless of their injury in battle, 34% of veterans were hospitalized. Hearing problems were common, and about four-fifths of the participants suffered from at least one orthopedic condition. Neuroma (49%) was the most common stump-related complication during orthopedic evaluations, though the prevalence of phantom pain was 81% during the pain assessment. A total of 87% of the participants had a history of wearing a prosthesis, but only 29% wore a prosthesis at the time of the present study. The Canadian-type of prosthesis was uncomfortable and not useful (27%) and excessively heavy (10%) according to the amputees.ConclusionsUnderstanding veterans’ characteristics and special needs are important to make sure that enough facilities and services are afforded to them. These findings emphasize the importance of paying close attention to different dimensions of health in veterans and can help health providers identify health needs and make regular assessments.

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“…The validity and reliability of the SF-36 had been tested in Farsi speaking people in Iran before and used for various diseases and disabilities ( 25 ). To determine the severity of amputation, we used the number of remaining functional joints (ankles, knees, hips) in both lower limbs from one to six ( Table 1 ) ( 26 ).…”

Section: Methodsmentioning

confidence: 99%

Quality of Life of Caregiver Spouses of Veterans With Bilateral Lower Extremity Amputations

2015

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Background:Providing care for patients with chronic disability affects caregivers’ social lives and relationships and can lead to poor health and lower quality of life.Objectives:In this study, our goal was to assess the quality of life in spouses of war veterans with bilateral lower limb amputations to find factors affecting caregivers’ quality of life.Patients and Methods:In a cross-sectional study, spouses of 244 veterans with war-related bilateral lower limb amputations for at least one year were invited to participate in this study; 189 couples accepted to participate. Information about age, gender, education level, duration of time since amputation, duration of care provided by the spouses and SF-36 questionnaire for both veterans and their spouses were collected.Results:The average age of spouses was 47 years and duration of care provided by spouses was 25 years. We found lower scores for general health domains in amputees’ spouses compared to the general population. Factors correlated with both Physical Component Summary (PCS) and Mental Component Summary (MCS) included the duration of care, duration of marriage, spouses’ education level and the veterans’ PCS and MCS scores. Veterans’ age, spouses’ age and the number of children only correlated with PCS. Veterans’ education level only correlated with MCS. In multivariable analysis, only spouses’ education level correlated with MCS and the veterans’ PCS only correlated with that of spouses.Conclusions:The quality of life of amputees and their spouses were closely correlated; therefore, any improvement in one is likely to improve the other. In addition, lower education level should be considered as a risk factor for poorer quality of life in amputees’ spouses.

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Evaluation of disabilities and activities of daily living of war-related bilateral lower extremity amputees

Cited by 21 publications

References 24 publications

Cardiometabolic risk parameters of individuals with lower extremity amputation: What is the effect of adherence to DASH diet and Mediterranean diet?

Cardiometabolic risk parameters of individuals with lower extremity amputation: What is the effect of adherence to DASH diet and Mediterranean diet?

Health concerns of veterans with high-level lower extremity amputations

Quality of Life of Caregiver Spouses of Veterans With Bilateral Lower Extremity Amputations

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