Pain, functional status, social function and conditions of habitation in elderly unilaterally lower limb amputees

Abstract

A total 38 elderly amputees with unilateral lower limb amputations achieved significant functional improvement and reduction of pain, in spite of their social dysfunction, the absence of socio-medical support and inadequacy of the conditions of habitation.

Phantom Limb Pain and Painful Neuroma After Dysvascular Lower-Extremity Amputation: A Systematic Review and Meta-Analysis

“…A total of 12 articles were included in qualitative analysis and 11 in quantitative analysis (Table 2). 1,7,[12][13][14][15][16][17][18][19][20][21] Seven of the 12 included articles were cross-sectional studies (Table 2), 7,[12][13][14]16,18,20 two prospective cohort studies, 15,19 and three retrospective cohort studies. 1,15,17,19,21 The studies were conducted in seven different countries and published between 1996 and 2022.…”

“…1,7,[12][13][14][15][16][17][18][19][20][21] Seven of the 12 included articles were cross-sectional studies (Table 2), 7,[12][13][14]16,18,20 two prospective cohort studies, 15,19 and three retrospective cohort studies. 1,15,17,19,21 The studies were conducted in seven different countries and published between 1996 and 2022. The number of patients in each study ranged between 38 and 643, with a median of 70.5 (Table 2).…”

Activities of daily living in people with lower limb amputation: outcomes of an intervention to reduce dependence in pre-prosthetic phase

“…The bathroom was the least accessible space and, in turn, the place where most adaptations were implemented, consistent with previous studies. [6,51] Adaptations such as grab bars, seats, and raised toilets promote balance, energy conservation, and comfort, with an affordable cost for most participants. After this intervention, significant improvements were recorded in the coverage of home adaptation needs.…”

“…This health condition has a profound impact on daily functioning: pain, depression, changes in body image and mobility limitations are common problems. [6][7][8][9] Moreover, the mortality rates are high; in several studies, more than one-third of the participants died during the first year after amputation. [10][11][12][13] Therefore, the promotion of autonomy and quality of life in this population group constitutes a major challenge for health policy.…”

“…[14][15][16]18] The primary objective of the pre-prosthetic occupational therapy intervention is to facilitate independence in self-care activities, as early as possible, through training of skills for daily functioning and advice on adaptations and technology. [6,[18][19][20][21] Regarding the prosthetic phase, the selection of candidates for prosthetic rehabilitation is usually a function of the rehabilitation team with patient involvement in the decision-making process, considering pre-amputation lifestyle, clinical status, skills, and expectations concerning each person. [16,18,20] Previous research has shown that a significant proportion is unable to achieve prosthetic ambulation or abandons the use of prosthesis later.…”