Psychological effects of traumatic upper-limb amputations

Pomarès, Germain; Coudane, H.; Dap, F.; Dautel, G.

doi:10.1016/j.otsr.2019.12.013

Cited by 16 publications

(15 citation statements)

References 16 publications

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“…Further, they never expected such overwhelming changes in their lives and that these changes made them feel vulnerable and dependent. Similarly, past studies have reported that individuals who have undergone amputation experience a shock because they are not prepared for the radical changes related to amputation (Day et al, 2019; Pomares et al, 2020). These unexpected changes force patients with LLA to face the reality that life can no longer be the same as before.…”

Section: Discussionmentioning

confidence: 95%

“…Spiess et al (2014) found that the grief over the loss of a body part is a very common reaction after amputation and has many similarities with the grief caused by the death of a loved one. Similarly, Pomares et al (2020) reported that more than one-third of their participants showed pathological grief after amputation. Pathological grief is particularly related to regrets about past habits and function losses (Pomares et al, 2020; Spiess et al, 2014).…”

Section: Discussionmentioning

confidence: 98%

“…Similarly, Pomares et al (2020) reported that more than one-third of their participants showed pathological grief after amputation. Pathological grief is particularly related to regrets about past habits and function losses (Pomares et al, 2020; Spiess et al, 2014). Thus, it was not surprising that participants in the present study had many regrets about their past daily habits and grieved over the loss of their body part.…”

Section: Discussionmentioning

confidence: 98%

“…Similar to several traumatic life occasions, LLA also causes its survivors to deeply question the meaning of life, their roles, goals, priorities, and even future perceptions (Butler, 2017; Xiuqun & Yuru, 2019). Apart from the nature of amputation, the side effects and the functional limitations of LLA raise numerous challenges and disrupt the quality of life (Pomares et al, 2020). Recent studies have shown that individuals with lower limb amputation (LLA) have difficulty adapting to their post-amputation life (Columbo et al, 2018; Day et al, 2019; Pedras et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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“I Wish I Could Have My Leg”: A Qualitative Study on the Experiences of Individuals With Lower Limb Amputation

Seyman

Özçetin

2021

Clin Nurs Res

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Amputation is commonly regarded as a lifesaving procedure. However, the loss of a body part can lead to permanent disability that can impact patients physically, psychologically, and socially. The aim of this study was to describe and understand the perspectives of patients with lower limb amputation (LLA) about their condition. The study uses a descriptive phenomenological design. Data were collected from 12 patients. The researchers conducted interviews using semi-structured questions. MAXQDA was used for qualitative software support in managing the interview data. Data were transcribed. The participants were aged 61.3 ± 10.8 years. Three themes emerged from the qualitative data: (i) losing control over one’s own life, (ii) dreams versus the realities of life, and (iii) future perceptions. Most of the participants emphasized that they face undesirable experiences in their post-amputation lives. The findings of the present study provide novel insight into how individuals subjectively experience life after LLA.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

“I Wish I Could Have My Leg”: A Qualitative Study on the Experiences of Individuals With Lower Limb Amputation

Seyman

Özçetin

2021

Clin Nurs Res

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“…Upper limb loss has profound and lasting effects on the quality of life of those affected ( Shahsavari et al, 2020 ). Amputees face significant challenges regarding the execution of daily tasks ( Antfolk et al, 2013 ), returning to the workplace after their injury ( Pomares et al, 2020 ; Shahsavari et al, 2020 ) and participating in social activities ( Kristjansdottir et al, 2020 ; Shahsavari et al, 2020 ), while also potentially suffering from phantom limb pain ( Esquenazi, 2002 ). Nowadays, myoelectric prostheses offer substantial restoration of lost hand functions; however, despite the ever-growing sophistication of these devices, users often find their control cumbersome and have difficulty accepting them as an integral part of their anatomy, resulting in high abandonment rates ( Salminger et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

EMG feedback outperforms force feedback in the presence of prosthesis control disturbance

2022

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Closing the prosthesis control loop by providing artificial somatosensory feedback can improve utility and user experience. Additionally, closed-loop control should be more robust with respect to disturbance, but this might depend on the type of feedback provided. Thus, the present study investigates and compares the performance of EMG and force feedback in the presence of control disturbances. Twenty able-bodied subjects and one transradial amputee performed delicate and power grasps with a prosthesis in a functional task, while the control signal gain was temporarily increased (high-gain disturbance) or decreased (low-gain disturbance) without their knowledge. Three outcome measures were considered: the percentage of trials successful in the first attempt (reaction to disturbance), the average number of attempts in trials where the wrong force was initially applied (adaptation to disturbance), and the average completion time of the last attempt in every trial. EMG feedback was shown to offer significantly better performance compared to force feedback during power grasping in terms of reaction to disturbance and completion time. During power grasping with high-gain disturbance, the median first-attempt success rate was significantly higher with EMG feedback (73.3%) compared to that achieved with force feedback (60%). Moreover, the median completion time for power grasps with low-gain disturbance was significantly longer with force feedback than with EMG feedback (3.64 against 2.48 s, an increase of 32%). Contrary to our expectations, there was no significant difference between feedback types with regards to adaptation to disturbances and the two feedback types performed similarly in delicate grasps. The results indicated that EMG feedback displayed better performance than force feedback in the presence of control disturbances, further demonstrating the potential of this approach to provide a reliable prosthesis-user interaction.

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