Quality of Life among Lower Limb Amputees in Malaysia

Razak, Muhammad Mahdi Abdul; Tauhid, Muhammad Zubaidi; Yasin, Nor Faissal; Hanapiah, Fazah Akhtar

doi:10.1016/j.sbspro.2016.05.135

Cited by 19 publications

(16 citation statements)

References 15 publications

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“…Our study found that TTA participants without prosthesis had significantly lower quality of life scores for the physical functioning domain as measured by the SF-36, than TTA with prosthesis. This observation is similar to findings of other studies reporting the use of prosthesis having effect on the QoL 4 , 7 . This suggests that a prosthetic limb helped to improve their physical functioning.…”

Section: Discussionsupporting

confidence: 92%

“…Razak et al used the WHOQOL-BREF questionnaire and found that psychosocial domain had influence on the quality of life while amputation affected the physical domain the most. The overall quality of life was found to be satisfactory 4 .…”

Section: Discussionmentioning

confidence: 93%

“…Yusof et al compared the quality of life of diabetes amputees after major and minor while another study from Malaysia looking at the quality of life in lower limb amputees included 1/3 of patients with trauma as a cause for the amputation 4 , 8 . Other studies looking at the quality of life in lower limb amputees had sample from India and Netherlands 7 , 15 , both of these with trauma as the main indication for the amputation.…”

Section: Discussionmentioning

confidence: 99%

“…Lower limb amputation is more common than upper limb amputation and is mostly due to vascular problems from diabetes and chronic kidney disease. In Malaysia, a study of 37 lower limb amputees showed that 86% were unilateral amputees, 54.8% had below knee amputations and most were diabetic 4 . Similarly, a study of 81 patients in Brunei Darussalam had confirmed that diabetes mellitus was the leading cause of lower limb amputation while TTA was the most common procedure performed 5 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

What is the Quality of Life of Transtibial Amputees in Brunei Darussalam?

Ng¹,

Naing²,

Idris³

et al. 2020

Malays Orthop J

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Introduction: Lower limb amputations have a profound impact on the quality of life (QoL) of the patients. This study was done to assess the QoL of patients with transtibial (below-the-knee) amputations (TTA) and transtibial amputees fitted with prosthesis. Material and Methods: A case-control study of patients who had undergone TTA from 2015 to 2018 was conducted in Raja Isteri Pengiran Anak Saleha Hospital (RIPAS). Complete data was available for 30 subjects and it was compared with 30 diabetic, non-amputee patients matched for age and gender. QoL was assessed using the RAND 36-Item Health Survey (SF-36) and the functional outcome of prosthesis-fitted transtibial amputees was assessed using the Houghton Scale. Results: Almost all cases of TTA were a result of vascular problems related to diabetes and chronic renal disease (n=29; 97%). Eighteen (60%) participants were fitted with prosthesis and 15 (50%) reported having phantom pain. QoL of participants was found to be significantly lower than that of age and sex-matched diabetic non-amputees with regards to physical functioning, role limitation due to physical health, emotional well-being, social functioning, and bodily pain. The mean Houghton Score for participants fitted with prosthesis was 4.89 (SD= 2.83) suggesting low functional outcome. Conclusion: TTA has a negative impact on the QoL of patients, especially in terms of functionality. The availability of prosthesis does not significantly improve the quality of life except in the physical functioning domain. Emotional well-being should be emphasised more in the rehabilitation process as this study found poor emotional well-being among participants.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

What is the Quality of Life of Transtibial Amputees in Brunei Darussalam?

Ng¹,

Naing²,

Idris³

et al. 2020

Malays Orthop J

View full text Add to dashboard Cite

show abstract

“…In 1998, a conference was set up by the International Society of Prosthetics and Orthotics which allowed Malaysian health officials to exchange knowledge and experience in prosthetics and orthotics with other LMICs. The Malaysian model, despite is limitations, has been deemed to be adequate in supplying psychosocial support and rehabilitation services, and thus serve as a model for other LMICs such as the Philippines 13. Developed countries have made great strides in research to ensure availability and affordability to their amputee citizens.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Clinical management of quadriplegia in low and middle-income countries: a patient’s road to physiotherapy, prostheses and rehabilitation

Choong

Chau²,

Chy³

et al. 2018

BMJ Case Reports

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Here we discuss the follow-up case of a 27-year-old male patient from rural Philippines, who was neglected by local health services after losing all four of his limbs as a result of a high-voltage electrical accident. The case follows the patient's road to accessing prostheses, rehabilitation health services and physiotherapy. Significant disparities were found between the government health services and the private sector with respect to quality, accessibility and affordability. Access to affordable healthcare is a basic human right that must be a priority for low-income and middle-income countries.

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