Home⇛Health Sciences Journal⇛vol. 13 no. 1 (2024)

Association between prosthesis use to the physical functioning and quality of life among adult unilateral lower limb amputees: An analytical cross-sectional study

Gian Searle S. Alkuino | Marvin N. Catoy | Shieka Delanne G. Alo | Chloie Ysabel B. Allanigue | Sheen Queenae C. Catamin | Sam Francesca P. Cirilo | Walled T. Ali | Francine Gaile D. Co | Josephine R. Bundoc | Ramon Jason M. Javier

Discipline: Medicine

 

Abstract:

Introduction A prosthesis is an artificial assistive device designed to replace a missing body part (e.g., limb), secondary to a disease, injury or congenital deformities. Prostheses are often used to restore functional capacity while improving the quality of life (QoL). Methods An analytical cross-sectional study was conducted among adults aged 19 to 64 years who were permanent residents in Luzon who had undergone unilateral lower leg amputation. This epidemiologic study employed the Modified Barthel Index for activities of daily living (ADLs), the Frenchay Activities Index for instrumental activities of daily living (IADLs), and the WHOQOL-BREF for QoL. Descriptive and analytical statistics of the responses of the Lower Limb Amputees (LLA) were done. Prevalence odds ratio (POR) was calculated, and statistical significance was determined. Results Among 165 LLA respondents, only 47.88% used prostheses. Unilateral LLA who exhibited greater independence in ADLs (POR=19.22), more actively performed IADLs (POR=5.51), and had good QoL (POR=3.83) were more likely to have been using prosthesis. All these findings were statistically significant. Conclusion This study revealed a statistically significant association between prosthesis use to the physical functioning and QoL among adult unilateral LLAs. It showed that prosthetic use was likely linked with improved performance in ADLs and IADLs, and better QoL compared to those without.



References:

  1. Alberto E and Stanley KY. Physical Medicine and Rehabilitation Knowledge. Accessed: Feb. 20, 2021. [Online]. Available: https://now.aapmr.org/lower-limbamputations-epidemiology-and-assessmen%t/.  
  2. PubMed Central (PMC) [Internet]. Quality of life in people with unilateral lower limb amputation at a tertiary rehabilitation centre in Northern India: A Cross-Sectional Study; [cited 2023 Oct 15]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150140/.   
  3. Garber CE, Greaney ML, Riebe D, Nigg CR, Burbank PA, Clark PG. Physical and mental health-related correlates of physical function in community dwelling older adults: A cross-sectional study. BMC Geriatr [Internet] 2010 Feb 3 [cited 2023 Oct 21];10(1). Available from: https://doi.org/10.1186/1471-2318-10-6.  
  4. WHOQOL: Measuring Quality of Life [Internet] World Health Organization; [cited 2022 Nov]. Available from: https://www.who.int/tools/whoqol/whoqol-100.
  5. Hussain S, Shams S, Jawaid Khan S. Impact of Medical Advancement: Prostheses. Computer Architecture in Industrial, Biomechanical and Biomedical Engineering 2019; doi:10.5772/intechopen.86602.
  6. Choong M, Chau T, Chy D, Ross A. Clinical management of quadriplegia in low and middleincome countries: A patient’s road to physiotherapy, prostheses and rehabilitation. BMJ Case Rep 2018 Jul 26;2018:bcr2018225171. doi:10.1136/bcr-2018-225171.
  7. 2016 National Disability Prevalence Survey [Internet]. Philippine Statistics Authority; Available from: https:// psa.gov.ph/statistics/national-disability-prevalencesurvey. Prosthesis Use and Physical Functioning and Quality of Life Among Adult Unilateral Lower Limb Amputees 8
  8. Chadwell A, Diment L, Micó-Amigo M, et al. Technology for monitoring everyday prosthesis use: A systematic review. J Neuro Eng Rehab 2020; 17(1): 93–. doi:10.1186/ s12984-020-00711-4.
  9. Dajpratham P, Tantiniramai S, Lukkanapichonchut P. Health related quality of life among the Thai people with unilateral lower limb amputation. J Med Assoc Thai 2011 Feb;94(2):250-5.
  10. Barthel Index [Internet]. [cited 2023 Dec 1]. Available from: https://www.physio-pedia.com/Barthel_Index.
  11. Miller WC, Deathe AB, Harris J. Measurement properties of the Frenchay Activities Index among individuals with a lower limb amputation. Clin Rehabil 2004 Jun;18(4):414- 22. doi: 10.1191/0269215504cr728oa.
  12. Frenchay Activities index [Internet]. [cited 2023 Oct 22]. Available from: https://www.sralab.org/rehabilitationmeasures/frenchay-activities-index#populations.  
  13. Filipino_WHOQOL-Bref [Internet]. World Health Organization; [cited 2023 Oct 22]. Available from: https:// www.who.int/tools/whoqol/whoqol-bref/docs/defaultsource/publishing-policies/whoqol-bref/filipino-whoqolbref.  
  14. Ilic I, Šipetic S, Grujicic J, Macuzic IZ, Kocic S, Ilic M. Psychometric properties of the World Health Organization’s Quality of Life (WHOQOL-BREF) questionnaire in medical students. Medicina (Kaunas) 2019 Dec 4;55(12):772. doi: 10.3390/medicina55120772.  
  15. Allami M, Yavari A, Karimi A, Masoumi M, Soroush M, Faraji E. Health-related quality of life and the ability to perform activities of daily living: A cross-sectional study on 1,079 War Veterans with Ankle-Foot Disorders. Mil Med Res 2017 Nov 29;4(1):37. doi: 10.1186/s40779-017- 01461.
  16. Karaali E, Duramaz A, Çiloglu O, Yalın M, Atay M, Aslantas FÇ. Factors affecting activities of daily living, physical balance, and prosthesis adjustment in nontraumatic lower limb.   amputees. Turk J Phys Med Rehabil 2020 Oct 16;66(4):405-12. doi: 10.5606/tftrd.2020.4623. 17. Yunos N, Hamzah SA, Romli MH, Makhdzir N, Aris A. Satisfaction on the use of mobility aids among lower limb amputees and impact on activities of daily living in Selangor, Malaysia. Intl J Care Scholars 2022;5(1):21–8.doi:10.31436/ijcs.v5i1.221.  
  17. Dunne S, Coffey L, Gallagher P, Desmond D, Ryall N. Beyond function: using assistive technologies following lower limb loss. J Rehab Med 2015;47(6):561–8. doi:10.2340/16501977-1962.
  18. Bilodeau S, Hébert R, Desrosiers J. Questionnaire sur la satisfaction des personnes amputées du membre inférieur face à leur prothèse: développement et validation [Questionnaire on the satisfaction of persons with lowerlimb amputations towards their prosthesis: Development and validation]. Can J Occup Ther 1999 Feb;66(1):23-32. French. doi: 10.1177/000841749906600103.
  19. Matsen SL, Malchow D, Matsen FA 3rd. Correlations with patients’ perspectives of the result of lower-extremity amputation. J Bone Joint Surg Am 2000 Aug;82(8):1089- 95. doi: 10.2106/00004623-200008000-00004.
  20. Mac Neill HL, Devlin M, Pauley T, Yudin A. Longterm outcomes and survival of patients with bilateral transtibial amputations after rehabilitation. Am J Phys Med Rehabil 2008 Mar;87(3):189-96. doi: 10.1097/ PHM.0b013e31816178cc.
  21. Razak MM, Tauhid MZ, Yasin NF, Hanapiah FA. Quality of life among lower limb amputees in Malaysia. Procedia - Social and Behavioral Sciences 2016 Jun 23;222:450–7. doi:10.1016/j.sbspro.2016.05.135.
  22. Priyadharshan KP, Kumar N, Shanmugam D, Kadambari D, Kar SS. Quality of life in lower limb amputees: a cross-sectional study from a tertiary care center of South India Prosthet Orthot Int. 2022 Jun 1;46(3):246-251. doi: 10.1097/PXR.0000000000000108. Epub 2022 Mar 22.
  23. Pran L, Baijoo S, Harnanan D, Slim H, Maharaj R, Naraynsingh V. Quality of life experienced by major lower extremity amputees. Cureus 2021 Aug 25;13(8):e17440. doi: 10.7759/cureus.17440.
  24. Hashim R, Islam Z, Panhwar W, Sophie Z, Berlas FT, Salim A. Health related quality of life in patients undergoing lower limb amputation secondary to peripheral arterial disease. Pakistan J Med Health Sci 2023;17(2):77–81. doi:10.53350/pjmhs202317277.
  25. Davie-Smith F, Coulter E, Kennon B, Wyke S, Paul L. Factors influencing quality of life following lower limb amputation for peripheral arterial occlusive disease: A systematic review of the literature. Prosthet Orthot Int 2017 Dec;41(6):537-547. doi: 10.1177/0309364617690394. Epub 2017 Feb 2.
  26. Pell JP, Donnan PT, Fowkes FG, Ruckley CV. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg 1993 Jul;7(4):448-51. doi: 10.1016/s0950-821x(05)80265-8.
  27. Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: a study of a lower-limb amputee population. Prosthetics and Orthotics International 2008;32(2):186- 200. doi:10.1080/03093640802016514.
  28. World Report on Disability 2011 [Internet]. World Health Organization; Available from: https://www.who.int/teams/noncommunicable-diseases/sensory-functionsdisability-and-rehabilitation/world-report-on-disability.
  29. Han SJ, Kim HK, Storfjell J, Kim MJ. Clinical outcomes and quality of life of home health care patients. Asian Nurs Res 2013;7(2):53–60. doi:10.1016/j.anr.2013.03.002.
  30. Ebrahimzadeh MH, Moradi A, Bozorgnia S, HallajMoghaddam M. Evaluation of disabilities and activities of daily living of war-related bilateral lower extremity amputees. Prosthetics and Orthotics International 2016;40(1):51–7. doi:10.1177/0309364614547410.
  31. Tarroja HLG, Cheng CM. Quality of life among filipino amputees after prosthetic rehabilitation at the UERMMMCI Philippine School of Prosthetics and Orthotics Charity Clinic. UERM Health Sci J [Internet] 2019 January - June [cited 2022 September 4];8(1):29-36. Available from: https://library.uerm.edu.ph/kohaimages/UERM/repository/Health%20Sciences%20Journal/Vol8%20No1%20January-June%202019/HSJ%20vol.8no.1%202019-29-36.pdf.
  32. Prosthesis Use and Physical Functioning and Quality of Life Among Adult Unilateral Lower Limb Amputees 9
  33. Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, Maguire M, Nash MS. The Amputee Mobility Predictor: An instrument to assess determinants of the lower-limb amputee’s ability to ambulate. Arch Phys Med Rehabil 2002 May;83(5):613-27. doi: 10.1053/ apmr.2002.32309.
  34. Jo SH, Kang SH, Seo WS, Koo BH, Kim HG, Yun SH. Psychiatric understanding and treatment of patients with amputations. Yeungnam Univ J Med 2021 Jul;38(3):194- 201. doi: 10.12701/yujm.2021.00990. Epub 2021 May 11.

Tools


Copyright © 2024  KITE Digital Educational Solutions |  Exclusively distributed by CE-Logic