Quality of life, body image, and mobility in lower-limb amputees using high-tech prostheses: A pragmatic trial - 20/02/21
, Belma Füsun Köseoğlu, Öznur Öken, Asuman Doğan
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | Amputation is a major cause of disability worldwide. |
• | Walking with a prosthesis confers considerably higher physical and mental load as compared with able-bodied persons. |
• | Individuals with lower-limb amputation showed increased quality of life, improved functional performance, higher prothesis satisfaction and decreased perception of body image when using a microprocessor-controlled knee/vacuum assisted suspension system prosthesis versus a mechanical-controlled prosthesis. |
Abstract |
Background |
High-tech prostheses are supposed to achieve better functional recovery over mechanical-controlled prostheses in lower-limb amputees. However, quantitative data are insufficient.
Objective |
We aimed to evaluate changes in quality of life, life satisfaction, perception of body image, and functional performance of lower-limb amputees when using a mechanical-controlled prosthesis versus a microprocessor-controlled knee (MPK) or transtibial vacuum-assisted suspension system (VASS) prosthesis.
Methods |
In this pragmatic study, 57 lower-limb amputees were assessed with the Satisfaction with the Prosthesis Questionnaire (SATPRO), revised Amputee Body Image Scale (ABIS-R), Trinity Amputation and Prosthesis Experience Scales (TAPES), Medical Outcomes Study Short Form-36 (SF-36) and 6-min walk test (6MWT). All assessments were performed under 2 conditions (i.e., using a mechanical-controlled prosthesis vs. an MPK/VASS prosthesis.
Results |
Amputees who used an MPK/VASS prosthesis showed significant increases in all SF-36 subscale scores and all subscale scores of TAPES except adjustment to limitation (P=0.156). The amputees showed clinically relevant improvements in 6MWT (P<0.001) and in SATPRO and ABIS-R scores (P<0.001).
Conclusion |
Lower-limb amputees using an MPK/VASS prosthesis had better life satisfaction, quality of life and functional performance than those using a mechanical-controlled prosthesis.
Le texte complet de cet article est disponible en PDF.Keywords : Lower-limb amputation, Prosthesis, Quality of life, Functional performance and life satisfaction
Plan
Vol 64 - N° 1
Article 101405- janvier 2021 Retour au numéro
Article précédent
- Effectiveness of a self-rehabilitation program to improve upper-extremity function after stroke in developing countries: A randomized controlled trial
- Ditouah Didier Niama Natta, Thierry Lejeune, Christine Detrembleur, Berenice Yarou, Emmanuel S. Sogbossi, Etienne Alagnidé, Toussaint Kpadonou, Clara Selves, Gaëtan Stoquart
- Charlie Chaplin and gesture training in severe aphasia: A controlled double-blind single-case experimental design
- Clemence Vibrac, Amelie Avias, Pierre-Olivier François, Marie-Eve Isner-Horobeti, Agata Krasny-Pacini
Bienvenue sur EM-consulte, la référence des professionnels de santé.