Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study
Objective: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation. Methods: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran. One thousand p...
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doaj-30c464bdb586454595daa031e8ddf6fe2020-11-25T03:46:45ZengAVES YayincilikActa Orthopaedica et Traumatologica Turcica1017-995X2018-09-01525348351Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional studyElham Esfandiari0Amir Yavari1Amir Karimi2Mehdi Masoumi3Mohammadreza Soroush4Hassan Saeedi5Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran; Graduate Program in Rehabilitaion Sciences, University of British Columbia, Vancouver, BC, CanadaJanbazan Medical and Engineering Research Center (JMERC), Tehran, IranJanbazan Medical and Engineering Research Center (JMERC), Tehran, IranJanbazan Medical and Engineering Research Center (JMERC), Tehran, Iran; Corresponding author. Janbazan Medical and Engineering Research Center (JMERC), Num. 17, Farrokh St., Moghadas Ardebili St., Yaman St., Chamran Highway, Tehran, Iran. Fax: +98 21 2217 2323.Janbazan Medical and Engineering Research Center (JMERC), Tehran, IranOrthotics and Prosthetics Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IranObjective: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation. Methods: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran. One thousand patients with unilateral hip disarticulation, trans-femoral amputation and knee disarticulation due to war-related injuries were invited to undergo a thorough physical examination. Among the invited persons, 58.7% (587 subjects) responded to our invitations. A complete examination related to phantom pain, phantom sensation, stump pain, back pain, and sound limb joints pain with a self-constructed questionnaire was performed. In addition, Amputee Mobility Predictor (AMP) instrument with a prosthesis was completed to assess the function of patients. Results: The mean duration of time since amputation was 22 years. The most common symptoms reported by participants were phantom sensation (82%), back pain (69%), and phantom pain (63%). In addition, total scores of AMP with a prosthesis in persons with knee disarticulation and trans-femoral amputations were 20.8 and 28, respectively.The knee disarticulation was associated with higher scores of AMP with a prosthesis compared to transfemoral amputation (p < 0.01). Conclusion: The results of this study showed that patients with lower limb amputation suffer from significant clinical and functional problems. The findings may be useful to adopt new strategies in planning rehabilitation programs to improve quality of life and health status of patients with war-related lower limb amputation. Level of Evidence: Level IV, Therapeutic study. Keywords: Traumatic injury, Veterans, Back pain, Artificial limbs, Prosthesishttp://www.sciencedirect.com/science/article/pii/S1017995X16303364 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elham Esfandiari Amir Yavari Amir Karimi Mehdi Masoumi Mohammadreza Soroush Hassan Saeedi |
spellingShingle |
Elham Esfandiari Amir Yavari Amir Karimi Mehdi Masoumi Mohammadreza Soroush Hassan Saeedi Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study Acta Orthopaedica et Traumatologica Turcica |
author_facet |
Elham Esfandiari Amir Yavari Amir Karimi Mehdi Masoumi Mohammadreza Soroush Hassan Saeedi |
author_sort |
Elham Esfandiari |
title |
Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study |
title_short |
Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study |
title_full |
Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study |
title_fullStr |
Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study |
title_full_unstemmed |
Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study |
title_sort |
long-term symptoms and function after war-related lower limb amputation: a national cross-sectional study |
publisher |
AVES Yayincilik |
series |
Acta Orthopaedica et Traumatologica Turcica |
issn |
1017-995X |
publishDate |
2018-09-01 |
description |
Objective: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation. Methods: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran. One thousand patients with unilateral hip disarticulation, trans-femoral amputation and knee disarticulation due to war-related injuries were invited to undergo a thorough physical examination. Among the invited persons, 58.7% (587 subjects) responded to our invitations. A complete examination related to phantom pain, phantom sensation, stump pain, back pain, and sound limb joints pain with a self-constructed questionnaire was performed. In addition, Amputee Mobility Predictor (AMP) instrument with a prosthesis was completed to assess the function of patients. Results: The mean duration of time since amputation was 22 years. The most common symptoms reported by participants were phantom sensation (82%), back pain (69%), and phantom pain (63%). In addition, total scores of AMP with a prosthesis in persons with knee disarticulation and trans-femoral amputations were 20.8 and 28, respectively.The knee disarticulation was associated with higher scores of AMP with a prosthesis compared to transfemoral amputation (p < 0.01). Conclusion: The results of this study showed that patients with lower limb amputation suffer from significant clinical and functional problems. The findings may be useful to adopt new strategies in planning rehabilitation programs to improve quality of life and health status of patients with war-related lower limb amputation. Level of Evidence: Level IV, Therapeutic study. Keywords: Traumatic injury, Veterans, Back pain, Artificial limbs, Prosthesis |
url |
http://www.sciencedirect.com/science/article/pii/S1017995X16303364 |
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