Quality of life and functional assessment in lower limb prosthetic patients at a referral outpatient clinic in Brazil

Authors

DOI:

https://doi.org/10.11606/issn.2317-0190.v31i4a223823

Keywords:

Amputees, Rehabilitation, Motor Skills, Functional Status

Abstract

Limb amputation is one is one of the main causes of human physical disability. Objective: Here, we carried out a functional and quality of life assessment of 172 lower limb amputees treated at a large outpatient clinic in Brazil. Method: This quantitative study was based on The Functional Measure for Amputees questionnaire (FMA) applied during medical consultations. Results: Most patients, particularly males, younger individuals and those with below-the-knee amputations, were able to independently perform daily tasks at home while using prostheses. In community ambulation, the use of support such as a cane and crutches were common, especially by women. Conclusion: Rehabilitation proved effective, leading to an average prosthesis usage of over 11 hours per day. The primary limitations to prosthesis use were perceptions of insufficient speed, fatigue, long distances to be covered and fear of falling.

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References

Moura EW, Lima E, Borges D, Silva PAC. AACD: Fisioterapia: aspectos clínicos e práticos da reabilitação. 2 ed.São Paulo: Artes Médicas; 2009.

Loureiro MFF, Damasceno MMC, Silva LF, Carvalho ZMF. Ser diabético e vivenciar a amputação: uma compreensão psico-fenomenológica. Esc Anna Nery Rev Enferm. 2002;6(3):475-489.

Bernatchez J, Mayo A, Kayssi A. The epidemiology of lower extremity amputations, strategies for amputation prevention, and the importance of patient-centered care. Semin Vasc Surg. 2021;34(1):54-58. Doi: https://doi.org/10.1053/j.semvascsurg.2021.02.011

McDonald CL, Westcott-McCoy S, Weaver MR, Haagsma J, Kartin D. Global prevalence of traumatic non-fatal limb amputation. Prosthet Orthot Int. 2021;45(2):105-114. Doi: https://doi.org/10.1177/0309364620972258

Carvalho FS, Kunz VC, Depieri TZ, Cervelini R. Prevalência de amputação em membros inferiores de causa vascular: análise de prontuários. Arq. Ciênc. Saúde Unipar. 2008;9(1).

Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422-9. Doi: https://doi.org/10.1016/j.apmr.2007.11.005

Constantin VD, Socea B, Gaspar BS, Epistatu D, Paunica I, Dumitriu AS, et al. Limb amputations; etiopathogenesis, diagnosis and the multidisciplinary therapeutic approach. J Mind Med Sc. 2022;9(2):Article 3. Doi: https://doi.org/10.22543/2392-7674.1361

Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474-9. Doi: https://doi.org/10.1016/j.injury.2011.07.005

Rosario MLVV, Costa PB, Silveira ALB, Florentino KRC, Casimiro-Lopes G, Pimenta RA, et al. Effects of Resistance Training in Individuals with Lower Limb Amputation: A Systematic Review. J Funct Morphol Kinesiol. 2023;8(1):23. Doi: https://doi.org/10.3390/jfmk8010023

Kageyama ERO, Yogi M, Sera CTN, Yogi LS, Pedrinelli A, Camargo OP. Validação da versão para a língua portuguesa do questionário de Medida Funcional para Amputados. Fisioter Pesqui. 2008;15(2):164–71. Doi: https://doi.org/10.1590/S1809-29502008000200009

Gailey R, Allen K, Castles J, Kucharik J, Roeder M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev. 2008;45(1):15-29. Doi: https://doi.org/10.1682/jrrd.2006.11.0147

Franchignoni F, Giordano A, Ferriero G, Orlandini D, Amoresano A, Perucca L. Measuring mobility in people with lower limb amputation: Rasch analysis of the mobility section of the prosthesis evaluation questionnaire. J Rehabil Med. 2007;39(2):138-44. Doi: https://doi.org/10.2340/16501977-0033

Robbins CB, Vreeman DJ, Sothmann MS, Wilson SL, Oldridge NB. A review of the long-term health outcomes associated with war-related amputation. Mil Med. 2009;174(6):588-92. Doi: https://doi.org/10.7205/milmed-d-00-0608

Wan-Nar Wong M. Changing dynamics in lower-extremity amputation in China. Arch Phys Med Rehabil. 2005;86(9):1778-81. Doi: https://doi.org/10.1016/j.apmr.2005.03.025

Hernigou P. Ambroise Paré IV: The early history of artificial limbs (from robotic to prostheses). Int Orthop. 2013;37(6):1195-7. Doi: https://doi.org/10.1007/s00264-013-1884-7

Ebrahimzadeh MH, Hariri S. Long-term outcomes of unilateral transtibial amputations. Mil Med. 2009;174(6):593-7. Doi: https://doi.org/10.7205/milmed-d-02-8907

Miller WC, Deathe AB, Speechley M. Lower extremity prosthetic mobility: a comparison of 3 self-report scales. Arch Phys Med Rehabil. 2001;82(10):1432-40. Doi: https://doi.org/10.1053/apmr.2001.25987

Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa amputada. 1 ed. Brasília (DF): Ministério da Saúde; 2013.

von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies.

The R Project for Statistical Computing [computer program]. Version 4.1.0. Viena: The R Foundation; 2021. Available from: https://www.R-project.org/

Unwin N. Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia. Br J Surg. 2000;87(3):328-37. Doi: https://doi.org/10.1046/j.1365-2168.2000.01344.x

Houghton AD, Taylor PR, Thurlow S, Rootes E, McColl I. Success rates for rehabilitation of vascular amputees: implications for preoperative assessment and amputation level. Br J Surg. 1992;79(8):753-5. Doi: https://doi.org/10.1002/bjs.1800790811

Brunelli S, Averna T, Porcacchia P, Paolucci S, Di Meo F, Traballesi M. Functional status and factors influencing the rehabilitation outcome of people affected by above-knee amputation and hemiparesis. Arch Phys Med Rehabil. 2006;87(7):995-1000. Doi: https://doi.org/10.1016/j.apmr.2006.04.004

Datta D, Nair PN, Payne J. Outcome of prosthetic management of bilateral lower-limb amputees. Disabil Rehabil. 1992;14(2):98-102. Doi: https://doi.org/10.3109/09638289209167079

Damiani C, Pournajaf S, Goffredo M, Proietti S, Denza G, Rosa B, et al. Community ambulation in people with lower limb amputation: An observational cohort study. Medicine (Baltimore). 2021;100(3):e24364. Doi: https://doi.org/10.1097/MD.0000000000024364

van der Linden ML, Solomonidis SE, Spence WD, Li N, Paul JP. A methodology for studying the effects of various types of prosthetic feet on the biomechanics of trans-femoral amputee gait. J Biomech. 1999;32(9):877-89. Doi: https://doi.org/10.1016/s0021-9290(99)00086-x

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;41(6):537-547. Doi: https://doi.org/10.1177/0309364617690394

Pocnet C, Antonietti JP, Strippoli MF, Glaus J, Preisig M, Rossier J. Individuals' quality of life linked to major life events, perceived social support, and personality traits. Qual Life Res. 2016;25(11):2897-2908. Doi: https://doi.org/10.1007/s11136-016-1296-4

Desrochers J, Frengopoulos C, Payne MWC, Viana R, Hunter SW. Relationship between body image and physical functioning following rehabilitation for lower-limb amputation. Int J Rehabil Res. 2019;42(1):85-88. Doi: https://doi.org/10.1097/MRR.0000000000000329

Vogel TR, Petroski GF, Kruse RL. Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation. J Vasc Surg. 2014;59(5):1323-30.e1. Doi: https://doi.org/10.1016/j.jvs.2013.11.076

Bell JC, Wolf EJ, Schnall BL, Tis JE, Potter BK. Transfemoral amputations: is there an effect of residual limb length and orientation on energy expenditure? Clin Orthop Relat Res. 2014;472(10):3055-61. Doi: https://doi.org/10.1007/s11999-014-3630-x

Schnur D, Meier RH 3rd. Amputation surgery. Phys Med Rehabil Clin N Am. 2014;25(1):35-43. Doi: https://doi.org/10.1016/j.pmr.2013.09.013

Published

2024-12-27

Issue

Section

Original Article

How to Cite

1.
Lima VJB de, Gomes EC, Rolim Filho EL, Malheiros Júnior HJA, Souza AA de, Santos FJC dos. Quality of life and functional assessment in lower limb prosthetic patients at a referral outpatient clinic in Brazil. Acta Fisiátr. [Internet]. 2024 Dec. 27 [cited 2025 Mar. 9];31(4):227-34. Available from: https://periodicos.usp.br/actafisiatrica/article/view/223823