Patient’s satisfaction with a lower limb prosthesis: a longitudinal study

un estudio longitudinal

Authors

DOI:

https://doi.org/10.1590/1809-2950/20014728032021

Keywords:

Aged , Amputation, Atifitial Limbs, Physical Therapy, Patient Satisfaction

Abstract

This is a descriptive longitudinal study that aimed to verify prosthesis satisfaction of older adults with lowerlimb amputation (LLA). In total, This study was composed of 34 older adults with LLA participated of this study. Participant’s satisfaction about the lower-limb prosthesis (LLP), the discomforts, and the embarrassment when use it were evaluated through an interview composed of five questions. The occurrence of falls and the independence in prosthesis management were also evaluated. All variables were collected at the last week of ambulatory rehabilitation
discharge and after one and three months. A descriptive and inferential statistical analysis was performed. The level of significance was set at 5% (p <0.05). In total, 80% of participants
with transtibial amputation and 78.6% of participants with transfemoral amputation were satisfied with the LLP after three months. Tight prosthesis, walking pain, the embarrassment
of using LLP, and the occurrence of falls decreased over time. The independence in prosthesis handling did not change significantly after three months. Participants that used manual
locking knee (p=0.040) and/or Solid-Ankle Cushion Heel foot (p=0.017) were more satisfied with LLP. The occurrence of falls reduced (p=0.039) after transfemoral participants started to
use the prosthesis. Participant’s satisfaction with the LLP was high and did not change significantly over time.

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References

Duncan BB, Chor D, Aquino EML, Bensenor IM, Mill JG, Schmidt MI, et al. Doenças crônicas não transmissíveis no Brasil: prioridade para enfrentamento e investigação. Rev Saúde Pública. 2012;46(Suppl 1):126-34. doi: 10.1590/S0034-89102012000700017.

Milech A, Angelucci A, Golbert A, Matheus A, Carrilho AJF, Ramalho AC, et. al. Oliveira JEP, Vencio S, editors. Diretrizes da Sociedade Brasileira de Diabetes (2015-2016). São Paulo:

A. C. Farmacêutica;2016.

Cesare W, Schafranski MD, Fontes ALG, Gomes RZ. Fatores de risco para amputação maior em pacientes portadores de pé diabético. Revista Conexão UEPG. 2016;13(1):84-93. doi: 10.5212/Rev.Conexao.v.13.i1.0006.

Santos ICRV, Nunes ENS, Melo CA, Farias DG. Amputações por pé diabético e fatores sociais: implicações para cuidados preventivos de enfermagem. Rev Rene. 2011;12(4):684-91. doi:

https://www.redalyc.org/articulo.oa?id=324027977004.

Oliveira CGC, Boemer MR. Amputation in the perception of those who experience it: a study under the phenomenological. Rev. Latino-Am. Enfermagem. 2007;15(2):330-6. doi: https://

doi.org/10.1590/S0104-11692007000200021.

Sabino SDM, Torquato RM, Pardini ACG. Ansiedade, depressão e desesperança em pacientes amputados de membros inferiores. Acta fisiátrica. 2016;20(4):224-228. DOI: https://

doi.org/10.5935/0104-7795.20130037. Santos et al. Satisfaction with a lower limb prosthesis

Bilodeau S, Hébert R, Desrosers J. Lower limb prosthesis utilisation by elderly amputees. Prosthet Orthot Int. 2000;24(2):126-32. doi: 10.1080/03093640008726535.

Carvalho FS, Kunz VC, Depieri TZ, Cervelini R. Prevalência de amputação em membros inferiores de causa vascular: análise de prontuários. Arq. Ciênc. Saúde Unipar [Internet]. 2005 [cited 2021 Sep 24];9(1):23-30. Available from: https://www.revistas.unipar.br/index.php/saude/article/view/215

Mohd Hawari N, Jawaid M, Md Tahir P, Azmeer RA. Case study: survey of patient satisfaction with prosthesis quality and design among below-knee prosthetic leg socket users.

Disabil Rehabil Assist Technol. 2017;12(8):868-74. doi: 10.1080/17483107.2016.1269209.

Phillip GC. Learning on interdisciplinary gerontological teams: instructional concepts and methods. Educ Gerontol. 1994;20(4):349-64. doi: https://doi.org/10.1080/0360127940200402.

Eijk MS, van der Linde H, Buijck BI, Zuidema SU, Koopmans RT. Geriatric rehabilitation of lower limb amputees: a multicenter study. Disabil Rehabil. 2012;34(2):145-50. doi: 10.3109/09638288.2011.591888.

Bilodeau S, Hébert R, Desrosiers J. Questionnaire on the satisfaction of persons with lower-limb amputations towards their prosthesis: development and validation. Can J Occup Ther. 1999;66(1):23-32. doi: 10.1177/000841749906600103.

Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of

life. Arch Phys Med Rehabil. 1998;79(8):931-8. doi: 10.1016/s0003-9993(98)90090-9.

Gallagher P, Maclachlan M. The Trinity Amputation and Prosthesis Experience Scales and quality of life in people with lower-limb amputation. Arch Phys Med Rehabil. 2004;85(5):730-6. doi: 10.1016/j.apmr.2003.07.009.

Baars EC, Schrier E, Dijkstra PU, Geertzen JHB. Prosthesis satisfaction in lower limb amputees: a systematic review of associated factors and questionnaires. Medicine (Baltimore).

;97(39):e12296. doi: 10.1097/MD.0000000000012296.

Pezzin LE, Dillingham TR, Mackenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil. 2004;85(5):723-9. doi:

1016/j.apmr.2003.06.002.

Nguyen V, et al. Comparison of satisfaction with current prosthetic care in veterans and service members from Vietnam and OIF/OEF conflicts with major traumatic limb loss. J Rehabil Res. 2010;47(4):361-71. doi: 10.1682/jrrd.2009.12.0193.

McFarland LV, Hubbard Winkler SL, Heinemann AW, Jones M, Esquenazi A. Unilateral upper-limb loss: satisfaction and prosthetic-device use in veterans and servicemembers

from Vietnam and OIF/OEF conflicts. J Rehabil Res Dev.2010;47(4):299-316. doi:10.1682/JRRD.2009.03.0027.

Raddatz DBF, Roveda PO, Lorenzett DB. Análise da satisfação dos usuários de próteses transfemurais para aprimoramento de próteses. Espacios [Internet]. 2012 May. [cited 2021 Sep

;33(8):8-14. Available from: https://www.revistaespacios.com/a12v33n08/12330809.html.

Michael JW. Modern prosthetic knee mechanisms. Clin Orthop Relat Res. 199;(361):39-47.

Arifin N, Abu Osman NA, Ali S. Postural stability characteristics of transtibial amputees wearing different prosthetic foot types when standing on various support surfaces. Sci World

J. 2014;2014:856279. doi: 10.1155/2014/856279.

D’Elboux MJD. Satisfaction with life overall and with specific life domains among elderly persons with a lower limb amputation. Rev Panam Salud Publica. 2003;13(6):395-9. doi: 10.1590/s1020-49892003000500008.

Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: a prospective study. J Rehabil Res Dev.

;49(10):1493-504. doi: 10.1682/jrrd.2012.01.0001.

Fletcher DD, Andrews KL, Butters MA, Jacobsen SJ, Rowland CM, Hallett JW Jr. Rehabilitation of the geriatric vascular amputee patient: a population-based study. Arch Phys Med

Rehabil. 2001;82(6):776-9. doi: 10.1053/apmr.2001.21856.

Resende MC, Neri AL. Ajustamento psicológico e perspectiva de velhice pessoal em adultos com deficiência física. Psicol Estud. 2009;14(4):767-76. doi: https://doi.org/10.1590/

S1413-73722009000400017.

Santos JR, Vargas MM, Melo CM. Nível de atividade física, qualidade de vida e rede de relações sociais de amputados. Rev Bras Cienc Mov. 2014;22(3):20-6. doi: http://dx.doi.

org/10.18511/0103-1716/rbcm.

Ramos MP. Apoio social e saúde entre idosos. Sociologias. 2002;4(7):156-75. doi: https://doi.org/10.1590/S1517-45222002000100007

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Published

2023-02-23

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Original Research

How to Cite

Patient’s satisfaction with a lower limb prosthesis: a longitudinal study: un estudio longitudinal. (2023). Fisioterapia E Pesquisa, 28(3), 276-283. https://doi.org/10.1590/1809-2950/20014728032021