Issues faced by people with amputation(s) during lower limb prosthetic rehabilitation: a thematic analysis
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Published version
Author(s)
Turner, Shruti
Belsi, Athina
McGregor, Alison H
Type
Journal Article
Abstract
Background:
Successful rehabilitation is essential to improve the physical and mental outcomes of people with lower limb amputation(s). Individuals have different goals and expectations of successful rehabilitation and experience issues that affect their quality of life.
Objectives:
To determine factors affecting lower limb prosthetic rehabilitation from people with amputation(s), important for studies focusing on prosthetic and socket design and fitting because they provide context of need and user issues.
Study design:
Thematic analysis of semistructured interviews.
Methods:
Ten people with amputation(s) were self-selected from a survey identifying factors affecting lower limb prosthetic rehabilitation. The telephone interviews were semistructured exploring the biggest impactors on and frustrations with rehabilitation and the socket. A thematic analysis was completed by following the undermentioned steps: familiarization, coding, generating themes, reviewing themes, defining and naming themes, and reporting.
Results:
Five distinct but interrelated themes were identified: External to Prosthesis, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Work and Social Impact. Those living with amputation(s) mentioned prosthetic-related issues affecting their work and social life, including difficulties wearing their prosthesis all day, the socket's rigidity, and the ability to participate in hobbies.
Conclusions:
The study provides new insights into the issues experienced during prosthetic rehabilitation, highlighting impacts beyond just physical health consequences. The study provides an evidence base for areas of the rehabilitation journey which could be improved to improve the quality of life of people with amputation(s)
Successful rehabilitation is essential to improve the physical and mental outcomes of people with lower limb amputation(s). Individuals have different goals and expectations of successful rehabilitation and experience issues that affect their quality of life.
Objectives:
To determine factors affecting lower limb prosthetic rehabilitation from people with amputation(s), important for studies focusing on prosthetic and socket design and fitting because they provide context of need and user issues.
Study design:
Thematic analysis of semistructured interviews.
Methods:
Ten people with amputation(s) were self-selected from a survey identifying factors affecting lower limb prosthetic rehabilitation. The telephone interviews were semistructured exploring the biggest impactors on and frustrations with rehabilitation and the socket. A thematic analysis was completed by following the undermentioned steps: familiarization, coding, generating themes, reviewing themes, defining and naming themes, and reporting.
Results:
Five distinct but interrelated themes were identified: External to Prosthesis, Body Impactors, Consequences of Ill-Fit, Prosthesis Irritants, and Work and Social Impact. Those living with amputation(s) mentioned prosthetic-related issues affecting their work and social life, including difficulties wearing their prosthesis all day, the socket's rigidity, and the ability to participate in hobbies.
Conclusions:
The study provides new insights into the issues experienced during prosthetic rehabilitation, highlighting impacts beyond just physical health consequences. The study provides an evidence base for areas of the rehabilitation journey which could be improved to improve the quality of life of people with amputation(s)
Date Issued
2022-02-01
Date Acceptance
2021-09-15
Citation
Prosthetics and Orthotics International, 2022, 46 (1), pp.61-67
ISSN
0309-3646
Publisher
Lippincott, Williams & Wilkins
Start Page
61
End Page
67
Journal / Book Title
Prosthetics and Orthotics International
Volume
46
Issue
1
Copyright Statement
Copyright © 2021 The Authors. Published by Wolters Kluwer incorporated on behalf
of The International Society for Prosthetics and Orthotics. This is an open access
article distributed under the terms of the Creative Commons Attribution-Non
Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to
download and share the work provided it is properly cited. The work cannot be
changed in any way or used commercially without permission from the journal.
of The International Society for Prosthetics and Orthotics. This is an open access
article distributed under the terms of the Creative Commons Attribution-Non
Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to
download and share the work provided it is properly cited. The work cannot be
changed in any way or used commercially without permission from the journal.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34789709
PII: 00006479-900000000-99921
Subjects
Amputation
Artificial Limbs
Humans
Lower Extremity
Prosthesis Implantation
Quality of Life
Lower Extremity
Humans
Amputation
Prosthesis Implantation
Artificial Limbs
Quality of Life
Rehabilitation
0903 Biomedical Engineering
1106 Human Movement and Sports Sciences
Publication Status
Published
Coverage Spatial
France
Date Publish Online
2021-11-16