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Crt Marincek - One of the best experts on this subject based on the ideXlab platform.

  • Driving ability following upper Limb Amputation
    Prosthetics and Orthotics International, 2013
    Co-Authors: Helena Burger, Crt Marincek
    Abstract:

    Background:In the existing literature, there is scarce information about subjects with upper Limb Amputation and driving.Objectives:The aim of this study was to find out how frequently subjects following upper Limb Amputation have problems when driving; most frequently proposed adaptations and, when possible, factors that influence driving ability.Study design:Retrospective clinical study.Methods:Medical records were reviewed of all subjects following upper Limb Amputation who had been amputated in the last 5 years and those with congenital upper Limb deficiency who in the last 5 years turned 17.Results:Out of 37 subjects, 7 did not attend the clinic for assessment of driving abilities. They were significantly older at the time of the Amputation (p < 0.001). To the remaining 30 who attended driving assessment, zero to four car adaptations (two on average) were proposed. There were no correlations between the number of suggested car adaptations and the age at the time of the Amputation, Amputation level, e...

  • return to work after lower Limb Amputation
    Disability and Rehabilitation, 2007
    Co-Authors: Helena Burger, Crt Marincek
    Abstract:

    Purpose. To review the literature on return to work after lower Limb Amputation.Method. A comprehensive review of literature on return to work after lower Limb Amputation was carried out, searching MEDLINE and PubMED.Results. Most authors found return-to-work rate to be about 66%. Between 22 and 67% of the subjects retained the same occupation, while the remainder had to change occupation. Post-Amputation jobs were generally more complex with a requirement for a higher level of general educational development and were physically less demanding. The return to work depends on: general factors, such as age, gender and educational level; factors related to impairments and disabilities due to Amputation (Amputation level, multiple Amputations, comorbidity, reason for Amputation, persistent stump problems, the time from the injury to obtaining a permanent prosthesis, wearing comfort of the prosthesis, walking distance and restrictions in mobility); and factors related to work and policies (salary, higher job in...

Lawrence R Robinson - One of the best experts on this subject based on the ideXlab platform.

  • psychosocial predictors of long term adjustment to lower Limb Amputation and phantom Limb pain
    Disability and Rehabilitation, 2004
    Co-Authors: Marisol A Hanley, Mark P Jensen, Dawn M Ehde, Amy J Hoffman, David R Patterson, Lawrence R Robinson
    Abstract:

    Purpose: To evaluate the utility of a biopsychosocial model to predict long-term adjustment to lower-Limb Amputation and phantom Limb pain (PLP).Method: One month after lower-Limb Amputation, 70 participants completed measures of PLP intensity, cognitions (catastrophizing, perceived control over pain), coping (pain-contingent rest), social environment (social support, solicitous responding), and functioning (pain interference, depressive symptoms). The measures of functioning were administered again at 1- and 2-years post-Amputation. Multiple regression analyses were used to examine the ability of the psychosocial variables at 1-month post-Amputation to predict changes in the functioning measures over time.Results: The psychosocial variables at 1-month post-Amputation, controlling for initial PLP intensity, accounted for 21% of the variance in change in depressive symptoms at 1-year (p < 0.05), and 27% and 22% (p's < 0.01 and 0.05, respectively) of the variance in change in pain interference and depressiv...

  • chronic phantom sensations phantom pain residual Limb pain and other regional pain after lower Limb Amputation
    Archives of Physical Medicine and Rehabilitation, 2000
    Co-Authors: Dawn M Ehde, Joseph M Czerniecki, Mark P Jensen, Douglas G Smith, Kellye M Campbell, Thomas W Edwards, Lawrence R Robinson
    Abstract:

    Abstract Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR. Chronic phantom sensations, phantom pain, residual Limb pain, and other regional pain after lower Limb Amputation. Arch Phys Med Rehabil 2000;81:1039-44. Objectives: To determine the characteristics of phantom Limb sensation, phantom Limb pain, and residual Limb pain, and to evaluate pain-related disability associated with phantom Limb pain. Design: Retrospective, cross-sectional survey. Six or more months after lower Limb Amputation, participants ( n = 255) completed an Amputation pain questionnaire that included several standardized pain measures. Setting: Community-based survey from clinical databases. Participants: A community-based sample of persons with lower Limb Amputations. Main Outcome Measures: Frequency, duration, intensity, and quality of phantom Limb and residual Limb pain, and pain-related disability as measured by the Chronic Pain Grade. Results: Of the respondents, 79% reported phantom Limb sensations, 72% reported phantom Limb pain, and 74% reported residual Limb pain. Many described their phantom Limb and residual Limb pain as episodic and not particularly bothersome. Most participants with phantom Limb pain were classified into the two low pain-related disability categories: grade I, low disability/low pain intensity (47%) or grade II, low disability/high pain intensity (28%). Many participants reported having pain in other anatomic locations, including the back (52%). Conclusions: Phantom Limb and residual Limb pain are common after a lower Limb Amputation. For most, the pain is episodic and not particularly disabling. However, for a notable subset, the pain may be quite disabling. Pain after Amputation should be viewed from a broad perspective that considers other anatomic sites as well as the impact of pain on functioning. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

Han Houdijk - One of the best experts on this subject based on the ideXlab platform.

  • physical capacity and walking ability after lower Limb Amputation a systematic review
    Clinical Rehabilitation, 2006
    Co-Authors: J M Van Velzen, C A M Van Bennekom, W Polomski, J Slootman, L H V Van Der Woude, Han Houdijk
    Abstract:

    Objective: To review the influence of physical capacity on regaining walking ability and the development of walking ability after lower Limb Amputation.Design: A systematic search of literature was performed. The quality of all relevant studies was evaluated according to a checklist for statistical review of general papers.Subjects: Lower Limb amputees.Main measures: Physical capacity (expressed by aerobic capacity, anaerobic capacity, muscle force, flexibility and balance) and walking ability (expressed by the walking velocity and symmetry).Results: A total of 48 studies that complied with the inclusion criteria were selected. From these studies there is strong evidence for deterioration of two aspects of physical capacity (muscle strength and balance) and of two aspects of walking ability (walking velocity and symmetry) after lower Limb Amputation. Strong evidence was found for a relation between balance and walking ability.Conclusion: Strong evidence was only found for a relation between balance and wa...

Linda Resnik - One of the best experts on this subject based on the ideXlab platform.

  • Prosthesis satisfaction in a national sample of Veterans with upper Limb Amputation.
    Prosthetics and Orthotics International, 2020
    Co-Authors: Linda Resnik, Matthew Borgia, Allen W. Heinemann, Melissa A. Clark
    Abstract:

    Background:Many persons with upper Limb Amputation reject prostheses, and many are not satisfied with their devices. Research is needed to understand modifiable factors related to device satisfacti...

  • a national study of veterans with major upper Limb Amputation survey methods participants and summary findings
    PLOS ONE, 2019
    Co-Authors: Linda Resnik, Matthew Borgia, Sarah Ekerholm, Melissa A. Clark
    Abstract:

    Introduction A comprehensive study to assess quality and outcomes of care for Veterans with upper Limb Amputation is needed. This paper presents methods and summary findings from a national survey of Veterans with upper Limb Amputation. Methods After completion of a pilot study to develop and refine methods, computer-assisted telephone interviews were conducted with 808 Veterans with upper Limb Amputation (response rate = 47.7%; cooperation rate = 63.3%). Results Respondents were 776 unilateral and 32 bilateral amputees, 97.5% male, mean age 63.3 (sd 14.1). Prostheses were used by 60% unilateral and 91% bilateral, the majority used body powered devices. Prostheses were used ≥8 hours/day by 52% unilateral and 76% bilateral. Prosthetic training was received by 71% unilateral and 59% bilateral. Mean prosthetic satisfaction was 3.9 (sd 0.6) and 3.8 (sd 0.7) as measured by TAPES; and 25.0 (sd 5.1) and 25.7 (sd 4.5) as measured by OPUS CSD for unilateral and bilateral respectively. Mean perceived disability (measured by QuickDASH) scores were 49.5 (sd 20.7) for unilateral and 34.7 (sd 22.0) for bilateral. VR-12 PCS scores were below population norms. The majority reported contralateral Limb pain, musculoskeletal conditions, back and neck pain. Phantom Limb pain was reported in 83.4% of unilateral and 68.8% of bilateral, and residual Limb pain in 65.1% of unilateral and 68.8% of bilateral. Most, (81.8% unilateral, 84.4% bilateral) had been to a Veterans Affairs medical center (VA) for Amputation care, while 57% of unilateral and 81.3% of bilateral had been to a VA Amputation clinic. Discussion/Conclusion Veterans with upper Limb Amputation have moderately impaired physical functioning. Prosthesis use rates were lower than previously reported. Although satisfied with their prostheses, nearly half used them ≤8 hours/day. Rates of musculoskeletal problems, phantom and residual Limb pain were higher than previously reported. A substantial proportion never received prosthetic training, or VA Amputation care.

Dawn M Ehde - One of the best experts on this subject based on the ideXlab platform.

  • prosthesis use in persons with lower and upper Limb Amputation
    Journal of Rehabilitation Research and Development, 2008
    Co-Authors: Katherine A Raichle, Marisol A Hanley, Dawn M Ehde, Kellye M Campbell, Ivan R Molton, Nancy J Kadel, Emily Phelps, Douglas G Smith
    Abstract:

    This study identified clinical (e.g., etiology) and demographic factors related to prosthesis use in persons with upper- and lower-Limb Amputation (ULA and LLA, respectively) and the effect of phantom Limb pain (PLP) and residual Limb pain (RLP) on prosthesis use. A total of 752 respondents with LLA and 107 respondents with ULA completed surveys. Factors related to greater use (hours per day) for persons with LLA included younger age, full- or part-time employment, marriage, a distal Amputation, an Amputation of traumatic etiology, and an absence of PLP. Less use was associated with reports that prosthesis use worsened RLP, and greater prosthesis use was associated with reports that prosthesis use did not affect PLP. Having a proximal Amputation and reporting lower average PLP were related to greater use in hours per day for persons with an ULA, while having a distal Amputation and being married were associated with greater use in days per month. Finally, participants with LLA were significantly more likely to wear a prosthesis than those with ULA. These results underscore the importance of examining factors related to prosthesis use and the differential effect that these variables may have when the etiology and location of Amputation are considered.

  • psychosocial predictors of long term adjustment to lower Limb Amputation and phantom Limb pain
    Disability and Rehabilitation, 2004
    Co-Authors: Marisol A Hanley, Mark P Jensen, Dawn M Ehde, Amy J Hoffman, David R Patterson, Lawrence R Robinson
    Abstract:

    Purpose: To evaluate the utility of a biopsychosocial model to predict long-term adjustment to lower-Limb Amputation and phantom Limb pain (PLP).Method: One month after lower-Limb Amputation, 70 participants completed measures of PLP intensity, cognitions (catastrophizing, perceived control over pain), coping (pain-contingent rest), social environment (social support, solicitous responding), and functioning (pain interference, depressive symptoms). The measures of functioning were administered again at 1- and 2-years post-Amputation. Multiple regression analyses were used to examine the ability of the psychosocial variables at 1-month post-Amputation to predict changes in the functioning measures over time.Results: The psychosocial variables at 1-month post-Amputation, controlling for initial PLP intensity, accounted for 21% of the variance in change in depressive symptoms at 1-year (p < 0.05), and 27% and 22% (p's < 0.01 and 0.05, respectively) of the variance in change in pain interference and depressiv...

  • chronic phantom sensations phantom pain residual Limb pain and other regional pain after lower Limb Amputation
    Archives of Physical Medicine and Rehabilitation, 2000
    Co-Authors: Dawn M Ehde, Joseph M Czerniecki, Mark P Jensen, Douglas G Smith, Kellye M Campbell, Thomas W Edwards, Lawrence R Robinson
    Abstract:

    Abstract Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR. Chronic phantom sensations, phantom pain, residual Limb pain, and other regional pain after lower Limb Amputation. Arch Phys Med Rehabil 2000;81:1039-44. Objectives: To determine the characteristics of phantom Limb sensation, phantom Limb pain, and residual Limb pain, and to evaluate pain-related disability associated with phantom Limb pain. Design: Retrospective, cross-sectional survey. Six or more months after lower Limb Amputation, participants ( n = 255) completed an Amputation pain questionnaire that included several standardized pain measures. Setting: Community-based survey from clinical databases. Participants: A community-based sample of persons with lower Limb Amputations. Main Outcome Measures: Frequency, duration, intensity, and quality of phantom Limb and residual Limb pain, and pain-related disability as measured by the Chronic Pain Grade. Results: Of the respondents, 79% reported phantom Limb sensations, 72% reported phantom Limb pain, and 74% reported residual Limb pain. Many described their phantom Limb and residual Limb pain as episodic and not particularly bothersome. Most participants with phantom Limb pain were classified into the two low pain-related disability categories: grade I, low disability/low pain intensity (47%) or grade II, low disability/high pain intensity (28%). Many participants reported having pain in other anatomic locations, including the back (52%). Conclusions: Phantom Limb and residual Limb pain are common after a lower Limb Amputation. For most, the pain is episodic and not particularly disabling. However, for a notable subset, the pain may be quite disabling. Pain after Amputation should be viewed from a broad perspective that considers other anatomic sites as well as the impact of pain on functioning. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation