No abstract available.
Amputees* ; Humans

No abstract available.
Amputees* ; Humans ; Phantom Limb*

INTRODUCTION: Amputation is often associated with depression, isolation and anxiety, resulting in changes
in the functioning and quality of life of an individual. This study aimed to compare the quality of life of
amputees before and after prosthetic rehabilitation and to determine the level of satisfaction with the
services provided by the rehabilitation team.

METHODS: This was a longitudinal study conducted at the Philippine School of Prosthetics and Orthotics
from 2016 to 2017. Quality of life was measured at baseline and at the end of prosthetic rehabilitation
using the Short Form-36 version 2 Philippines (Tagalog) and compared. Patient satisfaction was determined
using the UERMMMCI Out-Patient Satisfaction Survey. Statistical analysis was done using paired t-test
and stratified analysis.

RESULTS: Twelve participants were included; majority were adult males and all were unemployed. There
were no statistically significant changes in the quality of life of amputees after prosthetic rehabilitation.
Stratification analysis revealed significant decreases in scores in bodily pain and general health scales for
females. On the other hand, males had statistically significant increases in vitality scores. Participants
were generally satisfied with the services they received.

CONCLUSION: While no significant changes were observed for overall quality of life, certain aspects may be
related to factors such as sex, comorbidities, and type of caregiver. Recommendations include further studies
to explore other factors affecting quality of life among Filipino amputees after prosthetic rehabilitation.

No abstract available.
Amputation* ; Amputees* ; Humans ; Knee* ; Rehabilitation*

No abstract available.
Amputees* ; Femur Neck* ; Femur* ; Humans

No abstract available.
Amputees* ; Arthroplasty, Replacement, Hip* ; Humans

No abstract available.
Amputees* ; Energy Metabolism* ; Humans ; Lower Extremity*

Total hip arthroplasty (THA) is rarely performed in below-knee amputee patients. To the best of the authors' knowledge, periprosthetic femoral fracture in such patients has not been previously reported. Such devastating complication can occur even with minor trauma. To prevent occurrence of such events, there may be several important factors to be considered in performance of THA surgery in below-knee amputee patients and during the course of rehabilitation. In this report, we describe a case involving a below-knee amputee patient who experienced multiple periprosthetic femoral fractures after THA.
Amputees ; Arthroplasty ; Femoral Fractures ; Hip ; Humans ; Knee ; Tacrine

OBJECTIVE: To evaluate the actual condition of management of stump and prosthesis, difficulties with or without prosthesis in the activities of daily living and the present status of cognizance of rehabilitation services in amputees. METHOD: This study was designed as a questionnaire survey. The questionnaire included the general demographic characteristics, causes of amputation, amputation level and time, practical status of fitting and management of prosthesis, satisfaction of prosthesis, difficulties in activities of daily living under prosthesis. The change of recognition of rehabilitation medicine and the degree of acceptance of rehabilitation services followed by duration-after amputation was also investigated. RESULTS: The most common cause of amputation was vehicular accidents and the mean age was 35.6 years old. The results showed that the amputees had low satisfaction in the prosthesis itself and the management. The role of rehabilitation medicine in fitting and management of prosthesis was insignificant. The 69% of amputees answered that the rehabilitation services were provided after the amputation, but only 40% of amputees reported they had known the services were provided by rehabilitation medicine. This discrepancy probably implied the poor recognition of the role of rehabilitation medicine, even though the rehabilitation services provided to the amputees has been significantly increased in recent 5 years. CONCLUSION: There is a little progress of recognition and role of rehabilitation medicine although the acceptants of rehabilitation services were increased. Physiatrists should take an active participation to the amputee community for extension of recognition and role of rehabilitation medicine.
Activities of Daily Living ; Amputation ; Amputees ; Humans ; Prostheses and Implants ; Surveys and Questionnaires

OBJECTIVE: To quantify characteristic gait pattern in below-knee amputees using kinematic and kinetic parameters and to compare those with sound limbs and control group. METHOD: Three dimensional gait analysis was performed in 19 unilateral below-knee amputees and 20 controls. Measured gait parameters were temporal parameters and kinematic and kinetic parameters at hip, knee and ankle joints. Gait parameters obtained from amputated limbs were compared with those of sound limbs and control group. RESULTS: There were no significant differences in temporal parameters among 3 limbs. In amputated limbs, degree of knee flexion and knee extension moment in stance phasewere less than sound limbs and control group. In addition, timing of peak knee extension moment occurred later. Also, timing of ankle plantar flexion in loading response and preswing phase occured later, and degree of ankle plantar flexion in preswing phase were less in amputated limbs compared to other limbs. Peak plantar flexion moment in amputated limbs were less than sound limbs, but not than control group. CONCLUSION: This study suggested that most significant gait abnormalities in unilateral below-knee amputees were observed at the knee and ankle joint in amputated limbs.
Amputees* ; Ankle ; Ankle Joint ; Extremities ; Gait* ; Hip ; Humans ; Knee