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Prosthesis and wheelchair use in veterans with lower-limb amputation

Karmarkar, AM and Collins, DM and Wichman, T and Franklin, A and Fitzgerald, SG and Dicianno, BE and Pasquina, PF and Cooper, RA (2009) Prosthesis and wheelchair use in veterans with lower-limb amputation. Journal of Rehabilitation Research and Development, 46 (5). 567 - 575. ISSN 0748-7711

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Abstract

We determined the demographic, health, functional, and satisfaction factors related to lower-limb prosthesis or wheelchair use among veterans with lower-limb amputation. Forty-two veterans were recruited from the 20th National Disabled Veterans Winter Sports Clinic and the 26th National Veterans Wheelchair Games. Participants were at least 18 years of age, had a lower-limb amputation, and were either prosthesis or wheelchair users. Level of amputation was the most significant health-related characteristic determining the veterans' use of a prosthesis versus a wheelchair (p = 0.02). Veterans who had a higher level of amputation and used a prosthesis reported significantly greater difficulty navigating a ramp (p = 0.03), getting in and out of cars and buses (p = 0.03), carrying 10 lb of groceries (p = 0.02), and participating in sports and leisure activities (p = 0.03). The parameter "satisfaction related to prosthesis" did not determine selection of mobility device type. The interaction of demographics, health-related characteristics, and mobility device characteristics affects functional performance and influences the use of prostheses, wheelchairs, or both in persons with lower-limb amputation. Long-term outcome assessments may help determine factors associated with either transition from one device to another or combined use of the devices over time.

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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Karmarkar, AM
Collins, DM
Wichman, T
Franklin, A
Fitzgerald, SG
Dicianno, BEdicianno@pitt.eduDICIANNO0000-0003-0738-0192
Pasquina, PF
Cooper, RARCOOPER@pitt.eduRCOOPER
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 4 November 2009
Date Type: Publication
Journal or Publication Title: Journal of Rehabilitation Research and Development
Volume: 46
Number: 5
Page Range: 567 - 575
DOI or Unique Handle: 10.1682/jrrd.2008.08.0102
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0748-7711
MeSH Headings: Activities of Daily Living; Adult; Amputation--rehabilitation; Artificial Limbs--utilization; Cross-Sectional Studies; Humans; Leisure Activities; Middle Aged; Patient Satisfaction; Veterans; Wheelchairs--utilization; Young Adult
PubMed ID: 19882491
Date Deposited: 12 Oct 2012 18:48
Last Modified: 05 Feb 2019 00:55
URI: http://d-scholarship-dev.library.pitt.edu/id/eprint/15711

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