ASSESSMENT OF FUNCTIONING IN PERSONS WITHUNILATERAL LOWER LIMB AMPUTATION USING SUBSETS OF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF)
Main Article Content
Keywords
Disabled Persons,Amputation, Surgical,Musculoskeletal System,Lower Extremity
Abstract
Background-The InternationalClassificationof functioning, disability and health (ICF) is acomprehensive and universally accepted framework to describe and classify functioning, disabilityand health inpersons.
Objectives-To determine the functioning inpersonswith unilateral lower limb amputation throughthe selected subsets of ICF in two levels of amputation,i.e. transtibial and transfemoral amputation,with comparison of the functioning according to their levels of amputation.
Method-Questions framed according to the guidelines of the codes of the different categories of ICFfrom the domains of ‘Body Functions’, ‘Activities and Participation’ and ‘Environmental Factors’were asked to each patient in the study. Based on the qualifiers,theProforma andPersons’data sheetwere filled,which included tables of ICF & Demographic and Clinical Characteristics.
Results-Fiftypersons(35 males and 15 females) withamedian age of 43.5 years andalevel ofamputation as transtibial (70%) and transfemoral (30%) were included in the study. On comparingbetween two groups of amputation, the difference in the result of the functioning of skin structure
(s810), maintaining the body position (d415) and Individual attitudes of immediate family members
(e410) were found to be statistically significant.
Conclusions-Lower extremity amputees who completedcomprehensiverehabilitation stillexperience several impairments, limitations and restrictions,emphasizingthe needforatailor-made
multidisciplinaryrehabilitationprogram.
References
2Stansbury LG, Lalliss SJ, Branstetter JG, Bagg MR, Holcomb JB. Amputations in U.S. military personnel in the current conflicts in Afghanistan and Iraq. J Orthop Trauma. 2008 Jan;22(1):43-6. doi: 10.1097/BOT.0b013e31815b35aa. PMID: 18176164.
3Ryer EJ, Trocciola SM, DeRubertis B, Lam R, Hynecek RL, Karwowski J, Bush HL, Mureebe L, McKinsey JF, Morrissey NJ, Kent KC, Faries PL. Analysis of outcomes following failed endovascular treatment of chronic limb ischemia. Ann Vasc Surg. 2006 Jul;20(4):440-6. doi:10.1007/s10016-006-9101-4. Epub 2006 Jul 25. PMID: 16865606.
4Schuch, C. Michael and Charles H. Pritham. International Standards Organization Terminology: Application to Prosthetics and Orthotics. Jpo Journal of Prosthetics and Orthotics. 1994; 6: 29-33.
5Condie, E., Scott, H. and Treweek, S. (2006) Lower Limb Prosthetic Outcome Measures: A Review of the Literature 1995 to 2005. Journal of Prosthetics and Orthotics, 18, 13-45.6Deathe AB, Wolfe DL, Devlin M, Hebert JS, Miller WC, Pallaveshi L. Selection of outcome measures in lower extremity amputation rehabilitation: ICF activities. Disabil Rehabil.2009;31(18):1455-73. doi: 10.1080/09638280802639491. PMID: 19479574.
7Gailey, Robert. (2006). Predictive Outcome Measures Versus Functional Outcome Measures in the Lower Limb Amputee. JPO: Journal of Prosthetics and Orthotics. 18. P51-P60.10.1097/00008526-200601001-00006.
8World Health Organization. The International Classification of Functioning, Disability and Health (ICF). Geneva: WHO, 2001.
9World Health Organization. ICF Checklist. Version 2.1a, Clinician Form for International Classification of Functioning, Disability and Health, 2003. Retrieved May 24, 2008 from http://www3.who.int/icf/checklist/icf-checklist.pdf
10Stucki G, Grimby G. Applying the ICF in medicine.J Rehabil Med. 2004 Jul;(44 Suppl):5-6. doi: 10.1080/16501960410022300.PMID: 15370740.
11Cieza A, Brockow T, Ewert T, Amman E, Kollerits B, Chatterji S, Ustün TB, Stucki G. Linking health-status measurements to the international classification of functioning, disability andhealth. J Rehabil Med. 2002 Sep;34(5):205-10. doi: 10.1080/165019702760279189. PMID:12392234.
12Pooja, Ghosh & Sangeeta, Lahiri. (2013). Prevalence and aetiology of amputation in Kolkata, India: A retrospective analysis. Hong Kong Physiotherapy Journal. 31. 36–40.10.1016/j.hkpj.2012.12.002.
13Sharma, Rahul. (2012). Kuppuswamy’s Socioeconomic Status Scale–Revision for 2011 and Formula for Real-Time Updating. Indian journal of pediatrics. 79. 961-2. 10.1007/s12098-011-0679-3.
14SansamK, Neumann V, O'Connor R, Bhakta B. Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med. 2009 Jul;41(8):593-603. doi:10.2340/16501977-0393. PMID: 19565152.
15Dudek NL, Marks MB, Marshall SC, Chardon JP. Dermatologic conditions associated with use of a lower-extremity prosthesis. Arch Phys Med Rehabil. 2005 Apr;86(4):659-63. doi:10.1016/j.apmr.2004.09.003. PMID: 15827914.
16MillerWC,SpeechleyM,DeatheAB.Balanceconfidenceamongpeoplewithlower-limb amputations.PhysTher.2002Sep;82(9):856-65.PMID:12201800.
17Nellie Njambi Mugo. The effects of amputation on body image and well-being-a systematic literature review. Theseus. 2010.
18Burger H, Marincek C. The life style of young persons after lower limb amputation caused by injury. Prosthet Orthot Int. 1997 Apr;21(1):35-9. doi: 10.3109/03093649709164528. PMID:9141124.
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Sushil Kumar Nayak(ORCID 0009-0004-9106-8111)
Department of Physical Medicine & Rehabilitation, Shri Jagannath Medical College & Hospital,
Puri, Odisha, India.
Nirmalya Mohapatra (ORCID 0009-0004-7352-2974)
Department of Physical Medicine & Rehabilitation, Fakir Mohan Medical College & Hospital,
Balasore, Odisha, India.
Rabisankar Sahu (ORCID 0000-0002-8414-5295)
Department of General Medicine, Shri Jagannath Medical College & Hospital, Puri, Odisha, India
