Abstract
The purpose of this study was to determine factors associated with nonuse of an AK prosthesis in a rural, Southern, geriatric population. We conducted a telephone survey of AK amputees fitted with a prosthesis in Eastern North Carolina. There was an association between nonuse of the prosthesis and the following factors: African-American race; low education; no gainful employment; copresence of diabetes mellitus and peripheral vascular disease; use of walker, but not cane; and phantom pain of short duration. Recommendations for prosthesis providers include: (a) good management of comorbidities, (b) counseling that prosthetic use minimizes phantom pain, (c) optimization of balance and coordination, and (d) consideration of alternative nonprosthetic options for ambulation.
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REFERENCES
Abramson, A. S., and Feibel, A. (1981). The phantom phenomenon: Its use and disuse. Bull. N Y Acad. Med. 57: 99–112.
Bowker, J. H., Goldberg, B., and Poonekar, P. D. (1992). Transtibial amputation. In Atlas of Limb Prosthetics, Surgical Prosthetics and Rehabilitation Principle, Mosby Yearbook, St. Louis, pp. 429–478.
Christensen, B., Ellegaard, B., Bretler, V., and Ostrup, E. L. (1995). The effect of prosthetic rehabilitation in lower limb amputees. Prosthet. Orthot. Int. 19: 46–52.
De Luccia, N., Pinto, M. A. G., Guedes, J. P. B., and Albers, M. T. V. (1992). Rehabilitation after amputation for vascular disease: A follow-up study. Prosthet. Orthot. Int. 16: 124–128.
DMERC Medicare Advisory (1996). Government Benefits Advisory, P.O. Box 100141, Columbia, SC.
Dove, A. G., Schneider, K. C., and Richardson, F. (1982). Rehabilitation of patients following lower extremity amputation: An analysis of baseline, process and outcome. Am. Corr. Ther. J. July–August: 94–102.
Guide for the use of the uniform data set for medical rehabilitation (1993). Version 4.0. Research Foundation, SUNY, Buffalo, NY.
Houghton, A., Allen, A., Luff, R., and McCall, I. (1989). Rehabilitation after lower limb amputation: A comparative study of above-knee, through-knee and Gritti-Stokes amputations. Br. J. Surg. 76: 622–624.
Leung, C. C. E., Rush, J. P., and Devlin, M. (1996). Predicting prosthetic rehabilitation outcome in lower limb amputee patients with the functional independence measure. Arch. Phys. Med. Rehab. 77: 605–608.
Moore, T. J., Barron, J., Hutchenson, F., Golden, C., Cellis, C., and Humphries, D. (1989). Prosthetic usage following major lower extremity amputation. Clin. Orthop. 238: 219–224.
Pohjolainen, T., Alaranta, H., and Karkkainen, M. (1990). Prosthetic use and functional and social outcome following major lower limb amputation. Prosthet. Orthot. Int. 14: 75–79.
Statistical Abstract of North Carolina Counties (1991). State Data Center, Management, and Information Services. Office of State Budget and Management, Raleigh, NC, D26–27 and I42–43.
Steinbach, T. V., Nadvorna, H., and Arazi, D. (1982). A five year follow-up study of phantom limb pain in post-traumatic amputees. Scand. J. Rehab. Med. 14: 203–207.
Steinberg, F. U., Sunwoo, I., and Roettger, R. F. (1985). Prosthetic rehabilitation of geriatric amputee patients: A follow-up study. Arch. Phys. Med. Rehab. 66: 742–745.
Weiss, G. N., Gorton, T., Read, R., and Neal, L. (1990). Outcomes of lower extremity amputations. J. Am. Geriat. Soc. 38: 877–883.
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Dolezal, J.M., Vernick, S.H., Khan, N. et al. Factors Associated with Use and Nonuse of an AK Prosthesis in a Rural, Southern, Geriatric Population. International Journal of Rehabilitation and Health 4, 245–251 (1998). https://doi.org/10.1023/A:1022918913632
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DOI: https://doi.org/10.1023/A:1022918913632