Ann Rehabil Med.  2019 Jun;43(3):321-327. 10.5535/arm.2019.43.3.321.

Quality of Life Associated Factors in a North African Sample of Lower Limbs Amputees

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, University Hospital of Monastir and Faculty of Medicine of Monastir, Monastir, Tunisia. anisjellad@gmail.com

Abstract


OBJECTIVE
To study factors associated to the quality of life in a North African sample of lower limbs amputees.
METHODS
We conducted a prospective study in the Department Physical Medicine and Rehabilitation, University Hospital of Monastit, Tunisia. A consecutive sample of patients with amputations of the lower limbs was included. The evaluated parameters were quality of life using the Short-Form quality-of-life questionnaire (SF-36), pain using a visual analog scale, function using, the perimeter of walking (PW), the Special Interest Group of the Amputee Medicine (SIGAM) and the Locomotion Capacities Index of the Prosthetic Profile of the Amputee (LCI), and psychological status thanks to the Hospital Anxiety and Depression scale. In the study, the patients were evaluated at the first consultation (T0) and again at 12 months (T1).
RESULTS
We included 85 patients (age, 59.3±16.7 years) with a sex ratio of 3. The patient quality of life was positively correlated to distal type of amputation, traumatic origin, better LCI (p≤0.001, r=0.349), SIGAM (p=0.046) and PW. A negative correlation was noted with age (p=0.012, r=−0.483) and higher psychological scores (p=0.002, r=−0.321).
CONCLUSION
In our sample of North African lower limbs amputees the age and the functional status were the most important predictors of the quality of life.

Keyword

Lower limb; Amputation; Quality of life; Prosthesis; Disability

MeSH Terms

Amputation
Amputation, Traumatic
Amputees*
Anxiety
Depression
Humans
Locomotion
Lower Extremity*
Physical and Rehabilitation Medicine
Prospective Studies
Prostheses and Implants
Public Opinion
Quality of Life*
Sex Ratio
Tunisia
Visual Analog Scale
Walking

Reference

1. Biemer E. Definitions and classifications in replantation surgery. Br J Plast Surg. 1980; 33:164–8.
Article
2. Ustun TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disabil Rehabil. 2003; 25:565–71.
3. Geertzen JH. Moving beyond disability. Prosthet Orthot Int. 2008; 32:276–81.
Article
4. Desmond DM, MacLachlan M. Coping strategies as predictors of psychosocial adaptation in a sample of elderly veterans with acquired lower limb amputations. Soc Sci Med. 2006; 62:208–16.
Article
5. Streppel KR, de Vries J, van Harten WH. Functional status and prosthesis use in amputees, measured with the Prosthetic Profile of the Amputee (PPA) and the short version of the Sickness Impact Profile (SIP68). Int J Rehabil Res. 2001; 24:251–6.
Article
6. Ackerley SJ, Gordon HJ, Elston AF, Crawford LM, McPherson KM. Assessment of quality of life and participation within an outpatient rehabilitation setting. Disabil Rehabil. 2009; 31:906–13.
Article
7. Schoppen T, Boonstra A, Groothoff JW, Vries DJ, Goeken NH, Eisma WH. Epidemiologic characteristics and quality of life of lower limb amputee patients in adulthood in the Netherlands. In : Schoppen T, editor. Functional outcome after a lower limb amputation. Groningen: Northern Centre for Healthcare Research;2002. p. 59–74.
8. Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int. 2008; 32:231–43.
Article
9. van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002; 24:429–36.
Article
10. Demet K, Martinet N, Guillemin F, Paysant J, Andre JM. Health related quality of life and related factors in 539 persons with amputation of upper and lower limb. Disabil Rehabil. 2003; 25:480–6.
Article
11. Ware JE Jr, Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30:473–83.
12. Gauthier-Gagnon C, Grise MC. Prosthetic profile of the amputee questionnaire: validity and reliability. Arch Phys Med Rehabil. 1994; 75:1309–14.
Article
13. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361–70.
Article
14. Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011; 35:90–6.
Article
15. Bouaziz MA. Epidemiological and clinical characteristics, functional and quality of life of patients with major lower limb amputees in central Tunisia. [master’s thesis]. Sousse, Tunisia: Faculty of Medicine Ibn El Jazzar;2014.
16. Abdelgadir M, Shebeika W, Eltom M, Berne C, Wikblad K. Health related quality of life and sense of coherence in Sudanese diabetic subjects with lower limb amputation. Tohoku J Exp Med. 2009; 217:45–50.
Article
17. Sinha R, van den Heuvel WJ, Arokiasamy P, van Dijk JP. Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation. Int J Rehabil Res. 2014; 37:74–9.
Article
18. Ben Romdhane H, Ben Ali S, Aissi W, Traissac P, Aounallah-Skhiri H, Bougatef S, et al. Prevalence of diabetes in Northern African countries: the case of Tunisia. BMC Public Health. 2014; 14:86.
Article
19. Meatherall BL, Garrett MR, Kaufert J, Martin BD, Fricke MW, Arneja AS, et al. Disability and quality of life in Canadian aboriginal and non-aboriginal diabetic lower-extremity amputees. Arch Phys Med Rehabil. 2005; 86:1594–602.
Article
20. Zidarov D, Swaine B, Gauthier-Gagnon C. Life habits and prosthetic profile of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Arch Phys Med Rehabil. 2009; 90:1953–9.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr