A Literature Review of the Quality of Life, Health Status and Prosthesis Satisfaction in Older Patients With A Trans-tibial Amputation

Overview

Journal Can Prosthet Orthot J

Date 2023 Aug 24

PMID 37614806

Authors

S Brunelli

C Bonanni

C Foti

M Traballesi

Affiliations

Soon will be listed here.

Abstract

Background: Several reviews have been published regarding quality of life (QoL) and Health Status (HS) in persons with lower limb amputation (LLA). However, little has been discussed in the literature with respect to older populations (i.e. age>60 years) with trans-tibial amputation. Furthermore, the perceived satisfaction with prosthesis is another important aspect for consideration in the amputees' life.

Objective: The purpose of this review was to evaluate the impact of trans-tibial amputation on the QoL, HS and prosthesis satisfaction, in order to determine the appropriate intervention to improve these aspects in older population of trans-tibial amputees (TTA).

Methods: Research articles, published between January 2000 to March 2019, were found using Scopus, PubMed and Google Scholar databases. The methodological quality of the selected articles was assessed using the Critical Review Form-Quantitative Studies checklist.

Results: Ten articles that met the inclusion criteria were selected. In these papers, we can summarize that people with trans-tibial amputation have a better QoL compared to those with above knee amputation. Moreover, physical functioning and mobility are the most influencing factors for QoL and HS in older people with lower limb amputation. Finally, the prosthesis weight reduction may improve satisfaction with the prosthetic limb.

Conclusion: Efforts have to be made in order to improve mobility in older population with transtibial amputation for better QoL and HS. This can be accomplished by means of adequate rehabilitation, pain management and an accurate choice of appropriate prosthetic components. We observed that the quality of evidence in the literature available is inadequate and future research would benefit from more prospective observational cohort studies with appropriate inclusion criteria and larger sample sizes to better understand the QoL and HS in this population.

Citing Articles

Comparison of trauma and diabetes mellitus-induced transtibial amputees in terms of gait parameters and functional capacity.

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Evaluating Feasibility and Durability of the Aero Prosthetic Liner in Transtibial Prosthetic Users.

Miyata Y, Sasaki K, Guerra G, Dacharux W, Chaiwan P Can Prosthet Orthot J. 2024; 6(1):41865.

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New materials and complications of prostheses in humans: situation in Spain.

Vallet-Regi M, De Alarcon A, Gomez Barrena E, Planell J, Silva J, Bouza E Rev Esp Quimioter. 2024; 37(5):369-386.

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Air microfluidics-enabled soft robotic transtibial prosthesis socket liner toward dynamic management of residual limb contact pressure and volume fluctuation.

Lee P, Gao R, Colpitts A, Murdock R, Dittmer D, Schirm A Biomicrofluidics. 2022; 16(3):034107.

PMID: 35783680 PMC: 9242678. DOI: 10.1063/5.0087900.

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