Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Postoperative Ambulation on the Quality of Life in a Transtibial Amputee


Affiliations
1 Dept. of Orthopaedics, Christian Medical College, Ludhiana, India
2 Dept. of Medicine, Christian Medical College, Ludhiana, India
3 Dept. of Physiotherapy, Christian Medical College, Ludhiana, India
4 Dept. of Surgery, Christian Medical College, Ludhiana, India
     

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Background: Quality of life of a transtibial (TT) amputee is not only determined by his functional rehabilitation but also social, economical and psychological rehabilitation. A number of studies have analyzed the influence of lower limb amputation on these factors. This study analyses the effect of functional recovery on other parameters of quality of life in a TT amputee.

Material and method : The present study followed 160 patients of TT amputation. Their postoperative ambulatory status was calculated using Pinzur's ambulatory level. Their quality of life was determined on the basis of answers to five point questionnaire. These parameters were correlated to assess the influence of functional recovery on quality of life.

Results: All the amputees with Pinzur's 0-1 level of ambulation suffered loss of income consequent to loss of job. All of them felt increased level of depression and anxiety after amputation. 50% of them felt socially neglected. Comparatively much less percentage of amputees with 5-6 level of ambulation suffered economic, social and psychological crisis.

Conclusions: Postoperative ambulation level directly affects the quality of life of a TT amputee.


Keywords

Ambulation Level, Quality of Life, Transtibial Amputee
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  • Effect of Postoperative Ambulation on the Quality of Life in a Transtibial Amputee

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Authors

Amit Saraf
Dept. of Orthopaedics, Christian Medical College, Ludhiana, India
Ankita Gupta
Dept. of Medicine, Christian Medical College, Ludhiana, India
Jeewan S. Prakash
Dept. of Physiotherapy, Christian Medical College, Ludhiana, India
Jedidiah S. Prakash
Dept. of Surgery, Christian Medical College, Ludhiana, India

Abstract


Background: Quality of life of a transtibial (TT) amputee is not only determined by his functional rehabilitation but also social, economical and psychological rehabilitation. A number of studies have analyzed the influence of lower limb amputation on these factors. This study analyses the effect of functional recovery on other parameters of quality of life in a TT amputee.

Material and method : The present study followed 160 patients of TT amputation. Their postoperative ambulatory status was calculated using Pinzur's ambulatory level. Their quality of life was determined on the basis of answers to five point questionnaire. These parameters were correlated to assess the influence of functional recovery on quality of life.

Results: All the amputees with Pinzur's 0-1 level of ambulation suffered loss of income consequent to loss of job. All of them felt increased level of depression and anxiety after amputation. 50% of them felt socially neglected. Comparatively much less percentage of amputees with 5-6 level of ambulation suffered economic, social and psychological crisis.

Conclusions: Postoperative ambulation level directly affects the quality of life of a TT amputee.


Keywords


Ambulation Level, Quality of Life, Transtibial Amputee

References