%0 Journal Article
%T Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study
%A Joseph B. Webster
%A MD
%A Kevin N. Hakimi
%A MD
%A Rhonda M. Williams
%A PhD
%A Aaron P. Turner
%A PhD
%J Journal of Rehabilitation Research and Development
%D 2013
%I Rehabilitation Research and Development Service, Department of Veterans Affairs
%R 10.1682/jrrd.2012.01.0001
%X Providing a satisfactory, functional prosthesis following lower-limb amputation is a primary goal of rehabilitation. The objectives of this study were to describe the rate of successful prosthetic fitting over a 12 mo period; describe prosthetic use after amputation; and determine factors associated with greater prosthetic fitting, function, and satisfaction. The study design was a multicenter prospective cohort study of individuals undergoing their first major lower-limb amputation because of vascular disease and/or diabetes. At 4 mo, unsuccessful prosthetic fitting was significantly associated with depression, prior arterial reconstruction, diabetes, and pain in the residual limb. At 12 mo, 92% of all subjects were fit with a prosthetic limb and individuals with transfemoral amputation were significantly less likely to have a prosthesis fit. Age older than 55 yr, diagnosis of a major depressive episode, and history of renal dialysis were associated with fewer hours of prosthetic walking. Subjects who were older, had experienced a major depressive episode, and/or were diagnosed with chronic obstructive pulmonary disease had greater functional restriction. Thus, while most individuals achieve successful prosthetic fitting by 1 yr following a first major nontraumatic lower-limb amputation, a number of medical variables and psychosocial factors are associated with prosthetic fitting, utilization, and function.
%K ambulation
%K amputation
%K gait
%K prosthesis
%K prosthetic fitting
%K rehabilitation
%K satisfaction
%K transfemoral amputation
%K transmetatarsal amputation
%K transtibial amputation
%U http://www.rehab.research.va.gov/jour/2012/4910/pdf/webster4910.pdf