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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.117 SNIP: 0.228 CiteScore™: 0.17

ISSN Печать: 0896-2960
ISSN Онлайн: 2162-6553

Выпуски:
Том 31, 2019 Том 30, 2018 Том 29, 2017 Том 28, 2016 Том 27, 2015 Том 26, 2014 Том 25, 2013 Том 24, 2012 Том 23, 2011 Том 22, 2010 Том 21, 2009 Том 20, 2008 Том 19, 2007 Том 18, 2006 Том 17, 2005 Том 16, 2004 Том 15, 2003 Том 14, 2002 Том 13, 2001 Том 12, 2000 Том 11, 1999 Том 10, 1998 Том 9, 1997 Том 8, 1996 Том 7, 1995

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2019031127
pages 173-183

Functional Outcome Following Lower Extremity Amputation: A Review of Contextual Factors Influencing Function in Low- to Middle-Income Group Countries

Rajani Mullerpatan
Department of Physiotherapy, Mahatma Gandhi Mission School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
Megha Sonkhia
Mahatama Gandhi Mission School of Physiotherapy, Navi Mumbai, Maharashtra, India 410209
Blessy Thomas
Mahatama Gandhi Mission School of Physiotherapy, Navi Mumbai, Maharashtra, India 410209
Swagatika Mishra
MGM Institute's University Department of Prosthetics and Orthotics, MGM Educational Campus, Kamothe, Navi Mumbai 410209
Abhishek Gupta
Department of Mechanical Engineering, Indian Institute of Technology Bombay, Powai, Mumbai 400076
Bela Agarwal
Department of Physiotherapy, Mahatma Gandhi Mission School of Physiotherapy, MGM Institute of Health Sciences, Sector No.1, Plot No. 1 & 2, Kamothe, Navi Mumbai–410209, India

Краткое описание

Lower extremity amputation (LEA) leads to reduced mobility and walking capacity. Contextual factors influencing activities of daily living and community participation in people with LEA vary in low-, middle-, and high-income countries. In the present study, we aimed to review contextual factors influencing function of people with LEA in low- to middleincome countries. A literature search for articles published between January 2000 and 2018 was carried out using PubMed, Google Scholar, and Cochrane reviews databases. In total, 27 relevant articles were identified and reviewed: 8 qualitative studies, 4 manuals and factsheets, 10 descriptive cross-sectional studies, 2 comparative studies and 1 survey.
Several external contextual factors were strongly linked with poor functional outcome, dissatisfaction, and participation restriction: lack of awareness and inadequate rehabilitation and prosthetic services; lack of social security systems; health insurance; poor quality and durability and high cost of prostheses; poor transport facilities; and level of education in low- to middle-income countries. Low income, inaccessible environment, and social stigma associated with amputation reduced functional outcome and community participation. Internal factors like poor coping strategies, negative self-esteem, old-age, female gender, and negative body image were linked with poor functional outcome, whereas strong family support improved participation of people with LEA.
Our review highlights a strong need to build greater awareness on rehabilitation measures following amputation and need for disability inclusive environment to promote community participation in low- to middle-income countries.

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