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Quality of Life in Lower-Limb Amputees 10 Years After the 2008 Sichuan Earthquake: A Cross-Sectional Study

Published online by Cambridge University Press:  16 August 2021

Qian Wang
Affiliation:
Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China
Caiyun Chen
Affiliation:
Center of Comprehensive Service of Disabled, Deyang, Sichuan, China
Sheng Zhang
Affiliation:
Center of Comprehensive Service of Disabled, Deyang, Sichuan, China
Yimin Tang
Affiliation:
Center of Comprehensive Service of Disabled, Deyang, Sichuan, China
Hongxia Wang
Affiliation:
Center of Comprehensive Service of Disabled, Deyang, Sichuan, China
Xue Zhou
Affiliation:
Center of Comprehensive Service of Disabled, Deyang, Sichuan, China
Man-sang Wong*
Affiliation:
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China
*
Corresponding author: Man-sang Wong, Email: m.s.wong@polyu.edu.hk.

Abstract

Objective:

The aim of this study was to investigate the long-term outcome of quality of life (QOL) in the lower-limb amputees 10 years after the 2008 Sichuan earthquake.

Methods:

In the cross-sectional study, 66 lower-limb amputees were recruited. The prosthetics-related QOL was assessed using the Prosthetic Evaluation Questionnaire (PEQ) in terms of the scales of utility, appearance, sounds, residual limb health, perceived response, frustration, social burden, ambulation, and well-being. The score of each PEQ subscale was calculated and compared among the cohorts with different demographic characteristics.

Results:

The PEQ scores showed that the scales of sounds, residual limb health, and frustration were still low in the lower-limb amputees 10 years after the 2008 Sichuan earthquake. The comparison of PEQ scales among cohorts with different demographic characteristics indicated that the potential demographic risk factors, namely, age, marital status, educational level, living independence, and comorbidity, were associated with prosthesis-related QOL.

Conclusions:

The prosthesis-related QOL of the lower-limb amputees 10 years after the 2008 Sichuan earthquake has been partly documented in this study. The potential demographic risk factors associated with QOL of amputees were also identified. These findings could enhance the understanding of prosthesis-related QOL of lower-limb amputees sustained in an earthquake and facilitate the optimization of post-disaster rehabilitation strategies.

Type
Original Research
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

Zhang, X, Reinhardt, JD, Gosney, JE, Li, J. The NHV rehabilitation services program improves long-term physical functioning in survivors of the 2008 Sichuan earthquake: a longitudinal quasi experiment. PLoS One. 2013;8(1):e53995. doi: 10.1371/journal.pone.0053995.CrossRefGoogle ScholarPubMed
Li, Y, Pan, F, Li, Y. Analysis of rehabilitation needs, measures taken, and their effectiveness for the wounded following the Wenchuan earthquake. J Evid Based Med. 2009;2(4):258-264. doi: 10.1111/j.1756-5391.2009.01045.x.CrossRefGoogle ScholarPubMed
Klute, GK, Berge, JS, Orendurff, MS, et al. Prosthetic intervention effects on activity of lower-extremity amputees. Arch Phys Med Rehabil. 2006;87(5):717-722. doi: 10.1016/j.apmr.2006.02.007.CrossRefGoogle ScholarPubMed
Li, WS, Chan, SY, Chau, WW, et al. Mobility, prosthesis use and health-related quality of life of bilateral lower limb amputees from the 2008 Sichuan earthquake. Prosthet Orthot Int. 2019;43(1):104-111. doi: 10.1177/0309364618792720.CrossRefGoogle ScholarPubMed
Chu, CK, Wong, MS. Comparison of prosthetic outcomes between adolescent transtibial and transfemoral amputees after Sichuan earthquake using Step Activity Monitor and Prosthesis Evaluation Questionnaire. Prosthet Orthot Int. 2016;40(1):58-64. doi: 10.1177/0309364614556837.CrossRefGoogle ScholarPubMed
Li, L, Reinhardt, JD, Zhang, X, et al. Physical function, pain, quality of life and life satisfaction of amputees from the 2008 Sichuan earthquake: a prospective cohort study. J Rehabil Med. 2015;47(5):466-471. doi: 10.2340/16501977-1951.CrossRefGoogle ScholarPubMed
Awais, SM, Dar, UZ, Saeed, A. Amputations of limbs during the 2005 earthquake in Pakistan: a firsthand experience of the author. Int Orthop. 2012;36(11):2323-2326. doi: 10.1007/s00264-012-1589-3.CrossRefGoogle ScholarPubMed
Wen, PS, Randolph, MG, Elbaum, L, De la Rosa, M. Gender differences in psychosocial and physical outcomes in Haitian amputees. Am J Occup Ther. 2018;72(3):1-8. doi: 10.5014/ajot.2018.022962.CrossRefGoogle ScholarPubMed
Li, Y, Reinhardt, JD, Gosney, JE, et al. Evaluation of functional outcomes of physical rehabilitation and medical complications in spinal cord injury victims of the Sichuan earthquake. J Rehabil Med. 2012;44(7):534-540. doi: 10.2340/16501977-1005.CrossRefGoogle ScholarPubMed
Hu, X, Zhang, X, Gosney, JE, et al. Analysis of functional status, quality of life and community integration in earthquake survivors with spinal cord injury at hospital discharge and one-year follow-up in the community. J Rehabil Med. 2012;44(3):200-205. doi: 10.2340/16501977-0944.Google Scholar
Rauch, A, Baumberger, M, Moise, FG, et al. Rehabilitation needs assessment in persons with spinal cord injury following the 2010 earthquake in Haiti: a pilot study using an ICF-based tool. J Rehabil Med. 2011;43(11):969-975. doi: 10.2340/16501977-0896.CrossRefGoogle ScholarPubMed
Gao, Q, Leung, A, Liang, Q, et al. Functional status of fracture victims four years after the 2008 Wenchuan earthquake. J Rehabil Med. 2014;46(4):289-293. doi: 10.2340/16501977-1799.Google ScholarPubMed
Ni, J, Reinhardt, JD, Zhang, X, et al. Dysfunction and post-traumatic stress disorder in fracture victims 50 months after the Sichuan earthquake. PLoS One. 2013;8(10):e77535. doi: 10.1371/journal.pone.0077535.CrossRefGoogle ScholarPubMed
Parker, K, Kirby, RL, Adderson, J, Thompson, K. Ambulation of people with lower-limb amputations: relationship between capacity and performance measures. Arch Phys Med Rehabil. 2010;91(4):543-549. doi: 10.1016/j.apmr.2009.12.009.CrossRefGoogle ScholarPubMed
Miller, MJ, Magnusson, DM, Lev, G, et al. Relationships among perceived functional capacity, self-efficacy, and disability after dysvascular amputation. PM&R. 2018;10(10):1056-1061. doi: 10.1016/j.pmrj.2018.03.014.Google ScholarPubMed
Wurdeman, SR, Stevens, PM, Campbell, JH. Mobility analysis of AmpuTees (MAAT I): quality of life and satisfaction are strongly related to mobility for patients with a lower limb prosthesis. Prosthet Orthot Int. 2018;42(5):498-503. doi: 10.1177/0309364617736089.CrossRefGoogle Scholar
Legro, MW, Reiber, GD, Smith, DG, et al. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Arch Phys Med Rehabil. 1998;79(8):931-938. doi: 10.1016/s0003-9993(98)90090-9.CrossRefGoogle ScholarPubMed
Harness, N, Pinzur, MS. Health related quality of life in patients with dysvascular transtibial amputation. Clin Orthop Relat Res. 2001;383:204-207. doi: 10.1097/00003086-200102000-00023.CrossRefGoogle Scholar
Franchignoni, F, Ferriero, G, Giordano, A, et al. The minimal clinically-important difference of the Prosthesis Evaluation Questionnaire – Mobility Scale in subjects undergoing lower limb prosthetic rehabilitation training. Eur J Phys Rehabil Med. 2020;56(1):82-87. doi: 10.23736/s1973-9087.19.05799-x.CrossRefGoogle ScholarPubMed
Van de Weg, FB, Van der Windt, DA. A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputees. Prosthet Orthot Int. 2005;29(3):231-239. doi: 10.1080/03093640500199679.CrossRefGoogle ScholarPubMed
Friel, K. Componentry for lower extremity prostheses. J Am Acad Orthop Surg. 2005;13(5):326-335. doi: 10.5435/00124635-200509000-00006.CrossRefGoogle ScholarPubMed
Darnall, BD, Ephraim, P, Wegener, ST, et al. Depressive symptoms and mental health service utilization among persons with limb loss: results of a national survey. Arch Phys Med Rehabil. 2005;86(4):650-658. doi: 10.1016/j.apmr.2004.10.028.CrossRefGoogle ScholarPubMed
Foote, CE, Kinnon, JM, Robbins, C, et al. Long-term health and quality of life experiences of Vietnam veterans with combat-related limb loss. Qual Life Res. 2015;24(12):2853-2861. doi: 10.1007/s11136-015-1029-0.Google ScholarPubMed
Ladlow, P, Phillip, R, Etherington, J, et al. Functional and mental health status of United Kingdom military amputees postrehabilitation. Arch Phys Med Rehabil. 2015;96(11):2048-2054. doi: 10.1016/j.apmr.2015.07.016.Google ScholarPubMed
Pinzur, MS, Pinto, MA, Saltzman, M, et al. Health-related quality of life in patients with transtibial amputation and reconstruction with bone bridging of the distal tibia and fibula. Foot Ankle Int. 2006;27(11):907-912. doi: 10.1177/107110070602701107.Google ScholarPubMed
Guo, J, He, H, Qu, Z, et al. Post-traumatic stress disorder and depression among adult survivors 8 years after the 2008 Wenchuan earthquake in China. J Affect Disord. 2017;210:27-34. doi: 10.1016/j.jad.2016.12.009.Google ScholarPubMed
Yilmaz, M, Gulabi, D, Kaya, I, et al. The effect of amputation level and age on outcome: an analysis of 135 amputees. Eur J Orthop Surg Tr. 2016;26(1):107-112. doi: 10.1007/s00590-015-1709-z.CrossRefGoogle ScholarPubMed
Penn-Barwell, JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474-1479. doi: 10.1016/j.injury.2011.07.005.CrossRefGoogle ScholarPubMed
Furtado, S, Grimer, RJ, Cool, P, et al. Physical functioning, pain and quality of life after amputation for musculoskeletal tumours: a national survey. Bone Joint J. 2015;97-B(9):1284-1290. doi: 10.1302/0301-620X.97B9.35192.CrossRefGoogle ScholarPubMed