Footwear limitations in women prosthesis users relate to more than preference.

Autor:	Russell Esposito E; Extremity Trauma and Amputation Center of Excellence (EACE), Ft. Sam Houston, TX, USA.; Center for Limb Loss and Mobility, VA Puget Sound Health Care System, Seattle, WA, USA.; Military Operational Medicine Research Program, Ft. Detrick, MD, USA.; Uniformed Services University of the Health Sciences, Bethesda, MD, USA., Hansen AH; Minneapolis VA Health Care System, Minneapolis, MN, USA.; University of Minnesota, Minneapolis, MN, USA., Slater BS; Minneapolis VA Health Care System, Minneapolis, MN, USA., Major MJ; Northwestern University, Chicago, IL, USA.; Jesse Brown VA Medical Center, Chicago, IL, USA., Muschler K; Minneapolis VA Health Care System, Minneapolis, MN, USA., Ikeda AJ; Shirley Ryan AbilityLab, Chicago, IL, USA., Erbes C; Minneapolis VA Health Care System, Minneapolis, MN, USA.; University of Minnesota, Minneapolis, MN, USA.
Jazyk:	angličtina
Zdroj:	Prosthetics and orthotics international [Prosthet Orthot Int] 2023 Oct 01; Vol. 47 (5), pp. 511-518. Date of Electronic Publication: 2023 Jan 05.
DOI:	10.1097/PXR.0000000000000192
Abstrakt:	Background: The option to wear desired footwear may be an important part of community reintegration after lower-limb amputation. Objectives: This study explored outcomes related to footwear, health, and participation in women Veterans with lower-limb amputation. Methods: A cross-sectional questionnaire was mailed to all women Veterans age 18-82 years with major lower-limb amputation(s) who had received prosthetics services in the US Department of Veterans Affairs (N = 538). The questionnaire assessed Perceived Challenges (including clothing limitations, prosthetic foot limitations [width, height, and shape], and shoe avoidance for safety concerns), type of footwear used and preference, and included subscales from the Patient-Reported Outcome Measurement Information System, Amputee Body Image Scale Prosthetic Limb Users' Survey of Mobility, Community Participation Index, Activities-Specific Balance Confidence Scale, and Prosthesis Evaluation Questionnaire. Bivariate correlations examined relationships between a composite measure of Perceived Challenges and patient-reported outcomes. Results: One hundred questionnaires were returned (18.6% response rate; 3 excluded for limited prosthesis use). The Perceived Challenges score was significantly correlated with scores for the Amputee Body Image Scale-Revised (r = 0.24, p = 0.019), Patient-Reported Outcome Measurement Information System (ability to participate: r = -0.25, p = 0.014), Prosthesis Evaluation Questionnaire (utility: r = -0.32, p = 0.001, appearance: r = -0.48, p < 0.001), Activities-Specific Balance Confidence Scale (r = -0.20, p = 0.046), and Prosthetic Limb Users' Survey of Mobility (r = -0.21, p = 0.036), but not depression or anxiety. Conclusions: Women who have greater issues with how their prosthesis affects the shoes and clothing they can wear also have poorer body image, reduced functional capabilities, and lower reported participation in activities. Improved prosthetic foot design may help to improve social participation and other important outcomes for women prosthesis users. (Copyright © 2023 International Society for Prosthetics and Orthotics.)
Databáze:	MEDLINE
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