'A whole different ball game': the qualitative experience of older adults with a transtibial amputation and the use of a self-aligning prosthetic ankle-foot on the STEPFORWARD trial.
| Autor: | Mitchell, Natasha, Leggett, Heather, Watson, Judith, McDaid, Catriona T., Barnett, Cleveland, Twiste, Martin, Vanicek, Natalie |
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| Předmět: |
FOOT surgery
TIBIA surgery AMPUTATION QUALITATIVE research RESEARCH funding CONSUMER attitudes INTERVIEWING STATISTICAL sampling REFLECTION (Philosophy) PSYCHOLOGICAL adaptation FUNCTIONAL status RANDOMIZED controlled trials JUDGMENT sampling ANKLE surgery SOUND recordings THEMATIC analysis RESEARCH methodology COMPARATIVE studies SOCIAL support PROSTHESIS design & construction ACTIVITIES of daily living PHYSICAL mobility |
| Zdroj: | Disability & Rehabilitation; Apr2024, Vol. 46 Issue 7, p1422-1431, 10p |
| Abstrakt: | Older patients with lower limb amputation, categorised as having "limited community mobility", are under-researched. Understanding their experience with a new prosthetic ankle-foot is important when designing clinical trials. The aim of this qualitative study was to explore the adjustments they made after amputation and the acceptability of a self-aligning ankle-foot (SA-AF) to older adults. Fourteen participants, who took part in the STEPFORWARD randomised controlled feasibility trial (ISRCTN15043643), were purposively recruited; nine were intervention participants and five were standard care participants. They were asked to reflect on their life prior to and consider the adjustments they made following their amputation. Participants in the intervention group were also asked about their views of the new SA-AF compared to their standard non-SA-AF. A thematic analysis was undertaken. Three broad themes were identified: The impact of the amputation; Role of clinical support; and Experiences of the SA-AF. The findings tell a narrative of the long-term impact that amputation has on these individuals' lives. Participants randomised to receive the SA-AF were very positive about it, reporting less pain, greater mobility and being able to do more. Participants who used the SA-AF found it an acceptable intervention. These findings suggest that a full-scale RCT is warranted. There is a high degree of acceptability among an older patient group with a transtibial amputation to use a self-aligning ankle foot. Patients reported experiencing better mobility and more prosthetic comfort with the self-aligning ankle-foot. Key outcomes important to participants include engagement in social and daily activities and balance confidence. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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