Factors Influencing Functional Outcomes and Return-to-Work After Amputation: A Review of the Literature

Autor: Amy J. Armstrong, Carolyn E. Hawley, Lauren Avellone, Benjamin J. Darter, Paul Wehman
Rok vydání: 2018
Předmět:
Zdroj: Journal of Occupational Rehabilitation. 28:656-665
ISSN: 1573-3688
1053-0487
DOI: 10.1007/s10926-018-9757-y
Popis: PURPOSE: Amputation is a life changing event that can significantly impact an individual’s physical and mental well-being. Our objective was to review literature exploring the impact of amputation upon a person’s functioning and inclusion in the workplace. METHODS: Medline, CINAHL, and PsycINFO were searched using keywords related to amputation, employment and community reintegration. Eligible studies were published since 2000 and one of the following study designs: randomized controlled trial, non-randomized controlled trial, retrospective study, prospective study, concurrent cohort study, or cross sectional study. Studies for civilians with amputation as well as service members and Veterans with amputation were considered for inclusion. RESULTS: The search identified 995 articles, 25 of which met inclusion/exclusion criteria and were included in the review. While strong evidence for correlations and predictors of outcomes after amputation were limited, multiple factors were identified as contributing to physical functioning and employment after amputation. CONCLUSIONS: Outcomes after amputation can vary widely with many potentially inter-related factors contributing. The factors identified may also serve to inform the development of interventions aiming to improve functional performance and reintegration after amputation. Furthermore, the review highlights the need for more high quality prospective studies.
Databáze: OpenAIRE
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