Prosthesis and wheelchair use in veterans with lower-limb amputation

Amol Karmarkar, Diane Collins, Todd Wichman, Allison Franklin, Shirley G. Fitzgerald, Brad E. Dicianno, Paul F. Pasquina, Rory A. Cooper

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

We determined the demographic, health, functional, and satisfaction factors related to lower-limb prosthesis or wheelchair use among veterans with lower-limb amputation. Forty-two veterans were recruited from the 20th National Disabled Veterans Winter Sports Clinic and the 26th National Veterans Wheelchair Games. Participants were at least 18 years of age, had a lower-limb amputation, and were either prosthesis or wheelchair users. Level of amputation was the most significant health-related characteristic determining the veterans' use of a prosthesis versus a wheelchair (p = 0.02). Veterans who had a higher level of amputation and used a prosthesis reported significantly greater difficulty navigating a ramp (p = 0.03), getting in and out of cars and buses (p = 0.03), carrying 10 lb of groceries (p = 0.02), and participating in sports and leisure activities (p = 0.03). The parameter "satisfaction related to prosthesis" did not determine selection of mobility device type. The interaction of demographics, health-related characteristics, and mobility device characteristics affects functional performance and influences the use of prostheses, wheelchairs, or both in persons with lower-limb amputation. Long-term outcome assessments may help determine factors associated with either transition from one device to another or combined use of the devices over time.

Original languageEnglish (US)
Pages (from-to)567-575
Number of pages9
JournalJournal of Rehabilitation Research and Development
Volume46
Issue number5
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Wheelchairs
Veterans
Amputation
Prostheses and Implants
Lower Extremity
Equipment and Supplies
Sports
Health
Demography
Architectural Accessibility
Leisure Activities
Motor Vehicles
Outcome Assessment (Health Care)

Keywords

  • Function
  • Health characteristics
  • Lower-limb amputation
  • Mobility device
  • Outcome
  • Prostheses
  • Rehabilitation
  • Satisfaction
  • Veterans
  • Wheelchairs

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Karmarkar, A., Collins, D., Wichman, T., Franklin, A., Fitzgerald, S. G., Dicianno, B. E., ... Cooper, R. A. (2009). Prosthesis and wheelchair use in veterans with lower-limb amputation. Journal of Rehabilitation Research and Development, 46(5), 567-575. https://doi.org/10.1682/JRRD.2008.08.0102

Prosthesis and wheelchair use in veterans with lower-limb amputation. / Karmarkar, Amol; Collins, Diane; Wichman, Todd; Franklin, Allison; Fitzgerald, Shirley G.; Dicianno, Brad E.; Pasquina, Paul F.; Cooper, Rory A.

In: Journal of Rehabilitation Research and Development, Vol. 46, No. 5, 2009, p. 567-575.

Research output: Contribution to journalArticle

Karmarkar, A, Collins, D, Wichman, T, Franklin, A, Fitzgerald, SG, Dicianno, BE, Pasquina, PF & Cooper, RA 2009, 'Prosthesis and wheelchair use in veterans with lower-limb amputation', Journal of Rehabilitation Research and Development, vol. 46, no. 5, pp. 567-575. https://doi.org/10.1682/JRRD.2008.08.0102
Karmarkar, Amol ; Collins, Diane ; Wichman, Todd ; Franklin, Allison ; Fitzgerald, Shirley G. ; Dicianno, Brad E. ; Pasquina, Paul F. ; Cooper, Rory A. / Prosthesis and wheelchair use in veterans with lower-limb amputation. In: Journal of Rehabilitation Research and Development. 2009 ; Vol. 46, No. 5. pp. 567-575.
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