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01-12-2018 | Review

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

Authors: Benjamin J. Darter, Carolyn E. Hawley, Amy J. Armstrong, Lauren Avellone, Paul Wehman

Published in: Journal of Occupational Rehabilitation | Issue 4/2018

Abstract

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.

Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422–429.CrossRef

Dillingham TR, Pezzin LE, MacKenzie EJ. Limb amputation and limb deficiency: epidemiology and recent trends in the United States. South Med J. 2002;95(8):875–883.PubMed

Fischer HA, Guide to. US Military Casualty Statistics. Operation Freedom’s Sentinel, Operation Inherent Resolve, Operation New Dawn, Operation Iraqi Freedom, and Operation Enduring Freedom. Washington, DC: Congressional Research Service. 2015.

Krueger CA, Wenke JC, Ficke JR. Ten years at war: comprehensive analysis of amputation trends. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S438–S444.CrossRef

Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podiatr Med Assoc. 2001;91(1):13–22.CrossRef

Gajewski D, Granville R. The United States Armed Forces amputee patient care program. J Am Acad Orthop Surg. 2006;14(10 Spec No.):S183–S187.CrossRef

van Velzen JM, van Bennekom CA, Polomski W, Slootman JR, van der Woude LH, Houdijk H. Physical capacity and walking ability after lower limb amputation: a systematic review. Clin Rehabil. 2006;20(11):999–1016.CrossRef

McFarland LV, Hubbard Winkler SL, Heinemann AW, Jones M, Esquenazi A. Unilateral upper-limb loss: satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts. J Rehabil Res Dev. 2010;47(4):299–316.CrossRef

Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961–972.CrossRef

10.

MacKenzie EJ, Bose MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, et al. Early predictors of long-term work disability after major limb trauma. J Trauma. 2006;61(3):688–694.CrossRef

11.

Robbins CB, Vreeman DJ, Sothmann MS, Wilson SL, Oldridge NB. A review of the long-term health outcomes associated with war-related amputation. Mil Med. 2009;174(6):588–592.CrossRef

12.

Gailey R, Allen K, Castles J, Kucharik J, Roeder M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev. 2008;45(1):15–29.CrossRef

13.

Kulkarni J, Gaine WJ, Buckley JG, Rankine JJ, Adams J. Chronic low back pain in traumatic lower limb amputees. Clin Rehabil. 2005;19(1):81–86.CrossRef

14.

Norvell DC, Czerniecki JM, Reiber GE, Maynard C, Pecoraro JA, Weiss NS. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil. 2005;86(3):487–493.CrossRef

15.

Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86(10):1910–1919.CrossRef

16.

Struyf PA, van Heugten CM, Hitters MW, Smeets RJ. The prevalence of osteoarthritis of the intact hip and knee among traumatic leg amputees. Arch Phys Med Rehabil. 2009;90(3):440–446.CrossRef

17.

Sansam K, Neumann V, O’Connor R, Bhakta B. Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med. 2009;41(8):593–603.CrossRef

18.

Pezzin LE, Dillingham TR, Mackenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil. 2004;85(5):723–729.CrossRef

19.

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.CrossRef

20.

Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563–571.CrossRef

21.

Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower limb amputees: 1. A clinical study. Acta Derm Venereol. 2011;91(2):173–177.CrossRef

22.

Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower-limb amputees: 2. Influence on functioning in daily life. Acta Derm Venereol. 2011;91(2):178–182.CrossRef

23.

Burger H, Marincek C. Return to work after lower limb amputation. Disabil Rehabil. 2007;29(17):1323–1329.CrossRef

24.

Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474–1479.CrossRef

25.

Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, et al. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013;95(2):138–145.CrossRef

26.

Dougherty PJ. Long-term follow-up of unilateral transfemoral amputees from the Vietnam war. J Trauma. 2003;54(4):718–723.CrossRef

27.

Dajpratham P, Tantiniramai S, Lukkapichonchut P, Kaewnaree S. Factors associated with vocational reintegration among the Thai lower limb amputees. J Med Assoc Thai. 2008;91(2):234–239.PubMed

28.

Dharm-Datta S, Etherington J, Mistlin A, Rees J, Clasper J. The outcome of British combat amputees in relation to military service. Injury. 2011;42(11):1362–1367.CrossRef

29.

Belisle JG, Wenke JC, Krueger CA. Return-to-duty rates among US military combat-related amputees in the global war on terror: job description matters. J Trauma Acute Care Surg. 2013;75(2):279–286.CrossRef

30.

Ebrahimzadeh MH, Rajabi MT. Long-term outcomes of patients undergoing war-related amputations of the foot and ankle. J Foot Ankle Surg. 2007;46(6):429–433.CrossRef

31.

Fernandez A, Isusi I, Gomez M. Factors conditioning the return to work of upper limb amputees in Asturias, Spain. Prosthet Orthot Int. 2000;24(2):143–147.CrossRef

32.

Hebert JS, Ashworth NL. Predictors of return to work following traumatic work-related lower extremity amputation. Disabil Rehabil. 2006;28(10):613–618.CrossRef

33.

Hurley RK Jr, Rivera JC, Wenke JC, Krueger CA. Identifying obstacles to return to duty in severely injured combat-related servicemembers with amputation. J Rehabil Res Dev. 2015;52(1):53–61.CrossRef

34.

Jang CH, Yang HS, Yang HE, Lee SY, Kwon JW, Yun BD, et al. A survey on activities of daily living and occupations of upper extremity amputees. Ann Rehabil Med. 2011;35(6):907–921.CrossRef

35.

Krueger CA, Wenke JC. Initial injury severity and social factors determine ability to deploy after combat-related amputation. Injury. 2014;45(8):1231–1235.CrossRef

36.

Whyte AS, Carroll LJ. A preliminary examination of the relationship between employment, pain and disability in an amputee population. Disabil Rehabil. 2002;24(9):462–470.CrossRef

37.

Fisher K, Hanspal RS, Marks L. Return to work after lower limb amputation. Int J Rehabil Res. 2003;26(1):51–56.CrossRef

38.

Ide M, Obayashi T, Toyonaga T. Association of pain with employment status and satisfaction among amputees in Japan. Arch Phys Med Rehabil. 2002;83(10):1394–1398.CrossRef

39.

Johansen, H, Østlie K, Andersen LØ, Rand-Hendriksen S. Health-related quality of life in adults with congenital unilateral upper limb deficiency in Norway. A cross-sectional study. Disabil Rehabil. 2016;38(23):2305–2314.CrossRef

40.

Postema SG, Bongers RM, Brouwers MA, Burger H, Norling-Hermansson LM, Reneman MF, et al. Upper limb absence: predictors of work participation and work productivity. Arch Phys Med Rehabil. 2016;97(6):892–899.CrossRef

41.

Reiber GE, McFarland LV, Hubbard S, Maynard C, Blough DK, Gambel JM, et al. Servicemembers and veterans with major traumatic limb loss from Vietnam war and OIF/OEF conflicts: survey methods, participants, and summary findings. J Rehabil Res Dev. 2010;47(4):275–298.CrossRef

42.

Schoppen T, Boonstra A, Groothoff JW, de Vries J, Goeken LN, Eisma WH. Employment status, job characteristics, and work-related health experience of people with a lower limb amputation in The Netherlands. Arch Phys Med Rehabil. 2001;82(2):239–245.CrossRef

43.

Schoppen T, Boonstra A, Groothoff JW, De Vries J, Goeken LN, Eisma WH. Job satisfaction and health experience of people with a lower-limb amputation in comparison with healthy colleagues. Arch Phys Med Rehabil. 2002;83(5):628–634.CrossRef

44.

Schoppen T, Boonstra A, Groothoff JW, van Sonderen E, Goeken LN, Eisma WH. Factors related to successful job reintegration of people with a lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1425–1431.CrossRef

45.

Sinha R, van den Heuvel WJ, Arokiasamy P. Adjustments to amputation and an artificial limb in lower limb amputees. Prosthet Orthot Int. 2014;38(2):115–121.CrossRef

46.

Sinha R, van den Heuvel WJ, Arokiasamy P, van Dijk JP. Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation. Int J Rehabil Res. 2014;37(1):74–79.CrossRef

47.

Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90–96.CrossRef

48.

van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002;24(4):429–436.CrossRef

Title: Factors Influencing Functional Outcomes and Return-to-Work After Amputation: A Review of the Literature
Authors: Benjamin J. Darter
Carolyn E. Hawley
Amy J. Armstrong
Lauren Avellone
Paul Wehman
Publication date: 01-12-2018
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 4/2018
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-018-9757-y

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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