Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka
The purpose of this study was to describe functional outcomes of unilateral lower limb amputee soldiers, in comparison to nonamputee male subjects, and to identify factors affecting functional outcomes. Selected lower limb amputee soldiers of the Sri Lanka Army (n = 461) and matched nonamputee male...
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| Veröffentlicht in: | Military medicine 2006-04, Vol.171 (4), p.283-287 |
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| creator | Gunawardena, Nalika Sepali Seneviratne, Rohini de Alwis Athauda, Thamara |
| description | The purpose of this study was to describe functional outcomes of unilateral lower limb amputee soldiers, in comparison to nonamputee male subjects, and to identify factors affecting functional outcomes. Selected lower limb amputee soldiers of the Sri Lanka Army (n = 461) and matched nonamputee male subjects (n = 461) were evaluated with the prevalidated self-administered version of Short-Form Health Survey-36. A majority were below-knee amputees (n = 413; 89.6%), and the mean age was 30.2 +/- 4.6 years. Short-Form Health Survey-36 health profile scores of amputees were significantly lower than those of nonamputees (p < 0.001). The differences in profiles were largest in scales sensitive to physical health. Higher levels of amputation and problems with the stump and sound leg were significantly associated with poor physical and mental health scores. Amputee soldiers' assessment of changes in health over the past year was significantly worse than that of nonamputees (p < 0.001). The study concluded that amputees have comparatively poor functional outcomes, which could be improved by modifying some associated factors. |
| doi_str_mv | 10.7205/MILMED.171.4.283 |
| format | Article |
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Selected lower limb amputee soldiers of the Sri Lanka Army (n = 461) and matched nonamputee male subjects (n = 461) were evaluated with the prevalidated self-administered version of Short-Form Health Survey-36. A majority were below-knee amputees (n = 413; 89.6%), and the mean age was 30.2 +/- 4.6 years. Short-Form Health Survey-36 health profile scores of amputees were significantly lower than those of nonamputees (p < 0.001). The differences in profiles were largest in scales sensitive to physical health. Higher levels of amputation and problems with the stump and sound leg were significantly associated with poor physical and mental health scores. Amputee soldiers' assessment of changes in health over the past year was significantly worse than that of nonamputees (p < 0.001). The study concluded that amputees have comparatively poor functional outcomes, which could be improved by modifying some associated factors.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED.171.4.283</identifier><identifier>PMID: 16673739</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Activities of Daily Living ; Adult ; Age ; Amputation ; Amputees - psychology ; Amputees - rehabilitation ; Armed forces ; Case-Control Studies ; Disability ; Disability Evaluation ; Health surveys ; Humans ; Lower Extremity - surgery ; Male ; Mental health ; Military Medicine ; Military Personnel - psychology ; Outcome Assessment (Health Care) - methods ; Rehabilitation ; Rehabilitation Centers ; Sickness Impact Profile ; Sri Lanka ; Trauma ; Warfare</subject><ispartof>Military medicine, 2006-04, Vol.171 (4), p.283-287</ispartof><rights>Copyright Association of Military Surgeons of the United States Apr 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-207c9c1966f9a1d252f327a728b9fb416b9e799c9dd70b7f2b7981f7ebae322f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16673739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gunawardena, Nalika Sepali</creatorcontrib><creatorcontrib>Seneviratne, Rohini de Alwis</creatorcontrib><creatorcontrib>Athauda, Thamara</creatorcontrib><title>Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>The purpose of this study was to describe functional outcomes of unilateral lower limb amputee soldiers, in comparison to nonamputee male subjects, and to identify factors affecting functional outcomes. Selected lower limb amputee soldiers of the Sri Lanka Army (n = 461) and matched nonamputee male subjects (n = 461) were evaluated with the prevalidated self-administered version of Short-Form Health Survey-36. A majority were below-knee amputees (n = 413; 89.6%), and the mean age was 30.2 +/- 4.6 years. Short-Form Health Survey-36 health profile scores of amputees were significantly lower than those of nonamputees (p < 0.001). The differences in profiles were largest in scales sensitive to physical health. Higher levels of amputation and problems with the stump and sound leg were significantly associated with poor physical and mental health scores. Amputee soldiers' assessment of changes in health over the past year was significantly worse than that of nonamputees (p < 0.001). The study concluded that amputees have comparatively poor functional outcomes, which could be improved by modifying some associated factors.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Age</subject><subject>Amputation</subject><subject>Amputees - psychology</subject><subject>Amputees - rehabilitation</subject><subject>Armed forces</subject><subject>Case-Control Studies</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Lower Extremity - surgery</subject><subject>Male</subject><subject>Mental health</subject><subject>Military Medicine</subject><subject>Military Personnel - psychology</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Sickness Impact Profile</subject><subject>Sri Lanka</subject><subject>Trauma</subject><subject>Warfare</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkM9LwzAYhoMobk7vniR48NaaH12yHGVuOujwoILgIaRpCpltM5OU4X9vdAPB0wcfz_vC-wBwiVHOCZrerlflenGfY47zIiczegTGWFCUMUzfjsEYIcKyAvHpCJyFsEEIF2KGT8EIM8Ypp2IM3pdDr6N1vWqhG6J2nQnQNXDobaui8endup3xsLVdBVW3HaIxMLi2tsYHaHsYdw7WNkRvdfyNPnsLS9V_qHNw0qg2mIvDnYDX5eJl_piVTw-r-V2ZacpYzAjiWmgsGGuEwjWZkoYSrjiZVaKpCswqYbgQWtQ1RxVvSMXTioabShlKEjwBN_verXefgwlRdjZo07aqN24IkvHkZEZYAq__gRs3-DQ9SII54rRgRYLQHtLeheBNI7fedsp_SYzkj3W5ty6TdVnIZD1Frg69Q9WZ-i9w0Ey_Aezqfhk</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Gunawardena, Nalika Sepali</creator><creator>Seneviratne, Rohini de Alwis</creator><creator>Athauda, Thamara</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka</title><author>Gunawardena, Nalika Sepali ; 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Selected lower limb amputee soldiers of the Sri Lanka Army (n = 461) and matched nonamputee male subjects (n = 461) were evaluated with the prevalidated self-administered version of Short-Form Health Survey-36. A majority were below-knee amputees (n = 413; 89.6%), and the mean age was 30.2 +/- 4.6 years. Short-Form Health Survey-36 health profile scores of amputees were significantly lower than those of nonamputees (p < 0.001). The differences in profiles were largest in scales sensitive to physical health. Higher levels of amputation and problems with the stump and sound leg were significantly associated with poor physical and mental health scores. Amputee soldiers' assessment of changes in health over the past year was significantly worse than that of nonamputees (p < 0.001). The study concluded that amputees have comparatively poor functional outcomes, which could be improved by modifying some associated factors.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>16673739</pmid><doi>10.7205/MILMED.171.4.283</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Activities of Daily Living Adult Age Amputation Amputees - psychology Amputees - rehabilitation Armed forces Case-Control Studies Disability Disability Evaluation Health surveys Humans Lower Extremity - surgery Male Mental health Military Medicine Military Personnel - psychology Outcome Assessment (Health Care) - methods Rehabilitation Rehabilitation Centers Sickness Impact Profile Sri Lanka Trauma Warfare |
| title | Functional outcomes of unilateral lower limb amputee soldiers in two districts of Sri Lanka |
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