Article

Limited research is available that explores major limb amputation and
the World Health Organization's International Classification of Functioning,
Disability and Health (ICF). Objectives:
To investigate the barriers,
participation restriction and functioning levels experienced by people with a
major limb amputation. Study design: Secondary data analysis. Method: Relevant
data for 148 people with major limb amputation were extracted from the National
Physical and Sensory Disability Database in Ireland.
Results: The most common
environmental barriers encountered were climate, physical environment and income.
Participation restriction was most commonly experienced in sports/physical
recreation, leisure/cultural activity and employment/job-seeking. For daily
activities and functioning, the most common difficulties were with standing for
long periods, walking long distances and the emotional effects of disability.
Differences were found between people with an upper limb or lower limb
prosthesis. Conclusion: This paper addresses the limited information available on
environmental barriers, activity limitation and participation restriction of
people with a major limb amputation. Greater understanding of the impact of
amputation andprosthesis type on activity, participation and environmental
barriers is important to facilitate improved management and planning at the
individual, service and societal level. Clinical relevance Improved understanding
of environmental barriers and challenges, activity limitations and participation
restrictions experienced by individuals with major limb amputation is a critical
step in informing evidence-based service delivery, intervention and policy in order to improve outcomes for this group.

Langue : ANGLAIS