Article

To assess the incidence and severity of self-reported hyperhidrosis in patients
with amputation and understand its effects on prosthetic fit or function, a
cross-sectional survey of patients at two amputee clinics was performed.
Responses from 121 subjects with lower-limb amputation were analyzed. Of these
subjects, 66% reported sweating to a degree that it interfered with daily
activities, as measured by the Hyperhidrosis Disease Severity Scale. There was a
significant association between sweating and interference with prosthetic fit and
function. Sweating was more severe in cases of transtibial amputations, patients
under the age of 60, warm weather, and vigorous activity. There was no
relationship between severity of sweating and time since amputation, etiology of
amputation, duration of daily prosthetic use, or reported ability to perform
functional tasks. Subjects reported trying multiple interventions, but the
self-reported effectiveness of these treatments was low. Hyperhidrosis, a common
problem associated with prosthetic usage, varies in severity and often interferes
with daily activities. Sweating severity is associated with poor prosthetic fit
and function. Risk factors include younger age and transtibial amputation status.
Treatment strategies generally lack efficacy. The results of this study may
provide guidance for future interventions and treatment options.

Langue : ANGLAIS