Environmental barriers, activity limitations and participation restrictions experienced by people with major limb amputation

Environmental barriers, activity limitations and participation restrictions experienced by people with major limb amputation
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DOI:
10.1177/0309364611407108
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发表时间:
2011-09-01
影响因子:
1.5
通讯作者:
Desmond, Deirdre
Desmond, Deirdre
中科院分区:
医学4区
文献类型:
--
作者:
Gallagher, Pamela;O'Donovan, Mary-Ann;Desmond, Deirdre

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背景资料:有限的研究是探讨主要截肢和世界卫生组织的国际功能分类,残疾和健康(ICF)。目的:调查障碍,参与限制和功能水平的人经历了一个主要截肢。研究设计:二次数据分析。方法:从爱尔兰的国家身体和感觉残疾数据库中提取了148例主要截肢患者的相关数据。结果:遇到的最常见的环境障碍是气候、物理环境和收入。参与限制最常见于体育/康体活动、消闲/文化活动及就业/求职。在日常活动和功能方面,最常见的困难是长时间站立、长距离行走和残疾的情绪影响。差异被发现与上肢或下肢prosthes.Conclusion:本文讨论了有限的信息提供的环境障碍,活动限制和参与限制的人与一个主要的截肢。更好地了解截肢和假肢类型对活动、参与和环境障碍的影响,对于促进改善个人、服务和社会层面的管理和规划至关重要。
Background: 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 and prosthesis type on activity, participation and environmental barriers is important to facilitate improved management and planning at the individual, service and societal level.