title: Prosthesis and wheelchair use in veterans with lower-limb amputation.
abstract: We determined the demographic, health, functional, and satisfaction factors related to lower-limb prosthesis or wheelchair use among veterans with lower-limb amputation. Forty-two veterans were recruited from the 20th National Disabled Veterans Winter Sports Clinic and the 26th National Veterans Wheelchair Games. Participants were at least 18 years of age, had a lower-limb amputation, and were either prosthesis or wheelchair users. Level of amputation was the most significant health-related characteristic determining the veterans' use of a prosthesis versus a wheelchair (p = 0.02). Veterans who had a higher level of amputation and used a prosthesis reported significantly greater difficulty navigating a ramp (p = 0.03), getting in and out of cars and buses (p = 0.03), carrying 10 lb of groceries (p = 0.02), and participating in sports and leisure activities (p = 0.03). The parameter "satisfaction related to prosthesis" did not determine selection of mobility device type. The interaction of demographics, health-related characteristics, and mobility device characteristics affects functional performance and influences the use of prostheses, wheelchairs, or both in persons with lower-limb amputation. Long-term outcome assessments may help determine factors associated with either transition from one device to another or combined use of the devices over time.
authors.affiliation: Human Engineering Research Laboratories, Department of Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, PA, USA.
authors.forename: Amol M
authors.initials: AM
authors.lastname: Karmarkar
authors.forename: Diane M
authors.initials: DM
authors.lastname: Collins
authors.forename: Todd
authors.initials: T
authors.lastname: Wichman
authors.forename: Allison
authors.initials: A
authors.lastname: Franklin
authors.forename: Shirley G
authors.initials: SG
authors.lastname: Fitzgerald
authors.forename: Brad E
authors.initials: BE
authors.lastname: Dicianno
authors.forename: Paul F
authors.initials: PF
authors.lastname: Pasquina
authors.forename: Rory A
authors.initials: RA
authors.lastname: Cooper
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000671:Amputation, Surgical / Q000534:rehabilitation*; D001186:Artificial Limbs / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D006801:Humans; D007899:Leisure Activities; D008875:Middle Aged; D017060:Patient Satisfaction; D014728:Veterans; D014910:Wheelchairs / Q000706:statistics & numerical data*; D055815:Young Adult