title: Perceived independence and limitations in rising and sitting down after rehabilitation for a lower-limb amputation.
abstract: OBJECTIVE
  To study perceived independence in rising and perceived limitations in rising and sitting down in persons after a lower-limb amputation and the relationship of these perceptions with personal and clinical characteristics.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Persons with a lower-limb amputation wearing a prosthesis (n = 172).
  
  
  METHODS
  Perceived independence in rising was assessed with the Locomotor Capabilities Index. Limitations in rising and sitting down were assessed with the Questionnaire Rising and Sitting down. Multivariate logistic and linear regression analyses, respectively, were used to investigate the associations between independence and limitations in rising and sitting down, and personal and clinical characteristics.
  
  
  RESULTS
  Of the participants, 91% and 47% perceived independence in rising from a chair and rising from the floor, respectively. Older participants and women perceived less independence in rising. Participants perceived marked limitations in rising and sitting down, with those rehabilitated in a nursing home perceiving more limitations.
  
  
  CONCLUSIONS
  After a lower-limb amputation, most persons wearing a prosthesis are able to rise independently from a chair, but many perceive decreased independence in other forms of rising, especially older participants and women. Participants, especially those rehabilitated in a nursing home, perceive considerable limitations in rising and sitting down. However, in those patients rehabilitated in a nursing home these limitations may be due to indication bias.
authors.affiliation: Rehabilitation Centre Leijpark, PO Box 5022, NL-5004 EA Tilburg, The Netherlands. E-mail: f.delaat@libranet.nl.
authors.forename: Fred A
authors.initials: FA
authors.lastname: de Laat
authors.forename: Pieter U
authors.initials: PU
authors.lastname: Dijkstra
authors.forename: Gerardus M
authors.initials: GM
authors.lastname: Rommers
authors.forename: Jan H B
authors.initials: JH
authors.lastname: Geertzen
authors.forename: Leo D
authors.initials: LD
authors.lastname: Roorda
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D017677:Age Distribution; D000368:Aged; D000671:Amputation, Surgical / Q000523:psychology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology; D009426:Netherlands; D010465:Perception; D011187:Posture; D012044:Regression Analysis; D017678:Sex Distribution; D011795:Surveys and Questionnaires