title: Physical and Psychosocial Functions of Adults with Lower Limb Congenital Deficiencies and Amputations in Childhood.
abstract: Objectives. (1) To describe the epidemiological and medical features of a sample with LLA and LLD in childhood and (2) to explore their relationship with subsequent physical and psychosocial functions in adulthood. Methods. Cross-sectional survey. Demographics, medical data, Locomotor Capabilities Index (LCI), and Discomfort-Engagement in Everyday Activities Involving Revealing the Body Scale (D-EEARB) were collected from thirty-two adults who suffered from LLA in childhood or LLD. Results. Most of the sample (53.1% males) was working (84.4%), living independently (75%), and single (75%). Mean age was 33.16 (SD = 7.64, range 18-50). Leading causes for LLA were traumatic (40.6%) and oncologic (25%). LLD was present in 6 cases (18.8%). LCI scores revealed a high performance among males (t 17,464 = 2.976, p = .008). D-EEARB scores showed that 56.25% stated feeling "quite" or "totally comfortable" in situations which involved revealing their body, but 43.75% stated the contrary ("uncomfortable" or "very uncomfortable"). LLD and traumatic LLA show higher scores in D-EEARB than vascular and oncological LLA (χ (2) = 7.744, df = 3, p = .05). Conclusions. Adults suffering from LLDs and LLAs during childhood seem to perform well once they are adults. However, 43.75% of patients express considerable discomfort in situations that involve revealing the body.
authors.affiliation: Department of Rehabilitation and Traumatology, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: Ll
authors.initials: L
authors.lastname: Montesinos-Magraner
authors.affiliation: Department of Rehabilitation and Traumatology, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Issa-Benítez
authors.affiliation: Department of Rehabilitation and Traumatology, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Pagès-Bolíbar
authors.affiliation: Department of Rehabilitation and Traumatology, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Meléndez-Plumed
authors.affiliation: Department of Rehabilitation and Traumatology, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: González-Viejo
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain; Vall d'Hebron Research Institute, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Castellano-Tejedor