Skip to main content
Erschienen in: Journal of Occupational Rehabilitation 4/2018

03.02.2018 | Review

Factors Influencing Functional Outcomes and Return-to-Work After Amputation: A Review of the Literature

verfasst von: Benjamin J. Darter, Carolyn E. Hawley, Amy J. Armstrong, Lauren Avellone, Paul Wehman

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose Amputation is a life changing event that can significantly impact an individual’s physical and mental well-being. Our objective was to review literature exploring the impact of amputation upon a person’s functioning and inclusion in the workplace. Methods Medline, CINAHL, and PsycINFO were searched using keywords related to amputation, employment and community reintegration. Eligible studies were published since 2000 and one of the following study designs: randomized controlled trial, non-randomized controlled trial, retrospective study, prospective study, concurrent cohort study, or cross sectional study. Studies for civilians with amputation as well as service members and Veterans with amputation were considered for inclusion. Results The search identified 995 articles, 25 of which met inclusion/exclusion criteria and were included in the review. While strong evidence for correlations and predictors of outcomes after amputation were limited, multiple factors were identified as contributing to physical functioning and employment after amputation. Conclusions Outcomes after amputation can vary widely with many potentially inter-related factors contributing. The factors identified may also serve to inform the development of interventions aiming to improve functional performance and reintegration after amputation. Furthermore, the review highlights the need for more high quality prospective studies.
Literatur
1.
Zurück zum Zitat Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422–429.CrossRef Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422–429.CrossRef
2.
Zurück zum Zitat Dillingham TR, Pezzin LE, MacKenzie EJ. Limb amputation and limb deficiency: epidemiology and recent trends in the United States. South Med J. 2002;95(8):875–883.PubMed Dillingham TR, Pezzin LE, MacKenzie EJ. Limb amputation and limb deficiency: epidemiology and recent trends in the United States. South Med J. 2002;95(8):875–883.PubMed
3.
Zurück zum Zitat Fischer HA, Guide to. US Military Casualty Statistics. Operation Freedom’s Sentinel, Operation Inherent Resolve, Operation New Dawn, Operation Iraqi Freedom, and Operation Enduring Freedom. Washington, DC: Congressional Research Service. 2015. Fischer HA, Guide to. US Military Casualty Statistics. Operation Freedom’s Sentinel, Operation Inherent Resolve, Operation New Dawn, Operation Iraqi Freedom, and Operation Enduring Freedom. Washington, DC: Congressional Research Service. 2015.
4.
Zurück zum Zitat Krueger CA, Wenke JC, Ficke JR. Ten years at war: comprehensive analysis of amputation trends. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S438–S444.CrossRef Krueger CA, Wenke JC, Ficke JR. Ten years at war: comprehensive analysis of amputation trends. J Trauma Acute Care Surg. 2012;73(6 Suppl 5):S438–S444.CrossRef
5.
Zurück zum Zitat Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podiatr Med Assoc. 2001;91(1):13–22.CrossRef Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podiatr Med Assoc. 2001;91(1):13–22.CrossRef
6.
Zurück zum Zitat Gajewski D, Granville R. The United States Armed Forces amputee patient care program. J Am Acad Orthop Surg. 2006;14(10 Spec No.):S183–S187.CrossRef Gajewski D, Granville R. The United States Armed Forces amputee patient care program. J Am Acad Orthop Surg. 2006;14(10 Spec No.):S183–S187.CrossRef
7.
Zurück zum Zitat van Velzen JM, van Bennekom CA, Polomski W, Slootman JR, van der Woude LH, Houdijk H. Physical capacity and walking ability after lower limb amputation: a systematic review. Clin Rehabil. 2006;20(11):999–1016.CrossRef van Velzen JM, van Bennekom CA, Polomski W, Slootman JR, van der Woude LH, Houdijk H. Physical capacity and walking ability after lower limb amputation: a systematic review. Clin Rehabil. 2006;20(11):999–1016.CrossRef
8.
Zurück zum Zitat McFarland LV, Hubbard Winkler SL, Heinemann AW, Jones M, Esquenazi A. Unilateral upper-limb loss: satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts. J Rehabil Res Dev. 2010;47(4):299–316.CrossRef McFarland LV, Hubbard Winkler SL, Heinemann AW, Jones M, Esquenazi A. Unilateral upper-limb loss: satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts. J Rehabil Res Dev. 2010;47(4):299–316.CrossRef
9.
Zurück zum Zitat Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961–972.CrossRef Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961–972.CrossRef
10.
Zurück zum Zitat MacKenzie EJ, Bose MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, et al. Early predictors of long-term work disability after major limb trauma. J Trauma. 2006;61(3):688–694.CrossRef MacKenzie EJ, Bose MJ, Kellam JF, Pollak AN, Webb LX, Swiontkowski MF, et al. Early predictors of long-term work disability after major limb trauma. J Trauma. 2006;61(3):688–694.CrossRef
11.
Zurück zum Zitat Robbins CB, Vreeman DJ, Sothmann MS, Wilson SL, Oldridge NB. A review of the long-term health outcomes associated with war-related amputation. Mil Med. 2009;174(6):588–592.CrossRef Robbins CB, Vreeman DJ, Sothmann MS, Wilson SL, Oldridge NB. A review of the long-term health outcomes associated with war-related amputation. Mil Med. 2009;174(6):588–592.CrossRef
12.
Zurück zum Zitat Gailey R, Allen K, Castles J, Kucharik J, Roeder M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev. 2008;45(1):15–29.CrossRef Gailey R, Allen K, Castles J, Kucharik J, Roeder M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev. 2008;45(1):15–29.CrossRef
13.
Zurück zum Zitat Kulkarni J, Gaine WJ, Buckley JG, Rankine JJ, Adams J. Chronic low back pain in traumatic lower limb amputees. Clin Rehabil. 2005;19(1):81–86.CrossRef Kulkarni J, Gaine WJ, Buckley JG, Rankine JJ, Adams J. Chronic low back pain in traumatic lower limb amputees. Clin Rehabil. 2005;19(1):81–86.CrossRef
14.
Zurück zum Zitat Norvell DC, Czerniecki JM, Reiber GE, Maynard C, Pecoraro JA, Weiss NS. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil. 2005;86(3):487–493.CrossRef Norvell DC, Czerniecki JM, Reiber GE, Maynard C, Pecoraro JA, Weiss NS. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil. 2005;86(3):487–493.CrossRef
15.
Zurück zum Zitat Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86(10):1910–1919.CrossRef Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86(10):1910–1919.CrossRef
16.
Zurück zum Zitat Struyf PA, van Heugten CM, Hitters MW, Smeets RJ. The prevalence of osteoarthritis of the intact hip and knee among traumatic leg amputees. Arch Phys Med Rehabil. 2009;90(3):440–446.CrossRef Struyf PA, van Heugten CM, Hitters MW, Smeets RJ. The prevalence of osteoarthritis of the intact hip and knee among traumatic leg amputees. Arch Phys Med Rehabil. 2009;90(3):440–446.CrossRef
17.
Zurück zum Zitat Sansam K, Neumann V, O’Connor R, Bhakta B. Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med. 2009;41(8):593–603.CrossRef Sansam K, Neumann V, O’Connor R, Bhakta B. Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med. 2009;41(8):593–603.CrossRef
18.
Zurück zum Zitat Pezzin LE, Dillingham TR, Mackenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil. 2004;85(5):723–729.CrossRef Pezzin LE, Dillingham TR, Mackenzie EJ, Ephraim P, Rossbach P. Use and satisfaction with prosthetic limb devices and related services. Arch Phys Med Rehabil. 2004;85(5):723–729.CrossRef
19.
Zurück zum Zitat Van de Weg FB, Van der Windt DA. A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputees. Prosthet Orthot Int. 2005;29(3):231–239.CrossRef Van de Weg FB, Van der Windt DA. A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputees. Prosthet Orthot Int. 2005;29(3):231–239.CrossRef
20.
Zurück zum Zitat Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563–571.CrossRef Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563–571.CrossRef
21.
Zurück zum Zitat Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower limb amputees: 1. A clinical study. Acta Derm Venereol. 2011;91(2):173–177.CrossRef Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower limb amputees: 1. A clinical study. Acta Derm Venereol. 2011;91(2):173–177.CrossRef
22.
Zurück zum Zitat Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower-limb amputees: 2. Influence on functioning in daily life. Acta Derm Venereol. 2011;91(2):178–182.CrossRef Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower-limb amputees: 2. Influence on functioning in daily life. Acta Derm Venereol. 2011;91(2):178–182.CrossRef
23.
Zurück zum Zitat Burger H, Marincek C. Return to work after lower limb amputation. Disabil Rehabil. 2007;29(17):1323–1329.CrossRef Burger H, Marincek C. Return to work after lower limb amputation. Disabil Rehabil. 2007;29(17):1323–1329.CrossRef
24.
Zurück zum Zitat Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474–1479.CrossRef Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474–1479.CrossRef
25.
Zurück zum Zitat Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, et al. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013;95(2):138–145.CrossRef Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, et al. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013;95(2):138–145.CrossRef
26.
Zurück zum Zitat Dougherty PJ. Long-term follow-up of unilateral transfemoral amputees from the Vietnam war. J Trauma. 2003;54(4):718–723.CrossRef Dougherty PJ. Long-term follow-up of unilateral transfemoral amputees from the Vietnam war. J Trauma. 2003;54(4):718–723.CrossRef
27.
Zurück zum Zitat Dajpratham P, Tantiniramai S, Lukkapichonchut P, Kaewnaree S. Factors associated with vocational reintegration among the Thai lower limb amputees. J Med Assoc Thai. 2008;91(2):234–239.PubMed Dajpratham P, Tantiniramai S, Lukkapichonchut P, Kaewnaree S. Factors associated with vocational reintegration among the Thai lower limb amputees. J Med Assoc Thai. 2008;91(2):234–239.PubMed
28.
Zurück zum Zitat Dharm-Datta S, Etherington J, Mistlin A, Rees J, Clasper J. The outcome of British combat amputees in relation to military service. Injury. 2011;42(11):1362–1367.CrossRef Dharm-Datta S, Etherington J, Mistlin A, Rees J, Clasper J. The outcome of British combat amputees in relation to military service. Injury. 2011;42(11):1362–1367.CrossRef
29.
Zurück zum Zitat Belisle JG, Wenke JC, Krueger CA. Return-to-duty rates among US military combat-related amputees in the global war on terror: job description matters. J Trauma Acute Care Surg. 2013;75(2):279–286.CrossRef Belisle JG, Wenke JC, Krueger CA. Return-to-duty rates among US military combat-related amputees in the global war on terror: job description matters. J Trauma Acute Care Surg. 2013;75(2):279–286.CrossRef
30.
Zurück zum Zitat Ebrahimzadeh MH, Rajabi MT. Long-term outcomes of patients undergoing war-related amputations of the foot and ankle. J Foot Ankle Surg. 2007;46(6):429–433.CrossRef Ebrahimzadeh MH, Rajabi MT. Long-term outcomes of patients undergoing war-related amputations of the foot and ankle. J Foot Ankle Surg. 2007;46(6):429–433.CrossRef
31.
Zurück zum Zitat Fernandez A, Isusi I, Gomez M. Factors conditioning the return to work of upper limb amputees in Asturias, Spain. Prosthet Orthot Int. 2000;24(2):143–147.CrossRef Fernandez A, Isusi I, Gomez M. Factors conditioning the return to work of upper limb amputees in Asturias, Spain. Prosthet Orthot Int. 2000;24(2):143–147.CrossRef
32.
Zurück zum Zitat Hebert JS, Ashworth NL. Predictors of return to work following traumatic work-related lower extremity amputation. Disabil Rehabil. 2006;28(10):613–618.CrossRef Hebert JS, Ashworth NL. Predictors of return to work following traumatic work-related lower extremity amputation. Disabil Rehabil. 2006;28(10):613–618.CrossRef
33.
Zurück zum Zitat Hurley RK Jr, Rivera JC, Wenke JC, Krueger CA. Identifying obstacles to return to duty in severely injured combat-related servicemembers with amputation. J Rehabil Res Dev. 2015;52(1):53–61.CrossRef Hurley RK Jr, Rivera JC, Wenke JC, Krueger CA. Identifying obstacles to return to duty in severely injured combat-related servicemembers with amputation. J Rehabil Res Dev. 2015;52(1):53–61.CrossRef
34.
Zurück zum Zitat Jang CH, Yang HS, Yang HE, Lee SY, Kwon JW, Yun BD, et al. A survey on activities of daily living and occupations of upper extremity amputees. Ann Rehabil Med. 2011;35(6):907–921.CrossRef Jang CH, Yang HS, Yang HE, Lee SY, Kwon JW, Yun BD, et al. A survey on activities of daily living and occupations of upper extremity amputees. Ann Rehabil Med. 2011;35(6):907–921.CrossRef
35.
Zurück zum Zitat Krueger CA, Wenke JC. Initial injury severity and social factors determine ability to deploy after combat-related amputation. Injury. 2014;45(8):1231–1235.CrossRef Krueger CA, Wenke JC. Initial injury severity and social factors determine ability to deploy after combat-related amputation. Injury. 2014;45(8):1231–1235.CrossRef
36.
Zurück zum Zitat Whyte AS, Carroll LJ. A preliminary examination of the relationship between employment, pain and disability in an amputee population. Disabil Rehabil. 2002;24(9):462–470.CrossRef Whyte AS, Carroll LJ. A preliminary examination of the relationship between employment, pain and disability in an amputee population. Disabil Rehabil. 2002;24(9):462–470.CrossRef
37.
Zurück zum Zitat Fisher K, Hanspal RS, Marks L. Return to work after lower limb amputation. Int J Rehabil Res. 2003;26(1):51–56.CrossRef Fisher K, Hanspal RS, Marks L. Return to work after lower limb amputation. Int J Rehabil Res. 2003;26(1):51–56.CrossRef
38.
Zurück zum Zitat Ide M, Obayashi T, Toyonaga T. Association of pain with employment status and satisfaction among amputees in Japan. Arch Phys Med Rehabil. 2002;83(10):1394–1398.CrossRef Ide M, Obayashi T, Toyonaga T. Association of pain with employment status and satisfaction among amputees in Japan. Arch Phys Med Rehabil. 2002;83(10):1394–1398.CrossRef
39.
Zurück zum Zitat Johansen, H, Østlie K, Andersen LØ, Rand-Hendriksen S. Health-related quality of life in adults with congenital unilateral upper limb deficiency in Norway. A cross-sectional study. Disabil Rehabil. 2016;38(23):2305–2314.CrossRef Johansen, H, Østlie K, Andersen LØ, Rand-Hendriksen S. Health-related quality of life in adults with congenital unilateral upper limb deficiency in Norway. A cross-sectional study. Disabil Rehabil. 2016;38(23):2305–2314.CrossRef
40.
Zurück zum Zitat Postema SG, Bongers RM, Brouwers MA, Burger H, Norling-Hermansson LM, Reneman MF, et al. Upper limb absence: predictors of work participation and work productivity. Arch Phys Med Rehabil. 2016;97(6):892–899.CrossRef Postema SG, Bongers RM, Brouwers MA, Burger H, Norling-Hermansson LM, Reneman MF, et al. Upper limb absence: predictors of work participation and work productivity. Arch Phys Med Rehabil. 2016;97(6):892–899.CrossRef
41.
Zurück zum Zitat Reiber GE, McFarland LV, Hubbard S, Maynard C, Blough DK, Gambel JM, et al. Servicemembers and veterans with major traumatic limb loss from Vietnam war and OIF/OEF conflicts: survey methods, participants, and summary findings. J Rehabil Res Dev. 2010;47(4):275–298.CrossRef Reiber GE, McFarland LV, Hubbard S, Maynard C, Blough DK, Gambel JM, et al. Servicemembers and veterans with major traumatic limb loss from Vietnam war and OIF/OEF conflicts: survey methods, participants, and summary findings. J Rehabil Res Dev. 2010;47(4):275–298.CrossRef
42.
Zurück zum Zitat Schoppen T, Boonstra A, Groothoff JW, de Vries J, Goeken LN, Eisma WH. Employment status, job characteristics, and work-related health experience of people with a lower limb amputation in The Netherlands. Arch Phys Med Rehabil. 2001;82(2):239–245.CrossRef Schoppen T, Boonstra A, Groothoff JW, de Vries J, Goeken LN, Eisma WH. Employment status, job characteristics, and work-related health experience of people with a lower limb amputation in The Netherlands. Arch Phys Med Rehabil. 2001;82(2):239–245.CrossRef
43.
Zurück zum Zitat Schoppen T, Boonstra A, Groothoff JW, De Vries J, Goeken LN, Eisma WH. Job satisfaction and health experience of people with a lower-limb amputation in comparison with healthy colleagues. Arch Phys Med Rehabil. 2002;83(5):628–634.CrossRef Schoppen T, Boonstra A, Groothoff JW, De Vries J, Goeken LN, Eisma WH. Job satisfaction and health experience of people with a lower-limb amputation in comparison with healthy colleagues. Arch Phys Med Rehabil. 2002;83(5):628–634.CrossRef
44.
Zurück zum Zitat Schoppen T, Boonstra A, Groothoff JW, van Sonderen E, Goeken LN, Eisma WH. Factors related to successful job reintegration of people with a lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1425–1431.CrossRef Schoppen T, Boonstra A, Groothoff JW, van Sonderen E, Goeken LN, Eisma WH. Factors related to successful job reintegration of people with a lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1425–1431.CrossRef
45.
Zurück zum Zitat Sinha R, van den Heuvel WJ, Arokiasamy P. Adjustments to amputation and an artificial limb in lower limb amputees. Prosthet Orthot Int. 2014;38(2):115–121.CrossRef Sinha R, van den Heuvel WJ, Arokiasamy P. Adjustments to amputation and an artificial limb in lower limb amputees. Prosthet Orthot Int. 2014;38(2):115–121.CrossRef
46.
Zurück zum Zitat Sinha R, van den Heuvel WJ, Arokiasamy P, van Dijk JP. Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation. Int J Rehabil Res. 2014;37(1):74–79.CrossRef Sinha R, van den Heuvel WJ, Arokiasamy P, van Dijk JP. Influence of adjustments to amputation and artificial limb on quality of life in patients following lower limb amputation. Int J Rehabil Res. 2014;37(1):74–79.CrossRef
47.
Zurück zum Zitat Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90–96.CrossRef Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90–96.CrossRef
48.
Zurück zum Zitat van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002;24(4):429–436.CrossRef van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002;24(4):429–436.CrossRef
Metadaten
Titel
Factors Influencing Functional Outcomes and Return-to-Work After Amputation: A Review of the Literature
verfasst von
Benjamin J. Darter
Carolyn E. Hawley
Amy J. Armstrong
Lauren Avellone
Paul Wehman
Publikationsdatum
03.02.2018
Verlag
Springer US
Erschienen in
Journal of Occupational Rehabilitation / Ausgabe 4/2018
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-018-9757-y

Weitere Artikel der Ausgabe 4/2018

Journal of Occupational Rehabilitation 4/2018 Zur Ausgabe