Skip to main content
Erschienen in: Irish Journal of Medical Science (1971 -) 1/2008

01.03.2008 | Original Article

Prevalence and patterns of back pain and residual limb pain in lower limb amputees at the National Rehabilitation Hospital

verfasst von: É. Smith, C. Comiskey, N. Ryall

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 1/2008

Einloggen, um Zugang zu erhalten

Abstract

Aims

To examine the prevalence and impact of back pain (BP) and residual limb pain (RLP) in ambulatory lower limb amputees (LLAs).

Methods

Patients completed questionnaires regarding demographics, their amputation, occurrence of BP and RLP. Visual analogue scales assessed pain severity and effect on activities of daily living (ADLs), recreational, family and social life (RFS), and ability to work. Descriptive statistics were compiled and relationships between pain and details of amputation were examined.

Results

A total of 107 patients (88 males, 19 females) participated; mean age 51.1 years. Fifty-one patients (47.7%) suffered BP, mean intensity 5.3, mean interference with ADLs, RFS, ability to work 3.5, 3.8, 3.4, respectively. Sixty (56.1%) suffer from RLP, mean intensity 5.7; mean interference with ADLs, RFS, ability to work 2.9, 2.8, 3.9, respectively. BP intensity increased with age; RLP intensity was greatest among vasculopaths.

Conclusions

Irish LLAs maintain functional capacity despite suffering moderate intensity BP and RLP.
Literatur
1.
Zurück zum Zitat Davis RW (1993) Phantom sensation, phantom pain and stump pain. Arch Phys Med Rehabil 74:79–91PubMed Davis RW (1993) Phantom sensation, phantom pain and stump pain. Arch Phys Med Rehabil 74:79–91PubMed
2.
Zurück zum Zitat Jensen TS, Krebs B, Nielsen J, Rasmussen P (1985) Immediate and long-term phantom limb pain in amputees: incidence, clinical characteristics and relationship to pre-amputation pain. Pain 21:267–278PubMedCrossRef Jensen TS, Krebs B, Nielsen J, Rasmussen P (1985) Immediate and long-term phantom limb pain in amputees: incidence, clinical characteristics and relationship to pre-amputation pain. Pain 21:267–278PubMedCrossRef
3.
Zurück zum Zitat Jensen TS, Krebs B, Nielsen J, Rasmussen P (1983) Phantom limb, phantom pain and stump pain in amputees during the first six months following limb amputation. Pain 17:243–256PubMedCrossRef Jensen TS, Krebs B, Nielsen J, Rasmussen P (1983) Phantom limb, phantom pain and stump pain in amputees during the first six months following limb amputation. Pain 17:243–256PubMedCrossRef
4.
Zurück zum Zitat Hagberg K, Branemaerk R (2001) Consequences of non-vascular transfemoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int 25:186–194PubMedCrossRef Hagberg K, Branemaerk R (2001) Consequences of non-vascular transfemoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int 25:186–194PubMedCrossRef
5.
Zurück zum Zitat Wartan SW, Hamman W, Wedley JR, Mc Coll I (1997) Phantom pain and sensation among British veteran amputees. Br J Anaesth 78:652–659PubMed Wartan SW, Hamman W, Wedley JR, Mc Coll I (1997) Phantom pain and sensation among British veteran amputees. Br J Anaesth 78:652–659PubMed
6.
Zurück zum Zitat Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE (2005) Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil 86:1910–1919PubMedCrossRef Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE (2005) Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil 86:1910–1919PubMedCrossRef
7.
Zurück zum Zitat Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR (2000) Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil 81:1039–1044PubMedCrossRef Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR (2000) Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil 81:1039–1044PubMedCrossRef
8.
Zurück zum Zitat Smith DG, Ehde DM, Legro MW, Reiber GE, del Aguila M, Boone DA (1999) Phantom limb, residual limb, and back pain after lower limb extremity amputations. Clin Orthop Relat Res 361:29–38PubMedCrossRef Smith DG, Ehde DM, Legro MW, Reiber GE, del Aguila M, Boone DA (1999) Phantom limb, residual limb, and back pain after lower limb extremity amputations. Clin Orthop Relat Res 361:29–38PubMedCrossRef
9.
Zurück zum Zitat Ehde DM, Smith DG, Czerniecki JM, Campbell KM, Malchow DM, Robinson LR (2001) Back pain as a secondary disability in persons with lower limb amputations. Arch Phys Med Rehabil 82:731–734PubMedCrossRef Ehde DM, Smith DG, Czerniecki JM, Campbell KM, Malchow DM, Robinson LR (2001) Back pain as a secondary disability in persons with lower limb amputations. Arch Phys Med Rehabil 82:731–734PubMedCrossRef
10.
Zurück zum Zitat Friberg O (1984) Biomechanical significance of the correct length of lower limb prostheses: a clinical and radiological study. Prosthet Orthot Int 8:124–129PubMed Friberg O (1984) Biomechanical significance of the correct length of lower limb prostheses: a clinical and radiological study. Prosthet Orthot Int 8:124–129PubMed
11.
Zurück zum Zitat Jensen MP, Smith DG, Ehde DM, Robinson LR (2001) Pain site and the effects of amputation pain: further clarification of the meaning of mild, moderate and severe pain. Pain 91:317–322PubMedCrossRef Jensen MP, Smith DG, Ehde DM, Robinson LR (2001) Pain site and the effects of amputation pain: further clarification of the meaning of mild, moderate and severe pain. Pain 91:317–322PubMedCrossRef
12.
Zurück zum Zitat Ryall NH, Eyres SB, Neumann VC, Bhakta BB, Tennant A (2003) The SIGAM mobility grades: a new population-specific measure for lower limb amputees. Disabil Rehabil 25(15):833–844PubMedCrossRef Ryall NH, Eyres SB, Neumann VC, Bhakta BB, Tennant A (2003) The SIGAM mobility grades: a new population-specific measure for lower limb amputees. Disabil Rehabil 25(15):833–844PubMedCrossRef
13.
Zurück zum Zitat Gift AG (1989) Visual analogue scales: measurement of subjective phenomena. Nurs Res 38:286–288PubMedCrossRef Gift AG (1989) Visual analogue scales: measurement of subjective phenomena. Nurs Res 38:286–288PubMedCrossRef
14.
Zurück zum Zitat Price DD, Harkins SW (1987) Combined use of experimental pain and visual analogue scales in providing standardised measurement of clinical pain. Clin J Pain 3:1–8CrossRef Price DD, Harkins SW (1987) Combined use of experimental pain and visual analogue scales in providing standardised measurement of clinical pain. Clin J Pain 3:1–8CrossRef
15.
Zurück zum Zitat Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D (1998) Prosthetic evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Arch Phys Med Rehabil 79:931–938PubMedCrossRef Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D (1998) Prosthetic evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Arch Phys Med Rehabil 79:931–938PubMedCrossRef
16.
Zurück zum Zitat Von Korff M, Ormel J, Keefe FJ, Dworkin SF (1992) Grading the severity of chronic pain. Pain 50:133–149CrossRef Von Korff M, Ormel J, Keefe FJ, Dworkin SF (1992) Grading the severity of chronic pain. Pain 50:133–149CrossRef
17.
Zurück zum Zitat Dionne CE, Dunn KM, Croft PR (2006) Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing 35(3):229–234PubMedCrossRef Dionne CE, Dunn KM, Croft PR (2006) Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing 35(3):229–234PubMedCrossRef
18.
Zurück zum Zitat Marshall HM, Jensen MP, Ehde DM, Campbell KM (2002) Pain site and impairment in individuals with amputation pain. Arch Phys Med Rehabil 83:1116–1119PubMedCrossRef Marshall HM, Jensen MP, Ehde DM, Campbell KM (2002) Pain site and impairment in individuals with amputation pain. Arch Phys Med Rehabil 83:1116–1119PubMedCrossRef
Metadaten
Titel
Prevalence and patterns of back pain and residual limb pain in lower limb amputees at the National Rehabilitation Hospital
verfasst von
É. Smith
C. Comiskey
N. Ryall
Publikationsdatum
01.03.2008
Verlag
Springer-Verlag
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 1/2008
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-007-0111-1

Weitere Artikel der Ausgabe 1/2008

Irish Journal of Medical Science (1971 -) 1/2008 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

So sicher sind Tattoos: Neue Daten zur Risikobewertung

22.05.2024 Melanom Nachrichten

Das größte medizinische Problem bei Tattoos bleiben allergische Reaktionen. Melanome werden dadurch offensichtlich nicht gefördert, die Farbpigmente könnten aber andere Tumoren begünstigen.

CAR-M-Zellen: Warten auf das große Fressen

22.05.2024 Onkologische Immuntherapie Nachrichten

Auch myeloide Immunzellen lassen sich mit chimären Antigenrezeptoren gegen Tumoren ausstatten. Solche CAR-Fresszell-Therapien werden jetzt für solide Tumoren entwickelt. Künftig soll dieser Prozess nicht mehr ex vivo, sondern per mRNA im Körper der Betroffenen erfolgen.

Frühzeitige HbA1c-Kontrolle macht sich lebenslang bemerkbar

22.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes von Anfang an intensiv BZ-senkend zu behandeln, wirkt sich positiv auf Komplikationen und Mortalität aus – und das offenbar lebenslang, wie eine weitere Nachfolgeuntersuchung der UKPD-Studie nahelegt.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.