Assessing the functional state of amputees when testing lower limb prostheses: study protocol development
Abstract
Introduction. Understanding which aspects of stress are most important for a person's functional (psychophysiological) condition is crucial for evaluating the effectiveness of prosthetic rehabilitation. Individual and environmental factors, along with the characteristics of current events, determine the quality of psychophysiological reactivity in amputees. Aims: to identify informative parameters for assessing the psychophysiological state of amputees when testing lower limb prostheses. Materials and methods. This study conducted a comprehensive literature review of articles in the PubMed database, applying methods of generalization and concretization. Results. Informative indicators reflecting the functional state of individuals with lower limb amputations were identified. Characteristics of compensatory processes in amputees were described through general and specific parameters across several factors: socio-demographic, clinical, prosthetic rehabilitation-related, functional, physiological, psychophysiological, psychological, technical, and ergonomic. Conclusion. Efficient prosthetic rehabilitation and long-term adaptation to lower limb amputation require an integrated biopsychosocial approach to dynamic examinations. All factors influencing the amputee’s functional state should be thoroughly considered when developing study protocols for testing lower limb prostheses.
Downloads
References
2. Makram A.M., Elsheikh R., Makram O.M. et al. Tips from an expert panel on the development of a clinical research protocol. BMC Medical Research Methodology. 2024;24(1):293. DOI: 10.1186/s12874-024-02315-1
3. Laborde S., Mosley E., Thayer J.F. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting. Frontiers in Psychology. 2017;8:213. DOI: 10.3389/fpsyg.2017.00213
4. Steinhauer S.R., Bradley M.M., Siegle G.J. et al. Publication guidelines and recommendations for pupillary measurement in psychophysiological studies. Psychophysiology. 2022;59(4):e14035. DOI: 10.1111/psyp.14035
5. Knaepen K., Marusic U., Crea S. et al. Psychophysiological response to cognitive workload during symmetrical, asymmetrical and dual-task walking. Human Movement Science. 2015;40:248–263. DOI: 10.1016/j.humov.2015.01.001
6. Bazanova O.M., Kovaleva A.V. Psychophysiological Indicators of Postural Control. Contribution of the Russian Scientific School. Part I. Human Physiology. 2022;48(2):207–228. DOI: 10.1134/S0362119722020025
7. Hanley M.A., Jensen M.P., Ehde D.M. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disability and Rehabilitation. 2004;26(14-15):882–893. DOI: 10.1080/09638280410001708896
8. Angrilli A., Köster U. Psychophysiological stress responses in amputees with and without phantom limb pain. Physiology and Behavior. 2000;68(5):699–706. DOI: 10.1016/s0031-9384(99)00235-8
9. Posh R.R., Barry E.C., Schmiedeler J.P., Wensing P.M. Lower-Limb Myoelectric Calibration Postures for Transtibial Prostheses. IEEE Transactions on Neural Systems and Rehabilitation. 2024;32:1210–1220. DOI: 10.1109/TNSRE.2024.3375118
10. Dhal C., Wahi A. Psycho-physiological training approach for amputee rehabilitation. Biomedical Instrumentation and Technology. 2015;49(2):138-43. DOI: 10.2345/0899-8205-49.2.138
11. Abdel Rahim A., Tam A., Holmes M., Mittapalli D. The effect of amputation level on patient mental and psychological health, prospective observational cohort study. Annals of Medicine and Surgery. 2022;84:104864. DOI: 10.1016/j.amsu.2022.104864.
12. Şimsek N., Öztürk G.K., Nahya Z.N. The Mental Health of Individuals With Post-Traumatic Lower Limb Amputation: A Qualitative Study. Journal of Patient Experience. 2020;7(6):1665–1670. DOI: 10.1177/2374373520932451
13. Alkadem A.T.A., Noori A.K.M. Self-esteem and its Correlation with Quality of Life among Amputees. Iranian Journal of War and Public Health. 2023;15(3):315–321.
14. Heinemann A.W., Bode R.K., OReilly C. Development and measurement properties of the Orthotics and Prosthetics Users Survey (OPUS): a comprehensive set of clinical outcome measures. Prosthetics and Orthotics International. 2003;27:191–206.
15. Tinetti M.E. Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society. 1986; 34(2):119–126. DOI: 10.1111/j.1532-5415.1986.tb05480.x
16. Alghwiri A.A., Whitney S.L. Chapter 18 – Balance and falls. Guccione A.A., Wong R.A., Avers D. Ed. Geriatric Physical Therapy (Third Edition) Mosby. 2012.
17. Gailey R.S. Predictive Outcome Measures Versus Functional Outcome Measures in the Lower Limb Amputee. Journal of Prosthetics and Orthotics. 2006;18(1S):P51–P60.
18. Vasilchenko E.M. The dynamics of the frequency of lower limb ampuatationsin the city of Novokuznetsk: a retrospective study. Meditsina v Kuzbasse = Medicine in Kuzbass. 2018;17(4):5–10 (in Russ.)
19. Zhang X., Liu Z., Qiu G. Measuring balance abilities of transtibial amputees using multiattribute utility theory. BioMed Research International. 2021;2021:8340367. DOI: 10.1155/2021/8340367
20. Clemente-Suárez V.J., Dalamitros A.A., Beltran-Velasco A.I. et al. Social and Psychophysiological Consequences of the COVID-19 Pandemic: An Extensive Literature Review. Frontiers in Psychology. 2020;11:580225. DOI: 10.3389/fpsyg.2020.580225
21. Tariq M., Mahak F., Kumar R. et al. Unmasking the long-term effects: unravelling neuropsychiatric and neurological consequences of COVID-19. Annals of Medicine and Surgery. 2024;86(3):1490–1495. DOI: 10.1097/MS9.0000000000001624
22. Volk P., Rahmani Manesh M., Warren M.E. et al. Long-term neurological dysfunction associated with COVID-19: Lessons from influenza and inflammatory diseases? Journal of Neurochemistry. 2024;168(10):3500–3511. DOI: 10.1111/jnc.16016
References on translit
-Copyright (c) 2024 Psychology. Psychophysiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.