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Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses
Thesis (MSc)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867614124826951680 |
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| access_status_str | Open Access |
| author | Kohlmeyer, Nicole |
| author2 | Runciman, Phoebe |
| author_browse | Kohlmeyer, Nicole Runciman, Phoebe |
| author_facet | Runciman, Phoebe Kohlmeyer, Nicole |
| author_sort | Kohlmeyer, Nicole |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MSc)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/110251 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:47:03.084Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/110251 Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses Kohlmeyer, Nicole Runciman, Phoebe Derman, Wayne Cockcroft, John Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Biomedical Sciences. Division of Medical Physiology. Leg -- Amputation -- South Africa Biomedical materials -- South Africa Quality of life -- South Africa Amputees -- Rehabilitation -- South Africa UCTD Thesis (MSc)--Stellenbosch University, 2021. ENGLISH ABSTRACT: Individuals with unilateral transtibial amputation (UTTA) face many challenges in daily life, including activity limitation, prosthesis concerns and decreased quality of life. In South Africa, these challenges are often amplified by lack of access to resources, services and financial aid. These challenges have been investigated, but mostly in relation to rehabilitation, reintegration into society and quality of life. There is a scarcity of research regarding subjective prosthesis satisfaction, daily fatigue, or the provision of multiple prosthetic options in the developing country setting. The findings reported in this thesis provide novel insight into satisfaction and fatigue of individuals with UTTA in South Africa. Study one comprised a critical literature review, in which we analysed the literature according to five themes: (1) activity limitations experienced by individuals with UTTA, (2) adjustment to amputation and being a prosthesis user, (3) prosthesis use and satisfaction; (4) fatigue and pain experienced by individuals with UTTA, and (5) prosthetic use in the South African setting. Articles were sourced using PubMed, Medline, CINAHL, Science Direct and Google Scholar from the earliest possible date to December 2019. Challenges that were identified included lack of adjustment, dissatisfaction, pain and fatigue (mental and physical). There was minimal literature regarding fatigue experienced by individuals with amputation. There was also sparse literature regarding prosthetic provision in the developing country / low-resource setting. Study two was a retrospective review of questionnaire data gathered in a pragmatic randomised controlled trial conducted in South Africa, between 2017 and 2018. In the original study, three prosthetic feet were provided to 20 participants in a two-week, double-blinded, cross-over order and included the (1) Solid Ankle Cushioned Heel (SACH) foot, (2) standard Energy Storage and Return foot (GS-ESAR), and (3) a novel ESAR foot (N-ESAR). The Trinity Amputation and Prosthesis Experiences Scale - Revised (TAPES-R) and Patient-Reported Outcomes Measurement Information System – fatigue item (PROMIS-Fg) questionnaires were administered at each visit, following a two-week period of the participants wearing each of the three feet. There was more self-reported activity limitation associated with the SACH foot (p ≤ 0.03), compared to the GS-ESAR and N-ESAR feet. The participants experienced higher prosthesis satisfaction for both ESAR feet, compared with the SACH foot (p ≤ 0.05), and rated the ESAR feet as more comfortable, useful and reliable. Furthermore, higher daily fatigue was perceived by the participants while utilising the SACH foot, compared with the ESAR feet (p ≤ 0.001). The findings of this thesis show that the individuals with UTTA who participated in the study perceived more satisfaction, less activity limitations and daily fatigue whilst utilising the technologically advanced ESAR prosthetic feet. Unfortunately, healthcare workers in the public sector of South Africa still prescribe the rudimentary SACH foot to individuals with UTTA. As this thesis suggests, these common prescription practices in low-resource settings can add to the challenges already faced by individuals with UTTA, post amputation. It is suggested that future studies investigate objective outcomes of daily functional tasks whilst the participants are utilising different prosthetic feet, in the developing country setting. AFRIKAANSE OPSOMMING: Individue met unilaterale transtibiale amputasies (UTTA) het baie daaglikse uitdagings wat hul lewe geweldig beïnvloed. In ontwikkelende lande soos Suid-Afrika is hierdie uitdagings nog erger as gevolg van gebrek aan hulpbronne, dienste en finansiële hulp. Hierdie uitdagings, met betrekking tot rehabilitasie, herintegrasie in die samelewing en lewenskwaliteit na amputasie is ondersoek. Dit is gevind dat daar 'n gebrek aan navorsing is in die subjektiewe tevredenheid van die prostese, daaglikse moegheid en die verskaffing van veelvuldige prostetiese opsies in ontwikkelende lande. Hierdie tesis, bied nuwe insig in tevredenheid en moegheid van individue met UTTA in Suid-Afrika. Studie een bestaan uit 'n kritiese literatuuroorsig, waarin ons die literatuur volgens vyf temas ontleed: (1) aktiwiteitsbeperkings wat individue met UTTA ervaar, (2) aanpassing tot amputasie en prostese gebruik, (3) gebruik en tevredenheid van die prostese; (4) moegheid en pyn wat deur individue met UTTA ervaar word, en (5) prostetiese gebruik in die Suid-Afrikaanse omgewing. Artikels is verkry vanaf die vroegste moontlike datum tot Desember 2019 vanaf PubMed, Medline, CINAHL, Science Direct en Google Scholar. Die uitdagings wat geïdentifiseer is, was 'n gebrek aan aanpassing, ontevredenheid, pyn en moegheid (geestelik en fisies). Minimale literatuur is oor daaglikse moegheid gevind wat deur individue met amputasie ervaar word. Min literatuur is ook oor die prostetiese voorsiening in ontwikkelende lande/omgewings met min hulpbronne gevind. Studie twee was 'n “retrospective review” wat tussen 2017 en 2018 uitgevoer was, waar die data van twee vraelyste in pragmatiese en gerandomiseerde in Suid-Afrika gekry is. In die oorspronklike studie is drie prostetiese voete aan 20 deelnemers voorsien in 'n tweeweekse, dubbelblinde, kruis -oor manier. Die drie voete wat in die studie gebruik is, is die (1) “Solid Ankle Cushioned Heel” (SACH) voet, (2) “Standard Energy Storage and Return” voet (GS-ESAR), en (3) 'n nuwe ESAR voet (N-ESAR). Elke prostetiese voet moes daagliks vir twee weke gedra word. Na die twee weke is die “Trinity Amputation and Prosthesis Experiences Scale – Revised” (TAPES-R) en “Patient-Reported Outcomes Measurement Information System – fatigue item” (PROMIS-Fg) vraelyste voltooi. Die deelnemers het meer aktiwiteitsbeperking met die SACH-voet gerapporteer (p ≤ 0,03), in vergelyking met die GS-ESAR- en N-ESAR-voete. Die deelnemers het hoër protese tevredenheid vir beide ESAR-voete ervaar, (p ≤ 0,05), en die ESAR-voete was gemakliker, nuttiger en meer betroubaar beoordeel invergelyking met die SACH-voet. Verder is hoër daaglikse moegheid deur die deelnemers waargeneem tydens die gebruik van die SACH-voet invergelyking met die ESAR-voete (p ≤ 0.001). Die bevindinge van hierdie tesis toon aan dat die deelnemers van die studie, meer tevredenheid, minder aktiwiteitsbeperkings en daaglikse moegheid ervaar het terwyl hulle die tegnologies gevorderde ESARprostetiese voete gebruik het. Ongelukkig skryf gesondheidswerkers in die openbare sektor van Suid-Afrika steeds die rudimentêre SACH-voet aan individue met UTTA voor. Hierdie algemene voorskrifpraktyk instellings kan bydra tot nog meer uitdagings vir individue met UTTA. Daar word voorgestel dat toekomstige studies die objektiewe uitkomste van daaglikse funksionele take ondersoek terwyl die deelnemers verskillende prostetiese voete gebruik in die omgewing van ontwikkelende lande. Masters 2021-01-30T15:29:40Z 2021-04-22T10:11:03Z 2021-04-23T03:00:14Z 2021-03 Thesis http://hdl.handle.net/10019.1/110251 en Stellenbosch University xiii, 117 pages : illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Leg -- Amputation -- South Africa Biomedical materials -- South Africa Quality of life -- South Africa Amputees -- Rehabilitation -- South Africa UCTD Kohlmeyer, Nicole Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title | Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title_full | Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title_fullStr | Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title_full_unstemmed | Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title_short | Subjective ratings of daily living in individuals with transtibial amputation: the effect of three different prostheses |
| title_sort | subjective ratings of daily living in individuals with transtibial amputation the effect of three different prostheses |
| topic | Leg -- Amputation -- South Africa Biomedical materials -- South Africa Quality of life -- South Africa Amputees -- Rehabilitation -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/110251 |
| work_keys_str_mv | AT kohlmeyernicole subjectiveratingsofdailylivinginindividualswithtranstibialamputationtheeffectofthreedifferentprostheses |