Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.

To determine the impact of lower limb amputation on qualityof life in people in the Johannesburg metropolitan area of South Africa, duringtheir reintegration to their society/community of origin.A longitudinal pre- test- post test design was utilized. Consecutive samplingwas used to recruit and inte...

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Main Authors: L. Godlwana, A. Stewart, E. Musenga
Format: Article
Language:English
Published: AOSIS 2012-12-01
Series:South African Journal of Physiotherapy
Online Access:https://sajp.co.za/index.php/sajp/article/view/11
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spelling doaj-450472fce43944628eff7b4f3e6eae982020-11-24T23:15:38ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192012-12-01682172210.4102/sajp.v68i2.1111Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.L. Godlwana0A. Stewart1E. Musenga2University of the Witwatersrand.University of the Witwatersrand.University of the Witwatersrand.To determine the impact of lower limb amputation on qualityof life in people in the Johannesburg metropolitan area of South Africa, duringtheir reintegration to their society/community of origin.A longitudinal pre- test- post test design was utilized. Consecutive samplingwas used to recruit and interview participants (n=73) who met the inclusioncriteria. Ethical clearance was obtained. The hospitals and participants gaveinformed consent.The EQ-5D, Barthel Index, and Modified Household Economic andSocial Status Index were used to collect data. Participants were interviewed preoperatively and then followed upthree months post-operatively. Data were analysed using STATA version 10. Categorical data were analysedusing Chi-square/Fischer’s exact test and continuous data were analysed using Wilcoxon signed rank and medianregression.Most (n=21, 52.5 %) participants had no income. One participant was homeless, 17.5% (n=7) lived in shacks.The preoperative and postoperative median VAS of the EQ-5D was 60 and 70 respectively showing no significantimprovement in QOL (median EQ-5D VAS). The preoperative and postoperative median total BI score was 20 and 19respectively, showing a significant reduction in function (median total BI) three months postoperatively (p<0.001).Preoperative mobility was a predictor of postoperative quality of life. Being female was a predictor of higher qualityof life.The average EQ-5D VAS score and overall function (total BI) were generally scored high both preoperativelyand postoperatively but there was no significant improvement in EQ-5D VAS score and there was a significant reductionin function after three months. Higher scores in mobility preoperatively is a predictor of higher quality of lifepostoperatively.https://sajp.co.za/index.php/sajp/article/view/11
collection DOAJ
language English
format Article
sources DOAJ
author L. Godlwana
A. Stewart
E. Musenga
spellingShingle L. Godlwana
A. Stewart
E. Musenga
Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
South African Journal of Physiotherapy
author_facet L. Godlwana
A. Stewart
E. Musenga
author_sort L. Godlwana
title Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
title_short Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
title_full Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
title_fullStr Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
title_full_unstemmed Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.
title_sort quality of life following a major lower limb ampu tation in johann esburg, south africa.
publisher AOSIS
series South African Journal of Physiotherapy
issn 0379-6175
2410-8219
publishDate 2012-12-01
description To determine the impact of lower limb amputation on qualityof life in people in the Johannesburg metropolitan area of South Africa, duringtheir reintegration to their society/community of origin.A longitudinal pre- test- post test design was utilized. Consecutive samplingwas used to recruit and interview participants (n=73) who met the inclusioncriteria. Ethical clearance was obtained. The hospitals and participants gaveinformed consent.The EQ-5D, Barthel Index, and Modified Household Economic andSocial Status Index were used to collect data. Participants were interviewed preoperatively and then followed upthree months post-operatively. Data were analysed using STATA version 10. Categorical data were analysedusing Chi-square/Fischer’s exact test and continuous data were analysed using Wilcoxon signed rank and medianregression.Most (n=21, 52.5 %) participants had no income. One participant was homeless, 17.5% (n=7) lived in shacks.The preoperative and postoperative median VAS of the EQ-5D was 60 and 70 respectively showing no significantimprovement in QOL (median EQ-5D VAS). The preoperative and postoperative median total BI score was 20 and 19respectively, showing a significant reduction in function (median total BI) three months postoperatively (p<0.001).Preoperative mobility was a predictor of postoperative quality of life. Being female was a predictor of higher qualityof life.The average EQ-5D VAS score and overall function (total BI) were generally scored high both preoperativelyand postoperatively but there was no significant improvement in EQ-5D VAS score and there was a significant reductionin function after three months. Higher scores in mobility preoperatively is a predictor of higher quality of lifepostoperatively.
url https://sajp.co.za/index.php/sajp/article/view/11
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