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Return to work after lower limb amputation.

K Fisher1, R S Hanspal, L Marks

  • 1Psychology DEpartment, Royal National Orthopaedic Hospital Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK. kfisher@moh-tr.nthames.nhs.uk

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
|February 26, 2003
PubMed
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Sixty-six percent of patients with lower limb amputation returned to work. Factors influencing return to employment included mobility, time since amputation, and handicap scores, highlighting the need for vocational support.

Area of Science:

  • Rehabilitation Medicine
  • Orthopedics
  • Prosthetics & Orthotics

Background:

  • Amputation significantly impacts an individual's ability to return to work.
  • Understanding factors influencing vocational outcomes post-amputation is crucial for effective rehabilitation.
  • Limited vocational rehabilitation services were available to the study population.

Purpose of the Study:

  • To determine the proportion of working-age patients who returned to employment after unilateral lower limb amputation.
  • To identify factors associated with successful return to work (full or reduced productivity).

Main Methods:

  • A cohort of 100 working-age patients with unilateral lower limb amputation (at least 1 year post-amputation) using prostheses was studied.
  • A specially designed questionnaire, administered as a guided interview by a rehabilitation physician, collected data.

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  • Outcomes were assessed based on return to work, occupation type, and productivity levels.

    • Main Results:

    • Sixty-six percent of patients successfully returned to employment.
    • Return to work was significantly associated with mobility status, time elapsed since amputation, and scores on the London Handicap Scale.
    • No significant differences were found in age, socket comfort, amputation level/cause, previous occupation, or comorbidities between those who returned to work and those who did not.

    Conclusions:

    • A majority of patients with lower limb amputation can return to work, with mobility and time since amputation being key factors.
    • The study highlights the need for integrated vocational rehabilitation services to support employment post-amputation.
    • Psychological factors may play a role in persistent unemployment and warrant further investigation.