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Cognitive functioning in persons with lower limb amputations: a review.

Laura Coffey¹, Fiadhnait O'Keeffe, Pamela Gallagher

¹Faculty of Science and Health, School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.

Disability and Rehabilitation

|March 31, 2012

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Cognitive impairment is more common in individuals with lower limb amputations and impacts mobility and independence. Early cognitive screening can optimize rehabilitation outcomes for amputees.

Area of Science:

Neuroscience
Rehabilitation Medicine
Clinical Psychology

Background:

Lower limb amputation presents unique challenges for patient rehabilitation.
Cognitive functioning is a critical, yet often overlooked, factor in recovery and adaptation.

Purpose of the Study:

To conduct a comprehensive literature review on cognitive functioning in individuals with lower limb amputations.
To synthesize current research on the prevalence and impact of cognitive impairment in this population.

Main Methods:

Systematic search of major scientific databases (MEDLINE, PsycINFO, Web of Science).
Inclusion criteria applied to identify relevant studies on cognitive function and lower limb amputation.
Analysis of thirty papers characterized by heterogeneity in design and outcomes.

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Main Results:

Cognitive impairment is more prevalent in lower limb amputees compared to the general population.
Impaired cognition is associated with reduced mobility, prosthesis use, and independence.
Significant heterogeneity exists across studies in terms of methodology and assessed outcomes.

Conclusions:

Assessing cognitive abilities is crucial for individuals with lower limb amputations.
Cognitive profiles inform rehabilitation strategies, goal setting, and prosthetic/wheelchair suitability.
Tailored rehabilitation based on cognitive strengths maximizes mobility and independence post-amputation.