ArticlePM & R : the journal of injury, function, and rehabilitation2021
Psychosocial Factors Influence Physical Activity after Dysvascular Amputation: A Convergent Mixed-Methods Study.
Article in PM & R : the journal of injury, function, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcomes following major dysvascular lower limb amputation: an updated systematic review.BMC cardiovascular disorders · 2026Pooled it
- Pooled it
- Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion.World journal of clinical cases · 2024Article
- Validating a fear-of-falling-related activity avoidance scale in lower limb prosthesis users.PM & R : the journal of injury, function, and rehabilitation · 2024Article
- A Scientometric Analysis and Visualization of Prosthetic Foot Research Work: 2000 to 2022.Bioengineering (Basel, Switzerland) · 2023Review
- Mixed methods research: A primer for the vascular surgeon.Seminars in vascular surgery · 2022Review
- Postamputation Cognitive Impairment Is Related to Worse Perceived Physical Function Among Middle-Aged and Older Prosthesis Users.Archives of physical medicine and rehabilitation · 2022Observational
- Reported Outcome Measures in Studies of Real-World Ambulation in People with a Lower Limb Amputation: A Scoping Review.Sensors (Basel, Switzerland) · 2022Article
- Psychometric Assessment of the Connor-Davidson Resilience Scale for People With Lower-Limb Amputation.Physical therapy · 2021Article
- Patterns of Sitting, Standing, and Stepping After Lower Limb Amputation.Physical therapy · 2021Article
- Microprocessor feet improve prosthetic mobility and physical function relative to non-microprocessor feet.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundPhysical function is a common target of rehabilitation intervention to improve disability and physical activity after dysvascular lower-limb amputation (LLA); yet, the influence of psychosocial factors on physical activity is unclear.
objectiveTo identify psychosocial factors with potential to influence clinically relevant measures of physical activity, physical function, and disability in light of participants' narratives.
designConvergent mixed-methods.
settingGeneral community.
participantsTwenty participants with dysvascular LLA were enrolled if their most recent LLA was at least 1 year prior, they were ambulating independently with a prosthesis, and were between 45 and 88 years old.
interventionNot applicable.
main outcome measuresQuantitative data included physical activity (activPAL; steps/d), physical function (Timed Up-and-Go; TUG), and disability (World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0). Qualitative data were collected via semistructured interviews.
resultsHigher steps/d was moderately correlated with better TUG time (r = -.58, P < .01), but was not correlated with WHODAS 2.0 score (r = -0.18; P > .10). Qualitative analysis of interviews, using an inductive, team-based, phenomenological approach, identified four themes: (1) perceptions of their prosthesis, (2) fear during mobility, (3) influence of LLA on life activities, and (4) positive outlook within social interactions. Mixed-methods analysis used an iterative approach to interpret and describe how psychosocial factors influence physical activity in four exemplar cases.
conclusionsPhysical activity in people with dysvascular LLA results from an interaction among perceptions of their prosthesis, fear during mobility, influence of LLA on life activities, and positive outlook within social interactions. The overlapping nature of these themes suggests that interventions targeting psychosocial factors may be associated with improved physical activity, physical function, and subsequent disability after dysvascular LLA.
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