Impact of pain in vertebral column on activities of daily living in the Iranian

Method: All the war-related bilateral lower limb amputees were invited. More than half of them (n = 335) participated and underwent a thorough assessment after giving informed consent. Results: The majority of the participants were male (97.6%). Their mean age was 42 years and 97.6% of them were married. The most common causes of injury leading to amputation were shells of artillery and mortar (56.7%). The most common level of amputation was bilateral transtibial (37.6%) and 64% were wearing the prosthesis of both sides. The most ADL dependency were transfer activities (27.8%) and bathing (23.3%) and the most independent functioning was eating (97.6%). Upper cervical vertebral pain was associated with dependency in the bowel and bladder management and dressing (p < 0.03 and p < 0.04, respectively). Pain in the lower cervical vertebrae was associated with dependency in toileting and dressing (p < 0.01 and p < 0.01, respectively). There were significant relationships between pain in the thoracic vertebrae and dependency in bathing, transfer activities and toileting (p < 0.02, p < 0.003 and p < 0.03, respectively). Pain in the lumbosacral region had a relationship with the level of amputation, transfer activities and toileting (p < 0.006, p < 0.03 and p < 0.05, respectively). Conclusions:Vertebral pain in bilateral lower limb amputees, especially lumbosacral pain, was accompanied with higher dependency in ADL. Therefore, a multidisciplinary approach to the management of pain is required to minimize disability and maximize functioning.

  • Implications for Rehabilitation
  • As common as back pain in the general population, some studies have found that people with lower limb amputation are at even greater risk of back pain and interference with their lifestyle.
  • The results of this study suggest that after bilateral lower extremity amputations, some patients experience various kinds of pain in the spinal column, which may affect their activities of daily living.
  • A multidisciplinary approach to the management of pain is necessary to minimize disability and maximize functioning in these patients.

Keywords

activities of daily living, amputation, Iran, pain

Read More: http://informahealthcare.com/doi/abs/10.3109/09638288.2011.623756

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علیرضا کاوند

با سلام و عرض تعزیت به مناسبت ایام محرمه و مکرمه محرم الحرام دکتر حسن عزیز و سختکوش احوال پرس شما هستم از پدر و مادر ارزوی موفقیت علمی و معنوی شما و متعلقین را دارم ما را مورد لطف و تفقد قرار دادید هرچه داریم از عنایت ان مکتب حسینی و شهیدان راهش و امثال پدر شهادت پوش و بلند آوازه شما داریم هذا بضاعتنا المزجاة ردت الیکم دست حضرت علی ع و خاندانش همراهتان و حسین و زینب علی علیهم السلام نگهدارتان امام صادق ع می فرمایند: کسی که خداوند خیرخواهش باشد، محبت حسین و شوق زیارتش را در دل او می اندازد بدرود

پسرعمه

تاسیس سایت .ir. را رويت كردم انشاءالله موفق باشيد. محمد

محمدرضا اسماعیلی (معلم بسیجی)

سلام آقای دکترآزما اسماعیلی هستم مدیر وبلاگ کانون بسیج فرهنگیان بروجرد . از اینکه به وب ام سری زدید + پیام گذاشتید و مهمتر قول همکاری با کانون بسیح را در حوزه ی پزشکی مرحمت فرمودید ممنونم . خیلی خیلی خوشحالم که پس از سالها آدرستون را به لطف خودتون پیدا کردم و بسیار خوشحال تر از اینکه قول همکاری دادید . از نظر همکاری که جای کار بسیاره و شکل کار برحسب میزان خلاقیت میتونه بسیار متفاوت متنوع و بدیع باشه . من فی البداهه به نظرم رسید که بخشی رو برای مشاوره ی پزشکی بتونم در وب کانون بسیج ( و حتی سایر وب های دوستان و آشنایان ) ایجاد کنم . اما مهمتر پیشنهاد شماست در نوع همکاری . در حالی که از خوشحالی سر از پا نمی شناسم درخدمتم . به امید دیدار