This study identified clinical e. Factors related to greater use hours per day for persons with LLA included younger age, full- or part-time employment, marriage, a distal amputation, an amputation of traumatic etiology, and an absence of PLP. Less use was associated with reports that prosthesis use worsened RLP, and greater prosthesis use was associated with reports that prosthesis use did not affect PLP. Having a proximal amputation and reporting lower average PLP were related to greater use in hours per day for persons with an ULA, while having a distal amputation and being married were associated with greater use in days per month. These results underscore the importance of examining factors related to prosthesis use and the differential effect that these variables may have when the etiology and location of amputation are considered. Each year in the United States, an estimated , persons undergo amputation, with the overall number of amputations being performed increasing [ 1 ]. Although limb loss can cause severe disturbance in locomotion and functional abilities, prosthetic rehabilitation has the potential to restore function and increase quality of life and is associated with a greater likelihood of returning to employment [ 2 - 3 ]. Despite these potential benefits, a substantial number of persons with amputations do not use a prosthesis. For example, documented rates of prosthesis use vary from 27 [ 4 ] to 56 percent [ 5 ] for upper-limb amputation ULA and from 49 [ 6 ] to 95 percent [ 7 ] for lower-limb amputation LLA. A number of studies have attempted to identify variables that explain inconsistent use rates and identify persons less likely to wear and benefit from a prosthesis.
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The basic data sheet is attached as supporting information file [ Table S1 ]. Limb amputation is often an inevitable procedure in the advanced condition of various diseases and poses a dramatic impact on a patient's life. The aim of the present study is to analyze the impact of lower-limb amputations on aesthetic factors such as body image and self-esteem as well as quality of life QoL. ANOVA and student's t-test were used for statistical analysis. The SF health survey was significantly lower in patients with lower-limb amputation compared to controls
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Earlier this month I gave a talk about a condition called Body Identity Integrity Disorder, which is characterised by the desire to amputate a healthy limb. I described the possible neurological basis of the condition, and then argued that surgical amputation should be offered to those sufferers who request it. Here's a summary of the talk. In January , the mass media ran several stories about Robert Smith , a surgeon at the Falkirk and District Royal Infirmary who had amputated the legs of two patients at their own request and was planning a third amputation. The news stories incorrectly described the patients as suffering from Body Dysmorphic Disorder. They further stated that the director of NHS trust running the hospital at which Smith works described the amputation of healthy limbs as "inappropriate"; since then, no British hospital has performed a voluntary amputation. The patients were, in fact, suffering from Body Integrity Identity Disorder BIID , an apparently rare condition characterized by a burning and incessant desire to amputate an otherwise perfectly healthy limb. The first documented case of BIID dates back to a medical textbook published in , by the French surgeon and anatomist Jean-Joseph Sue, who described the case of an Englishman who fell in love with a one-legged woman, and wanted to become an amputee himself so that he could win her heart.
Don't have an account yet? Get the most out of your experience with a personalized all-access pass to everything local on events, music, restaurants, news and more. A young man in the jungle is trying to wash the camouflage paint from his face. It's an unusually laborious process for him — he doesn't have any hands. He dips the stumps of his forearms into a pool of water and rubs them over his cheeks, slowly wiping the pigment away. I somehow expected the screen to flash Game Over; no longer a player, he doesn't need his war paint anymore.
