Tek Taraflı Alt Ekstremite Amputasyonu Olan Bireylerdeki Ağrının Aktivite Ve Katılıma Etkisinin Değerlendirilmesi

Abstract

Yerli S. Evaluation of the Effect of Pain on Activity and Participation in Individuals with Unilateral Lower Extremity Amputation, Hacettepe University Graduate of Health Sciences, Prosthetics, Orthotics and Biomechanics Program Master Thesis, Ankara, 2022 The aim of this study is to determine the effect of pain on activity and participation according to The International Classification of Functioning, Disability and Health (ICF) in individuals with unilateral below-the-knee amputation. 64 amputee individuals who came to Hacettepe University, Prosthesis, Orthotics and Biomechanics Unit for routine controls were included in the study. The groups included in the study were divided into two groups. Group 1 consisted of 33 below-knee amputees with phantom or stump pain, and Group 2 consisted of 31 below-knee amputees without pain. McKill-Melzack Pain Questionnaire and Visual Analogue Scale (VAS) to determine pain levels of individuals, Prosthetic Limb Users Survey of Mobility (PLUS-M) to measure activity levels, Reintegration to Normal Living Index (RNLI) to evaluate participation and ICF-Based Short Question Set for amputees was used to evaluate activity and participation in terms of ICF. Demographic characteristics of the two groups were similar (p>0.05). Activity and participation scores were found to be in favor of the painless group (p<0.05). It was observed that pain negatively affected activity (according to the results of the PLUS-M and ICF Based Short Question Set Activity questionnaires) and participation (according to the results of the RNLI and ICF Based Short Question Set Participation questionnaires), and amputees faced difficulties in terms of activity and participation. It was determined that amputee individuals with stump pain had better activity scores than amputees with phantom pain (p<0.05). It was determined that phantom pain negatively affected amputees in terms of activity. There was no difference in terms of participation scores (p>0.05). It hasbeen concluded that it is important to determine the effects of pain in amputees on activity and participation and to obtain information that can contribute to taking measures to facilitate the future life of amputees and increase their functionality. It is thought that the results of the study will help the relevant professionals in line with the information obtained, and studies can be conducted on the effect of pain on activity and participation at different amputation levels.