The association of the localized pain sensitivity in the residual limb and prosthesis use in male veterans with transtibial amputation.
The association of localized pain sensitivity in the residual limb and prosthesis use has clinical implications, however, rarely been assessed. This study aimed to investigate pain sensitivity and explore its range, variability, and association with prosthesis use alongside other demographic and cli...
| Publicado en: | Assistive Technology Vol. 35; no. 4; pp. 358 - 367 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171914986&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171914986 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10400435 YVP jtl: Assistive Technology issn: 10400435 maglogo: Y pubinfo: dt: Jul2023 vid: 35 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 171914986 156957226 171914986 171914986 10.1080/10400435.2022.2079763 171914986 ppf: 358 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The association of the localized pain sensitivity in the residual limb and prosthesis use in male veterans with transtibial amputation. aug: au: Ghoseiri, Kamiar Rastkhadiv, Mohammad Yusuf Allami, Mostafa Page, Phillip Andersen, Lars L. Button, Duane C. affil: School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John's, Newfoundland, Canada sug: subj: Below-Knee Amputation Limb Prosthesis Utilization Men's Health Veterans Psychosocial Factors Pain Threshold Human Male Adult Middle Age War Wounds and Injuries Algometry Experimental Studies Cross Sectional Studies Surveys Descriptive Statistics Analysis of Variance Post Hoc Analysis Comparative Studies Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male ab: The association of localized pain sensitivity in the residual limb and prosthesis use has clinical implications, however, rarely been assessed. This study aimed to investigate pain sensitivity and explore its range, variability, and association with prosthesis use alongside other demographic and clinical characteristics of veterans with transtibial amputation. Pain sensitivity was determined as pressure pain threshold (PPT) and pressure tolerance (PT) in 19 male veterans with a mean age of 49.5 years using pressure algometry at 12 anatomical locations on the residual limb. A comparison of pain sensitivity at each location, and among anatomical locations and participants was explored using independent t-test, analysis of variance, and Kruskal--Wallis tests, respectively. Pain sensitivity range (PSR), the difference between PT and PPT, was significantly different (p < 0.05) at mid-patellar tendon, medial tibial flare, and the distal end of the tibia. The lowest PPT and PT (20.5 and 33 Ncm-2, p = 0.13) were recorded at the distal end of the residual limb, and the highest PPT and PT (73.4 and 94.3 Ncm-2, p = 0.03) were recorded at the mid-patellar tendon. Pain sensitivity was significantly different among anatomical locations and participants. The correlation tests (Pearson and partial eta squared) showed non-significant associations of pain sensitivity with participants' demographic and clinical characteristics except for daily prosthesis use. The mid-patellar tendon, medial tibial flare, and distal end of the tibia revealed the lowest pain hypersensitivity due to higher PSR. Longer daily prosthesis use was associated with increased pain sensitivity. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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