Relevant bibliographies by topics / Limb disability

Academic literature on the topic 'Limb disability'

Author: Grafiati
Published: 10 March 2023

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Journal articles on the topic "Limb disability"

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Heavey, Emily. "The multiple meanings of ‘disability’ in interviews with amputees." Communication and Medicine 10, no. 2 (March 11, 2014): 129–39. http://dx.doi.org/10.1558/cam.v10i2.129.

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The link between having a lower-limb amputation and being disabled might seem self-evident. Indeed, the medical model of disability would suggest that lower-limb amputation causes disability, and that all lower-limb amputees are disabled people. Conversely, social models of disability would argue that limb loss does not determine disability, but that disabilities are rather caused by social structures and prejudices, while the interactional model suggests that there are both individual and social causes of disability. This paper draws on interviews with nine lower-limb amputees to address amputees’ own accounts of disability, in order to determine how (if at all) they make links between being an amputee and being disabled. The analysis shows that participants draw on various models of disability, as well as their own lived experiences, to construct subjective and diverse definitions of disability. Three interlinking definitions of disability recurred across the data: disability as a measure of personal (in)abilities; disability as a stigmatizing mask; and disability as an official status. Overall, disability was constructed as a complex, context-dependent label, which could not be reduced to any singular concept.
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Straube, Sebastian, and Fiona Blyth. "Lower limb pain and locomotor disability." Pain 153, no. 5 (May 2012): 937–38. http://dx.doi.org/10.1016/j.pain.2012.02.036.

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Rodríguez-Romero, Beatriz, Coral Pérez-Valiño, Beatriz Ageitos-Alonso, and Sonia Pértega-Díaz. "Prevalence and Associated Factors for Musculoskeletal Pain and Disability Among Spanish Music Conservatory Students." Medical Problems of Performing Artists 31, no. 4 (December 1, 2016): 193–200. http://dx.doi.org/10.21091/mppa.2016.4035.

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OBJECTIVES: To assess the prevalence of and factors associated with musculoskeletal pain (MSP) and neck and upper limb disability among music conservatory students. METHODS: An observational study in two Spanish conservatories, investigating a total of 206 students, administered the Nordic Musculoskeletal Questionnaire, visual analog scale for pain intensity, Neck Disability Index, DASH, and SF-36. Demographic and lifestyle characteristics and musical performance variables were recorded. Regression models were performed to identify variables associated with MSP for the four most affected anatomical regions and with neck and upper limb disability. RESULTS: The locations with the highest prevalence of MSP were the neck, upper back, shoulders, and lower back. Mild disability affected 47% of participants in the neck and 31% in the upper limbs. Mental health (SF-36) was below the average for the general population (45.5±10.2). Women were more likely to suffer neck pain (odds ratio [OR] 1.1–5.2), lower back pain (OR 1.7–8.7), and neck disability (B 0.6–7.8). The risk for shoulder pain was higher in those who played for more hours (OR 1.7-24.7) and lower among those who performed physical activity (OR 0.23–1.00). Disability in the neck (B –0.3) and upper limbs (B –0.4) was associated with poorer mental health (SF-36). CONCLUSION: MSP is highly prevalent in music students. Neck and upper limb disability were slight to moderate and both were associated with poorer mental health. The main factors associated with MSP were being female, hours spent practicing, and physical activity. Physical and psychological factors should be taken into account in the prevention of MSP in student-musicians.
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Delcourt, Candice, Shoichiro Sato, Shihong Zhang, Else Charlotte Sandset, Danni Zheng, Xiaoying Chen, Maree L. Hackett, et al. "Intracerebral hemorrhage location and outcome among INTERACT2 participants." Neurology 88, no. 15 (February 24, 2017): 1408–14. http://dx.doi.org/10.1212/wnl.0000000000003771.

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Objective:To clarify associations between intracerebral hemorrhage (ICH) location and clinical outcomes among participants of the main phase Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial (INTERACT2).Methods:Associations between ICH sites and poor outcomes (death [6] or major disability [3–5] of modified Rankin Scale) and European Quality of Life Scale (EQ-5D) utility scores at 90 days were assessed in logistic regression models.Results:Of 2,066 patients included in the analyses, associations were identified between ICH sites and poor outcomes: involvement of posterior limb of internal capsule increased risks of death or major disability (odds ratio [OR] 2.10) and disability (OR 1.81); thalamic involvement increased risks of death or major disability (OR 2.24) and death (OR 1.97). Involvement of the posterior limb of the internal capsule, thalamus, and infratentorial sites were each associated with poor EQ-5D utility score (≤0.7 [median]; OR 1.87, 2.14, and 2.81, respectively). Posterior limb of internal capsule involvement was strongly associated with low scores across all health-related quality of life domains. ICH encompassing the thalamus and posterior limb of internal capsule were associated with death or major disability, major disability, and poor EQ-5D utility score (OR 1.72, 2.26, and 1.71, respectively).Conclusion:Poor clinical outcomes are related to ICH affecting the posterior limb of internal capsule, thalamus, and infratentorial sites. The highest association with death or major disability and poor EQ-5D utility score was seen in ICH encompassing the thalamus and posterior limb of internal capsule.ClinicalTrials.gov registration:NCT00716079.
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Ashtaputre, Arya Shirish, Ayman Shaad Gondekar, and Govinda Varadharajulu. "The Study of Prevalence of Low Back Pain and Its Correlation with Functional Disability in Patients with Lower Limb Amputation." Journal of Evolution of Medical and Dental Sciences 10, no. 30 (July 26, 2021): 2233–38. http://dx.doi.org/10.14260/jemds/2021/457.

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BACKGROUND Low back pain (LBP) is a very common and disabling condition experienced by individuals during their lifetime. However, the causes of low back pain may vary and include musculoskeletal impairments, biomechanical abnormalities, gait deviations, primary medical causes, and deleterious or excessive activity.1 The different levels at which amputation is done in the lower limb are hip disarticulation, transfemoral amputation (above knee), knee disarticulation, transtibial amputation (below knee), ankle disarticulation and transmetatarsal amputation. Lower limb amputation (LLA) is known to cause LBP and may result in functional disability in lower limb amputees. Different parameters such as level of amputation, use of prosthesis etc. affect low back pain in amputees. The purpose of this study was to find out the prevalence of low back pain and its correlation with functional disability in patients with lower limb amputation. METHODS This is a community based observational study. 41 participants were included in the study. Data was collected using a questionnaire including the demographic information of each participant, pain assessment and revised Oswestry low back pain disability (RODQ) questionnaire to assess functional disability. RESULTS The study revealed that the prevalence of the reported back pain in the studied sample was 60.9 %. In 60 % of the patients, the Oswestry disability index depicted moderate disability. CONCLUSIONS The study concludes that low back pain is a significant problem in lower limb amputees. Several factors such as level of amputation, age, time since amputation put the lower limb amputees at a risk of developing back pain. Back pain intensity is important to assess the back pain related functional disability. KEY WORDS Amputation, Low Back Pain, Disability, Prosthesis
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Dymecka, Joanna, and Mariola Bidzan. "Biomedical Variables and Adaptation to Disease and Health-Related Quality of Life in Polish Patients with MS." International Journal of Environmental Research and Public Health 15, no. 12 (November 28, 2018): 2678. http://dx.doi.org/10.3390/ijerph15122678.

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The aim of this research was to assess the level of adaptation to multiple sclerosis (Sclerosis multiplex; MS) and health-related quality of life (HRQoL) of the study population as well as to determine the relationship between biomedical factors related to the course of multiple sclerosis, adaptation to the disease, and HRQoL. Analysis of medical records, clinical and psychological interviews, the Extended Disability Status Scale (EDSS), Guy’s Neurological Disability Scale (GNDS), the Acceptance of Illness Scale (AIS), and the Multiple Sclerosis Impact Scale 29 (MSIS-29) were collected from 137 patients with MS. It was found that there was a relation between motor impairment, neurological disability, adaptation to illness, and HRQoL; it was also found that there were negative correlations between adaptation to illness and the severity of lower-limb disability, fatigue, mood disorders, other problems related to MS, and upper-limb disability. Of all the symptoms, lower-limb disability, fatigue, and mood disorders had the strongest relation with adaptation. All of the analysed symptoms were found to correlate with HRQoL. Of all the symptoms, HRQoL was most affected by lower- and upper-limb disability, fatigue, other MS problems, and mood disorders.
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Kubal, Swati V., and Kshitija S. Ghole. "Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee." International Journal of Physiotherapy and Research 9, no. 4 (July 11, 2021): 3883–87. http://dx.doi.org/10.16965/ijpr.2021.136.

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Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients. Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee. Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital. Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation. 6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation. Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee. KEY WORDS: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.
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Radhakrishnan, Seema, Friedbert Kohler, Christoph Gutenbrunner, Arun Jayaraman, Jianin Li, Karin Pieber, and Carolina Schiappacasse. "The use of the International Classification of Functioning, Disability and Health to classify the factors influencing mobility reported by persons with an amputation: An international study." Prosthetics and Orthotics International 41, no. 4 (July 2016): 412–19. http://dx.doi.org/10.1177/0309364616652016.

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Background: Amputation of lower limb results in limitations in mobility which are amenable to multiple rehabilitation interventions. The challenges faced by the persons with lower limb amputation vary internationally. The International Classification of Functioning, Disability and Health provides a common language to describe the function of persons with lower limb amputation across various countries. Objectives: This article reports the concepts in mobility important to persons with lower limb amputation across six countries using the International Classification of Functioning, Disability and Health. Study design: Qualitative study using focus groups and individual interviews. Methods: Focus groups and individual interviews of persons with lower limb amputation were organised across six countries to identify the issues faced by patients with an amputation during and after their amputation, subsequent rehabilitation and on an ongoing basis in their daily life. Meaningful concepts were extracted from the responses and linked to suitable second-level and where applicable third-level International Classification of Functioning, Disability and Health categories. International Classification of Functioning, Disability and Health categorical frequencies were analysed to represent the prevalence and spread of International Classification of Functioning, Disability and Health categories by location. Results: A total of 133 patients were interviewed. A large percentage (93%) of the identified concepts could be matched to International Classification of Functioning, Disability and Health categories for quantitative analysis. Conclusion: The important concepts in mobility were similar across different countries. The comprehensiveness of International Classification of Functioning, Disability and Health as a classification system for human function and its universality across the globe is demonstrated by the large proportion of the concepts contained in the interviews from across the study centres that could be matched to International Classification of Functioning, Disability and Health categories. Clinical relevance The activity and participation restrictions faced by a person with lower limb amputation vary internationally and are amenable to multiple rehabilitation interventions. The International Classification of Functioning, Disability and Health may provide a common language to report and quantify the various concepts important to the patient in their rehabilitation journey.
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Nogueira, Leandro Alberto Calazans, Felipe Resende Nóbrega, Kátia Nogueira Lopes, Luiz Claudio Santos Thuler, and Regina Maria Papais Alvarenga. "The effect of functional limitations and fatigue on the quality of life in people with multiple sclerosis." Arquivos de Neuro-Psiquiatria 67, no. 3b (September 2009): 812–17. http://dx.doi.org/10.1590/s0004-282x2009000500006.

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The purpose of this study was to determine the effect of functional limitations and fatigue on the quality of life (QoL) in people with multiple sclerosis (MS). A descriptive case series study at Lagoa Hospital - Rio de Janeiro, Brazil was carried. The main outcome measurements were demographic variables, QoL (SF-36 v.1), disability (EDSS), motor function of the upper limb (Box & Blocks test), Tone (Modified Ashworth Scale), gait (Hauser ambulatory index) and fatigue (Fatigue Severity Scale). Sixty one patients fulfilled the study criteria. The mean age of patients was 39 years and 74% of patients were female. The most of cases presented mild disability (EDSS<3.5). A decrease was found in all domains of QoL. It was found association between physical functioning and the variables of EDSS, fatigue, lower limb tone and gait. Gait, disability, hypertonia of the lower limbs and fatigue negatively affected QoL in people with MS.
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Hayward, Kathryn S., Ruth N. Barker, Amy H. Wiseman, and Sandra G. Brauer. "Dose and Content of Training Provided to Stroke Survivors with Severe Upper Limb Disability Undertaking Inpatient Rehabilitation: An Observational Study." Brain Impairment 14, no. 3 (November 28, 2013): 392–405. http://dx.doi.org/10.1017/brimp.2013.31.

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Background: To retrain upper limb function after stroke, a high dose of activity-related therapy is recommended. However, observational studies indicate that the dose undertaken is minimal. While it is speculated that those with severe disability will perform less therapy, this remains to be explored.Objective: Quantify the dose and content of upper limb therapy performed by stroke survivors with severe upper limb disability during routine inpatient rehabilitation.Methods: Therapy provided by physiotherapists and occupational therapists to 32 stroke survivors receiving inpatient rehabilitation over 20 weekdays was recorded. Dose of individual and group therapy was analysed by discipline and severity of upper and lower limb disability. Dose and content of individual therapy was also analysed by functional domain.Results: On average, 46 minutes of individual and 11 minutes of group upper limb therapy were provided per participant, per day. Occupational therapists provided a higher dose of both individual and group therapy compared to physiotherapists (p < 0.0005). Findings suggest that greater residual upper and lower limb movement can lead to provision of a higher dose of activity-related therapy. Within individual therapy, a higher dose (29 versus 17 minutes, p < 0.002) and greater number (1218 versus 549) of impairment- than activity-related interventions were administered.Conclusions: The dose of activity-related upper limb therapy provided to stroke survivors with severe disability was limited. There is a need to identify interventions and models of service delivery that can increase the intensity and appropriateness of therapy that stroke survivors with severe disability undertake during inpatient rehabilitation.
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Dissertations / Theses on the topic "Limb disability"

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Davis, Aileen M. "Measuring physical disability following limb preservation for lower extremity sarcoma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27905.pdf.

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Paton, Andrew Simon. "Steering capability assessment in upper limb rheumatoid arthritis." Thesis, University of Sunderland, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325884.

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Alreni, Ahmad Salah Eldin. "Clinical management and measurement of upper limb disability in neck pain patients." Thesis, Sheffield Hallam University, 2018. http://shura.shu.ac.uk/24065/.

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There is a strong relationship between non-specific neck pain (NS-NP) and upper limb disability (ULD). Optimal management of NS-NP should incorporate upper limb (UL) rehabilitation and therefore include evaluation of ULD using suitable UL outcome measure (OM) in the assessment and during the management process. However, there is no clear guidance regarding the suitability of available measures alongside a lack of information on how physiotherapists in the United Kingdom (UK) measure and rehabilitate their patients with NS-NP. The purpose of this thesis was to explore the clinical measurement and management of ULD in patients with NS-NP. The quantitative research approach adopted by this thesis enabled the researcher to gain a deeper understanding of the clinical measurement and in turn rehabilitation of ULD in patients with NS-NP, and build on knowledge acquired throughout the period of study. In order to support this methodology, a positivist philosophical stance was adopted. A systematic review was completed to identify all available UL OMs that were used for patients with neck pain (NP) and to make recommendations about those that are suitable for use in clinical practice and research. A survey with a national sample of physiotherapists was completed to establish current physiotherapeutic management of NS-NP and ULD in the UK. This was followed by a validation study aimed at exploring the acceptability and feasibility of the Single Arm Military Press (SAMP) test. Subsequently, a second validation study was completed to explore the reliability and validity of the SAMP test in female patients with NS-NP and healthy subjects. The systematic review identified five measures but quality issues prevented a clear recommendation for any of the identified instruments. The survey highlighted substantial gaps in current evidence-based practice of UK physiotherapists regarding the measurement of patients with NS-NP and associated deficits in the measurement and management of ULD in this population. Subsequently, a validation study established the acceptability and feasibility of the SAMP test using a 1-kg hand weight in female patients with NS-NP. In the second validation study, the SAMP test was found to be a reliable and valid UL instrument for female patients with NS-NP. This thesis provided preliminary evidence that the SAMP test is an acceptable, feasible, valid and reliable measure of ULD for female patients with NS-NP and of its suitability for use in clinical practice and research. The SAMP test can be used by clinicians to improve their assessment of UL functional capacity and to suggest management strategies for patients with NS-NP. Further longitudinal studies are required to evaluate the further validity and reliability of the SAMP test in older and younger female patients, and male patients using additional examiners and additional populations. Further studies are required to establish the responsiveness of the SAMP test in patient populations with all types of NP.
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Limakatso, Katleho Maxwell. "The effectiveness of graded motor imagery for reducing phantom limb pain and disability in amputees." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29440.

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Introduction Phantom limb pain (PLP) is described as painful sensations felt in the missing portion of an amputated limb. PLP occurs in up to 85% of amputees, making it the most common painful condition secondary to amputation. PLP interferes with sleep, mobility, and work, general activities of daily living and enjoyment of life. Current pharmacological and non-pharmacological interventions have shown limited efficacy for reducing PLP, perhaps because they do not effectively target the mechanisms that have been proposed to underlie PLP in people who have undergone amputations. Graded motor imagery (GMI) is a cortical mechanisms-based intervention which aims to reduce PLP using a graded sequence of strategies including left/right judgements, imagined movements and mirror therapy. The aim of this thesis was to investigate whether the GMI programme is effective for reducing PLP and disability in people who have undergone amputations. Methods A single blinded randomised controlled trial was conducted at Somerset, Khayelitsha and Victoria hospitals in Cape Town, South Africa. The experimental group underwent a 6-week GMI programme where each phase was carried out for two weeks, during which the patient received treatment for 30 minutes on two separate days of the first week (at least one day apart) and continued with a structured home-exercise programme during the first week until the end of the second week. The control group continued with routine care. Data on the outcomes- PLP severity, pain interference with function and health-related quality of life were collected at baseline, 6 weeks and 3 months by a blinded outcome assessor. Results The study recruited 21 participants from which 11 and 10 were randomly allocated to the experimental and control groups respectively. Within group analysis showed that participants in both the experimental and control groups had improved pain severity scores immediately after treatment and at 3-month follow-up. The between-group analysis showed that the experimental group had significantly greater improvements in pain immediately after treatment (p=0.02). However, there was no difference between groups at 3-months follow-up (p=0.14). To explore clinically meaningful improvements in pain, the Number Needed to Treat (NNT) were calculated using a cut-off of 3 points on a 0-10 scale. The NNT were 2 [95% CI: 1.1 – 6.5] and 3 [95% CI: 1.9 – 7.1] immediately after treatment and at 3-months follow-up respectively. For pain interference with function, within group analysis showed that participants in the experimental group had significant improvements immediately after treatment and at 3-month follow-up. The between-group analysis showed that the experimental group had significantly greater improvements in pain interference with function immediately after treatment (p=0.007) and at 3- month follow-up (p=0.02). The NNT were 1.4 [95% CI: 1 – 1.8] and 1.9 [95% CI: 1.1 – 6.5] immediately after treatment and at 3-months follow-up respectively. For disability, the experimental group had significantly fewer problems with mobility than the control group at 3 months (χ2 = 9.8; p= 0.04). Conclusion The results of the current study provide support for the use of GMI to treat PLP based on the proposition that PLP is driven by cortical mechanisms and that GMI effectively targets these mechanisms. On the basis of the significant pain reduction within the GMI group, the lack of serious adverse effects, and the ease of application, GMI may be a viable treatment for treating PLP in people who have undergone amputations. While more studies using rigorous methodology, including sham treatment, larger sample sizes and a more generalisable sample, are required, the efficacy of GMI coupled with its affordability and low risk, suggest that it is applicable in a resource-constrained primary health setting in South Africa.
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Ripat, Jacqueline Dawn. "The relationship between functional upper limb kinematics, pain and perceived disability in individuals with rheumatoid arthritis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ32234.pdf.

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Dyer, Bryce T. J. "An insight into the acceptable use and assessment of lower-limb running prostheses in disability sport." Thesis, Bournemouth University, 2013. http://eprints.bournemouth.ac.uk/21069/.

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Sports technology can be any product or system used to facilitate, train or influence an athlete’s performance. The role of prostheses used for disability sport was initially to help facilitate exercise and then ultimately, competition. In able-bodied sport, controversy has occasionally been caused through the adoption or introduction of sports technology. However, scant attention has been paid to sport with a disability with respect to such concerns. This research project provides a novel contribution to knowledge by investigating the use of lower-limb running prostheses in competition by trans-tibial amputees. A novel study using a mixed method approach has investigated the nature, use and assessment of lower-limb running prostheses. It has proposed that the unchecked introduction of such technology has affected the sport negatively. From this, the study conducted a stakeholder assessment of the sport and provided a proposed series of guidelines for lower-limb prostheses technology inclusion. Finally, the recommendation was made that a proactive approach to such technologies’ inclusion in the future should be implemented. These guidelines were further developed by assessing symmetrical and nonsymmetrical lower-limb function and proposed that single and double lowerlimb amputees should be separated in competition in the future. To this end, it was proposed that lower-limb symmetry, stiffness and energy return were important means of monitoring prosthesis performance. Ultimately, a dynamic technique which assesses these qualities was proposed as an assessment strategy for further development in the future.
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McLean, Sionnadh M. "Conservative management of non-specific neck pain : effectiveness of treatment, predictors of treatment outcome and upper limb disability." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:5857.

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Neck pain is a prevalent musculoskeletal problem that consumes considerable NHS resources. The socioeconomic impact for individuals, industry and society is high. However research into the management of neck pain is sparse. Reviews of the evidence revealed relatively little high quality evidence relating to the development, progression and management of non-specific neck pain. There is emerging evidence for the use of dynamic strengthening, proprioceptive and postural exercises for neck pain, although it is not known whether group exercise based on this emerging evidence is effective compared to usual physiotherapy. There is little evidence for prognostic factors for the progression of neck pain or outcome of treatment. Consequently clinicians are unable to predict which patients are likely to develop recurrent, persistent or chronic problems and have difficulty directing patients towards the most effective treatment approaches. Finally, there is anecdotal understanding that neck problems may lead to the development of upper limb disability and that upper limb disability may influence treatment outcome for patients with neck pain. Currently the relationship between neck pain and upper limb disability remains unquantified. The information gained from these reviews was utilised in the design of a randomised controlled trial to compare group based Graded Exercise Treatment and Usual Physiotherapy (GET UP) for patients with non-specific neck pain. The first aim of this thesis was to investigate the effectiveness of a graded neck and upper limb exercise programme (GET) compared with "usual physiotherapy" (UP). A randomised controlled trial of 151 patients showed that patients receiving UP and GET interventions had reduced neck pain and disability six months following intervention. Neck pain and disability scores in the UP group reduced by 7.7% at six month followup whilst those in the GET group reduced by 5.0%. For patients who completed treatment as per protocol, GET (8.8%) was as effective as UP (9.0%). The second aim was to investigate patient psychological, socio-demographic and physical variables which predicted treatment outcome. After adjusting for baseline neck pain and disability and treatment allocation, general linear modelling identified that, regardless of intervention, deprivation status significantly predicted treatment outcome at six months. In addition, baseline fear avoidance and treatment allocation interacted to predict six month outcome. Patients with high fear avoidance were predicted to have better outcome following GET. Those with low fear avoidance were predicted to have better outcome in UP. The final aim was to investigate the relationship between neck pain and upper limb disability. Pair wise analysis revealed a strong positive correlation between neck pain and disability and upper limb disability. Linear regression indicated that the severity of upper limb disability was predicted by two main baseline variables: higher NPQ scores and lower pain self efficacy scores. In conclusion GET and UP produced small but clinically meaningful reductions in neck pain and disability. Adherence to both forms of treatment, particularly GET, was a problem. For the subgroup group of patients who adhered to the treatment protocol, GET was as effective as UP, therefore the barriers to adhering with these treaments need to be better understood by clinicians and researchers alike. The GET programme appeared to be particularly beneficial for patients exhibiting high levels of fear avoidance beliefs. Therefore patients with neck pain should be assessed for the presence of fear avoidance beliefs and where appropriate directed towards active neck and upper limb rehabilitation. Patients from areas of social deprivation fared less well with physiotherapy than those from more affluent areas, regardless of intervention type. There is a need for more research into the influence of deprivation on treatment outcome. In particular there is a need to develop and evaluate innovative and targeted approaches which are suitable for such patients. Finally, clinicians should be aware that higher levels of neck pain and lower levels of pain self efficacy may provide an early indication of the presence of upper limb disability. Effective ways of managing neck related upper limb disability need further investigation since neither treatment was effective at reducing upper limb disability.
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Toosizadeh, Nima, Christopher Wendel, Chiu-Hsieh Hsu, Edward Zamrini, and Jane Mohler. "Frailty assessment in older adults using upper-extremity function: index development." BIOMED CENTRAL LTD, 2017. http://hdl.handle.net/10150/624654.

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Background: Numerous multidimensional assessment tools have been developed to measure frailty; however, the clinical feasibility of these tools is limited. We previously developed and validated an upper-extremity function (UEF) assessment method that incorporates wearable motion sensors. The purpose of the current study was to: 1) cross-sectionally validate the UEF method in a larger sample in comparison with the Fried index; 2) develop a UEF frailty index to predict frailty categories including non-frail, pre-frail, and frail based on UEF parameters and demographic information, using the Fried index as the gold standard; and 3) develop a UEF continuous score (points scores for each UEF parameter and a total frailty score) based on UEF parameters and demographic information, using the Fried index as the gold standard. Methods: We performed a cross-sectional validation and index development study within the Banner Medical Center, Tucson, and Banner Sun Health Research Institute, Sun City, Arizona. Community-dwelling and outpatient older adults (>= 60 years; n = 352; 132 non-frail, 175 pre-frail, and 45 frail based on Fried criteria) were recruited. For the UEF test, each participant performed a 20-s elbow flexion, within which they repetitively and rapidly flexed and extended their dominant elbow. Using elbow motion outcomes two UEF indexes were developed (categorical and score). The Fried index was measured as the gold standard. Results: For the categorical index, speed of elbow flexion, elbow range of motion, elbow moment, number of flexion, speed variability and reduction within 20 s, as well as body mass index (BMI) were included as the pre-frailty/frailty predictor parameters. Results from 10-fold cross-validation showed receiver operator characteristic area under the curve of 0.77 +/- 0.07 and 0.80 +/- 0.12 for predicting Fried pre-frailty and frailty, respectively. UEF score (0.1 to 1.0) was developed using similar UEF parameters. Conclusions: We present an objective, sensor-based frailty assessment tool based on physical frailty features including slowness, weakness, exhaustion (muscle fatigue), and flexibility of upper-extremity movements. Within the current study, the method was validated cross-sectionally using the Fried index as the gold standard and the UEF categorical index and UEF frailty score were developed for research purposes and potentially for future clinical use.
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KOUTSOGEORGOU, ELENI. "SOCIAL RELATIONSHIPS AND SOCIAL PARTICIPATION OF WOMEN WITH DISABILITY." Doctoral thesis, Università degli Studi di Milano, 2019. http://hdl.handle.net/2434/640911.

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Aim: The aim of this study was to explore structural, functional, and cognitive characteristics of social relationships of women across and within three types of disability, as well as aspects of their social participation in the wider community – barriers and facilitators of their social and physical environment in that respect. The three types of disability explored were: sensory (deafness), physical (inability to move lower limbs), and mental (psychotic disorder). Methods: In the study participated 30 women – 10 per type of disability – aged 22-44, living in the metropolitan area of Milan (Italy), and having at least one role of relative autonomy. Qualitative semi-structured face-to-face interviews were conducted. All interviews were held in Italian language [or Italian Sign Language (LIS) for six deaf participants], and were audio recorded and transcribed verbatim. Data analysis was conducted using the template analysis technique of thematic analysis. Comparisons within and across the three types of disability were performed as well. Main findings: The findings highlighted barriers that women with disability face within their social and physical environment. In specific, it emerged that women with mental disability faced prejudice, discrimination, stigmatisation, and/or lack of empathy towards them from other people of the wider population which hinder their social participation. All women with physical disability faced barriers to social participation related to numerous accessibility hindrances of the physical environment, and most of them had also faced prejudice and mentality barriers towards them from persons of the wider population. Women with sensory disability encountered mostly barriers for social participation related to lack of resources for communication with people of the general population, whether in private or public places, when there is no sign language interpreter or subtitles, while they have also limited opportunities for employment compared to hearing persons. From comparison across types of disability various common patterns emerged. Women with mental disability appeared to have the lowest level of social participation, whereas women with physical disability the highest. Conclusion: It appears compelling to focus on the exploration of aspects of the social relationships and social participation of persons with disability since the barriers they face relevantly are numerous, multi-faceted and related to their personal and social development. The biopsychosocial model of health and disability could be employed towards the goal of full social inclusion.
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Bakhtiary, Amir Hoshang. "Development of a system for assessing upper limb function and disability: effect of motor learning in facioscapulohumeral muscular dystrophy." Thesis, University of Liverpool, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484293.

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Books on the topic "Limb disability"

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Living with physical disability and amputation. London: Sheldon, 2009.

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Davis, Aileen M. Measuring physical disability following limb preservation for lower extremity sarcoma. Ottawa: National Library of Canada = Bibliothèque nationale du Canada, 1997.

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Kavanagh, Kenneth. Born without limbs: A biography of achievement. Milton Keynes: Family Publications, 1989.

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Vern, Putz-Anderson, ed. Cumulative trauma disorders: A manual for musculoskeletal diseases of the upper limbs. London: Taylor & Francis, 1988.

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Wegner, Ansley Herring. Phantom pain: North Carolina's artificial-limbs program for Confederate veterans : including an index to records in the North Carolina State Archives related to artificial limbs for Confederate veterans. Raleigh [N.C.]: Office of Archives and History, North Carolina Dept. of Cultural Resources, 2004.

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Georgiadis, Gregory M. Limb salvage versus amputation. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012010.

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♦ The decision to attempt limb salvage or amputate is difficult and depends on many factors♦ Scoring systems provide guidelines only and not absolute treatment mandates♦ Severe limb trauma results in a high degree of self reported disability regardless of treatment♦ These injuries are best managed by a multidisciplinary approach.
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Atkins, Roger M. Complex regional pain syndrome. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.0011.

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♦ Complex regional pain syndrome (CRPS) is a disabling chronic pain condition of unknown aetiology♦ Traditionally it was thought to be rare; however, prospective studies demonstrate it to be common following both trauma and operative procedures involving the upper and lower limbs♦ The condition is usually self-limiting over a maximum period of 2 years, although minor abnormalities may remain♦ In a minority of cases it does not resolve and is responsible for severe chronic disability♦ Treatment is aimed at functional restoration of limb function supported by pharmacological intervention.
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Burke, Devin. “Good Bye, Old Arm”. Edited by Blake Howe, Stephanie Jensen-Moulton, Neil Lerner, and Joseph Straus. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199331444.013.21.

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Over 45,000 soldiers became amputees during the Civil War. The scale of wartime disability challenged American beliefs that masculinity and patriotism were virtually inseparable from able-bodiedness. By the war’s end, the amputated limb had become a recurring subject in music, photography, and literature. This essay discusses representative Civil War era songs about amputee veterans and analyzes how they musically and lyrically negotiated the cultural scripts of disability, masculinity, and patriotism. These scripts became especially complex when able-bodied women performed the songs in the voices of disabled veterans. Three songs are discussed in detail, including the song “Old Arm, Good Bye,” in which a soldier sings a love ballad to his freshly amputated arm, thanking the arm for its strength and loyalty to the Union. These songs reconstructed the disabled veteran, and indeed the amputated arm itself, as complex symbols of both patriotism and Victorian masculinity.
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Murinova, Natalia, and Daniel Krashin. Susceptibility of Peripheral Nerves in Diabetes to Compression and Implications in Pain Treatment. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190626761.003.0006.

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Diabetes affects a large and growing percentage of the population in most countries of the world. Diabetes causes many different health problems, but among the most severe and disabling is peripheral neuropathy. This progressive, often painful nerve condition causes suffering and disability and also predisposes patients to developing musculoskeletal deformities and foot ulcers that may threaten life and limb. This chapter reviews briefly the significance of this condition, the underlying pathophysiology, and surgical considerations. Surgical decompression is a possible treatment for this neuropathy and may help prevent disastrous complications of diabetic peripheral neuropathy. However, foot surgery in the setting of diabetic peripheral neuropathy also carries significant risks.
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Cunniff, Christopher, and Raoul C. Hennekam. Smith-Lemli-Opitz Syndrome. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199972135.003.0038.

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Smith-Lemli-Opitz syndrome (SLOS) is characterized by prenatal and postnatal growth retardation, characteristic face, genital and distal limb anomalies, and intellectual disability. There is a weak correlation between the metabolic disturbances with clinical severity and with genotype, but wide ranges exist within each group. SLOS is infrequently described in adults. The associated malformations are usually treated in infancy and childhood and have only limited influences in adulthood. Main physical problems are scoliosis and pectus formation, sun sensitivity, and disturbed hearing and vision. Rarely adrenal insufficiency is present. Marked cognitive impairment and behavioral problems including self-harm and aggressive outbursts may have a significant impact on quality of life. Cholesterol supplementation decreases sun sensitivity, but cognition and behavior seem to respond less well.
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Book chapters on the topic "Limb disability"

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Vinayagam, Ramar Sabapathi. "Impairment of congenital skeletal limb deficiencies." In Integrated Evaluation of Disability, 279–82. Boca Raton, FL : CRC Press, [2019]: CRC Press, 2019. http://dx.doi.org/10.1201/9781351165440-16.

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Hebert, Jacqueline S., and Helena Burger. "Return to Work Following Major Limb Loss." In Handbooks in Health, Work, and Disability, 505–17. Boston, MA: Springer US, 2016. http://dx.doi.org/10.1007/978-1-4899-7627-7_28.

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Covino, Ralph. "Star Wars, Limb Loss, and What It Means to Be Human." In Disability in Science Fiction, 103–13. New York: Palgrave Macmillan US, 2013. http://dx.doi.org/10.1057/9781137343437_8.

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Neal-Boylan, Leslie, Patricia Lussier-Duynstee, and Jan Serrantino-Cox. "The Student with a Physical Disability: Sam Stone, a Nursing Student with a Missing Limb." In Disability as Diversity, 85–93. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-55886-4_9.

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Pasquina, Paul F., Cheta G. Emba, Michael Corcoran, Matthew E. Miller, and Rory A. Cooper. "Lower Limb Disability: Present Military and Civilian Needs." In Full Stride, 17–33. New York, NY: Springer New York, 2017. http://dx.doi.org/10.1007/978-1-4939-7247-0_2.

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Morales, Ernesto, Geoffrey Edwards, Véronique Gauthier, Frédérique Courtois, Alicia Lamontagne, and Antoine Guérette. "Toward sexual autonomy and well-being for persons with upper limb mobility limitations." In The Routledge Handbook of Disability and Sexuality, 418–32. Milton Park, Abingdon, Oxon; New York, NY: Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429489570-37.

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Hung, Lun-Ping, Chih-Wei Yang, Li-Hui Lee, and Chien-Liang Chen. "Constructing a Violence Recognition Technique for Elderly Patients with Lower Limb Disability." In Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, 24–37. Cham: Springer Nature Switzerland, 2022. http://dx.doi.org/10.1007/978-3-031-20398-5_3.

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Fu, Yan, Xingsheng Chen, Shiqi Li, Jacob Gwenguo Chen, and Bohe Zhou. "Evaluating Work Disability of Lower Limb Handicapped within a Human Modeling Framework." In Lecture Notes in Computer Science, 516–26. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-07725-3_51.

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Onofrio, Rossella, Marta Gandolla, Emanuele Lettieri, and Alessandra Giulia Pedrocchi. "Acceptance Model of an Innovative Assistive Technology by Neurological Patients with a Motor Disability of Their Upper Limb." In Advances in Intelligent Systems and Computing, 907–13. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51828-8_120.

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Ekechukwu, Echezona Nelson Dominic, Chinwendu Obi Nwokocha, Blessing Chiagozikam Atuenyi, Antoninus Obinna Ezeukwu, and Olumide Olasunkanmi Dada. "Disability and Community Reintegration Among Community Dwelling Persons Living with Stroke, Spinal Cord Injury and Limb Amputation – A Comparative Study." In Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021), 487–94. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-74614-8_63.

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Conference papers on the topic "Limb disability"

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Muzammil, Muhammad, Muhammad IbrarUl Haque, Jeffery Ali Rizvi, and Jawad Ali Arshad. "Automatic Disability Chair for Lower Limb Disable People." In 2021 6th International Multi-Topic ICT Conference (IMTIC). IEEE, 2021. http://dx.doi.org/10.1109/imtic53841.2021.9719853.

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Lee, Sang Wan, Taeyoub Yi, Jeong-Su Han, Hyoyoung Jang, Heon-Hui Kim, Jin-Woo Jung, and Zeungnam Bien. "Walking Phase Recognition for People with Lower Limb Disability." In 2007 IEEE 10th International Conference on Rehabilitation Robotics. IEEE, 2007. http://dx.doi.org/10.1109/icorr.2007.4428407.

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Pernalete, Norali, Amar Raheja, and Stephanie Carey. "Haptic and Visual Feedback Technology for Upper-Limb Disability Assessment." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-67541.

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In this paper, we discuss the possibility to determine assessment metrics for eye-hand coordination and upper-limb disability therapy, using a mapping between a robotic haptic device to a virtual environment and a training algorithm based on Complex Valued Neural Networks that will calculate how close a set movement pattern is in relationship with that traced by a healthy individual. Most of the current robotic systems’ therapy relies on the patient’s performance on standardized clinical tests such as the functional independence measure (FIM), and the upper limb subsection of the Fugl-Meyer (FM) scales. These systems don’t have other standardized metrics for assessment purposes. There is a need to establish a more intelligent and tailored therapy that could be implemented for patients to use at home in between therapy sessions, or in the long term. This therapy should be based on performance data gathered by the robotic/computer system that will provide an assessment procedure with improved objectivity and precision. A set of complex and movement demanding virtual environments, representing various levels of difficulty labyrinths was developed in a virtual environment. The participants were instructed to use a haptic device (Omni) to follow the trajectories. This was completed while video data were collected using a Vicon motion capture system. Readings of traced trajectories, time, and upper limb motions are recorded for further analysis.
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Qifang, Gu. "System Design of Vertical Motion Support Device for Upper Limb Disability." In 2018 17th International Symposium on Distributed Computing and Applications for Business Engineering and Science (DCABES). IEEE, 2018. http://dx.doi.org/10.1109/dcabes.2018.00093.

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Jayasree-Krishnan, Veena, Shramana Ghosh, Jack Spiegler, Preeti Raghavan, and Vikram Kapila. "Task-Specific Assistive Device (TAD): An Accessible Technological Solution for Upper Limb Disability." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9047.

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Abstract The task-specific assistive device (TAD) is a compact and portable assistive device, consisting of an actuated six-bar linkage, designed to facilitate the activity of drinking from a cup without using the hands. In this paper, we examine the effectiveness of the device in supporting patients with conditions of incomplete tetraplegia and hemiplegia by simulating disability in 17 healthy subjects. The average percentage reduction in bending angle of torso with the use of TAD was found to be 40.31% for subjects with simulated incomplete tetraplegia and 37.14% for subjects with simulated hemiplegia. Users also completed the system usability scale (SUS), indicating that the device was easy to use. The user workload, measured using the NASA task load index (NASA-TLX), was found to be minimal and the device was found to be robust through user response to a user experience questionnaire. The results of this work indicate that TAD is a promising solution for facilitating independence in a basic activity of daily living such as drinking from a cup without using the hands.
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Agyeman, Michael Opoku, Ali Al-Mahmood, and Igla Hoxha. "A Home Rehabilitation System Motivating Stroke Patients with Upper and/or Lower Limb Disability." In ISCSIC 2019: 2019 3rd International Symposium on Computer Science and Intelligent Control. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3386164.3386168.

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Chandrasekhar, Vinay, Vikas Vazhayil, and Madhav Rao. "Design of a portable anthropomimetic upper limb rehabilitation device for patients suffering from neuromuscular disability." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176399.

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Al-Mahmood, Ali, and Michael Opoku Agyeman. "On wearable devices for motivating patients with upper limb disability via gaming and home rehabilitation." In 2018 Third International Conference on Fog and Mobile Edge Computing (FMEC). IEEE, 2018. http://dx.doi.org/10.1109/fmec.2018.8364058.

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Mostafa, Sally, Isabel Hyo Jung Song, Ahmed A. Metwally, Nicolas Strauli, Nehemiah Sewde, Michel Friesenhahn, Maxime Usdin, and Xiaoming Jia. "Predicting upper limb disability progression in primary progressive multiple sclerosis using machine learning and statistical methods." In 2021 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2021. http://dx.doi.org/10.1109/bibm52615.2021.9669665.

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Wakita, Yujin, Eimei Oyama, Woo-keun Yoon, Hideyuki Tanaka, Yoshio Matsumoto, Arthur Blom, and Harry Stuyt. "User evaluation of service robotic arms based on ICF through interviews with people with upper-limb disability." In 2013 IEEE International Conference on Robotics and Biomimetics (ROBIO). IEEE, 2013. http://dx.doi.org/10.1109/robio.2013.6739641.

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Reports on the topic "Limb disability"

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Xing, Ying, Hongping Liu, Yifei Wang, and Tiancai Wen. Effects of acupuncture on pain in diabetic peripheral neuropathy: a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2022. http://dx.doi.org/10.37766/inplasy2022.9.0019.

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Review question / Objective: The purpose of this review is to determine the efficacy and safety of acupuncture on diabetic peripheral neuropathy (DPN) pain compared with analgesics or sham acupuncture.Randomized controlled trials are the only types of studies included in this review. Condition being studied: Diabetic peripheral neuropathy (DPN) is a common complication of type 1 and 2 diabetes. It is also the main cause of lower limb amputation and disability in patients with diabetes. Epidemiological evidence shows that up to 50% of patients with diabetes developed neuropathy during their long-term course of disease. The cause of DPN is not completely clear, but older age, longer diabetic duration and worse postprandial glucose control has been proved to be closely related to DPN. Distal symmetric polyneuropathy is the most typical manifestation of DPN, and about 10% to 30% of the affected patients may experience symptoms of neuropathic pain. Pain can be described as burning pain, electrical or stabbing sensations, parasthesiae, hyperasthesiae, and deep aching pain of the feet and lower limbs at night. This irreversible and unbearable pain greatly affects patients' sleep and quality of life.
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Wu, Xiaoqi, Maoxia Fan, Yaobo Pan, and Dona Guo. Quality of Evidence Supporting the Effects of Ginkgo Terpene Lactone Preparations in Ischemic Stroke: An Overview of Systematic Reviews and Meta-Analyses. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2022. http://dx.doi.org/10.37766/inplasy2022.9.0124.

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Review question / Objective: 2.2.1 Type of studies SRs/MAs of Randomized Controlled Trials (RCTs) of GTLP for IS in any language. 2.2.2 Type of Participants Included patients were diagnosed with IS according to international or national standards, regardless of race, age, gender, time of onset, and source of cases. 2.2.3 Type of Intervention The intervention method in the control group was routine treatment, and the intervention method in the intervention group was GTLP treatment or GTLP combined with the treatment of the control group. 2.2.4 Types of outcomes Conclusions at least need to include clinical efficacy analysis and National Institute of Health Stroke Scale (NIHSS). Condition being studied: Stroke is the second leading cause of death and third leading cause of disability globally.Among them, ischemic stroke (IS) accounts for 70% of all stroke types. It is a central nervous system disease caused by cerebral blood circulation disorder, ischemia and hypoxia .The incidence rate is high and increasing year by year, the age of onset is younger, the disability rate is high, and most patients have different degrees of limb motor dysfunction.In order to reduce the burden of stroke on the society and the patient's family, many articles proposed to strengthen the primary stroke prevention - behavior change and drug intervention.
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