Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 8

Impact of Unachieved Ambulatory and participatory goals on Self-Reported Quality of Life in a Young Male Seventy Weeks After Traumatic Lower-Extremity Amputation: A Case Report

Oluwafifunmi Odunowo PT*

Physical Therapy Department, University of Michigan-Flint, United States/Physical Rehabilitation Program, International Committee of the Red Cross, Ethiopia

*Corresponding Author: Oluwafifunmi Odunowo PT, Physical Therapy Department, University of Michigan-Flint, United States/Physical Rehabilitation Program, International Committee of the Red Cross, Ethiopia.

Received: May 20, 2022; Published: July 15, 2022

Introduction: Losing a limb is a difficult life experience that negatively impacts health-related quality of life (QoL) and limits physical function. Physical therapy following amputation can reduce functional limitations, enhance participation and improve QoL. Limited access to PT may delay attainment of mobility goals and QoL improvement. This case report explores the impact of unachieved ambulatory and participatory goals on the QoL of a young man with trans-tibial (TT) amputation who had limited access to PT.

Case Description: A 25-year-old male underwent right TT amputation and right index finger proximal interphalangeal joint amputation secondary to trauma. He was fitted with a TT prosthesis 2 months post injury and only received 2 weeks of supervised gait training. He consulted a hospital 70 weeks after his injury due to bony outgrowth in his residual limb. PT Examination revealed unmet ambulatory and participation goals, gait deviations, muscle weakness and atrophy in residual limb. Targeted muscle strengthening exercises were recommended.

Outcome: Using the Short Form-36 (SF-36) QoL questionnaire, patient reported limitations in climbing stairs, walking, lifting groceries, kneeling, and participating in vigorous activities. These activity and participation limitations are consistent with clinical findings during physical examination and suggest that unachieved goals have a negative impact on QoL.

Conclusion: Enhancing QoL is one of the key goals of prosthetic rehabilitation. The use of a patient-reported QoL measure in parallel with patient goals could aid physical therapists to determine the effectiveness of rehabilitation and tailor interventions to enable achievement of goals and reduction of barriers to better QoL

Keywords:Quality of Life; Prosthetic Rehabilitation; Activity and Participation; Patient Goals


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Citation: Oluwafifunmi Odunowo PT. “Impact of Unachieved Ambulatory and participatory goals on Self-Reported Quality of Life in a Young Male Seventy Weeks After Traumatic Lower-Extremity Amputation: A Case Report". Acta Scientific Orthopaedics 5.8 (2022): 78-83.


Copyright: © 2022 Oluwafifunmi Odunowo PT. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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