{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T04:10:48Z","timestamp":1793851848497,"version":"4.6.1"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:00Z","timestamp":1637020800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2]]},"abstract":"\n Background:<\/jats:title>\n Successful rehabilitation is essential to improve the physical and mental outcomes of people with lower limb amputation(s). Individuals have different goals and expectations of successful rehabilitation and experience issues that affect their quality of life.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To determine factors affecting lower limb prosthetic rehabilitation from people with amputation(s), important for studies focusing on prosthetic and socket design and fitting because they provide context of need and user issues.<\/jats:p>\n <\/jats:sec>\n \n Study design:<\/jats:title>\n Thematic analysis of semistructured interviews.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Ten people with amputation(s) were self-selected from a survey identifying factors affecting lower limb prosthetic rehabilitation. The telephone interviews were semistructured exploring the biggest impactors on and frustrations with rehabilitation and the socket. A thematic analysis was completed by following the undermentioned steps: familiarization, coding, generating themes, reviewing themes, defining and naming themes, and reporting.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Five distinct but interrelated themes were identified:\n External to Prosthesis<\/jats:italic>\n ,\n Body Impactors<\/jats:italic>\n ,\n Consequences of Ill-Fit<\/jats:italic>\n ,\n Prosthesis Irritants<\/jats:italic>\n , and\n Work and Social Impact<\/jats:italic>\n . Those living with amputation(s) mentioned prosthetic-related issues affecting their work and social life, including difficulties wearing their prosthesis all day, the socket's rigidity, and the ability to participate in hobbies.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The study provides new insights into the issues experienced during prosthetic rehabilitation, highlighting impacts beyond just physical health consequences. The study provides an evidence base for areas of the rehabilitation journey which could be improved to improve the quality of life of people with amputation(s).<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pxr.0000000000000070","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:20:41Z","timestamp":1637194841000},"page":"61-67","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":42,"title":["Issues faced by people with amputation(s) during lower limb prosthetic rehabilitation: A thematic analysis"],"prefix":"10.1097","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7833-1761","authenticated-orcid":false,"given":"Shruti","family":"Turner","sequence":"first","affiliation":[{"name":"Centre for Blast Injury Studies, Imperial College London, London, England"},{"name":"Sackler Musculoskeletal Laboratory, Imperial College London, London, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athina","family":"Belsi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer, Imperial College London, St Mary's Campus, London, England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison H.","family":"McGregor","sequence":"additional","affiliation":[{"name":"Centre for Blast Injury Studies, Imperial College London, London, England"},{"name":"Sackler Musculoskeletal Laboratory, Imperial College London, London, England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"key":"R1-20250818","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.apmr.2003.06.002","article-title":"Use and satisfaction with prosthetic limb devices and related services","volume":"85","author":"Pezzin","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"key":"R2-20250818","first-page":"155","article-title":"Issues of importance reported by persons with lower limb amputations and prostheses","volume":"36","author":"Legro","year":"1999","journal-title":"J Rehabil Res Dev"},{"key":"R3-20250818","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/03093640108726601","article-title":"Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems","volume":"25","author":"Hagberg","year":"2001","journal-title":"Prosthet Orthot Int"},{"key":"R4-20250818","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1080\/17483107.2016.1269209","article-title":"Case study: survey of patient satisfaction with prosthesis quality and design among below-knee prosthetic leg socket users","volume":"12","author":"Mohd Hawari","year":"2017","journal-title":"Disabil Rehabil Assist Technol"},{"key":"R5-20250818","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1080\/0963828031000090434","article-title":"Health related quality of life and related factors in 539 persons with amputation of upper and lower limb","volume":"25","author":"Demet","year":"2003","journal-title":"Disabil Rehabil"},{"key":"R6-20250818","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1016\/j.apmr.2015.03.024","article-title":"Health-related profiles of people with lower limb loss","volume":"96","author":"Amtmann","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"R7-20250818","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1080\/09638280410001708869","article-title":"Psychosocial adjustment to lower-limb amputation: a review","volume":"26","author":"Horgan","year":"2004","journal-title":"Disabil Rehabil"},{"key":"R8-20250818","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/03093640802016514","article-title":"Physical activity and quality of life: a study of a lower-limb amputee population","volume":"32","author":"Deans","year":"2008","journal-title":"Prosthet Orthot Int"},{"key":"R9-20250818","doi-asserted-by":"crossref","first-page":"587","DOI":"10.2340\/16501977-1146","article-title":"Change in health-related quality of life in the first 18 months after lower limb amputation: a prospective, longitudinal study","volume":"45","author":"Fortington","year":"2013","journal-title":"J Rehabil Med"},{"key":"R10-20250818","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/S0003-9993(00)90074-1","article-title":"Rehabilitation and the long-term outcomes of persons with trauma-related amputations","volume":"81","author":"Pezzin","year":"2000","journal-title":"Arch Phys Med Rehabil"},{"key":"R11-20250818","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1080\/09638280600948375","article-title":"From satisfaction to expectation: the patient\u2019s perspective in lower limb prosthetic care","volume":"29","author":"Van der Linde","year":"2007","journal-title":"Disabil Rehabil"},{"key":"R12-20250818","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research","volume":"13","author":"Gale","year":"2013","journal-title":"BMC Med Res Methodol"},{"key":"R13-20250818","first-page":"100059","article-title":"Perceived impact of socket fit on major lower limb prosthetic rehabilitation: a clinician and amputee perspective","volume":"2","author":"Turner","year":"2020","journal-title":"Arch Rehabil Res Clin Transl"},{"key":"R14-20250818","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"R15-20250818","doi-asserted-by":"crossref","first-page":"537493","DOI":"10.3389\/fpsyg.2021.537493","article-title":"Psychological consequences in patients with amputation of a limb. An interpretative-phenomenological analysis","volume":"12","author":"Ro\u0219ca","year":"2021","journal-title":"Front Psychol"},{"key":"R18-20250818","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1053\/apmr.2001.25154","article-title":"Hygiene problems of residual limb and silicone liners in transtibial amputees wearing the total surface bearing socket","volume":"82","author":"Hachisuka","year":"2001","journal-title":"Arch Phys Med Rehabil"},{"key":"R19-20250818","article-title":"A qualitative study exploring individuals' experiences living with dysvascular lower limb amputation","author":"MacKay","year":"2020","journal-title":"Disabil Rehabil"},{"key":"R20-20250818","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/j.1365-2133.1955.tb12657.x","article-title":"Experimental friction blisters","volume":"67","author":"Naylor","year":"1955","journal-title":"Br J Dermatol"},{"key":"R21-20250818","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3109\/03093648009103113","article-title":"Skin problems of the leg amputee","volume":"4","author":"Levy","year":"1980","journal-title":"Prosthet Orthot Int"},{"key":"R22-20250818","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1080\/09638280500277032","article-title":"Skin problems in lower limb amputees: a systematic review","volume":"28","author":"Meulenbelt","year":"2006","journal-title":"Disabil Rehabil"},{"key":"R23-20250818","first-page":"237","article-title":"Surgical experience and supervision may influence the quality of lower limb amputation","volume":"86","author":"De Souza","year":"2004","journal-title":"Ann R Coll Surg Engl"},{"key":"R24-20250818","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1682\/JRRD.2006.11.0147","article-title":"Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use","volume":"45","author":"Gailey","year":"2008","journal-title":"J Rehabil Res Dev"},{"key":"R25-20250818","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.apmr.2017.10.010","article-title":"Incidence of overuse musculoskeletal injuries in military service members with traumatic lower limb amputation","volume":"99","author":"Farrokhi","year":"2018","journal-title":"Arch Phys Med Rehabil"}],"container-title":["Prosthetics & Orthotics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PXR.0000000000000070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T20:05:25Z","timestamp":1755547525000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PXR.0000000000000070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,16]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/pxr.0000000000000070","relation":{},"ISSN":["0309-3646","1746-1553"],"issn-type":[{"value":"0309-3646","type":"print"},{"value":"1746-1553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,16]]},"assertion":[{"value":"2021-02-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}