{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:56:52Z","timestamp":1788886612911,"version":"build-2803163510"},"reference-count":44,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_sjpain-2021-0132_s_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study\u2019s primary purpose was to determine if the extent of bodily pain, as evaluated with pain body diagrams, is associated with prosthetic-related activity restrictions, adjustment, and satisfaction among adults with a major unilateral lower-limb amputation. A secondary objective was to evaluate between-days, test-retest reliability for pain body diagrams among adults with lower-limb amputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2021-0132_s_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults with a lower-limb amputation that occurred\u00a0\u22651 year prior participated in an online, cross-sectional research study. Outcome measures included pain body diagrams and the Trinity Amputation and Prosthesis Experience Scales-Revised, which evaluates post-amputation activity restrictions, psychosocial adjustment, and prosthesis satisfaction. Linear regression modeling was used to evaluate associations between the number of painful body regions and prosthetic outcomes, after considering covariates (alpha\u00a0\u2264\u00a00.010). A subset of participants recompleted pain body diagrams to evaluate between-days, test-retest reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2021-0132_s_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 74 participants (n\u00a0=\u00a032 female; n\u00a0=\u00a042 transtibial-level; n\u00a0=\u00a027 traumatic etiology) were available. Beyond covariates (i.e.,\u00a0age, sex, amputation level), the total number of painful body regions was significantly associated with all Trinity Amputation and Prosthesis Experience Scales-Revised subscales (p\u00a0&lt;\u00a00.001\u20130.006), with the exception of Social Adjustment (p\u00a0=\u00a00.764). The total number of painful body regions explained 14.5, 11.8, 11.6, and 7.4% of the variance in Functional Satisfaction with the Prosthesis, Adjustment to Limitation, General Adjustment, and Activity Restriction, respectively. In a subset (n\u00a0=\u00a054), test-retest reliability for total number of painful body regions per body diagrams was good [intraclass correlation coefficient (ICC)\n                      <jats:sub>3,1<\/jats:sub>\n                      \u00a0=\u00a00.84].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2021-0132_s_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A greater number of painful body regions is associated with greater activity restriction, worse adjustment, and lower prosthesis satisfaction, supporting the need to enhance post-amputation pain management and both amputated- and secondary-site pain prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2021-0132_s_005\">\n                    <jats:title>Ethical committee number<\/jats:title>\n                    <jats:p>IRB #1611862.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2021-0132","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T07:53:20Z","timestamp":1643788400000},"page":"578-586","source":"Crossref","is-referenced-by-count":6,"title":["Adults with unilateral lower-limb amputation: greater spatial extent of pain is associated with worse adjustment, greater activity restrictions, and less prosthesis satisfaction"],"prefix":"10.1515","volume":"22","author":[{"given":"Jaclyn Megan","family":"Sions","sequence":"first","affiliation":[{"name":"Department of Physical Therapy , University of Delaware , Newark , DE , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Haldane","family":"Beisheim-Ryan","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , University of Delaware , Newark , DE , USA"},{"name":"VA Eastern Colorado Geriatric Research, Education, and Clinical Center (GRECC), VA Eastern Colorado Health Care System , Aurora , CO , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan Todd","family":"Pohlig","sequence":"additional","affiliation":[{"name":"Biostatistics Core, University of Delaware , Newark , DE , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayank","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy , University of Delaware , Newark , DE , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"key":"2025120910015041659_j_sjpain-2021-0132_ref_001","doi-asserted-by":"crossref","unstructured":"Thapa, S, Shmerling, RH, Bean, JF, Cai, Y, Leveille, SG. 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