Pre prosthetic mobility: The amputees' perspectives

Abstract

Purpose. It is considered good practice that amputees remain in a wheelchair until fitted with a prosthesis. However, this practice is not evidence based. In the first of a series of studies in pre prosthetic mobility, this study will explore the individual amputees' perspective.

Method. A total of 25 participants from a regional disablement service centre were interviewed focusing on their experiences of getting around the home post discharge. The transcripts were coded for types of mobility methods used and the content analysed.

Results. Whilst the wheelchair was the predominant method of mobilizing, this was not viewed positively by amputees. Crutches were frequently used, even if crutches were not provided by therapists. Participants cited space and choice as reasons behind this, in particular the psychological impact of being ‘stuck’ in a wheelchair. Other methods cited included crawling and bottom shuffling.

Conclusion. Amputees do not always comply with therapists' advice and frequently use other methods of mobilizing as a matter of choice as well as necessity. The risk factors associated with these methods is a priority for future research.

Keywords:

• Amputation
• mobility
• qualitative analysis
• wheelchair