Mitchell, Natasha orcid.org/0000-0002-6904-2976, Leggett, Heather orcid.org/0000-0001-8708-9842, Watson, Jude orcid.org/0000-0003-0694-3854 et al. (4 more authors) (2023) ‘A whole different ball game’: the qualitative experience of older adults with a transtibial amputation and the use of a self-aligning prosthetic ankle-foot on the STEPFORWARD trial. Disability and rehabilitation. ISSN 0963-8288
Abstract
Background Older patients with lower limb amputation, categorised as having “limited community mobility”, are under-researched. Understanding their experience with a new prosthetic ankle-foot is important when designing clinical trials. The aim of this qualitative study was to explore the adjustments they made after amputation and the acceptability of a self-aligning ankle-foot (SA-AF) to older adults. Methods Fourteen participants, who took part in the STEPFORWARD randomised controlled feasibility trial (ISRCTN15043643), were purposively recruited; nine were intervention participants and five were standard care participants. They were asked to reflect on their life prior to and consider the adjustments they made following their amputation. Participants in the intervention group were also asked about their views of the new SA-AF compared to their standard non-SA-AF. A thematic analysis was undertaken. Results Three broad themes were identified: The impact of the amputation; Role of clinical support; and Experiences of the SA-AF. The findings tell a narrative of the long-term impact that amputation has on these individuals’ lives. Participants randomised to receive the SA-AF were very positive about it, reporting less pain, greater mobility and being able to do more. Conclusion Participants who used the SA-AF found it an acceptable intervention. These findings suggest that a full-scale RCT is warranted.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Author(s) |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number NIHR-CCF PB-PG-0816-20029 |
Depositing User: | Pure (York) |
Date Deposited: | 26 May 2023 10:20 |
Last Modified: | 05 Jan 2025 00:37 |
Published Version: | https://doi.org/10.1080/09638288.2023.2199222 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1080/09638288.2023.2199222 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:199629 |
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Description: A whole different ball game the qualitative experience of older adults with a transtibial amputation and the use of a self aligning prosthetic ankle
Licence: CC-BY 2.5