Wang Qian, Chen Caiyun, Zhang Sheng, Tang Yiming, Wang Hongxia, Zhou Xue, Wong Man-Sang
Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Disabil Rehabil. 2022 Apr;44(8):1346-1353. doi: 10.1080/09638288.2020.1803998. Epub 2020 Aug 13.
To study the prevalence, intensity, and bothersomeness of amputation-related pain and further to identify the potential risk factors in the victims with lower-limb amputation 10 years after the 2008 Sichuan earthquake.
In the cross-sectional study, 66 victims with lower-limb amputation were recruited. The Prostheses Evaluation Questionnaire was used to document the prevalence, intensity, and bothersomeness of amputation-related pain. The bivariate relationships between amputation-related pain and each of demographic characteristics were analyzed.
Majority of the enrolled lower-limb amputees (90.9%) reported to have one or more types of amputation-related pain. The intensity and bothersomeness of amputation-related pain were considered as severe in nearly 40% of these post-earthquake victims. The potential demographic risk factors associated with the prevalence, intensity, and bothersomeness of amputation-related pain were identified, including the age, lower level of education, marital status, employment, and comorbidity.
The pain coming from phantom limb, residual limb, non-amputated limb, and back was found persistent in the lower-limb amputees 10 years after the 2008 Sichuan earthquake. The findings of this study could provide useful reference for optimization of post-disaster rehabilitation strategies to alleviate chronic pain in the victims following lower-limb amputation.Implications for RehabilitationThe pain coming from phantom limb, residual limb, non-amputated limb, and back was found persistent in the victims with lower-limb amputation 10 years after the 2008 Sichuan earthquake.Continuous post-earthquake assessment and management of amputation-related pain should be taken into consideration for the victims with lower-limb amputation.The comorbidity should be effectively and efficiently controlled for the victims with lower-limb amputation due to its association with the intensity and bothersomeness of amputation-related pain.
研究截肢相关疼痛的患病率、强度和困扰程度，并进一步确定2008年四川地震10年后下肢截肢受害者的潜在风险因素。
在这项横断面研究中，招募了66名下肢截肢受害者。使用假肢评估问卷记录截肢相关疼痛的患病率、强度和困扰程度。分析了截肢相关疼痛与各人口统计学特征之间的双变量关系。
大多数登记的下肢截肢者（90.9%）报告有 one or more types of amputation-related pain。在这些地震后受害者中，近40%的人认为截肢相关疼痛的强度和困扰程度为严重。确定了与截肢相关疼痛的患病率、强度和困扰程度相关的潜在人口统计学风险因素，包括年龄、较低的教育水平、婚姻状况、就业情况和合并症。
在2008年四川地震10年后，发现下肢截肢者存在来自幻肢、残肢、非截肢肢体和背部的持续性疼痛。本研究结果可为优化灾后康复策略以减轻下肢截肢受害者的慢性疼痛提供有用参考。
康复意义
在2008年四川地震10年后，发现下肢截肢受害者存在来自幻肢、残肢、非截肢肢体和背部的持续性疼痛。
对于下肢截肢受害者，应考虑对截肢相关疼痛进行持续的地震后评估和管理。
由于合并症与截肢相关疼痛的强度和困扰程度有关，因此应有效且高效地控制下肢截肢受害者的合并症。
