Prepared by Marnie JonesPhysiotherapy Unit Head

Port Kembla Hospital

September 2012

Trinity Amputation and Prosthesis Experience

Scale – RevisedEarly data at P&O Clinic

TAPES - R P Gallagher presented this survey at the ISPO conference

in Sydney. Gallagher P & MacLachlan M 2000, Gallagher P, Franchignoni F, Giordano A, MacLachlan M 2010

The questionnaire is to be completed by the person with a prosthesis. www.psychoprosthetics.ie pamela.gallagher@dcu.ie

Moderate correlation between the Amputation Body Image Scale (ABIS – R) and TAPES psychosocial adjustment subscale. Gallagher P et al 2007

2MWT was a significant predictor of performance of ambulation in the community as measured by the TAPES Activity Restriction subscale. Parker et al 2010

To be used for improvement of our understanding of aspects of prosthesis use to develop better services.

Survey method

Volunteer Amputee Peer Support Visitors (VAPS) conduct the survey to amputees attending Prosthetic Clinic at PKH.

Data entry by Physiotherapist in Amputee Rehab.

Intended project is to compare surveys completed at a prescription Clinic, then a second after they have received the prescribed change.

To date, only the first phase results have been collected. Discussion for additions or corrections are welcome.

Results

Number surveys n= 26

Male (%) 58

Completed the survey independently (%)

44

average min max

Age 61.39 33 81

Time since amputation (years) 14.19 0.2 47

Time with any prosthesis 13.14 0.1 46

Time with this prosthesis 2.15 0.1 6.3

Hours wear prosthesis 11.79 4 18

Results

TTA TFA KDA Other

Type Prosthesis (%) 66 24 5 5

PVD Diabetes Accident Other

Amputation Result of from (%)

23 19 46 12

Very poor 1 poor2 fair3 good4 Very good5

General Health 3 4 10 8

Physical Capabilities

1 3 7 14 2

General Adjustment subscale

0

5

10

15

20

25

30

adjusted adjustw/ time

dealt w/trauma

life full used topros

St agree

Agree

Disagree

St disagree

Social Adjustment subscale

0

5

10

15

20

25

30

som

eone

look

s

talk

abo

ut

peopl

e as

king

talk

abo

ut

notic

e lim

p

St agree

Agree

Disagree

St disagree

Adjustment to limitation subscale

0

5

10

15

20

25

30

inte

rfere

s w

ork

more

dep

enden

t

limit

kind o

f work

can'

t do

wan

t

limit

amou

nt work

St agree

Agree

Disagree

St disagree

Average Adjustment

0

1

2

3

4

General adjustment Social Adjustment Adjustment to limitation

Strongly agree

Agree

Strongly disagree

Disagree

Activity Restriction scale

Having a prosthesis limits me:Yes limited a lot 2

Limited a little 1

No not limited at all

average

Vigorous activities, running, lifting heavy objects, strenuous sports

18 5 2 1.64

Climbing several flights of stairs 12 7 7 1.19

Running for a bus 20 4 1 1.76

Sport and recreation 16 7 3 1.5

Climbing one flight of stairs 4 10 12 0.69

Walking more than a mile 11 11 4 1.27

Walking half a mile 12 6 8 1.15

Walking 100 metres 5 6 15 0.62

Working on hobbies 4 9 12 0.68

Going to work 6 6 11 0.78

0

5

10

15

20

25

30

vigor

ous

seve

ral f

light

s

run fo

r bus

sport

& rec

one fl

ight

wal

k >

mile

wal

k 1/

2 m

ile

wal

k 10

0m

hobbie

s

going

to w

ork

Not limited

Little

Yes a lot

Average Activity Restriction

Yes, a lot

Aesthetic Satisfaction with Prosthesis subscale

Not satisfied1

satisfied2 Very satisfied3

Colour of my prosthesis 2 16 6

Shape 3 17 5

Appearance 4 16 4

Functional Satisfaction with Prosthesis subscale

…Of my prosthesis Not satisfied1

Satisfied 2 Very satisfied3

Weight 4 17 5

Usefulness 4 13 9

Reliability 1 16 9

Fit 8 11 7

Comfort 8 13 5

0

5

10

15

20

25

30

colo

ur

shap

e

appea

rance

wei

ght

usefu

lnes

s

relia

bility fit

com

fort

Very satisfied

Satisfied

Not satisfied

Pain and Medical Problems

% yes Episodes/ week

Duration each episode

Range

Residual limb pain

58 7 6.87 minutes 1 – 30 min

Phantom limb pain

62 5.57 12.37 minutes

15 sec – 60 min

Medical problems

46 6 Continuous, varied, constant, 1-2 wks, 2 hrs, 15 min

Pain and Medical ProblemsExcruciating 5 horrible4 distressing3 discomforting2 mild1

Residual pain - level

1 1 2 9 2

Residual pain – interfere with life

1 1 5 4 4

Phantom pain – level

2 1 2 6 1

Phantom pain – interfere with life

1 2 2 5 6

Medical problems – level

1 4 3 2

Medical problems – interfere with life

1 3 3 5 2

0

2

4

6

8

10

12

14

16

18

RL pai

n leve

l

RL pai

n inte

rfere

s

PL pai

n leve

l

PL pai

n inte

rfere

s

Med

pro

bs le

vel

Med

pro

bs in

terfe

re

mild

discomforting

distressing

horrible

excruciating

Pain Levels and Interferes with life

excruciating

mild

Discussion

Need Power to complete ethics application

Items with potential to change by effecting prescription

Acquittal vs later follow-up

Ideas to change program for greater adjustment