Back pain as a secondary disability in persons with lower limb amputations

Arch Phys Med Rehabil. 2001 Jun;82(6):731-4. doi: 10.1053/apmr.2001.21962.

Abstract

Objective: To evaluate the frequency, duration, intensity, and interference of back pain in a sample of persons with lower limb amputations.

Design: Retrospective, cross-sectional survey.

Setting: Community-based survey from clinical databases.

Participants: Participants who were 6 or more months post lower limb amputation (n = 255).

Intervention: An amputation pain survey that included several standardized pain measures.

Main outcome measures: Frequency, duration, intensity, and interference of back pain.

Results: Of the participants who completed the survey (return rate, 56%), 52% reported experiencing persistent, bothersome back pain. Of these, 43% reported average back pain intensity in the mild range (1-4 on 0-10 rating scale) and 25% reported pain of moderate intensity (5-6 on 0-10 scale). Most respondents with back pain rated the interference of their pain on function as none to minimal. However, nearly 25% of those with back pain described it as frequent, of severe intensity (>or=7 on 0-10 scale), and as severely interfering with daily activities including social, recreational, family, and work activities.

Conclusions: Back pain may be surprisingly common in persons with lower limb amputations, and, for some who experience it, may greatly interfere with function.

Publication types

  • Multicenter Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Aged, 80 and over
  • Amputation, Surgical / rehabilitation*
  • Back Pain / epidemiology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Leg
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology*
  • Retrospective Studies
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Washington / epidemiology