Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study

AbstractPurpose In Colombia, 98% of landmines occur in rural areas, where the main victims of amputation are farmers. The challenges these amputees face in their agricultural work remain unknown. The aim of this study is to determine the mobility and postural limitations these farmers face in carryi...

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Main Authors: Y. Ortega Bedoya, V. Mejía Londoño, E. Rendón Vélez, F. Valencia Legarda, J. A. Plata-Contreras
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2023.2258915
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author Y. Ortega Bedoya
V. Mejía Londoño
E. Rendón Vélez
F. Valencia Legarda
J. A. Plata-Contreras
author_facet Y. Ortega Bedoya
V. Mejía Londoño
E. Rendón Vélez
F. Valencia Legarda
J. A. Plata-Contreras
author_sort Y. Ortega Bedoya
collection DOAJ
description AbstractPurpose In Colombia, 98% of landmines occur in rural areas, where the main victims of amputation are farmers. The challenges these amputees face in their agricultural work remain unknown. The aim of this study is to determine the mobility and postural limitations these farmers face in carrying out their daily activities.Method Forty-nine participants meeting the following criteria were interviewed: transtibial amputee, 18 years and over, performs agricultural labour and wears the prosthesis daily. Subsequently, the interview transcripts were subjected to a content conventional analysis and responses were organized according to the abstraction process to identify categories and subcategories of the problems.Results Main problems reported were walking on sloping, uneven and wet terrain, problems associated with the stump skin, squatting, kneeling, using vehicles or animals for transportation and carrying objects over 30 kg. Postures such as sitting, running, jumping, and standing on tiptoes were mentioned less frequently.Conclusions In conclusion, the prostheses worn by transtibial amputee farmers are not suitable for working on sloping and uneven terrain, nor for performing postures such as kneeling or squatting. These postures are very common in agricultural and livestock tasks in countries with mountainous areas such as Latin American countries. The recognition of problems reported by farmers transtibial amputees, may help to improve the design of prostheses so that they meet the needs of this population and decrease secondary injuries associated with prosthetic use. This information is useful to identify compensatory postures that facilitate prosthetic adaptation and rehabilitation for amputees.
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spelling doaj.art-2af4d21ace30404c96c05a34880b4afc2024-02-20T11:58:25ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2023.2258915Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative studyY. Ortega Bedoya0V. Mejía Londoño1E. Rendón Vélez2F. Valencia Legarda3J. A. Plata-Contreras4School of Applied Sciences and Engineering, Universidad EAFIT, Medellín, ColombiaSchool of Applied Sciences and Engineering, Universidad EAFIT, Medellín, ColombiaSchool of Applied Sciences and Engineering, Universidad EAFIT, Medellín, ColombiaDepartment of Physiotherapy, María Cano University Foundation, Medellín, ColombiaSchool of Medicine, University of Antioquia, Medellín, ColombiaAbstractPurpose In Colombia, 98% of landmines occur in rural areas, where the main victims of amputation are farmers. The challenges these amputees face in their agricultural work remain unknown. The aim of this study is to determine the mobility and postural limitations these farmers face in carrying out their daily activities.Method Forty-nine participants meeting the following criteria were interviewed: transtibial amputee, 18 years and over, performs agricultural labour and wears the prosthesis daily. Subsequently, the interview transcripts were subjected to a content conventional analysis and responses were organized according to the abstraction process to identify categories and subcategories of the problems.Results Main problems reported were walking on sloping, uneven and wet terrain, problems associated with the stump skin, squatting, kneeling, using vehicles or animals for transportation and carrying objects over 30 kg. Postures such as sitting, running, jumping, and standing on tiptoes were mentioned less frequently.Conclusions In conclusion, the prostheses worn by transtibial amputee farmers are not suitable for working on sloping and uneven terrain, nor for performing postures such as kneeling or squatting. These postures are very common in agricultural and livestock tasks in countries with mountainous areas such as Latin American countries. The recognition of problems reported by farmers transtibial amputees, may help to improve the design of prostheses so that they meet the needs of this population and decrease secondary injuries associated with prosthetic use. This information is useful to identify compensatory postures that facilitate prosthetic adaptation and rehabilitation for amputees.https://www.tandfonline.com/doi/10.1080/07853890.2023.2258915Transtibial amputationprosthesisfarmermobility problemspostural limitationsagricultural activities
spellingShingle Y. Ortega Bedoya
V. Mejía Londoño
E. Rendón Vélez
F. Valencia Legarda
J. A. Plata-Contreras
Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
Annals of Medicine
Transtibial amputation
prosthesis
farmer
mobility problems
postural limitations
agricultural activities
title Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
title_full Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
title_fullStr Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
title_full_unstemmed Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
title_short Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study
title_sort mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities a qualitative study
topic Transtibial amputation
prosthesis
farmer
mobility problems
postural limitations
agricultural activities
url https://www.tandfonline.com/doi/10.1080/07853890.2023.2258915
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