Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review

People with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors...

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Main Authors: Vipul Khetarpaul, John P. Kirby, Patrick Geraghty, John Felder, Prateek Grover
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2022.983432/full
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author Vipul Khetarpaul
John P. Kirby
Patrick Geraghty
John Felder
Prateek Grover
author_facet Vipul Khetarpaul
John P. Kirby
Patrick Geraghty
John Felder
Prateek Grover
author_sort Vipul Khetarpaul
collection DOAJ
description People with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors such as sex, race, socioeconomic status, but also by system factors such as service access. A systems strategy to address this disparity within the field of limb-loss rehabilitation is for Limb-loss Rehabilitation Programs (LRP) to partner with medical specialists, mental health professionals, and Limb Preservation Programs (LPP) to provide comprehensive limb care. While LPPs exist around the nation, design principles for such programs and their partnership role with LRPs are not well established. Using a socioecological model to incorporate hierarchical stakeholder perspectives inherent in the multidisciplinary field of limb care, this review synthesizes the latest evidence to focus on LPP design and implementation principles that can help policymakers, healthcare organizations and limb-loss rehabilitation and limb-preservation professionals to develop, implement, and sustain robust LPP programs in partnership with LRPs.
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spelling doaj.art-ccee77e1658a4310ab740ee6ef1a0cf62022-12-22T02:57:24ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-12-01310.3389/fresc.2022.983432983432Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-reviewVipul KhetarpaulJohn P. KirbyPatrick GeraghtyJohn FelderPrateek GroverPeople with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors such as sex, race, socioeconomic status, but also by system factors such as service access. A systems strategy to address this disparity within the field of limb-loss rehabilitation is for Limb-loss Rehabilitation Programs (LRP) to partner with medical specialists, mental health professionals, and Limb Preservation Programs (LPP) to provide comprehensive limb care. While LPPs exist around the nation, design principles for such programs and their partnership role with LRPs are not well established. Using a socioecological model to incorporate hierarchical stakeholder perspectives inherent in the multidisciplinary field of limb care, this review synthesizes the latest evidence to focus on LPP design and implementation principles that can help policymakers, healthcare organizations and limb-loss rehabilitation and limb-preservation professionals to develop, implement, and sustain robust LPP programs in partnership with LRPs.https://www.frontiersin.org/articles/10.3389/fresc.2022.983432/fullamputationlower limbprogram developmentrehabilitationreconstructive surgerysocioecological model of health
spellingShingle Vipul Khetarpaul
John P. Kirby
Patrick Geraghty
John Felder
Prateek Grover
Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
Frontiers in Rehabilitation Sciences
amputation
lower limb
program development
rehabilitation
reconstructive surgery
socioecological model of health
title Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_full Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_fullStr Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_full_unstemmed Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_short Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_sort socioecological model based design and implementation principles of lower limb preservation programs as partners for limb loss rehabilitation programs a mini review
topic amputation
lower limb
program development
rehabilitation
reconstructive surgery
socioecological model of health
url https://www.frontiersin.org/articles/10.3389/fresc.2022.983432/full
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