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Kaastad TS, Tveter AT, Steen H, et al. Physical function and health-related quality of life in young adults with unilateral congenital lower-limb deficiencies. J Child Orthop. 2017;11(5):348-357doi: 10.1302/1863-2548.11.170026.
Kaastad, T. S., Tveter, A. T., Steen, H., & Holm, I. (2017). Physical function and health-related quality of life in young adults with unilateral congenital lower-limb deficiencies. Journal of children's orthopaedics, 11(5), 348-357. https://doi.org/10.1302/1863-2548.11.170026
Kaastad, T S, et al. "Physical function and health-related quality of life in young adults with unilateral congenital lower-limb deficiencies." Journal of children's orthopaedics vol. 11,5 (2017): 348-357. doi: https://doi.org/10.1302/1863-2548.11.170026
Kaastad TS, Tveter AT, Steen H, Holm I. Physical function and health-related quality of life in young adults with unilateral congenital lower-limb deficiencies. J Child Orthop. 2017 Oct 01;11(5):348-357. doi: 10.1302/1863-2548.11.170026. PMID: 29081849; PMCID: PMC5643928.
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J Child Orthop. 2017 Oct 01;11(5):348-357. doi: 10.1302/1863-2548.11.170026.

Physical function and health-related quality of life in young adults with unilateral congenital lower-limb deficiencies.

Journal of children's orthopaedics

T S Kaastad, A T Tveter, H Steen, I Holm

Affiliations

  1. Division of Orthopaedic Surgery, Oslo University Hospital, Rikshospitalet, Post Office Box 4956 Nydalen, 0424 Oslo, Norway.
  2. Division of Orthopaedic Surgery, Oslo University Hospital, Rikshospitalet, Post Office Box 4956 Nydalen, 0424 Oslo, Norway and Institute of Physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, 0130 Oslo, Norway.
  3. Division of Orthopaedic Surgery, Oslo University Hospital, Rikshospitalet, Post Office Box 4956 Nydalen, 0424 Oslo, Norway and Institute of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, 0130 Oslo, Norway.
  4. Division of Orthopaedic Surgery, Oslo University Hospital, Rikshospitalet, Post Office Box 4956 Nydalen, 0424 Oslo, Norway and Institute of Health and Society, Medical Faculty, University of Oslo, Oslo, Norway.

PMID: 29081849 PMCID: PMC5643928 DOI: 10.1302/1863-2548.11.170026

Abstract

PURPOSE: The primary aim was to examine if there were differences in physical function and health-related quality of life (HRQoL) between young adults (18 to 35 years) with unilateral congenital lower-limb deficiency (CLLD) who had been surgically lengthened (Surg) and those using lengthening prostheses (Pros). Second, we wanted to compare their health status with an age- and gender-matched reference group (Ref) without CLLD.

METHODS: Cross-sectional study including a study-specific questionnaire, clinical examination, two field tests evaluating physical function (the six-minute walk test and the Stair test) and HRQoL questionnaires (Short Form (SF)-36 and EuroQol (EQ)-5D-3L).

RESULTS: Physical function and HRQoL did not differ between the two treatment groups. The odds for having painful or disfiguring scars were 18 times higher in the Surg group (n = 16) compared with the Pros group (n = 14). The CLLD group showed significantly reduced physical function compared with the Ref group. HRQoL, measured by the EQ-5D-3L visual rating scale, was significantly reduced in the CLLD group compared with the Ref group, as was the SF-36 physical function domain in both genders. Men with CLLD also showed increased bodily pain and reduced general health (SF-36), while we found a reduction in the emotional role domain in women compared with Ref.

CONCLUSION: There were no significant differences in physical function and quality of life in young adults with CLLD treated with surgical lengthening compared with those using lengthening prostheses. Compared with the general Norwegian population, young adults with CLLD had significantly lower physical function and reduced HRQoL in some domains.

Keywords: Congenital lower-limb deficiency; health-related quality of life; lengthening prostheses; physical function; surgical lengthening

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