2023-09-28 14:46:10 +00:00
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abstract: 'Purpose Employment status is considered a determinant of health, yet
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returning to work is frequently a challenge after lower limb amputation.
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No studies have documented if working after lower limb amputation is
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associated with functional recovery. The study''s purpose was to examine
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the influence of full-time employment on functioning after lower limb
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amputation. Methods Multisite, cross-sectional study of 49 people with
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dysvascular lower limb amputation. Outcomes of interest included
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performance-based measures, the Component Timed-Up-and-Go test, the
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2-min walk test, and self-reported measures of prosthetic mobility and
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activity participation. Results Average participant age was 62.1 +/- 9.7
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years, 39\% were female and 45\% were persons of color. Results
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indicated that 80\% of participants were not employed full-time.
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Accounting for age, people lacking full-time employment exhibited
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significantly poorer outcomes of mobility and activity participation.
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Per regression analyses, primary contributors to better prosthetic
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mobility were working full-time (R-2 ranging from 0.06 to 0.24) and
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greater self-efficacy (R-2 ranging from 0.32 to 0.75). Conclusions This
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study offers novel evidence of associations between employment and
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performance-based mobility outcomes after dysvascular lower limb
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amputation. Further research is required to determine cause-effect
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directionalities. These results provide the foundation for future
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patient-centered research into how work affects outcomes after lower
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limb amputation.'
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affiliation: 'Clemens, SM (Corresponding Author), Florida Int Univ, Nicole Wertheim
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Coll Nursing \& Hlth Sci, Dept Phys Therapy, 11200 SW 8th St, Miami, FL 33199 USA.
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Clemens, Sheila M.; Rossi, Mark D., Florida Int Univ, Dept Phys Therapy, Miami,
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FL 33199 USA.
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Kershaw, Kiarri N., Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA.
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McDonald, Cody L., Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA.
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Darter, Benjamin J., Virginia Commonwealth Univ, Dept Phys Therapy, Richmond, VA
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USA.
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Bursac, Zoran; Garcia, Stephanie J., Florida Int Univ, Dept Biostat, Miami, FL 33199
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USA.
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Lee, Szu Ping, Univ Nevada, Dept Phys Therapy, Las Vegas, NV 89154 USA.'
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author: Clemens, Sheila M. and Kershaw, Kiarri N. and McDonald, Cody L. and Darter,
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Benjamin J. and Bursac, Zoran and Garcia, Stephanie J. and Rossi, Mark D. and Lee,
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Szu Ping
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author-email: sclemens@fiu.edu
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author_list:
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- family: Clemens
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given: Sheila M.
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- family: Kershaw
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given: Kiarri N.
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- family: McDonald
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given: Cody L.
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- family: Darter
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given: Benjamin J.
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- family: Bursac
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given: Zoran
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- family: Garcia
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given: Stephanie J.
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- family: Rossi
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given: Mark D.
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- family: Lee
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given: Szu Ping
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da: '2023-09-28'
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doi: 10.1080/09638288.2022.2087762
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earlyaccessdate: JUN 2022
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eissn: 1464-5165
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files: []
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issn: 0963-8288
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journal: DISABILITY AND REHABILITATION
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keywords: Amputation; lower extremity; employment; mobility; disparities
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keywords-plus: 'TRAUMATIC BRAIN-INJURY; UNITED-STATES; WALK TEST; MOBILITY; DISABILITY;
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PEOPLE; WORK; PREVALENCE; PREDICTORS; UTILITY'
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language: English
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month: JUL 3
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number: '14'
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number-of-cited-references: '43'
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orcid-numbers: 'Lee, Szu-Ping/0000-0003-0398-8256
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Bursac, Zoran/0000-0001-9306-0907
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Clemens, Sheila/0000-0002-7959-2496
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Darter, Benjamin/0000-0003-3490-8562'
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pages: 2280-2287
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papis_id: 1292d46f1ec57dcc04d67611e41fec94
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ref: Clemens2023disparitiesfunctiona
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times-cited: '1'
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title: Disparities in functional recovery after dysvascular lower limb amputation
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are associated with employment status and self-efficacy
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000812883500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '45'
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web-of-science-categories: Rehabilitation
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year: '2023'
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