abstract: 'Purpose Employment status is considered a determinant of health, yet

  returning to work is frequently a challenge after lower limb amputation.

  No studies have documented if working after lower limb amputation is

  associated with functional recovery. The study''s purpose was to examine

  the influence of full-time employment on functioning after lower limb

  amputation. Methods Multisite, cross-sectional study of 49 people with

  dysvascular lower limb amputation. Outcomes of interest included

  performance-based measures, the Component Timed-Up-and-Go test, the

  2-min walk test, and self-reported measures of prosthetic mobility and

  activity participation. Results Average participant age was 62.1 +/- 9.7

  years, 39\% were female and 45\% were persons of color. Results

  indicated that 80\% of participants were not employed full-time.

  Accounting for age, people lacking full-time employment exhibited

  significantly poorer outcomes of mobility and activity participation.

  Per regression analyses, primary contributors to better prosthetic

  mobility were working full-time (R-2 ranging from 0.06 to 0.24) and

  greater self-efficacy (R-2 ranging from 0.32 to 0.75). Conclusions This

  study offers novel evidence of associations between employment and

  performance-based mobility outcomes after dysvascular lower limb

  amputation. Further research is required to determine cause-effect

  directionalities. These results provide the foundation for future

  patient-centered research into how work affects outcomes after lower

  limb amputation.'
affiliation: 'Clemens, SM (Corresponding Author), Florida Int Univ, Nicole Wertheim
  Coll Nursing \& Hlth Sci, Dept Phys Therapy, 11200 SW 8th St, Miami, FL 33199 USA.

  Clemens, Sheila M.; Rossi, Mark D., Florida Int Univ, Dept Phys Therapy, Miami,
  FL 33199 USA.

  Kershaw, Kiarri N., Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA.

  McDonald, Cody L., Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA.

  Darter, Benjamin J., Virginia Commonwealth Univ, Dept Phys Therapy, Richmond, VA
  USA.

  Bursac, Zoran; Garcia, Stephanie J., Florida Int Univ, Dept Biostat, Miami, FL 33199
  USA.

  Lee, Szu Ping, Univ Nevada, Dept Phys Therapy, Las Vegas, NV 89154 USA.'
author: Clemens, Sheila M. and Kershaw, Kiarri N. and McDonald, Cody L. and Darter,
  Benjamin J. and Bursac, Zoran and Garcia, Stephanie J. and Rossi, Mark D. and Lee,
  Szu Ping
author-email: sclemens@fiu.edu
author_list:
- family: Clemens
  given: Sheila M.
- family: Kershaw
  given: Kiarri N.
- family: McDonald
  given: Cody L.
- family: Darter
  given: Benjamin J.
- family: Bursac
  given: Zoran
- family: Garcia
  given: Stephanie J.
- family: Rossi
  given: Mark D.
- family: Lee
  given: Szu Ping
da: '2023-09-28'
doi: 10.1080/09638288.2022.2087762
earlyaccessdate: JUN 2022
eissn: 1464-5165
files: []
issn: 0963-8288
journal: DISABILITY AND REHABILITATION
keywords: Amputation; lower extremity; employment; mobility; disparities
keywords-plus: 'TRAUMATIC BRAIN-INJURY; UNITED-STATES; WALK TEST; MOBILITY; DISABILITY;

  PEOPLE; WORK; PREVALENCE; PREDICTORS; UTILITY'
language: English
month: JUL 3
number: '14'
number-of-cited-references: '43'
orcid-numbers: 'Lee, Szu-Ping/0000-0003-0398-8256

  Bursac, Zoran/0000-0001-9306-0907

  Clemens, Sheila/0000-0002-7959-2496

  Darter, Benjamin/0000-0003-3490-8562'
pages: 2280-2287
papis_id: 1292d46f1ec57dcc04d67611e41fec94
ref: Clemens2023disparitiesfunctiona
times-cited: '1'
title: Disparities in functional recovery after dysvascular lower limb amputation
  are associated with employment status and self-efficacy
type: Article
unique-id: WOS:000812883500001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '45'
web-of-science-categories: Rehabilitation
year: '2023'