Low back pain in persons with lower extremity amputation: a systematic review of the literature

The Spine Journal : Official Journal of the North American Spine Society
M Jason HighsmithJohn Mayer

Abstract

Lower extremity amputation (LEA) is associated with an elevated risk for development and progression of secondary health conditions. Low back pain (LBP) is one such condition adversely affecting function, independence, and quality of life. The purpose of this study was to systematically review the literature to determine the strength of evidence relating the presence and severity of LBP secondary to LEA, thereby supporting the formulation of empirical evidence statements (EESs) to guide practice and future research. Systematic review of the literature. A systematic review of five databases was conducted followed by evaluation of evidence and synthesis of EESs. Seventeen manuscripts were included. From these, eight EESs were synthesized within the following categories: epidemiology, amputation level, function, disability, leg length, posture, spinal kinematics, and osseointegrated prostheses. Only the EES on epidemiology was supported by evidence at the moderate confidence level given support by eight moderate quality studies. The four EESs for amputation level, leg length, posture, and spinal kinematics were supported by evidence at the low confidence level given that each of these statements had some evidence not supporting th...Continue Reading

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Citations

Jun 6, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Julia FacioneWafa Skalli
Apr 27, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Dennis E Enix, John M Mayer
Aug 14, 2020·Disability and Rehabilitation·Qian WangMan-Sang Wong
Dec 1, 2020·Pain Practice : the Official Journal of World Institute of Pain·Emma Haldane BeisheimJaclyn Megan Sions
Jan 28, 2021·Military Medicine·Vamsidhar Reddy RajulaBrian Kaluf
Jan 28, 2021·BMJ Open Sport & Exercise Medicine·Nicola R HeneghanAlison Rushton
Jun 25, 2019·Archives of Rehabilitation Research and Clinical Translation·Biranavan SivapuratharasuAlison H McGregor
Sep 6, 2020·American Journal of Physical Medicine & Rehabilitation·Kemly Philip, Ajai Sambasivan
Apr 29, 2021·Physical Therapy·Christopher K WongKameron N Jones

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