CHALLENGES OF PHYSIOTHERAPIST DURING PROSTHESIS REHABILITATION IN MALAYSIA

Chong Li  Chi; Vinodhkumar  Ramalingam

doi:10.18006/2021.9(Spl-1-GCSGD_2020).S85.S94

Authors

Chong Li Chi Faculty of Health and Life Science, INTI International University, Nilai, Malaysia
Vinodhkumar Ramalingam Faculty of Health and Life Science, INTI International University, Nilai, Malaysia

DOI:

https://doi.org/10.18006/2021.9(Spl-1-GCSGD_2020).S85.S94

Keywords:

Prosthesis Rehabilitation, Quality of life (QOL), Mortality Rate, Challenges

Abstract

The present study reported the challenges faced by the physiotherapist during prosthesis rehabilitation in Malaysia. Mortality due to lower limb amputation is a concern in recent days that can be improved by providing proper rehabilitation. However, challenges faced by the physiotherapist during rehabilitation are expected to affect the effectiveness of the rehabilitation. Hence, it is important to identify the possible challenges faced by the physiotherapist during prosthesis rehabilitation to take the necessary precautions for better outcomes. A total of 200 Malaysian physiotherapists who have experience in rehabilitating amputees were selected to participate in this online survey. The participants were requested to complete a self-administered electronic questionnaire containing 20 questions. The present study reported a few challenges faced by the physiotherapists in Malaysia during prosthesis rehabilitation such as “encountering patient that refuse to perform exercises is common” (77%), encountered high physical demand (81.5%), encountering language barriers (48.5%), patients often encounter difficulty in assessing health service (63.5%) and encountering prosthesis problems (67%). The barriers were inconsistent and complex, including patient factors, healthcare provider’s factors, environmental factors, other factors. The study has highlighted challenges faced by the physiotherapists during prosthesis rehabilitation to raise awareness among physiotherapists and at the same time create ideas for specific health care practitioners to overcome the barriers, therefore shortening the length of rehabilitation and enhancing the effectiveness of the rehabilitation to lower the mortality.

References

Afzal F (2017) Major Challenges the Physiotherapy Profession Faces in Expanding its Role in Health, Prevention, and Wellness Services. Journal of Physiotherapy & Physical Rehabilitation 02(04): 4–6. https://doi.org/10.4172/2573-0312.1000151.

Arifin N, Hasbollah HR, Hanafi MH, Ibrahim AH, Wan Abdul Rahman WA, Che Aziz R (2017) Provision of prosthetic services following lower limb amputation in Malaysia. Malaysian Journal of Medical Sciences 24(5): 106–111. https://doi.org/10.21315/mjms2017.24.5.12.

Barber EA, Everard T, Holland AE, Tipping C, Bradley SJ, Hodgson CL (2015) Barriers and facilitators to early mobilisation in Intensive Care: A qualitative study. Australian Critical Care 28(4): 177–182. https://doi.org/10.1016/j.aucc.2014.11.001.

Beglar D, Nemoto T (2014) Developing Likert-scale questionnaires. JALT2013 Conference Proceedings: 1–8.

Broomhead P, Clark K, Dawes D, Hale C, Lambert A, Quinlivan D, Randell T, Shepherd R, Withpetersen J, Rehabilitation (2012) Evidence Based Clinical Guidelines for the Physiotherapy Management of Adults with Lower Limb Prostheses Amputee Rehabilitation CSP Clinical Guideline 03. 03(November).

Christiansen CL, Fields T, Lev G, Stephenson RO, Stevens-Lapsley JE (2015) Functional Outcomes After the Prosthetic Training Phase of Rehabilitation After Dysvascular Lower Extremity Amputation. Physical Medicine and Rehabilitation 7(11): 1118–1126. https://doi.org/10.1016/j.pmrj.2015.05.006.

Clarke DJ (2013) The role of multidisciplinary team care in stroke rehabilitation. Progress in Neurology and Psychiatry 17(4): 5–8. https://doi.org/10.1002/pnp.288.

Ennion L, Rhoda A (2016) Roles and challenges of the multidisciplinary team involved in prosthetic rehabilitation, in a rural district in South Africa. Journal of Multidisciplinary Healthcare 9: 565–573. https://doi.org/10.2147/JMDH.S116340.

Firth J, Rosenbaum S, Stubbs B, Gorczynski P, Yung AR, Vancampfort D (2016) Motivating factors and barriers towards exercise in severe mental illness: A systematic review and meta-analysis. Psychological Medicine 46(14): 2869–2881. https://doi.org/10.1017/S0033291716001732.

Fortington LV, Geertzen JHB, Van Netten JJ, Postema K, Rommers GM, Dijkstra PU (2013) Short and long term mortality rates after a lower limb amputation. European Journal of Vascular and Endovascular Surgery 46(1): 124–131. https://doi.org/10.1016/j.ejvs.2013.03.024.

Hordacre B, Birks V, Quinn S, Barr C, Patritti BL, Crotty M (2013) Physiotherapy rehabilitation for individuals with lower limb amputation: A 15-year clinical series. Physiotherapy Research International 18(2): 70–80. https://doi.org/10.1002/pri.1529.

Imamphd B, Miller WC, Finlayson HC, Eng JJ, Jarus T (2019) Lower limb prosthetic rehabilitation in Canada: A survey study. Physiotherapy Canada 71(1): 11–21. https://doi.org/10.3138/ptc.2017-39.

Karim HHA, Ming CP (2020) Characteristics and prosthesis usage of amputees attending medical rehabilitation services in Malaysia. Medical Journal of Malaysia 75(5): 519–524.

Litchfield R, MacDougall C (2002) Professional issues for physiotherapists in family-centred and community-based settings. Australian Journal of Physiotherapy 48(2): 105–112. https://doi.org/10.1016/S0004-9514(14)60204-X.

Murray CD (2009) Being like everybody else: The personal meanings of being a prosthesis user. Disability and Rehabilitation 31(7): 573–581. https://doi.org/10.1080/09638280802240290.

Neumann V, Gutenbrunner C, Fialka-Moser V, Christodoulou N, Varela E, Giustini A, Delarque A (2010) Interdisciplinary team working in physical and rehabilitation medicine. Journal of Rehabilitation Medicine 42(1): 4–8. https://doi.org/10.2340/16501977-0483.

Parnell B, Urton M (2020) Rehabilitation Nursing Challenges for Patients With Lower Limb Amputation. Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses.

Parry SM, Huang M, Needham DM (2017) Evaluating physical functioning in critical care: considerations for clinical practice and research. Criticle Care 21: 249. https://doi.org/10.1186/s13054-017-1827-6.

Pauley T, Devlin M, Heslin K (2006) Falls sustained during inpatient rehabilitation after lower limb amputation: Prevalence and predictors. American Journal of Physical Medicine and Rehabilitation 85(6): 521–535. https://doi.org/10.1097/01.phm.0000219119.58965.8c.

Pavlakis A, Raftopoulos V, Theodorou M (2010) Burnout syndrome in Cypriot physiotherapists: a national survey. BMC Health Services Research 10:63.

Pearlman J, Cooper R, Krizack M, Lindsley A, Wu Y, Reisinger K, Armstrong W, Casanova H, Chhabra H, Noon J (2008) Lower-limb prostheses and wheelchairs in low-income countries: An Overview. IEEE Engineering in Medicine and Biology Magazine 27(2): 12–22. https://doi.org/10.1109/EMB.2007.907372.

Pezzin LE, Dillingham TR, MacKenzie EJ (2000) Rehabilitation and the long-term outcomes of persons with trauma-related amputations. Archives of Physical Medicine and Rehabilitation 81(3): 292–300. https://doi.org/10.1053/apmr.2000.0810292.

Potter M, Gordon S, Hamer P (2003): The difficult patient in private practice physiotherapy: A qualitative study. Australian Journal of Physiotherapy 49: 53-61.

Rural-proofing for health guidelines (2015) A guide to accounting for rural contexts in health policy, strategic planning and resourcing r u r a l h e a l t h rural-proofing health policy and strategic planning a systematic process. www.rhap.org.za.

Ruth H, Bphty B (2019) Functional Outcomes of People with Lower Limb Amputation Following Inpatient Rehabilitation. Available at https://espace.library.uq.edu.au/view/UQ:0e9c5f7/s33420688_final_thesis.pdf?dsi_version=36e06966d943259242566cc8b79456de access on 25th May 2020.

Sanders P, Wadey R, Day M, Winter S (2020) Prosthetic Rehabilitation in Practice: An Exploration of Experiential Knowledge in the Multidisciplinary Team. Qualitative Health Research 104973232093327. doi:10.1177/1049732320933272.

Steinberg N, Gottlieb A, Siev-Ner I, Plotnik M (2019) Fall incidence and associated risk factors among people with a lower limb amputation during various stages of recovery–a systematic review. Disability and rehabilitation 41(15): 1778-1787.

Steward O, Schauwecker PE, Guth L, et al. (1999) Genetic approaches to neurotrauma research: opportunities and potential pitfalls of murine models. Experimental Neurology 157:19–42.

Stuckey R, Draganovic P, Ullah MM, Fossey E, Dillon MP (2020) Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation. Prosthetics and Orthotics International 030936462093432. doi:10.1177/0309364620934322.

Timmons S, East L (2011) Uniforms, status and professional boundaries in hospital. Sociology of Health and Illness 33(7): 1035–1049. https://doi.org/10.1111/j.1467-9566.2011.01357.x.

Ülger Ö, Yıldırım Şahan T, Çelik SE (2018) A systematic literature review of physiotherapy and rehabilitation approaches to lower-limb amputation. Physiotherapy Theory and Practice 34(11): 821–834. https://doi.org/10.1080/09593985.2018.1425938.

Van Twillert S, Stuive I, Geertzen JHB, Postema K, Lettinga AT (2014) Functional performance, participation and autonomy after discharge from prosthetic rehabilitation: Bariers, facilitators and outcomes. Journal of Rehabilitation Medicine 46(9): 915–923. https://doi.org/10.2340/16501977-1846.

Vivas LLY, Pauley T, Dilkas S, Devlin M (2017) Does size matter? Examining the effect of obesity on inpatient amputation rehabilitation outcomes Disability and Rehabilitation 39: 36-42 doi: 10.3109/09638288.2016.1140831.

Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM (2012) Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. Journal of Rehabilitation Research and Development 49(10): 1493–1504. https://doi.org/10.1682/JRRD.2012.01.0001.

Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A (2005) Effects of limited English proficiency and physician language on health care comprehension. Journal of General Internal Medicine 20(9): 800–806. https://doi.org/10.1111/j.1525-1497.2005.0174.x.

Wilson RD, Lewis SA, Murray PK (2009) in Underserved Areas :

-2000.

You L, Sadler G, Majumdar S, Burnett D, Evans C (2012) Physiotherapists’ perceptions of their role in the rehabilitation management of individuals with obesity. Physiotherapy Canada 64(2): 168–175. https://doi.org/10.3138/ptc.2011-01.

Zainal K, Salleh NM (2010) Ethnic relation among the youth in Malaysia: Toward fulfilling the concept of one Malaysia. Procedia - Social and Behavioral Sciences 9 (September 2015): 855–858. https://doi.org/10.1016/j.sbspro.2010.12.248.

Zidarov D, Swaine B, Gauthier-Gagnon C (2009) Quality of Life of Persons With Lower-Limb Amputation During Rehabilitation and at 3-Month Follow-Up. Archives of Physical Medicine and Rehabilitation 90(4): 634–645. https://doi.org/10.1016/j.apmr.2008.11.003.