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Clinical Report

Skin Problems of the Stump in Lower-limb Amputees: 2. Influence on Functioning in Daily Life

doi: 10.2340/00015555-1023


The aim of this study was to analyse the influence of stump skin problems on functioning in daily life in
lower-limb amputees. A cross-sectional study was performed by means of a questionnaire containing 9 questions assessing functioning in daily life. Question scores were added to give a total score (range 0 (no influence) to 27 (maximum negative influence)). Two thousand and thirty-nine people were invited to participate, with 805 participants completing a questionnaire. Of these, 507 reported one or more skin problems. Skin problems had a negative influence on ability to perform household tasks, prosthesis use, social functioning, and participation in sports. The mean total score was 5.5 ± 4.1. This correlated significantly with the number of skin complaints (r = 0.483; p = 0.01). In linear regression analyses, gender (β = -0.15) and number of skin problems (β = 0.25) accounted for 23% of the total score. This study confirms the influence of skin problems on functioning in daily life.


Henk E.J. Meulenbelt, Jan H.B Geertzen, Marcel F. Jonkman, Pieter U Dijkstra


  • Meulenbelt HE, Dijkstra PU, Jonkman MF, Geertzen JH. Skin problems in lower limb amputees: a systematic review. Disabil Rehabil 2006; 28: 603–608.
  • Hoaglund FT, Jergesen HE, Wilson L, Lamoreux LW, Roberts R. Evaluation of problems and needs of veteran lower-limb amputees in the San Francisco Bay Area during the period 1977-1980. J Rehabil Res Dev 1983; 20: 57–71.
  • Livingston DH, Keenan D, Kim D, Elcavage J, Malangoni MA. Extent of disability following traumatic extremity amputation. J Trauma 1994; 37: 495–499.
  • Otter N, Postema K, Rijken RA, van Limbeek J. An open socket technique for through-knee amputations in relation to skin problems of the stump: an explorative study. Clin Rehabil 1999; 13: 34–43.
  • Koc E, Tunca M, Akar A, Erbil AH, Demiralp B, Arca E. Skin problems in amputees: a descriptive study. Int J Dermatol 2008; 47: 463–466.
  • Finlay AY. Quality of life measurement in dermatology: a practical guide. Br J Dermatol 1997; 136: 305–314.
  • Gallagher P, Desmond D. Measuring quality of life in prosthetic practice: benefits and challenges. Prosthet Orthot Int 2007; 31: 167–176.
  • Dudek NL, Marks MB, Marshall SC, Chardon JP. Dermatologic conditions associated with use of a lower-extremity prosthesis. Arch Phys Med Rehabil 2005; 86: 659–663.
  • Lewis V, Finlay AY. 10 years experience of the Dermatology Life Quality Index (DLQI). J Investig Dermatol Symp Proc 2004; 9: 169–180.
  • Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Determinants of skin problems of the stump in lower-limb amputees. Arch Phys Med Rehabil 2009; 90: 74–81.
  • Hongbo Y, Thomas CL, Harrison MA, Salek MS, Finlay AY. Translating the science of quality of life into practice: What do dermatology life quality index scores mean? J Invest Dermatol 2005; 125: 659–664.
  • Geertzen JH, Martina JD, Rietman HS. Lower limb amputation. Part 2: Rehabilitation – a 10 year literature review. Prosthet Orthot Int 2001; 25: 14–20.
  • Jagou M, Bastuji-Garin S, Bourdon-Lanoy E, Penso-Assathiany D, Roujeau JC. Poor agreement between self-reported and dermatologists’ diagnoses for five common dermatoses. Br J Dermatol 2006; 155: 1006–1012.
  • Koopmans GT, Lamers LM. Gender and health care utilization: the role of mental distress and help-seeking propensity. Soc Sci Med 2007; 64: 1216–1230.
  • Legro MW, Reiber GE, Czerniecki JM, Sangeorzan BJ. Recreational activities of lower-limb amputees with prostheses. J Rehabil Res Dev 2001; 38: 319–325.
  • Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 2008; 32: 231–243.
  • Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol 1997; 50: 1129–1136.‹
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    Appendix S1

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    Volume 91, Issue 2

    DOI: 10.2340/00015555-1023

    Pages: 178-182

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