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Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review

People with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors...

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Autores principales: Khetarpaul, Vipul, Kirby, John P., Geraghty, Patrick, Felder, John, Grover, Prateek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791697/
https://www.ncbi.nlm.nih.gov/pubmed/36578773
http://dx.doi.org/10.3389/fresc.2022.983432
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author Khetarpaul, Vipul
Kirby, John P.
Geraghty, Patrick
Felder, John
Grover, Prateek
author_facet Khetarpaul, Vipul
Kirby, John P.
Geraghty, Patrick
Felder, John
Grover, Prateek
author_sort Khetarpaul, Vipul
collection PubMed
description People with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors such as sex, race, socioeconomic status, but also by system factors such as service access. A systems strategy to address this disparity within the field of limb-loss rehabilitation is for Limb-loss Rehabilitation Programs (LRP) to partner with medical specialists, mental health professionals, and Limb Preservation Programs (LPP) to provide comprehensive limb care. While LPPs exist around the nation, design principles for such programs and their partnership role with LRPs are not well established. Using a socioecological model to incorporate hierarchical stakeholder perspectives inherent in the multidisciplinary field of limb care, this review synthesizes the latest evidence to focus on LPP design and implementation principles that can help policymakers, healthcare organizations and limb-loss rehabilitation and limb-preservation professionals to develop, implement, and sustain robust LPP programs in partnership with LRPs.
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spelling pubmed-97916972022-12-27 Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review Khetarpaul, Vipul Kirby, John P. Geraghty, Patrick Felder, John Grover, Prateek Front Rehabil Sci Rehabilitation Sciences People with lower limb loss, especially of dysvascular etiology, are at substantial risk for both ipsilateral and contralateral reamputation. Additionally, while not as well documented for reamputation, there is recognition that amputation incidence is influenced by not only sociodemographic factors such as sex, race, socioeconomic status, but also by system factors such as service access. A systems strategy to address this disparity within the field of limb-loss rehabilitation is for Limb-loss Rehabilitation Programs (LRP) to partner with medical specialists, mental health professionals, and Limb Preservation Programs (LPP) to provide comprehensive limb care. While LPPs exist around the nation, design principles for such programs and their partnership role with LRPs are not well established. Using a socioecological model to incorporate hierarchical stakeholder perspectives inherent in the multidisciplinary field of limb care, this review synthesizes the latest evidence to focus on LPP design and implementation principles that can help policymakers, healthcare organizations and limb-loss rehabilitation and limb-preservation professionals to develop, implement, and sustain robust LPP programs in partnership with LRPs. Frontiers Media S.A. 2022-12-12 /pmc/articles/PMC9791697/ /pubmed/36578773 http://dx.doi.org/10.3389/fresc.2022.983432 Text en © 2022 Khetarpaul, Kirby, Geraghty, Felder and Grover. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Khetarpaul, Vipul
Kirby, John P.
Geraghty, Patrick
Felder, John
Grover, Prateek
Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_full Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_fullStr Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_full_unstemmed Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_short Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
title_sort socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— a mini-review
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791697/
https://www.ncbi.nlm.nih.gov/pubmed/36578773
http://dx.doi.org/10.3389/fresc.2022.983432
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