Clinical and Psychological Adjustment of Patients With Lower Limb Amputation: a Multidisciplinary Rehabilitative Intervention Project (AMP_ADinRehab Study)

What this Trial Is About

This research aims to explore how patients with lower limb amputation (LLA), often caused by vascular disease and type 2 diabetes, adapt both psychologically and behaviorally at different stages of their condition. The study focuses on understanding the emotional impact, quality of life, anxiety, depression, and acceptance related to amputation and prosthesis use using interviews and rating scales. It emphasizes a holistic view of patient adjustment and the factors influencing adaptation to prosthesis and rehabilitation. Participants will receive either traditional rehabilitation alone or traditional rehabilitation combined with technology-based rehabilitation using a non-immersive virtual reality device called D-WallTM. Both groups will undergo two daily conventional therapy sessions over three weeks, including exercises for range of motion, strength, balance, and aerobic conditioning. The experimental group will have an additional daily session involving the VR device, aiming to enhance the rehabilitation experience. Throughout the study, patients' medical history, motor function, autonomy, fall risk, pain, and psychological health will be assessed. Researchers will use multiple tools such as the Modified Barthel Index, Functional Independence Measure, anxiety and depression questionnaires, body image scales, and prosthesis experience assessments. The study will analyze changes from baseline to three weeks of rehabilitation and includes audio-recorded interviews to gain qualitative insights. The total participation time covers the rehabilitation period and assessment points.

Clinical and Psychological Adjustment of Patients With LLA: a Multidisciplinary Rehabilitative Intervention Project