Prepared by Marnie JonesPhysiotherapy Unit Head
Port Kembla Hospital
September 2012
Trinity Amputation and Prosthesis Experience
Scale – RevisedEarly data at P&O Clinic
TAPES - R P Gallagher presented this survey at the ISPO conference
in Sydney. Gallagher P & MacLachlan M 2000, Gallagher P, Franchignoni F, Giordano A, MacLachlan M 2010
The questionnaire is to be completed by the person with a prosthesis. www.psychoprosthetics.ie [email protected]
Moderate correlation between the Amputation Body Image Scale (ABIS – R) and TAPES psychosocial adjustment subscale. Gallagher P et al 2007
2MWT was a significant predictor of performance of ambulation in the community as measured by the TAPES Activity Restriction subscale. Parker et al 2010
To be used for improvement of our understanding of aspects of prosthesis use to develop better services.
Survey method
Volunteer Amputee Peer Support Visitors (VAPS) conduct the survey to amputees attending Prosthetic Clinic at PKH.
Data entry by Physiotherapist in Amputee Rehab.
Intended project is to compare surveys completed at a prescription Clinic, then a second after they have received the prescribed change.
To date, only the first phase results have been collected. Discussion for additions or corrections are welcome.
Results
Number surveys n= 26
Male (%) 58
Completed the survey independently (%)
44
average min max
Age 61.39 33 81
Time since amputation (years) 14.19 0.2 47
Time with any prosthesis 13.14 0.1 46
Time with this prosthesis 2.15 0.1 6.3
Hours wear prosthesis 11.79 4 18
Results
TTA TFA KDA Other
Type Prosthesis (%) 66 24 5 5
PVD Diabetes Accident Other
Amputation Result of from (%)
23 19 46 12
Very poor 1 poor2 fair3 good4 Very good5
General Health 3 4 10 8
Physical Capabilities
1 3 7 14 2
General Adjustment subscale
0
5
10
15
20
25
30
adjusted adjustw/ time
dealt w/trauma
life full used topros
St agree
Agree
Disagree
St disagree
Social Adjustment subscale
0
5
10
15
20
25
30
som
eone
look
s
talk
abo
ut
peopl
e as
king
talk
abo
ut
notic
e lim
p
St agree
Agree
Disagree
St disagree
Adjustment to limitation subscale
0
5
10
15
20
25
30
inte
rfere
s w
ork
more
dep
enden
t
limit
kind o
f work
can'
t do
wan
t
limit
amou
nt work
St agree
Agree
Disagree
St disagree
Average Adjustment
0
1
2
3
4
General adjustment Social Adjustment Adjustment to limitation
Strongly agree
Agree
Strongly disagree
Disagree
Activity Restriction scale
Having a prosthesis limits me:Yes limited a lot 2
Limited a little 1
No not limited at all
average
Vigorous activities, running, lifting heavy objects, strenuous sports
18 5 2 1.64
Climbing several flights of stairs 12 7 7 1.19
Running for a bus 20 4 1 1.76
Sport and recreation 16 7 3 1.5
Climbing one flight of stairs 4 10 12 0.69
Walking more than a mile 11 11 4 1.27
Walking half a mile 12 6 8 1.15
Walking 100 metres 5 6 15 0.62
Working on hobbies 4 9 12 0.68
Going to work 6 6 11 0.78
0
5
10
15
20
25
30
vigor
ous
seve
ral f
light
s
run fo
r bus
sport
& rec
one fl
ight
wal
k >
mile
wal
k 1/
2 m
ile
wal
k 10
0m
hobbie
s
going
to w
ork
Not limited
Little
Yes a lot
Average Activity Restriction
Yes, a lot
Aesthetic Satisfaction with Prosthesis subscale
Not satisfied1
satisfied2 Very satisfied3
Colour of my prosthesis 2 16 6
Shape 3 17 5
Appearance 4 16 4
Functional Satisfaction with Prosthesis subscale
…Of my prosthesis Not satisfied1
Satisfied 2 Very satisfied3
Weight 4 17 5
Usefulness 4 13 9
Reliability 1 16 9
Fit 8 11 7
Comfort 8 13 5
0
5
10
15
20
25
30
colo
ur
shap
e
appea
rance
wei
ght
usefu
lnes
s
relia
bility fit
com
fort
Very satisfied
Satisfied
Not satisfied
Pain and Medical Problems
% yes Episodes/ week
Duration each episode
Range
Residual limb pain
58 7 6.87 minutes 1 – 30 min
Phantom limb pain
62 5.57 12.37 minutes
15 sec – 60 min
Medical problems
46 6 Continuous, varied, constant, 1-2 wks, 2 hrs, 15 min
Pain and Medical ProblemsExcruciating 5 horrible4 distressing3 discomforting2 mild1
Residual pain - level
1 1 2 9 2
Residual pain – interfere with life
1 1 5 4 4
Phantom pain – level
2 1 2 6 1
Phantom pain – interfere with life
1 2 2 5 6
Medical problems – level
1 4 3 2
Medical problems – interfere with life
1 3 3 5 2
0
2
4
6
8
10
12
14
16
18
RL pai
n leve
l
RL pai
n inte
rfere
s
PL pai
n leve
l
PL pai
n inte
rfere
s
Med
pro
bs le
vel
Med
pro
bs in
terfe
re
mild
discomforting
distressing
horrible
excruciating
Pain Levels and Interferes with life
excruciating
mild
Discussion
Need Power to complete ethics application
Items with potential to change by effecting prescription
Acquittal vs later follow-up
Ideas to change program for greater adjustment