TY - JOUR
T1 - Socioecological model-based design and implementation principles of lower limb preservation programs as partners for limb-loss rehabilitation programs— A mini-review
AU - Khetarpaul, Vipul
AU - Kirby, John P.
AU - Geraghty, Patrick
AU - Felder, John
AU - Grover, Prateek
N1 - Publisher Copyright:
2022 Khetarpaul, Kirby, Geraghty, Felder and Grover.
PY - 2022
Y1 - 2022
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85174973357&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85174973357&partnerID=8YFLogxK
U2 - 10.3389/fresc.2022.983432
DO - 10.3389/fresc.2022.983432
M3 - Short survey
AN - SCOPUS:85174973357
SN - 2673-6861
VL - 3
JO - Frontiers in Rehabilitation Sciences
JF - Frontiers in Rehabilitation Sciences
M1 - 983432
ER -