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Koomesh

Journal of Semnan University of Medical Sciences

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https://doi.org/10.69107/koomesh-159938

Reintegration to Normal Living Index in Patients with Upper Extremity Amputation: Development and Psychometric Testing of a Questionnaire

Author(s):
Hooman ShahsavariHooman ShahsavariHooman Shahsavari ORCID1, Shahrzad GhiyasvandianShahrzad GhiyasvandianShahrzad Ghiyasvandian ORCID1, Amir Hossein DehghanAmir Hossein DehghanAmir Hossein Dehghan ORCID2, Azam GhorbaniAzam GhorbaniAzam Ghorbani ORCID1, Matin AbbasiMatin Abbasi3, Pegah MatourypourPegah MatourypourPegah Matourypour ORCID1,*, Navid SaidiniaNavid Saidinia2, Alireza IrajAlireza Iraj2, Mahsa MirzaeiMahsa Mirzaei4
1Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2BS Nursing Student, Students’ Scientific Research Center (SSRC), School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3BS in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4Master of Science Student, Medical Surgical Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Koomesh:Vol. 27, issue 6; e159938
Published online:Dec 10, 2025
Article type:Research Article
How to Cite:Shahsavari H, Ghiyasvandian S, Dehghan AH, Ghorbani A, Abbasi M, et al. Reintegration to Normal Living Index in Patients with Upper Extremity Amputation: Development and Psychometric Testing of a Questionnaire. koomesh. 2025;27(6):e159938. doi: https://doi.org/10.69107/koomesh-159938

Abstract

Keywords
Amputation
Surveys and Questionnaires
Rehabilitation
Nursing

References

  • 1.
    Reynolds SJ, Gazes MI, Blume PA. Surgical Management of the Infected Diabetic Foot. In: Edmonds ME, Sumpio BE, editors. Limb Salvage of the Diabetic Foot. Heidelberg, Germany: Springer; 2019. p. 453-64.
  • 2.
    Buccino F, Bunt A, Lazell A, Vergani LM. Mechanical Design Optimization of Prosthetic Hand's Fingers: Novel Solutions towards Weight Reduction. Materials (Basel). 2022;15(7). [PubMed ID:35407787]. [PubMed Central ID:PMC8999927]. https://doi.org/10.3390/ma15072456.
  • 3.
    Pyorny J, Sletten IN, Jokihaara J. Concurrent validity study of QuickDASH with respect to DASH in patients with traumatic upper extremity amputation. BMC Musculoskelet Disord. 2024;25(1):86. [PubMed ID:38263085]. [PubMed Central ID:PMC10804815]. https://doi.org/10.1186/s12891-024-07183-w.
  • 4.
    Resnik L, Borgia M, Silver B, Cancio J. Systematic Review of Measures of Impairment and Activity Limitation for Persons With Upper Limb Trauma and Amputation. Arch Phys Med Rehabil. 2017;98(9):1863-92 e14. [PubMed ID:28209508]. https://doi.org/10.1016/j.apmr.2017.01.015.
  • 5.
    Kawaiah A, Thakur M, Garg S, Kawasmi SH, Hassan A. Fingertip Injuries and Amputations: A Review of the Literature. Cureus. 2020;12(5):e8291. [PubMed ID:32601565]. [PubMed Central ID:PMC7317129]. https://doi.org/10.7759/cureus.8291.
  • 6.
    Rossel O, Chateaux M, Jarrassé N, Vérité F, Touillet A, Nicol C, et al. Phantom Movement Training Without Classifier Performance Feedback Improves Mobilization Ability While Maintaining EMG Pattern Classification. IEEE Transactions Med Robotics Bionics. 2023;5(1):133-42. https://doi.org/10.1109/tmrb.2023.3237918.
  • 7.
    Shahsavari H, Matourypour P, Ghiyasvandian S, Ghorbani A, Bakhshi F, Mahmoudi M, et al. Upper limb amputation; Care needs for reintegration to life: An integrative review. Int J Orthop Trauma Nurs. 2020;38:100773. [PubMed ID:32362398]. https://doi.org/10.1016/j.ijotn.2020.100773.
  • 8.
    Buodo G, Novara C, Ghisi M, Palomba D. Posttraumatic and depressive symptoms in victims of occupational accidents. Depress Res Treat. 2012;2012:184572. [PubMed ID:22690334]. [PubMed Central ID:PMC3368301]. https://doi.org/10.1155/2012/184572.
  • 9.
    Smurr LM, Gulick K, Yancosek K, Ganz O. Managing the upper extremity amputee: a protocol for success. J Hand Ther. 2008;21(2):160-75; quiz 76. [PubMed ID:18436138]. https://doi.org/10.1197/j.jht.2007.09.006.
  • 10.
    Bourget N, Deblock-Bellamy A, Blanchette AK, Batcho CS. Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation: A systematic review. Ann Phys Rehabil Med. 2018;61(4):262-9. [PubMed ID:29317299]. https://doi.org/10.1016/j.rehab.2017.12.004.
  • 11.
    Bourget N, Deblock-Bellamy A, Blanchette A, Batcho CS. Overview of Psychometric Properties of the Reintegration to Normal Living Index and Its Use in Everyday Practice in Individuals with Neurological Disorders: a Systematic Review. Int J Stroke. 2016;11:63-.
  • 12.
    Bobrow K, Farmer A, Cishe N, Nwagi N, Namane M, Brennan TP, et al. Using the Medical Research Council framework for development and evaluation of complex interventions in a low resource setting to develop a theory-based treatment support intervention delivered via SMS text message to improve blood pressure control. BMC Health Serv Res. 2018;18(1):33. [PubMed ID:29361934]. [PubMed Central ID:PMC5782371]. https://doi.org/10.1186/s12913-017-2808-9.
  • 13.
    Hitzig SL, Romero Escobar EM, Noreau L, Craven BC. Validation of the Reintegration to Normal Living Index for community-dwelling persons with chronic spinal cord injury. Arch Phys Med Rehabil. 2012;93(1):108-14. [PubMed ID:22200389]. https://doi.org/10.1016/j.apmr.2011.07.200.
  • 14.
    Institute for Work & Health. The DASH outcome measur. 2025. [Cited:2025]. Available from: https://www.iwh.on.ca/tools-and-guides/dash-outcome-measure.
  • 15.
    Hinkin TR. A Brief Tutorial on the Development of Measures for Use in Survey Questionnaires. Organizational Res Methods. 1998;1(1):104-21. https://doi.org/10.1177/109442819800100106.
  • 16.
    Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-15. [PubMed ID:18352969]. https://doi.org/10.1111/j.1365-2648.2007.04569.x.
  • 17.
    Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. [PubMed ID:14769454]. https://doi.org/10.1016/j.nedt.2003.10.001.
  • 18.
    Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Alphen aan den Rijn, Netherlands: Wolters Kluwer; 2021.
  • 19.
    Ostlie K, Garfelt B, Skjeldal O, Magnus P. Health services utilization in adult acquired major upper-limb amputees: a population-based survey. J Rehabil Med. 2012;44(7):593-600. [PubMed ID:22674242]. https://doi.org/10.2340/16501977-0985.
  • 20.
    Ligthelm EJ, Wright SCD. Lived experience of persons with an amputation of the upper limb. Int J Orthopaedic Trauma Nurs. 2014;18(2):99-106. https://doi.org/10.1016/j.ijotn.2013.08.018.
  • 21.
    Bhat AK, Acharya AM, Narayanakurup JK, Kumar B, Nagpal PS, Kamath A. Functional and cosmetic outcome of single-digit ray amputation in hand. Musculoskelet Surg. 2017;101(3):275-81. [PubMed ID:28681161]. https://doi.org/10.1007/s12306-017-0484-x.
  • 22.
    Chen J, Zhang AX, Chen QZ, Mu S, Tan J. Long-term functional, subjective and psychological results after single digit replantation. Acta Orthop Traumatol Turc. 2018;52(2):120-6. [PubMed ID:29454562]. [PubMed Central ID:PMC6136331]. https://doi.org/10.1016/j.aott.2017.09.001.
  • 23.
    Devinuwara K, Dworak-Kula A, O'Connor RJ. Rehabilitation and prosthetics post-amputation. Orthopaedics Trauma. 2018;32(4):234-40. https://doi.org/10.1016/j.mporth.2018.05.007.
  • 24.
    Wang S-Y, Zhao Y, Zang X-Y. Continuing care for older patients during the transitional period. Chinese Nurs Res. 2014;1:5-13. https://doi.org/10.1016/j.cnre.2014.11.001.
  • 25.
    Nimhurchadha S, Gallagher P, Maclachlan M, Wegener ST. Identifying successful outcomes and important factors to consider in upper limb amputation rehabilitation: an international web-based Delphi survey. Disabil Rehabil. 2013;35(20):1726-33. [PubMed ID:23350754]. https://doi.org/10.3109/09638288.2012.751138.
  • 26.
    Brown M, Lu Y, Chung KC, Mahmoudi E. Annual Hospital Volume and Success of Digital Replantation. Plast Reconstr Surg. 2017;139(3):672-80. [PubMed ID:28234846]. [PubMed Central ID:PMC5327819]. https://doi.org/10.1097/PRS.0000000000003087.
  • 27.
    Rosberg HE. Disability and health after replantation or revascularisation in the upper extremity in a population in southern Sweden - a retrospective long time follow up. BMC Musculoskelet Disord. 2014;15:73. [PubMed ID:24612503]. [PubMed Central ID:PMC3995792]. https://doi.org/10.1186/1471-2474-15-73.
  • 28.
    Abdelmoughit EEM, Bjijou Y, Bouchikhi M, Boutarbouch M, Gharib N-EA, Abdellah El Khloufi SEA, et al. Digital Post Traumatic Replantation: Experience of Ibn Sina University Hospital. J Med Surg Res. 2015;1(3):84-7.
  • 29.
    Hamouya A, Barbato B, Beauthier-Landauer V, Hemon C. Complete ring finger avulsion: Review of 16 years of cases at a Hand Emergency Unit. Hand Surg Rehabil. 2018;37(4):206-11. [PubMed ID:29807876]. https://doi.org/10.1016/j.hansur.2018.03.003.
  • 30.
    Shahsavari H, Ghiyasvandian S, Matourypour P, Golestannejad MR. Medical research council framework for designing and evaluating a re-integration into life care plan in patients following upper limb amputation in Iran: An interventional study. J Vasc Nurs. 2022;40(2):86-91. [PubMed ID:35750379]. https://doi.org/10.1016/j.jvn.2022.01.004.
  • 31.
    Mothabeng DJ, Eksteen CA, Westaway M. Psychometric validation of the reintegration to normal living index in people living with spinal cord injuries. South African J Physiother. 2012;68(2). https://doi.org/10.4102/sajp.v68i2.13.

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