@article{ref1,
title="A study of the physical rehabilitation and psychological state of patients who sustained limb loss as a result of terrorist activity in Northern Ireland 1969-2003",
journal="Disability and rehabilitation",
year="2006",
author="Graham, Lesley and Parke, R. C. and Paterson, M. C. and Stevenson, Mark R.",
volume="28",
number="12",
pages="797-801",
abstract="OBJECTIVE: To benchmark the psychological state and physical rehabilitation of patients who have sustained limb loss as a result of terrorist activity in Northern Ireland and to determine their satisfaction with the period of primary prosthetic rehabilitation and the artificial limb. METHOD: All patients who sustained limb loss as a result of the Troubles and were referred to our rehabilitation centre were sent a questionnaire. The main outcome measures were the SIGAM mobility grades, the General Health Questionnaire (GHQ12) and three screening questions for Post Traumatic Stress Disorder (PTSD). RESULTS: Out of a 66% response rate, 52 (69%) patients felt that the period of primary prosthetic rehabilitation was adequate; 32 (54%) lower limb amputees graded themselves SIGAM C or D; 45 (60%) patients stated that they were still having significant stump pain. Significant stump pain was associated with poorer mobility. Nine (56%) upper limb amputees used their prosthetic limb in a functional way; 33 (44%) patients showed &quot;psychiatric caseness&quot; on the GHQ 12 and 50 (67%) had symptoms of PTSD. CONCLUSIONS: Most patients felt that the period of physical rehabilitation had been adequate; those who did not were more likely to be having ongoing psychological problems. A high percentage of patients continue to have psychological problems and stump pain.<p /> <p>Language: en</p>",
language="en",
issn="0963-8288",
doi="10.1080/09638280500386742",
url="http://dx.doi.org/10.1080/09638280500386742"
}