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Predictive factors for successful early prosthetic ambulation among lower-limb amputees

Munin, MC and De Guzman, MCE and Boninger, ML and Fitzgerald, SG and Penrod, LE and Singh, J (2001) Predictive factors for successful early prosthetic ambulation among lower-limb amputees. Journal of Rehabilitation Research and Development, 38 (4). 379 - 384. ISSN 0748-7711

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Abstract

Objective: To predict successful prosthetic ambulation for patients immediately transferred to an inpatient rehabilitation facility after amputation surgery. Methods: Seventy-five individuals with lower-limb amputation were studied at a tertiary acute care and rehabilitation facility. Successful prosthetic ambulation, defined as the ability to ambulate with a prosthesis at least 45 m, was measured in addition to other key demographic and medical factors. Results: Sixty-eight percent were successful prosthetic ambulators at rehabilitation discharge. The absence of residual-limb contracture and a longer length of stay during rehabilitation showed a significant relationship to successful prosthetic ambulation with regression analysis. Younger age was modestly correlated to outcome. There were no significant differences when comparing success of the early rehabilitation program with surgical level or etiology of amputation. For successful prosthetic users, mean wear time at rehabilitation discharge was 5.7 hours with a mean distance walked of 67 m. Of those who failed this approach, 70% were related to a failure of wound healing. Conclusions: In this cohort, 68% of patients who were selected for a trial of early prosthetic rehabilitation ambulated using a prosthesis at rehabilitation discharge. This approach appears to be more effective for younger patients without contractures who are medically stable to participate in the rehabilitation process.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Munin, MC
De Guzman, MCE
Boninger, MLboninger@pitt.eduBONINGER
Fitzgerald, SG
Penrod, LE
Singh, J
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 December 2001
Date Type: Publication
Journal or Publication Title: Journal of Rehabilitation Research and Development
Volume: 38
Number: 4
Page Range: 379 - 384
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0748-7711
MeSH Headings: Adult; Aged; Amputation--rehabilitation; Artificial Limbs; Chi-Square Distribution; Cohort Studies; Female; Humans; Leg; Locomotion--physiology; Male; Middle Aged; Physical Therapy Modalities; Predictive Value of Tests; Probability; Prognosis; Recovery of Function; Retrospective Studies; Risk Factors; Statistics, Nonparametric; Time Factors; Treatment Outcome
PubMed ID: 11563490
Date Deposited: 03 Oct 2012 20:53
Last Modified: 04 Feb 2019 15:58
URI: http://d-scholarship.pitt.edu/id/eprint/14707

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