Effect of Postacute Rehabilitation Setting on Mental and Emotional Health Among Persons With Dysvascular Amputations

Pezzin, Liliana E.; Padalik, Sara; Dillingham, Timothy R.

doi:10.1016/j.pmrj.2013.01.009

Cited by 13 publications

(21 citation statements)

References 32 publications

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“…It is common for patients to have significant delay in fitting for a prosthetic leg because of socioeconomic factors, prolonged healing, comorbid complications, and slow rehabilitation. With the expected increase of dysvascular amputations in the coming years, focused research on inpatient acute rehabilitation has suggested improved psychological and physical outcomes . Our experience leads us to believe a safe early ambulation device would augment aggressive rehabilitation programs with both short‐ and long‐term benefits.…”

Section: Discussionmentioning

confidence: 86%

“…With the expected increase of dysvascular amputations in the coming years, focused research on inpatient acute rehabilitation has suggested improved psychological and physical outcomes. 2,3 Our experience leads us to believe a safe early ambulation device would augment aggressive rehabilitation programs with both short-and long-term benefits. Disagreement exists in the literature about the effect of weight-bearing on the recently amputated leg.…”

Section: Discussionmentioning

confidence: 99%

“…There is a growing body of research advocating inpatient rehabilitation of dysvascular amputees to improve psychological and physical recovery. 2,3 We believe a safe early ambulation device would augment these outcomes. Several devices such as the immediate postoperative prosthesis (IPOP), Liedberg's Tulip device, and Schon's Air-Limb device have published data available to explore early mobility after TTA.…”

Section: Introductionmentioning

confidence: 96%

“…There is a growing body of research advocating inpatient rehabilitation of dysvascular amputees to improve psychological and physical recovery . We believe a safe early ambulation device would augment these outcomes.…”

Section: Introductionmentioning

confidence: 98%

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Bent Knee Temporary Prosthesis to Support Early Ambulation after Transtibial Amputation: A Case Report

Decker

Gradinar²,

Elert

et al. 2019

PM&R

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Postoperative immobility can exacerbate the physical and psychologic effects of limb loss. This case report presents a 37‐year‐old mother of two children who required a transtibial amputation. She received an early ambulation device called the bent knee temporary prosthesis (BKTP), which aids in early postoperative ambulation. Several early ambulation devices have been utilized in the past but have not found widespread favor. Although there is a paucity of research on this topic, available data suggest patient tolerance and benefit of early ambulation. A customizable, temporary below knee prosthesis such as the BKTP is valuable to study the safety and efficacy of early postoperative ambulation for improving outcomes for transtibial amputees.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

See 2 more Smart Citations

Bent Knee Temporary Prosthesis to Support Early Ambulation after Transtibial Amputation: A Case Report

Decker

Gradinar²,

Elert

et al. 2019

PM&R

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“…Regarding the rehabilitation outcomes after a lower-limb amputation, the majority of previous studies have focused on mobility skills, mainly on walking and prosthesis fit; [22,24,25,27,29] other studies have shown that rehabilitation reduces the presence of depression [30,31] and improves survival. [32] All these previous studies have described the outcomes obtained at the end of the rehabilitation process.…”

Section: Introductionmentioning

confidence: 99%

Activities of daily living in people with lower limb amputation: outcomes of an intervention to reduce dependence in pre-prosthetic phase

Celeiro

Sanjuán

Santos-del-Riego

2016

Disability and Rehabilitation

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A short and pre-prosthetic ADL intervention improves functional independence and reduces the need for home adaptation. ADL programs should be included in rehabilitation strategies. Implications for Rehabilitation Because basic activities of daily living (ADL) can be seriously compromised after a lower-limb amputation, it is important for this population to improve or maintain their level of independence. A short and pre-prosthetic ADL intervention is an effective method for an early recovery of functional independence in self-care activities and promotes home adaptation. Age is an important determinant of functional recovery, and most subjects can achieve independence in basic ADL regardless of the level of amputation. A pre-prosthetic ADL program should be included in rehabilitation strategies for adults with lower-limb amputation.

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An overview of the rehabilitation and psychiatric diagnoses of patients referred to a psychiatry consult liaison service at an inpatient rehabilitation hospital

Daly

Steinberg

Boyle

et al. 2023

PM&R

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BackgroundPatients presenting for inpatient rehabilitation following injury or illness are commonly affected by comorbid psychiatric illness. Currently, little is known about the utilization of a psychiatry consult service in an inpatient rehabilitation hospital.ObjectiveTo identify which rehabilitation patient populations most frequently received psychiatric consultation and recognize the most common psychiatric comorbidities after the implementation of a psychiatry consult liaison (PCL) service.DesignA retrospective observational study in the form of a chart review examining the utilization patterns of a psychiatric consultation liaison service in the inpatient rehabilitation setting. Chart review was performed to extract patient demographics (age and sex), rehabilitation diagnosis, cause of rehabilitation diagnosis (intentional, accident, self‐inflicted, or disease), reason for referral to psychiatry, and psychiatric diagnosis on initial consultation. Statistical software was used for statistical analysis to answer the pre‐specified research questions.SettingA 178 bed, free‐standing, academic rehabilitation hospital located in an urban Canadian center.PatientsAny patient admitted to the inpatient rehabilitation hospital who received a psychiatric consultation between September 2016 and December 2019 was eligible for inclusion.ResultsA total of 1016 charts were reviewed in the initial chart review and 1008 were included. The most common rehabilitation diagnoses that were associated with a psychiatric consult were (% admissions receiving consultation): amputations (38%); burns (35%), neurologic disorder (28%), deconditioning (14%), and musculoskeletal injury (7%). Although 20% of patients did not meet criteria for a psychiatric diagnosis, most common psychiatric diagnoses included mood disorder, adjustment disorder, neurocognitive disorder, and delirium.ConclusionThere are significant perceived needs for psychiatric services in the inpatient rehabilitation setting. Although some patient groups such as patients with amputations, burns, and trauma may exhibit the highest utilization, the service supports mental health needs from many patient groups.

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Effect of Postacute Rehabilitation Setting on Mental and Emotional Health Among Persons With Dysvascular Amputations

Cited by 13 publications

References 32 publications

Bent Knee Temporary Prosthesis to Support Early Ambulation after Transtibial Amputation: A Case Report

Bent Knee Temporary Prosthesis to Support Early Ambulation after Transtibial Amputation: A Case Report

Activities of daily living in people with lower limb amputation: outcomes of an intervention to reduce dependence in pre-prosthetic phase

An overview of the rehabilitation and psychiatric diagnoses of patients referred to a psychiatry consult liaison service at an inpatient rehabilitation hospital

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