Factors that predict walking ability with a prosthesis in lower limb amputees

Knežević, Aleksandar; Petković, Milena; Mikov, Aleksandra; Jeremić-Knežević, Milica; Demesi-Drljan, Cila; Boskovic, Ksenija; Tomasevic-Todorovic, Snezana; Jeličić, Zoran D.

doi:10.2298/sarh1610507k

Cited by 10 publications

(7 citation statements)

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“…It is not clear whether amputation level can accurately inform potential walking ability. There has been recent literature that has supported this (Gaunaurd et al, 2013;Knezevic et al, 2016;Stineman et al, 2010;van Eijk et al, 2012;Webster et al, 2012), and literature that has refuted this assumption (Czierniecki, Turner, Williams, Hakimi, & Norvell, 2012;Gremeaux et al, 2012;Suckow et al, 2012). Notably, the impact of advanced knee joint technology on walking ability was only reported in one of these publications (Gaunaurd et al, 2013) while older publications preceded the commercialization of MPKs.…”

Section: Discussionmentioning

confidence: 96%

“…K-levels are used for coverage guidelines for MPKs. The separation of FCI from coverage guidelines limits its bias in patient categorization relative to MPK (Knezevic et al, 2016). The FCI was designed and validated for assigning a weighted score for an individual's comorbid health for predicting physical function (Groll et al, 2005).…”

Section: Instrumentsmentioning

confidence: 99%

“…An alternative approach might be to match patient groups based on comorbid health. Comorbid health is used for determining plan of care for patients with lower limb amputation (Group, 2017;Knezevic et al, 2016). Yet, there does not appear to be any studies that have compared mobility among comorbid-matched groups of MPK and NMPK.…”

Section: Introductionmentioning

confidence: 99%

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Mobility analysis of amputees (MAAT 3): Matching individuals based on comorbid health reveals improved function for above-knee prosthesis users with microprocessor knee technology

Wurdeman

Stevens

Campbell

2018

Assistive Technology

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The objective of this cross-sectional observational study was to determine whether the use of a microprocessor knee for individuals with an above-the-knee amputation results in improved functional mobility compared to their peers of matched comorbid-health with a non-microprocessor knee, and to inform how this compares to the mobility observed in below-knee prosthesis users. A sample of 450 individuals with lower limb amputation were divided into three groups (n = 150 each). The groups included: nonmicroprocessor knee users (NMPK, age: 57.6 ± 17.2 years), microprocessor knee users (MPK, age: 56.5 ± 13.8 years), and below-knee prosthesis users (BKA, age: 58.4 ± 12.2 years). Primary outcome measure was functional mobility measured through Prosthetic Limb Users' Survey of Mobility (PLUS-M®). Results showed MPK mobility (48.49 ± 0.86) was greater than NMPK (43.49 ± 0.86, p < 0.001), but less than BKA (52.11 ± 0.86, p = 0.003). These results persisted when removing potential confounding effects of age, body mass index, cause of amputation, and comorbid health (MPK: 47.15 ± 0.97; NMPK: 43.47 ± 0.88; BKA: 52.61 ± 0.91). In conclusion, these results show the use of a MPK can improve functional mobility for individuals with an above-knee amputation.

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Section: Discussionmentioning

confidence: 96%

Section: Instrumentsmentioning

confidence: 99%

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Mobility analysis of amputees (MAAT 3): Matching individuals based on comorbid health reveals improved function for above-knee prosthesis users with microprocessor knee technology

Wurdeman

Stevens

Campbell

2018

Assistive Technology

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“…Um dos momentos cruciais no período pós-amputação do membro é a decisão se o paciente será um candidato adequado para uma prótese 19 . Esta decisão nem sempre é fácil e fatores que poderiam predizer o resultado da reabilitação nesses pacientes são parcialmente compreendidos 15 .…”

Section: Introductionunclassified

Relação Das Características Clínicas E Profissionais Dos Pacientes Amputados Segurados Da Previdência Social No Município De Criciúma - Sc No Ano De 2017

Goulart

Macarini

2021

Inova

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A amputação de membros é considerada um dos primeiros procedimentos cirúrgicos na história da Medicina, sendo vista por muitos como um processo traumático e doloroso para os indivíduos a ela submetidos. Além de consequências físicas e funcionais, os amputados também apresentam um importante abalo psicológico, visto que a reintegração na sociedade passa a ser um objetivo a ser alcançado durante o processo de reabilitação. No Brasil, o Serviço Social, compreendido pela Previdência Social, tem por fim proporcionar meios para a educação e readaptação profissional e social, através do fornecimento de órteses, próteses e aparelhos para auxílio de locomoção para indivíduos que apresentam alguma incapacidade funcional. O objetivo da presente pesquisa foi correlacionar as causas da amputação com o perfil profissional dos pacientes amputados e segurados pela Previdência Social no município de Criciúma. A amostra foi composta por 20 pacientes, no qual foi aplicado um questionário para a coleta das informações. Os resultados obtidos mostraram que 85% dos amputados eram do sexo masculino, 75% dos indivíduos analisados apresentavam amputações traumáticas, e 65% permanecem ativos profissionalmente. Pode-se concluir que embora a amputação seja um processo traumático, os envolvidos podem não apresentar limitações incapacitantes no âmbito profissional e social. Os achados apontam para a necessidade de acompanhamento destas populações visando à manutenção de suas condições funcionais, destacando a necessidade de um maior envolvimento da comunidade cientifica, gestão pública e demais profissionais da equipe multiprofissional.

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“…Majority of the other studies suggest worse outcome in patients of older age at the moment of the lower limb amputation [6][7][8][9][10][11][12][13] . Similar studies, however, in principle, do not identify patient gender as a relevant determinant of success of the prosthetic rehabilitation process 3,14 .…”

Section: Introductionmentioning

confidence: 99%

Factors predicting rehabilitation outcome in patients after unilateral transtibial amputation due to peripheral vascular disease

Majstorović

Pešta²

2020

VOJNOSANIT PREGL

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Background/Aim. The primary rehabilitation in the prosthetic phase after amputation of lower extremities is of great importance for the improvement of the activities of daily living (ADLs) of persons with amputation and their successful social reintegration. The aim of this study was to examine the influence of independent predictors (age, gender, duration of rehabilitation, time between the amputation and the mounting of the prosthesis) on the success of the primary rehabilitation in the prosthetic phase after amputation of lower extremities. Methods. This retrospective clinical study included patients who underwent the primary rehabilitation in the prosthetic phase at the Institute for Physical Medicine and Rehabilitation "Dr Miroslav Zotović", Banja Luka, in 2015. A total of 75 patients with unilateral transtibial amputation were included. Etiologically, these transtibial amputations occurred as a consequence of vascular complications of diabetes mellitus or peripheral occlusive arterial disease. Evaluation of the success of rehabilitation was performed at the end of the primary rehabilitation in the prosthetic phase and 3 months after the end of the treatment by means of K-levels classification system and Locomotor Capabilities Index (LCI) scale. Depending on the distribution of data, univariate and multivariate multiple regression analysis, post hoc Mann-Whitney test, Spearman's correlation coefficient and Wilcoxon test were used for statistical analysis. Statistical significance of the found differences was set at p < 0.05. Results. A total of 75 patients, 55 (73.33%) men and 20 (26.67%) women, were included in this clinical trial. Average age of all participants was 63.5 ± 9.06 years, 61.8 ± 9.34 years for males and 68.1 ± 6.4 for females (p < 0.01). Average duration of rehabilitation was 27.69 ± 7.39 days in men and 33.9 ± 6.89 days in women (p < 0.01). Male patients had better functional results compared to females obtained by all analysed outcome measures (p < 0.01). Younger patients achieved better results, with the degree of statistical significance ranging between p < 0.05 and p < 0.001. The time from the amputation to the mounting of prosthesis and the duration of rehabilitation had no influence on the rehabilitation outcome. Conclusion. The present study identified age and gender of patients as relevant independent predictors of the success of rehabilitation. Although it was initially expected, this clinical trial did not prove the importance of the time from the amputation to the start of the primary rehabilitation in the prosthetic phase. In the future research other independent predictive factors, such as comorbidities, first and foremost cardiovascular diseases, medication, laboratory parameters and mental status, should be taken into account.

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Factors that predict walking ability with a prosthesis in lower limb amputees

Abstract: By using SVM model with four variables (age, FCI, level of amputation, and mobility at admission) we are able to predict the level of ambulation with a prosthesis in lower limb amputees with high accuracy.

Cited by 10 publications

References 0 publications

Mobility analysis of amputees (MAAT 3): Matching individuals based on comorbid health reveals improved function for above-knee prosthesis users with microprocessor knee technology

Mobility analysis of amputees (MAAT 3): Matching individuals based on comorbid health reveals improved function for above-knee prosthesis users with microprocessor knee technology

Relação Das Características Clínicas E Profissionais Dos Pacientes Amputados Segurados Da Previdência Social No Município De Criciúma - Sc No Ano De 2017

Factors predicting rehabilitation outcome in patients after unilateral transtibial amputation due to peripheral vascular disease

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