Testing the effectiveness of the Amputee Mobility Protocol: A pilot study

Groller, Karen; Tremblay, Sandra M.; Kaszuba, Julie; Girodo, Victoria; Swavely, Deborah; Moyer, Barbara S.; Bartman, Kimberly; Carraher, Wendy; Wilson, Eric

doi:10.1016/j.jvn.2008.05.001

Cited by 13 publications

(23 citation statements)

References 24 publications

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“…There were a small number of investigations reporting outcomes related to functional ability [35, 75], mobility [17, 33, 34, 76], QoL [35, 36, 38], ipsilateral reamputation [27, 28, 58, 64–66, 70], and wound healing and complications [18, 64, 74, 77]. No studies that met the inclusion criteria reported on pain, participation, or psychosocial outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Some data were reported for discrete levels of PFA including toe [27, 28, 59, 64, 67, 69, 71], TMA [33–35, 58, 71, 74–76, 78], ray [67], transtarsal [78], or partial/total calcanectomy [78]. A number of studies also included a cohort with TTA [28, 33–36, 38, 61, 63, 69, 71, 72, 75, 76, 78]. …”

Section: Resultsmentioning

confidence: 99%

“…While two studies on functional ability met the inclusion criteria [35, 75], one was incomprehensible [75] (Additional file 3: Table S4). It seemed that the study by Marzen-Groller et al [75] modified the Functional Independence Measure (FIM) to focus on seven activities relating to transfers, bed mobility, sit-to-stand and distance walked, presumably each with their own score.…”

Section: Resultsmentioning

confidence: 99%

“…It seemed that the study by Marzen-Groller et al [75] modified the Functional Independence Measure (FIM) to focus on seven activities relating to transfers, bed mobility, sit-to-stand and distance walked, presumably each with their own score. While three of these measures were reported in the results, it was not clear whether the results described a change score, an average score, or observations at one time point (Additional file 3: Table S4).…”

Section: Resultsmentioning

confidence: 99%

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Outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review for the development of shared decision-making resources

2017

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BackgroundDysvascular partial foot amputation (PFA) is a common sequel to advanced peripheral vascular disease. Helping inform difficult discussions between patients and practitioners about the level of PFA, or the decision to have a transtibial amputation (TTA) as an alternative, requires an understanding of the current research evidence on a wide range of topics including wound healing, reamputation, quality of life, mobility, functional ability, participation, pain and psychosocial outcomes, and mortality. The aim of this review was to describe a comprehensive range of outcomes of dysvascular PFA and compare these between levels of PFA and TTA.MethodsThe review protocol was registered in PROSPERO (CRD42015029186). A systematic search of the literature was conducted using MEDLINE, EMBASE, psychINFO, AMED, CINAHL, ProQuest Nursing and Allied Health, and Web of Science. These databases were searched using MeSH terms and keywords relating to different amputation levels and outcomes of interest. Peer reviewed studies of original research—irrespective of the study design—were included if published in English between 1 January 2000, and 31 December 2015, and included discrete cohort(s) with dysvascular PFA or PFA and TTA. Outcomes of interest were rate of wound healing and complications, rate of ipsilateral reamputation, quality of life, functional ability, mobility, pain (i.e., residual limb or phantom pain), psychosocial outcomes (i.e., depression, anxiety, body image and self-esteem), participation, and mortality rate. Included studies were independently appraised by two reviewers. The McMaster Critical Review Forms were used to assess methodological quality and identify sources of bias. Data were extracted based on the Cochrane Consumers and Communication Review Group’s data extraction template by a primary reviewer and checked for accuracy and clarity by a second reviewer. Findings are reported as narrative summaries given the heterogeneity of the literature, except for mortality and ipsilateral reamputation where data allowed for proportional meta-analyses.ResultsTwenty-nine unique articles were included in the review, acknowledging that some studies reported multiple outcomes. Eighteen studies reported all-cause proportionate mortality. A smaller number of studies reported outcomes related to functional ability (two), mobility (four), quality of life (three), ipsilateral reamputation (six) as well as wound healing and complications (four). No studies related to pain, participation or psychosocial outcomes met the inclusion criteria. Subjects were typically older and male and had diabetes among other comorbidities. More detailed information about the cohorts such as race or sociodemographic factors were reported in an ad hoc manner. Common sources of bias included contamination, co-intervention, or lack of operational definition for some outcomes (e.g., wound healing) as illustrative examples.ConclusionsAside from mortality, there was limited evidence regarding outcomes of dysvascular PFA, particularly how outc...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Outcomes of dysvascular partial foot amputation and how these compare to transtibial amputation: a systematic review for the development of shared decision-making resources

2017

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“…, Marzen‐Groller et al . , Ali et al . ) due to an uncontrolled before‐and‐after design that included mostly retrospectively collected data (Table ).…”

Section: Resultsmentioning

confidence: 99%

Systematic review describing the effect of early mobilisation after dysvascular major lower limb amputations

Madsen

Hommel

Berthelsen

et al. 2017

Journal of Clinical Nursing

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Mobilisation is a fundamental care task often missed for several reasons. Moreover, mobilisation of the newly amputated patient is complex, and knowledge of effective strategies to promote postoperative mobilisation in this vulnerable population is desired. Nurses are urged to take responsibility for this fundamental care task and to engage the necessary collaborative interdisciplinary team to develop, implement and evaluate ambitious early mobilisation interventions.

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