Traumatic quadruple amputee rehabilitation: from amputation to prosthetic functionality: a case report

Cuevas, Pol Monné; Correa, Andrea Borrás; Fortuny, Eloïna Vidal; Vela, Maria Ángeles Diaz; Sanz, Jordi Calvo

doi:10.1080/17483107.2019.1644675

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The results from the current study showed a large bias toward recruiting males in research in this area. The reported 26.4% of female lower limb prosthesis users participating in studies was lower than what has been reported in a highly regarded national amputation registry (SwedeAmp; 39%), 234 as well as in previous research (34.5%–38.4%) such as Claessen et al 235 and Ziegler-Graham et al 236 The present authors think it is noteworthy that, of the (n = 161) articles reporting characteristics on sex in the balance articles in Supplemental Table (Supplemental Digital Content 2, http://links.lww.com/POI/A170) 12-14,19-23,25,26,28,29,31-42,44,45,47,48,50-56,58,59,62-69,71-75,77-85,88-90,92,94-102,105-120,122-136,138,140-153,155,157-165,167-179,181-184,186-198,230,231 and the (n = 62) articles of balance confidence, 4,6,8,14,44,71,78,81,83,94,134,138,143,145,147,148,150,151,153,155,157,159,163,165,172,175-178,183,193,196,199-203,205-209,211-229 29.2% and 19.4% respectively, included male sex exclusively. There were only (n = 2) studies with female participants, one balance article 231 and one balance confidence article.…”

Section: Discussioncontrasting

confidence: 51%

“…Looking at the protocols and tests, the most commonly found was the Berg Balance Scale, or selected items of the Berg Balance Scale (Figure 2). 14,31,73,80-82,93,94,103,107,118-120,138-140,144,147-168 Timed Up and Go 76,107,117,144,145,148,149,151,162,163,165,169-180 and Limits of Stability tests 12,13,20,25,30,37,42,46,47,59,71,72,74,83,84,89 were common (Figure 2). One leg stance test appeared with various names in about some studies.…”

Section: Resultsmentioning

confidence: 99%

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Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

Johansson

Jensen

Barnett

et al. 2023

Prosthetics &Amp; Orthotics International

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Problems with balance, postural control, and fear of falling are highly prevalent in lower limb prosthesis users, with much research conducted to understand these issues. The variety of tools used to assess these concepts presents a challenge when interpreting research outcomes. This systematic review aimed to provide a synthesis of quantifiable methods used in the evaluation of balance, postural control, and fear of falling in lower limb prosthesis users with an amputation level at or proximal to the ankle joint. A systematic search was conducted in CINAHL, Medline, AMED, Cochrane, AgeLine, Scopus, Web of Science, Proquest, PsycINFO, PsycArticles, and PubPsych databases followed by additional manual searching via reference lists in the reviewed articles databases. Included articles used quantitative measure of balance or postural control as one of the dependent variables, lower limb prosthesis users as a sample group, and were published in a peer-reviewed journal in English. Relevant assessment questions were created by the investigators to rate the assessment methods used in the individual studies. Descriptive and summary statistics are used to synthesize the results. The search yielded (n 5 187) articles assessing balance or postural control (n 5 5487 persons in total) and (n 5 66) articles assessing fear of falling or balance confidence (n 5 7325 persons in total). The most used test to measure balance was the Berg Balance Scale and the most used test to measure fear of falling was the Activities-specific Balance Confidence scale. A large number of studies did not present if the chosen methods were valid and reliable for the lower limb prosthesis users. Among study limitations, small sample size was common.

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Section: Discussioncontrasting

confidence: 51%

Section: Resultsmentioning

confidence: 99%

Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

Johansson

Jensen

Barnett

et al. 2023

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

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Art Therapy and Narrative Therapy Interventions for Pain Management: A Case Study with a Post-Quadruple Amputation Oncology Patient

Glinzak,

Palmer,

Portz

et al. 2024

Journal of Palliative Medicine

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Rehabilitation of a quadruple amputee with leukemia: A challenging endeavor

Athani,

Pillai,

Prasad J

et al. 2024

Prosthetics &Amp; Orthotics International

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Making a person with quadruple amputation walk again is a challenging task for the rehabilitation team. Quadruple amputation secondary to symmetrical peripheral gangrene is a rare clinical scenario posing challenges in rehabilitation. Literature regarding rehabilitation of persons with multiple amputations is limited. This case describes the rehabilitation of a 57-year-old lady suffering from acute myeloid leukaemia who underwent quadruple amputation. She had undergone bilateral transtibial and bilateral transradial amputation after vasopressor-induced symmetrical peripheral gangrene. In view of expected guarded level of functional independence, ambulatory independence was the primary goal at admission to Department of PMR. The various steps taken in rehabilitation and modifications made to assistive devices are described in this article. Challenges faced during various phases of training, and subsequent ambulation are detailed in this article. Overcoming limitations, the client was made to be an indoor ambulator with appropriate prostheses and mobility aids. She was partially independent for activities of daily life after in-patient rehabilitation. The background of leukaemia and subsequent chemotherapy also affected the rehabilitation of this patient. Although various studies have described cases of quadruple amputation rehabilitation achieving functional independence and ambulation, the absence of specific guidelines and protocols make rehabilitation of persons with multiple amputations inefficient. This case study also shows the need for personalized goal setting for persons with multiple amputations. Realistic goal setting, psychological counselling, and an interdisciplinary approach are imperative in rehabilitation of persons with quadruple amputation. Flexible functional scales specific to persons with multiple amputations are necessary to evaluate such persons objectively. Studies with larger sample size, longer follow-ups, and comprehensive review of existing literature are needed to standardize rehabilitation of quadruple amputation and evaluate the various factors that may affect rehabilitation outcome.

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Traumatic quadruple amputee rehabilitation: from amputation to prosthetic functionality: a case report

Cited by 3 publications

References 27 publications

Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

Art Therapy and Narrative Therapy Interventions for Pain Management: A Case Study with a Post-Quadruple Amputation Oncology Patient

Rehabilitation of a quadruple amputee with leukemia: A challenging endeavor

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