Background:A structured multidisciplinary team is very important during every phase of the amputation process and a good communicative team guarantees a greater tranquility for the patient, thanks to more homogenous information, that is already discussed between the clinicians. Aim:The aim of this study was to defi ne the effi cacy and outcome value of an innovative procedure tool (TRIA-MF protocol) in the treatment of lower limb amputees before and after prosthesis use with the purpose to quantify the quality of the procedure and its economic impact on the clinical patients' recovery.Setting: A rehabilitation institute for the treatment of neurological and orthopaedic gait disorders.Methods: 12 patients (4 women and 8 males) subjected to lower limb amputation and admitted according to the principles of inclusion criteria of the TRIA-MF protocol at the Rehabilitation Department of the Clinical Institute Città di Brescia were recruited in this study. All patients were included in an integrated and task-specifi c management protocol of the amputee, which allowed to follow the rehabilitation process from amputation to the fi nal restoration, for a period of 6 months for each patient. Patients were evaluated 5 times during the study, collecting their degree of pain (VAS), their independence profi le (Barthel Index) and the cirtometry of their amputation stump. Data on the duration of their admission to the rehabilitation unit, the inter-time between the amputation and acquisition of the temporary prosthesis, and between temporary prosthesis acquisition and the fi nal prosthesis acquisition were also reported. Results:Patients of our sample, at the end of their hospitalization, highlight a signifi cant modifi cation of the temporal data at 1 month and 6 months from their hospital discharge. A statistical signifi cant increase of the Barthel Index value was observed in all patients recruited in this study proceeding from time T0 to time T4; in the same way, a statistical signifi cant decrease of the VAS scale was observed in all patients recruited proceeding from time T0 to time T4; the cirtometry of the amputation stump (expressed in cm) showed a statistical signifi cant decrease in all patients recruited proceeding from time T0 to time T4. We haven't observed a statistical signifi cant correlation between the duration of the rehabilitative hospitalization and our clinical data; no statistical signifi cant correlation was observed between the amputation stump cirtometry time-related modifi cation and our intertime data. Conclusion:The protocol was found to be a clear and relevant tool with the defi nition of the operational profi le for each single professional fi gure involved; it could also be considered as an optimal tool for coding the management and evaluation of the effectiveness of amputee treatment, with a related high reproducibility, sensitivity and specifi city profi le. In line with the literature, the TRIA-MF protocol has allowed us not to exceed a period of hospitalization in rehabilitation units of more...
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