Échelles dˈévaluation fonctionnelle et amputation du membre inférieur

Calmels, P.; Béthoux, François; Le-Quang, B.; Chagnon, PY; Rigal, F.

doi:10.1016/s0168-6054(01)00147-7

Cited by 16 publications

(5 citation statements)

References 19 publications

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“…A lack of specific scales for amputees is reported in the literature (30). As such, we used generic scales: the total FIM score and FIM motor score (27) for functional independence, and the SF-12 survey on quality of life.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Data, Functional Outcome, and Quality of Life of Patients with Multiple Amputations Due to Septic Shock

GORNY,

KANIEWSKI,

LAVRARD

2023

Preprint

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1. Background Septic shock is a rare and serious infectious disease. Patients surviving the early phase are at high risk of multiple amputations of limbs. They are potential sources of serious disability. 2. Methods The objective was to describe the functional prognosis and quality of life of the four-limb amputee patients following septic shock. This is a descriptive, retrospective and mono-centric study. The patients included between 2010 and 2019 had septic shock after 18 years, responsible for amputation of the four limbs. We studied the mean age of septic shock, the causative organisms, the infectious door enter, the different levels of amputation, the fitting process, the resumption of walking, the Functional Independence Measure (FIM) and the SF-12 Quality of Life Questionnaire. 3. Results We suceed to include 15 patients.. 53.3% women and 46.7% men with an average age of 46.1 years. 80% presented bilateral trans-tibial amputations, all were able to return walking even over short distances, within an average of 8.4 months. 40% did not require a technical walking aid, 33.3% had no walking perimeter limitation. 47% had a higher mental and social quality of life score than the general population. The younger the patients, the better their physical quality of life. After two years of follow-up, the younger the patients, the better their functional autonomy. Patients with better functional autonomy had a better physical quality of life. 4. Conclusion The number of amputations due to spetic shock is likely to increase in the years to come throughout the world. Our study prove that quadri-amputee patient can regain a fully acceptable functional and quality of life being monitored in a specialized health center with multidisciplinary health professional to help him.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Data, Functional Outcome, and Quality of Life of Patients with Multiple Amputations Due to Septic Shock

GORNY,

KANIEWSKI,

LAVRARD

2023

Preprint

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“…13,14 This explains that 60-80% of limb amputees are fitted. 13,14 In our context, prosthesis is still a luxury, reserved only for patients who can buy it either by their own, or after petty annoyances with insurance for those who are victims of road traffic accidents involving an insured car. Tibial prostheses cost 512.1-1250.7 Euros, which means 8.4-20.5 times the value of the guaranteed minimum wage in Benin (61.0 Euros).…”

Section: Fitting Prosthesismentioning

confidence: 99%

Outcomes of lower limb amputees at Cotonou

Chigblo

Tidjani

Alagnidé

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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Background: Limb amputations are responsible for disability. We studied the outcomes of lower limb amputees in our daily practice. Methods: This prospective analytical study over 7 years (January 2009-December 2015) included 70 amputees of lower limb. They were mainly male (73%), aged on average of 42.4 AE 18.8 years. The mean time of follow-up was 3.2 AE 1.9 years. We assessed disability on balance, walking, disability in daily life for patients with prosthesis, and the socioeconomic impact of the amputation. Statistical analysis was performed with Chi 2 and Mann-Whitney tests; a p-value 0.05 was considered statistically significant. Results: The average Timed Up and Go Test was 18.5 s. Class II of Pohjolainen subjects were the most recovered (37%). The mean Houghton score in the 17 fitted patients was 6.2 AE 2.0. Socially, 90% of the patients no longer practiced leisure activities, and 4/53 patients were no longer in a couple. At the economic level, 87% of patients had a decreased monthly income. Factors that bear direct correlation to functional outcome of patients were the level of amputation, and the prosthesis fitting. Conclusion: Lower limbs amputations entail adverse consequences at the functional and socioeconomic level. Our country must review its policy on prosthetic fittings for amputees, and vote laws that involve private firms and government in socioeconomic reintegration, and empowerment of these subjects.

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“…Prosthetic Profile of the Amputee (PPA), 10 Prosthetic Evaluation Questionnaire (PEQ), 10 SAT-PRO, 10 Special Interest Group on Amputation Medicine Scale (SIGAM), 11,12 Houghton Scale, 13 Locomotor Capabilities Index (LCI), 14 Amputee Activity Survey (AAS), 15 Amputee Mobility Predictor (AMP), 15 Trinity Amputation and Prosthesis Experience Scales (TAPES), 16 Medida Funcional de Amputados (FMA). 17 Existem outros instrumentos que também são validados, mas não especificadamente para amputados, mas que tem sido utilizados em indivíduos nessa condição, tais como, Short Form-36 General Health Status Survey (SF-36), 10,18 Índice de Barthel, 10 Teste de Caminhada de 2 ou 6 minutos, 19,20 Activities-specific Balance Confidence (ABC), 9 Medida de Independênca Funcional (MIF), [21][22][23] Timed Up and Go test (TUG), 19 Short Form-12 General Health Status Survey (SF-12). 19 É muito importante que esses instrumentos de avaliação utilizados em pesquisas ou mesmo na prática clínica sejam confiáveis.…”

Section: Introductionunclassified

Validation and reliability of the Lower Limb Amputee Measurement Scale in Portuguese

2013

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A LLAMS é uma escala criada em 2007 com o objetivo de prever o tempo de permanência hospitalar de amputados de membros inferiores; é constituída de 6 domínios (médico, cognitivo, social, físico, atividades de vida diária e outros) e a versão em português da LLAMS foi criada em 2008. Objetivo: Validar a versão em português da LLAMS e avaliar sua reprodutibilidade inter e intra-avaliador. Método: A LLAMS foi aplicada em 50 amputados de membro inferior atendidos no Lar Escola São Francisco. A reprodutibilidade foi analisada por duas avaliadoras que efetuaram 3 entrevistas utilizando a LLAMS. As duas primeiras entrevistas foram realizadas no mesmo dia, sendo que a primeira entrevista foi realizada pela primeira avaliadora e a segunda entrevista foi realizada pela segunda avaliadora. Entre 7-15 dias depois, a primeira avaliadora reaplicou a LLAMS nos pacientes pela terceira vez. Além disso, foi verificada a correlação da LLAMS. Resultados: Na reprodutibilidade intra-avaliador, os domínios Médico e Social obtiveram concordância ótima; já os domínios Cognitivo, Físico, Outros e o Total da escala obtiveram concordância substancial. Na avaliação inter-avaliador, o domínio Médico obteve concordância ótima e os domínios Cognitivo, Outros e o Total da escala obtiveram concordância substancial. Na correlação entre as escalas, o domínio Cognitivo da LLAMS apresentou significante correlação com o item comunicação da MIF (p = 0,0045); após regressão linear foi observada relação inversamente proporcional entre esses itens. Os demais domínios das escalas não apresentaram correlação com a MIF e o SF-36. Conclusão: Foi realizada a validação da versão em português da Lower Limb Amputee Measurement Scale. Todos os domínios apresentaram reprodutibilidade de moderada a ótima, com exceção do domínio AVD que obteve mínima concordância na avaliação inter-avaliador. O domínio cognitivo da LLAMS apresentou correlação inversamente proporcional com o item Comunicação da MIF. Não houve correlação entre o SF-36 e a LLAMS.

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Échelles dˈévaluation fonctionnelle et amputation du membre inférieur

Cited by 16 publications

References 19 publications

Epidemiological Data, Functional Outcome, and Quality of Life of Patients with Multiple Amputations Due to Septic Shock

Epidemiological Data, Functional Outcome, and Quality of Life of Patients with Multiple Amputations Due to Septic Shock

Outcomes of lower limb amputees at Cotonou

Validation and reliability of the Lower Limb Amputee Measurement Scale in Portuguese

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