Mobility of people with lower limb amputations: scales and questionnaires: a review

Rommers, Gerardus M.; Vos, L. D. W.; Groothoff, Johan W.; Eisma, W.H.

doi:10.1191/026921501677990187

Cited by 66 publications

(60 citation statements)

References 31 publications

(106 reference statements)

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“…2 Outcome in rehabilitation is also influenced by psychological and cognitive wellbeing of an individual, social support, economic status and multiple prosthesis related factors. 3,4 After lower limb amputation, the main aim of the rehabilitation team is to restore mobility and optimum physical functioning of an individual. In these patients assessing physical mobility thus plays an important role.…”

Section: Introductionmentioning

confidence: 99%

“…To accurately monitor the impact of therapeutic interventions, particularly of prosthetic trials, there is a great need for simple and appropriate outcome measures of prosthetic mobility in people with lower limb amputation. 3,5,6 Quality of life is each individual's perception of his/her position in life, in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. 7 Medical interest in QOL has been stimulated because of the increase in life expectancy, better survival rates after major injuries and a zest to provide near normal life to trauma survivors.…”

Section: Introductionmentioning

confidence: 99%

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Correlation of ambulation potential with quality of life in lower limb amputees

Agrawal

Kalra

Joshi

2017

Int J Community Med Public Health

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Background: To identify the effect of walking ability on quality of life in lower limb amputees and draw a correlation between prosthesis use, socio economic status and quality of life. It was an Observational Cross sectional study.Methods: Lower limb amputees excluding hip disarticulation and bilateral lower limb amputation, individuals above eighteen years of age who attended rehabilitation research centre outpatient door were interviewed. Structured questionnaire including patient background, amputation characteristics and details regarding prosthesis, was administered along with detailed musculoskeletal examination. Outcome variables: Locomotor capability index (LCI) and timed up and go test (TUG) were used for ambulation potential and Short form 36 (SF 36) for quality of life.Results: Significant correlation was observed between mental health short form 36 score and locomotor capability index (basic and advanced). Poor negative correlation of SF 36 score was observed with age (r=-0.125, p=0.006S). Significant correlation was observed between Physical Health Short Form 36 score and locomotor capability index (basic and advanced), and this correlation was higher and more significant. Poor negative correlation of SF 36 score was observed with age (r=-0.203, p<0.001S).Conclusions: Ability to ambulate is an independent factor that has a positive correlation with quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlation of ambulation potential with quality of life in lower limb amputees

Agrawal

Kalra

Joshi

2017

Int J Community Med Public Health

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“…To accurately examine the impact of therapeutic interventions, in particular of prosthetic treatments, psychometrically sound outcome measures of mobility are needed (Rommers et al 2001). In LLA patients, self-report measures can be very useful because they allow a mailing-based follow-up (Legro et al 1998;Miller et al 2001;Ferriero et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Rasch analysis of the Locomotor Capabilities Index-5 in people with lower limb amputation

Franchignoni

Giordano

Ferriero³

et al. 2007

Prosthetics &Amp; Orthotics International

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The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA) in the previous five years and completed a rehabilitation and prosthetic training programme. A total of 123 persons (85%) responded to the questionnaire, a self-report assessment of prosthetic capability and performance which included the LCI-5, the Mobility Section of the Prosthesis Evaluation Questionnaire (PEQ-MS) and other variables associated to prosthetic wear and use. Following Rasch analysis and expert review, the LCI-5 response categories level 1 ('yes, if someone helps me') and 2 ('yes, if someone is near me') were combined into a single category and 4 items were deleted (due to misfitting). The remaining 10 items fitted the Rasch model (LCI10-4) and demonstrated good reliability (person separation reliability ¼ 0.94, item separation reliability ¼ 0.98) and internal construct validity. Moreover, the good correlation with the PEQ-MS (r s ¼ 0.77) and with prosthetic wear and use (r s range 0.34 -0.51) supported the convergent validity of the scale. In conclusion, Rasch analysis provided the rationale for improving the measurement qualities of the LCI-5, refining its rating scale (through category diagnostics), identifying those items most useful for measuring the intended construct (as per the indexes of unidimensionality and internal construct validity) and showing that one can place high confidence in the consistency of both the person-ability and item-difficulty estimates obtained (reliability).

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“…Information concerning rehabilitation progress, prosthesis comfort, and amputee motivation could be gained if free-living use of the prosthesis could be quantified. Although questionnaires provide useful data [5][6][7], the information obtained is subjective.…”

Section: Introductionmentioning

confidence: 99%

Validity of method to quantify transtibial amputees free-living prosthetic wearing times and physical activity levels when using suction suspension sockets

Tang¹,

Spence²,

Maxwell³

et al. 2012

JRRD

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Abstract-Prostheses are prescribed to restore the mobility of people with amputated lower limbs. Monitoring the prosthesis wearing times and physical activity of prosthesis users would provide invaluable information regarding rehabilitation progress and suitability of the prosthesis. The validation of a method to determine wearing times and physical activity state, as well as strides taken, of amputees wearing suction suspension sockets is reported. Eight participants with transtibial amputation were fitted with custom-made suction sockets. Analysis algorithms were used to automatically characterize physical activity based on the pressure at the socket's relief valve. The algorithms were validated in a laboratory-based protocol that included walking, stair climbing, standing, sitting, donning, and doffing. Intraclass correlation coefficient (2,1) values of >0.98 were achieved with mean differences of -2.0%, 0.3%, 1.3%, and 0.7% for agreement between "off," "static," and "dynamic" times and stride count, respectively, as determined by the analysis algorithms and a concurrent video analysis. This study demonstrates that an interpretation of the pressure at the pressure-relief valve of suction suspension sockets can be used to determine wearing times and activity state.

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Mobility of people with lower limb amputations: scales and questionnaires: a review

Cited by 66 publications

References 31 publications

Correlation of ambulation potential with quality of life in lower limb amputees

Correlation of ambulation potential with quality of life in lower limb amputees

Rasch analysis of the Locomotor Capabilities Index-5 in people with lower limb amputation

Validity of method to quantify transtibial amputees free-living prosthetic wearing times and physical activity levels when using suction suspension sockets

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