Residual-limb quality and functional mobility 1 year after transtibial amputation caused by vascular insufficiency

Arwert, Henk J.; Doorn-Loogman, Mirjarn H. van; Koning, Jan de; Terburg, Martinus; Rol, Mathilde; Roebroeck, Marij E.

doi:10.1682/jrrd.2006.05.0047

Cited by 25 publications

(19 citation statements)

References 15 publications

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“…A tibial length of 12 to 15 cm from the knee joint line correlated with a better functional outcome than shorter tibial lengths. Surgical technique and attention to the residual limb length ensures a more likely good functional outcome after TTA (29). In a high quality article, Suckow et al reported TTA and transfemoral amputee (TFA) patients were equally likely to ambulate independently or with assistance (within groups) at hospital discharge.…”

Section: Discussionmentioning

confidence: 99%

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Highsmith²,

et al. 2016

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There is not a clear clinical recommendation for the determination of prosthetic candidacy. Guidelines do not delineate which member(s) of the multidisciplinary team are responsible for prosthetic candidacy decisions and which factors will best predict a positive outcome. Also not clearly addressed is a patient-centered decision-making role. In a previous systematic review (SR), Sansam et al. reported on the prediction of walking ability following lower limb amputation using literature up to 2007. The search strategy was designed from the previous Sansam SR as an update of previously valuable predictive factors of prosthetic candidacy. An electronic literature search was executed from August 8, 2007, to December 31, 2015, using MEDLINE (Pubmed), Embase, The Cumulative Index to Nursing and Allied Health Literature (CINAHL) (Ovid), and Cochrane. A total of 319 studies were identified through the electronic search. Of these, 298 were eliminated, leaving a total of 21 for full evaluation. Conclusions from this updated study are drawn from a total recruited sample (n) of 15,207 subjects. A total of 12,410 subjects completed the respective studies (18% attrition). This updated study increases the size of the original Sansam et al. report by including 137% more subjects for a total of 21,490 between the two articles Etiology, physical fitness, pre-amputation living status, amputation level, age, physical fitness, and comorbidities are included as moderate to strongly supported predictive factors of prosthetic candidacy. These factors are supported in an earlier literature review and should be strongly considered in a complete history and physical examination by a multidisciplinary team. Predictive factors should be part of the patient’s healthcare record.

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Section: Discussionmentioning

confidence: 99%

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Highsmith²,

et al. 2016

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“…Past findings suggest that ambulation ability in amputees was positively influenced by a greater number of years since amputation, but negatively influenced by age. 22 Furthermore, Arwert et al 23 reported that residual limb length is of significant influence in ambulatory activity in amputees. Thus, in this study, we hypothesize that (1) SAI during stair ascent in TFAs will be correlated with both age (negatively) and time since amputation (positively) and (2) SAI will be positively correlated with residual limb length.…”

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confidence: 99%

Factors affecting stair-ascent patterns in unilateral transfemoral amputees

Hobara¹,

Kobayashi

Tominaga

et al. 2013

Prosthetics &Amp; Orthotics International

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Background:Patterns and ease of stair ambulation influence amputees’ level of satisfaction with their rehabilitation, confidence level, and motivation for continued rehabilitation, demonstrating the importance of stair-ascent data for rehabilitation. However, little is known about the determinants of stair-ascent patterns in unilateral transfemoral amputees.Objectives:To investigate the factors affecting stair-ascent patterns in transfemoral amputees.Study Design:Cross-sectional survey.Methods:Stair-ascent patterns were evaluated using the Stair Assessment Index. We collected Stair Assessment Index data as well as demographic and clinical data (sex, age, height, mass, amputation side, reason for amputation, time since amputation, and residual limb length) from 25 transfemoral amputees.Results:Statistical analyses revealed that age was negatively correlated and time since amputation was positively correlated with Stair Assessment Index. In contrast, height, body mass, and residual limb lengths were not correlated with Stair Assessment Index.Conclusion:The results of this study suggest that in unilateral transfemoral amputee, (1) both age and time since amputation could affect stair-climbing patterns and (2) residual limb length should not be a limiting factor for stair climbing if the transfemoral amputee has a certain minimum residual limb length.Clinical relevanceRehabilitation teams should carefully consider nonmodifiable predisposing factors such as age and time since amputation. However, they may be able to carry on stair-ascent rehabilitation for transfemoral amputees disregarding residual limb length (depending on the length).

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“…After any type of amputation, the physician will usually propose the idea of a prosthesis; however, to achieve a good functional outcome, the work of the professionals, including those providing psychological support, must be well-coordinated and managed appropriately. In addition, patients receiving a prosthesis must be carefully selected [12].…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

Benavent

Tenías

Pellin

et al. 2020

IJERPH

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Background: To identify the sociodemographic variables independently related to the different dimensions of the Prosthesis Evaluation Questionnaire (PEQ). Methods: An observational, cross-sectional study was conducted, with a sample of 61 Spanish vascular amputees (Valencia, Spain). Included in this study are the results of the PEQ and explanatory-sociodemographic variables, as well as a descriptive and analytic analysis. Results: Gender differences were observed in “appearance” and “perception of appearance” (significantly higher levels for men). Older patients tended to have worse scores in “utility”, “frustration”, “social burden” and “deambulation”. More favorable scores were obtained for those residing in rural areas in “social burden” and “deambulation”. Educational level had a positive correlation with scores. Conclusion: Gender, age, place of residence, and educational level could be considered determinants of the quality of health related to prosthesis adaptation in vascular amputees. Clinical relevance: Knowing the influential variables in the process of prosthetization will allow better adaptation and an improvement in the quality of life.

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Residual-limb quality and functional mobility 1 year after transtibial amputation caused by vascular insufficiency

Cited by 25 publications

References 15 publications

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Factors affecting stair-ascent patterns in unilateral transfemoral amputees

Sociodemographic Determinants for the Health-Related Quality of Life of Patients with Vascular Amputations as Determined with the Prosthesis Evaluation Questionnaire

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