Routing through the health care system and level of functioning of lower limb amputees

Uiterwijk, A. E. M.; Remerie, Sylvia; Rol, Mathilde; Sier, J. C.; Stam, Hendrik J.; Terburg, Martinus

doi:10.1177/026921559701100310

Cited by 10 publications

(6 citation statements)

References 20 publications

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“…No subjects had a tibial length longer than 15 cm. In our study, the distribution of participants by age, sex, and prevalence of diabetes mellitus was similar to that in other studies [13][14][15].…”

Section: Data Analysessupporting

confidence: 89%

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

Arwert¹,

Doorn-Loogman²,

Koning³

et al. 2007

JRRD

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Abstract-This study identified which residual-limb quality factors are related to functional mobility 1 year after transtibial (TT) amputation. A group of 28 TT amputees were evaluated with respect to their functional mobility (Prosthesis Evaluation Questionnaire [PEQ], Locomotor Index, Timed Up and Go test). The general (Chakrabarty score) and bony (tibial length, relative fibular length) residual-limb quality factors were assessed. An increase in general residual-limb quality (Chakrabarty >60) was correlated with greater functional mobility in one of the outcome measures (PEQ). For bony residual-limb quality, a tibial length of 12-15 cm distal from the knee joint line was correlated with greater functional outcome for all three outcome measures and the relative fibular length was not correlated with functional mobility for any of the outcome measures. This study showed that specific aspects of residuallimb quality are related to increased functional mobility. The amputation technique and resulting residual-limb factors may be important for patients to achieve functional prosthetic use.

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Section: Data Analysessupporting

confidence: 89%

“…A relevant number of patients (n = 28) died, as could be expected [13][14][15]. Four patients could not be traced because of incorrect addresses.…”

Section: Patientsmentioning

confidence: 95%

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

Arwert¹,

Doorn-Loogman²,

Koning³

et al. 2007

JRRD

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show abstract

“…Other issues involved in physical adjustment include levels of functional ability (e.g. Pohjolainen, Alaranta, and Karkkainen, 1990;Uiterwijk et al, 1997), stump pain (i.e. pain in the remaining part of the limb; e.g.…”

mentioning

confidence: 99%

Adjustment to an Artificial Limb: A Qualitative Perspective

Gallagher¹,

2001

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The purpose of this study was to identify factors considered to be important in the adjustment to amputation and the wearing of a prosthetic limb from the perspective of the person who has had a lower limb amputation. Hence, focus group methodology was employed as a means of acquiring perspectives within a population of young adults who had a lower limb amputation. Preliminary thematic analysis revealed that factors such as self-image, social, physical and practical concerns, the meaning attributed to and the acceptance of the amputation and support among others were important in the adjustment process. These findings have substantial implications for directing future research.

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“…This could be compared to an in-hospital stay of 28 days after amputation at all levels of the lower limb, where discharge destinations were as follows: 23% own homes, 42% rehabilitation centres, 32% nursing homes and 3% psychiatric institutions (12). In another recent study, 23% of the patients were discharged to their own homes, and the rest went to rehabilitation centres and nursing homes (8).…”

Section: Introductionmentioning

confidence: 99%

Early Planning of Care and Rehabilitation after Amputation for Vascular Disease by Means of Katz Index of Activities of Daily Living

Hermodsson¹,

Ekdahl²

1999

Scandinavian Journal of Caring Sciences

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The aim of the study was to investigate whether the Swedish version of the Katz Index of ADL (Activities of Daily Living), on days 5-7 after amputation for vascular disease, had predictive value regarding length of hospital stay, discharge to the patient's own home or death within 1 month. Patients who had recently undergone primary unilateral trans-tibial amputation, living in their own homes before the amputation, were included. Fifty-two patients with a median age of 78 years (60-92) were assessed with the Katz Index of ADL. Results revealed that of the 10 (20%) patients discharged to their own homes within 1 month, only 2 belonged to grades A-C, that is, were independent in the majority of functions in personal ADL. Within 6 months 62% were discharged to their own homes. Eighty-four percent of the patients in grades D-G, i.e. most dependent on others, were still at the hospital or dead 1 month post-operatively. All the patients who belonged to grades A-F survived the first month post-operatively. The Katz Index of ADL had predictive value regarding early outcome in terms of length of hospital stay, discharge to the patient's own home or death within 1 month, and positive predictive value regarding survival the first month post-operatively.

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Routing through the health care system and level of functioning of lower limb amputees

Cited by 10 publications

References 20 publications

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

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

Adjustment to an Artificial Limb: A Qualitative Perspective

Early Planning of Care and Rehabilitation after Amputation for Vascular Disease by Means of Katz Index of Activities of Daily Living

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