The reference research of exercise therapy of residual limb in post-operative of lower limb amputation

Author(s):  
Xiaoyu Zhang ◽  
Qidong Liu ◽  
Chunjing Tao ◽  
Huiru Gu
2021 ◽  
Author(s):  
Terezka S. Mollee ◽  
Pieter U. Dijkstra ◽  
Rienk Dekker ◽  
Jan H.B. Geertzen

Abstract Background: A lower limb amputation can lead to weight gain and obesity. However, data regarding the prevalence of obesity in the Dutch population with a lower limb amputation are lacking. Furthermore, the impact of obesity on skin problems of the residual limb and the need of prosthetic repairs is unknown. The aim of this study was to determine the prevalence of obesity in Dutch persons with a lower limb amputation and to investigate the relationship between body weight, body mass index and skin problems of the residual limb and the frequency of prosthetic repairs. Methods: A survey was performed among adults with a unilateral lower limb amputation due to any cause, and who are user of a prosthesis. The survey consisted of measurement of the subjects’ body height and weight, a questionnaire which assessed self-reported skin problems in the previous month and factors potentially associated with these skin problems, and assessment of the frequency of visits to the orthopedic workshop. Results: In total, 413 persons were enrolled. Of them, 39% (95% confidence interval 35%−44%) was overweight and 28% (95% confidence interval 24%−33%) was obese. A total of 77% (95% confidence interval 73%−81%) reported one or more skin problems in the past month. Body weight and body mass index were neither associated with the presence of skin problems in general nor with the number of prosthetic repairs. Persons with severe skin problems had a slightly lower body mass index (26.6 kg/m2 vs. 28.0 kg/m2, p = 0.012). Persons with skin problems were younger than those without (difference in means 6.0 years (95% confidence interval 3.0−8.9)). Conclusion: Our findings show that obesity is common in the ambulant population with a lower limb amputation, with a prevalence being higher than in the general Dutch adult population. However, its negative impact on the presence of skin problems and the frequency of prosthetic repairs may be limited.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Terezka S. Mollee ◽  
Pieter U. Dijkstra ◽  
Rienk Dekker ◽  
Jan H.B. Geertzen

Abstract Background Obesity is common in persons with a lower limb amputation, an amputation can also lead to further weight gain. Data regarding the prevalence of obesity in the Dutch population with a lower limb amputation are lacking. Furthermore, the impact of obesity on skin problems of the residual limb and the need of prosthetic repairs is unknown. The aim of this study was to determine the prevalence of obesity in Dutch persons with a lower limb amputation and to investigate the relationship between body weight, body mass index and skin problems of the residual limb and the frequency of prosthetic repairs. Methods A survey was performed among adults with a unilateral lower limb amputation due to any cause, and who are user of a prosthesis. The survey consisted of measurement of the subjects’ body height and weight, a questionnaire which assessed self-reported skin problems in the previous month and factors potentially associated with these skin problems, and assessment of the frequency of visits to the orthopedic workshop. Results In total, 413 persons were enrolled. Of them, 39% (95 % confidence interval 35;44) were overweight and 28% (95% confidence interval 24;33) were obese. A total of 77% (95% confidence interval 73;81) reported one or more skin problems in the past month. Body weight and body mass index were neither associated with the presence of skin problems in general nor with the number of prosthetic repairs. Persons with severe skin problems had a slightly lower body mass index (26.6 kg/m2 vs. 28.0 kg/m2, p = 0.012). Persons with skin problems were younger than those without (difference in means 6.0 years (95% confidence interval 3.0;8.9)). Conclusions Our findings show that obesity is common in the Dutch ambulant population with a lower limb amputation, with a prevalence being higher than in the general Dutch adult population. However, its negative impact on the presence of skin problems and the frequency of prosthetic repairs may be limited.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kevin Döring ◽  
Carmen Trost ◽  
Christoph Hofer ◽  
Martin Salzer ◽  
Tryphon Kelaridis ◽  
...  

2017 ◽  
Vol 6 (7) ◽  
pp. 225-232 ◽  
Author(s):  
Cameron L. Rink ◽  
Matthew M. Wernke ◽  
Heather M. Powell ◽  
Mark Tornero ◽  
Surya C. Gnyawali ◽  
...  

2021 ◽  
Vol 14 (7) ◽  
pp. e239650
Author(s):  
Christos Karatzios ◽  
Francois Luthi ◽  
Guillaume Muff ◽  
Charles Benaim

We present the unusual case of complex regional pain syndrome (CRPS) of the residual limb in a 54-year-old woman with transtibial lower-limb amputation. Intractable pain developed 14 months after amputation, followed by successful rehabilitation. Anamnesis and clinical findings included sensory symptoms, vasomotor symptoms and signs, and oedema. The Budapest criteria for a diagnosis of CRPS were met. After infusions of bisphosphonates during a 5-week inpatient interdisciplinary rehabilitation programme, the pain decreased. Clinicians should suspect CRPS in case of chronic or recurrent residual limb pain. The Budapest criteria seem applicable even if interpretation of symptoms and findings can be complicated in vascular polymorbid lower-limb amputation. Bisphosphonates, proposed as first-line pharmacological treatment, can be useful.


2019 ◽  
Vol 29 (1) ◽  
pp. 33075
Author(s):  
Aline Beatriz Córdova De Souza ◽  
Lisiane Piazza Luza ◽  
Greicy Kelly Wosniak Pires ◽  
Elizandra Gonçalves Ferreira ◽  
Sara Maria Soffiatti Dias ◽  
...  

AIMS: Evaluate satisfaction and adjustment to the prosthesis of individuals with lower limb amputation.METHODS: Participants were 24 patients with lower limb amputation with 46,1±17,5 years and using the prosthesis for 10,8±8,7 years. A card was used to characterize the individuals and the Prosthesis Evaluation Questionnaire (PEQ) to evaluate satisfaction and adjustment to the prosthesis. Data were collected from institutions that serving amputees in the states of Rio Grande do Sul and Santa Catarina and analyzed by descriptive and inferential statistics at a 5% significance level.RESULTS: There was no significant difference in the results of the PEQ between individuals when compared to the level of amputation and time using the prosthesis. Regarding the scores between groups with vascular and traumatic amputation, was a significant difference in residual limb health subscale, with higher scores and consequently better health of the residual limb in amputees with vascular causes, besides better higher scores on the scale of satisfaction in these individuals.CONCLUSIONS: It was concluded that patients with a vascular cause of amputation are more satisfied with their prosthesis, with the way they walk and how things are from amputation and also have better health of the residual limb in relation to individuals with traumatic amputation. However, the level and time of amputation do not seem to influence the satisfaction and adjustment of the prosthesis.


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