scholarly journals A five-year audit of lower limb amputations below the knee and rehabilitation outcomes: the Durban experience

2019 ◽  
Vol 24 (2) ◽  
pp. 41-45
Author(s):  
P Manickum ◽  
SS Ramklass ◽  
TE Madiba
Keyword(s):  
Lower Limb ◽  
Rehabilitation Outcomes ◽  
Below The Knee

Mobility, prosthesis use and health-related quality of life of bilateral lower limb amputees from the 2008 Sichuan earthquake

2018 ◽  
Vol 43 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Wing Sum Li ◽  
Sze Ying Chan ◽  
Wai Wang Chau ◽  
Sheung-wai Law ◽  
Kai Ming Chan
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Sichuan Earthquake ◽  
Factors Associated ◽  
Rehabilitation Outcomes ◽  
Related Quality ◽  
Health Related ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

Background: The 2008 Sichuan Earthquake resulted in many amputees, yet due to the rare incidence, few studies have explored the rehabilitation outcomes and quality of life of bilateral lower limb amputees after major natural disasters. Objectives: To evaluate rehabilitation outcomes of 17 young and adult bilateral lower limb amputees under the StandTall rehabilitation programme and to identify factors associated with successful functional recovery of bilateral amputees after large-scale disasters. Study Design: Cross-sectional study. Methods: Mobility (amputee mobility predictor), prosthesis use (Houghton Scale) and health-related quality of life (Trinity Amputation and Prosthesis Experience Scale, Short Form 12) were evaluated through questionnaires and performance-based assessments. Means of scores were compared using T-tests. Results: Subjects with bilateral through-knee or transtibial amputations had less activity restriction ( p < 0.01) and higher mobility ( p = 0.03). Subjects using prostheses more than 50% waking time had better general adjustment ( p = 0.02) and less functional restriction ( p = 0.01). Exercise and education were associated with higher mobility ( p = 0.06) and mental quality of life, respectively ( p = 0.09). Conclusions: Amputation level and knee joint salvage, prosthesis use, exercise and education were associated with better rehabilitation outcomes including ambulation, adjustment and quality of life in bilateral lower limb amputees from the 2008 Sichuan Earthquake. Clinical relevance The study examined a unique group of traumatic bilateral lower limb amputees who were young and healthy before having traumatic amputations from a single episode of natural disaster. The factors associated with better functional recovery after the earthquake were investigated and may support future development of post-disaster rehabilitation strategies for bilateral lower limb amputees.

scholarly journals Avaliação postural de sujeitos com amputação de membro inferior

2019 ◽  
Vol 29 (1) ◽  
pp. 33103
Author(s):  
Viviane Leite ◽  
Lisiane Piazza Luza ◽  
Sara Maria Soffiatti Dias ◽  
Thamara Caviquioni ◽  
Ediane Roberge Fernandes Zampirolo ◽  
...  
Keyword(s):  
Lower Limb ◽  
T Test ◽  
Limb Amputation ◽  
Postural Asymmetry ◽  
Significance Level ◽  
Below The Knee ◽  
Significant Difference ◽  
Ankle Angle ◽  
The Right ◽  
Left Scapula

AIMS: To evaluate the posture of subjects with lower limb amputee.METHODS: Ten subjects participated in the study, males, with 38,2 ± 8,2 years, with unilateral lower limb amputation and prosthesis users. For the postural evaluation, the Postural Evaluation Software (SAPO) was used, and the images were evaluated according to the software protocol. Data were analyzed through descriptive and inferential statistics (independent t test), with a significance level of p ≤ 0,05.RESULTS: The main alterations observed were: rearfoot valgus enlargement, flexed ankle, head tilted to the right and trunk in flexion. When compared the posture according to time of amputation, was observed a statistically significant difference in the horizontal asymmetry of scapula in relation to T3 (p = 0,004), being that subjects with amputation time of up to six years presented the left scapula higher than the right one (-5,28 ± 8,16°) and those with more than six years of amputation had the right upper right scapula (19,42 ± 11°). In the comparison between amputation levels, there was a statistically significant difference in the ankle angle (p = 0,008), with subjects with amputation below the knee presenting greater ankle flexion (81,97 ± 1,72°) than those with amputation at the level of the knee and above this (87,30 ± 2,65°).CONCLUSIONS: The findings of the present study demonstrate that all the evaluated subjects presented some postural alteration, however, it cannot be affirmed that the postural asymmetry of these is due to the amputation.

Morphological Study of the Valvular Distribution in the Long Saphenous Vein

1994 ◽  
Vol 9 (2) ◽  
pp. 59-62 ◽  
Author(s):  
F. Ortega ◽  
L. Sarmiento ◽  
B. Mompeo ◽  
A. Centol ◽  
A. Nicolaides ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Saphenous Vein ◽  
Lower Limb ◽  
Morphological Study ◽  
Venous Disease ◽  
Gran Canaria ◽  
Anatomical Dissection ◽  
Long Saphenous Vein ◽  
Below The Knee ◽  
Academic Vascular Surgery

Objective: To measure the distribution of valves in the long saphenous vein. Design: Morphological study of the intervalvular distance of the long saphenous vein. Setting: Department of Morfología, Facultad de Ciencias de la Salud (Universidad de Las Palmas de Gran Canaria, Spain) and Academic Vascular Surgery Unit, St Mary's Hospital, London, UK. Material: Twenty lower extremities from adult cadavers with no evidence of lower limb venous disease. Methods: Anatomical dissection of the long saphenous vein, with accurate measurement of valve distribution. Results: There were on average 8.7 valves in the long saphenous vein, with 6.3 above the knee and 2.4 below the knee. Conclusion: Contrary to classical anatomical texts on this subject there are more valves in the long saphenous vein in the thigh than in the calf.

Poster 199 Rehabilitation Outcomes Following Lower Limb Amputation in a Level 1 Trauma Center

PM&R ◽  
2015 ◽  
Vol 7 ◽  
pp. S157-S157
Author(s):  
Mark F. Megerian na ◽  
Richard D. Wilson ◽  
Lynne R. Sheffler
Keyword(s):  
Lower Limb ◽  
Trauma Center ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Rehabilitation Outcomes ◽  
Level 1 ◽  
Level 1 Trauma Center

scholarly journals AN ALTERNATE MODALITY OF STRIPPING OF VARICOSE VEINS

2021 ◽  
Vol 9 (06) ◽  
pp. 735-738
Author(s):  
Khulem Stellone Singh ◽  
Midhun Chowdary Kothari ◽  
Shilpa Patankar ◽  
Pankaj Bansode
Keyword(s):  
Risk Factors ◽  
Clinical Examination ◽  
Lower Limb ◽  
Clinical Condition ◽  
Varicose Veins ◽  
Systemic Disease ◽  
Abdominal Pressure ◽  
Prolonged Standing ◽  
Below The Knee ◽  
Left Lower Limb

Varicose veins are very common clinical condition characterised by permanently dilated torturous elongated veins in the leg which is due to incompetence of valves. Risk factors being heredity, occupations of prolong standing, immobility, raised intra abdominal pressure, raised progesterone level, altered oestrogen-progesterone ratio etc. A 27 years old patient with no h/o any systemic disease or co morbidities came with complaints of dilated, tortuous veins in the left lower limb extending from mid-thigh to ankle region since 2 months. Since 1 month the patient was having dull aching pain over the left lower limb on walking and prolonged standing. A thorough clinical examination was done with findings of incompetent Sapheno-femoral junction(SFJ) and perforator incompetence of the left lower limb. A venous Doppler of the left lower limb revealed SFJ dilated and incompetent and Incompetent perforators along the GSV 5 cm below the knee. Following all routine preoperative work-ups, patient was posted for surgery. After ligating all the tributarirs of GSV, while checking the metallic stripper, it snapped in between and was not in a useable condition and there was no other metallic stripper in the OT. Decision had to be taken for an alternative the GSV was sucessfully stripped using a 14F Neltons catheter. Thus as an alternative to metallic stripper, a Neltons catheter can also be used for stripping varicose veins.

scholarly journals An audit of amputation levels in patients referred for prosthetic rehabilitation

1990 ◽  
Vol 14 (2) ◽  
pp. 67-70 ◽  
Author(s):  
N. C. M. Fyfe
Keyword(s):  
Lower Limb ◽  
Current Practice ◽  
Prosthetic Rehabilitation ◽  
Below The Knee ◽  
The United Kingdom ◽  
Surgical Units ◽  
District Hospitals ◽  
The Uk ◽  
First Time ◽  
Underlying Pathology

Most lower limb amputations in the United Kingdom (UK) are carried out within general surgical, orthopaedic and plastic surgical units of district hospitals. This study of patients referred for rehabilitation was undertaken to determine the number and specialty interests of surgeons referring amputees, the numbers referred by each and, as one of several possible measures of appropriateness for rehabilitation, the amputation levels in patients referred for the first time to one sub-regional Disablement Services (limb fitting) Centre (DSC) over a 14 month period. Thirty nine surgeons, referred 263 amputees. The majority (61%) of surgeons referred 5 or fewer: a nucleus of 11 vascular surgeons (28%) referred 64% of the patients. The underlying pathology, speciality interest of the surgeon or numbers referred by individual surgeons had no relation to final healed level which was below the knee in 55% of cases compared to national figures for all other DSC's ranging between 39% and 48% below-knee between 1981 and 1988. Since current practice in the UK is to refer all but the frailest patients for consideration of prosthetic rehabilitation, this study suggests that, nationally, more patients could be suited for the functionally superior below-knee level of amputation than are currently benefiting from it.

Active Component Lower Limb Prosthetic Device Research: Concept and Design

2007 ◽  
Author(s):  
Javier O. Mattos ◽  
Evan D. Kane ◽  
Philip A. Voglewede
Keyword(s):  
Lower Limb ◽  
Power Input ◽  
Production Costs ◽  
Metabolic Energy ◽  
Prosthetic Device ◽  
Prosthetic Foot ◽  
Below The Knee ◽  
Cost Constraints ◽  
Full Production ◽  
Order Of Magnitude

This paper presents a possible prosthetic solution to excessive metabolic energy expended by transtibial (below the knee) amputees. This solution uses a four bar mechanism in conjunction with a spring, a motor, and a prosthetic foot as a lower limb prosthetic device. An optimization was previously performed on the mechanism parameters to mimic human ankle moments during normal walking. The cost function has been refined with the intent to reduce the required peak power input as well as to keep the link lengths of the four bar mechanism within an order of magnitude of each other. Design complications of the prototype that have arisen and likely resolutions are also included in this paper. Parts have been sized and justified based on likely size of the wearer, potential full-production costs of parts, and cost constraints.

scholarly journals Visual Attention and Motion Visibility Modulate Motor Resonance during Observation of Human Walking in Different Manners

2021 ◽  
Vol 11 (6) ◽  
pp. 679
Author(s):  
Tomotaka Ito ◽  
Masanori Kamiue ◽  
Tomonori Kihara ◽  
Yuta Ishimaru ◽  
Daisuke Kimura ◽  
...  
Keyword(s):  
Visual Attention ◽  
Ankle Joint ◽  
Lower Limb ◽  
Motor Evoked Potentials ◽  
Single Pulse ◽  
Corticospinal Excitability ◽  
Initial Contact ◽  
Motor Resonance ◽  
Below The Knee ◽  
The Right

To advance our knowledge on the motor system during cyclic gait observation, we aimed to explore the effects of gaze fixation on corticospinal excitability evaluated by single-pulse transcranial magnetic stimulation (TMS). Fourteen healthy adult volunteers watched a video of a demonstrator walking on a treadmill under three different conditions: (1) observing the right lower limb, (2) observing the right ankle joint, and (3) observing the right lower limb on a video focused on the area below the knee. In each condition, motor-evoked potentials elicited by TMS in the tibialis anterior (TA) muscle were measured synchronously with the demonstrator’s initial contact and toe-off points. Directing visual attention to the ankle joint and focusing on its movements caused corticospinal facilitation in the TA muscle compared with watching the video without any visual fixation. In addition, phase-dependent differences in corticospinal excitability between the initial contact and toe-off points were only detected when the visibility range was restricted to below the knee. Our findings indicated that motor resonance during cyclic gait observation is modulated by visual attention and motion visibility in different activation manners.

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