Determinants of Quality of Life in Older Adults After Lower Limb Amputation and Rehabilitation in Skilled Nursing Facilities

2012 ◽  
Vol 60 (4) ◽  
pp. 796-798 ◽  
Author(s):  
Bianca I. Buijck ◽  
Sytse U. Zuidema ◽  
Monica S. van Eijk ◽  
Debby L. Gerritsen ◽  
Raymond TCM Koopmans ◽  
...  
2012 ◽  
Vol 36 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Monica Spruit- van Eijk ◽  
Harmen van der Linde ◽  
Bianca Buijck ◽  
Alexander Geurts ◽  
Sytse Zuidema ◽  
...  

Background: The main determinants of prosthetic use known from literature apply to the younger patient with lower limb amputation. Studies aimed at identifying determinants of outcome of lower limb amputation in elderly patients with multimorbidity that rehabilitate in skilled nursing facilities (SNFs) are scarce. Objectives: To predict prosthetic use and physical mobility in geriatric patients admitted to SNFs for rehabilitation after lower limb amputation and the impact of multimorbidity. Study Design: Prospective design. Methods: Univariate and multivariate logistic and linear regression analyses were used to identify determinants that were independently related to prosthetic use and the timed-up-and-go test (TUG test). Results: Of 55 eligible patients, 38 had complete assessments on admission and at discharge. Fifty per cent was provided with a prosthesis. Multimorbidity was present in 53% of the patients. Being able to ambulate independently, and having a transtibial amputation (rather than a higher level of amputation), without phantom pain determined prosthetic use (R2=56%), while cognitive abilities, low amputation level, and pre-operative functional abilities were independently associated with the TUG test (R2=82%). Conclusions: Elderly patients referred to an SNF for prosthetic training have a high probability of using a prosthesis when having an independent ambulation after transtibial amputation, without phantom pain. These patients should be considered for prosthetic training. Clinical relevance This study gives more insight into the outcomes of geriatric patients with lower limb amputation after rehabilitation in skilled nursing facilities. This is the first study that focuses on determinants of prosthetic use in these elderly patients, often with multimorbidity.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan L. Eskridge ◽  
Amber L. Dougherty ◽  
Jessica R. Watrous ◽  
Cameron T. McCabe ◽  
Jill M. Cancio ◽  
...  

Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 47-57
Author(s):  
Susana Pedras ◽  
Estela Vilhena ◽  
Rui Carvalho ◽  
M. Graça Pereira

Spine ◽  
2020 ◽  
Vol 45 (19) ◽  
pp. 1368-1375
Author(s):  
Brittney Mazzone ◽  
Shawn Farrokhi ◽  
Brad D. Hendershot ◽  
Cameron T. McCabe ◽  
Jessica R. Watrous

2021 ◽  
Vol 67 (7) ◽  
pp. 985-990
Author(s):  
Victor Hugo De Melo ◽  
Ricardo Augusto Leoni de Sousa ◽  
Alex Cleber Improta-Caria ◽  
Marco Antônio Prado Nunes

2021 ◽  
Vol 28 (3) ◽  
pp. 1-10
Author(s):  
Sofía Mosteiro-Losada ◽  
Silvia Varela ◽  
Oscar García-García ◽  
Iván Martínez-Lemos ◽  
Carlos Ayán

Background/aims Exercise can be a useful rehabilitation approach for people with lower-limb amputation. However, there is a lack of research in this regard. The aim of this study was to analyse functional mobility, walking speed, range of motion and quality of life changes experienced by people with lower-limb amputation after taking part in a comprehensive exercise programme that included core strengthening exercises. Methods This was a pilot study including six individuals who carried out a comprehensive exercise programme, which was performed once a week for 5 months. During the first 2 weeks, the participants attended 1-hour sessions that focused on the execution of diaphragmatic breathing and body scheme exercises. From the fourth week until the end of the intervention, the sessions were much longer, and included a warm-up phase, two circuit training workouts for core strength and balance, and a final stretching routine. Results Significant improvements were found in the participants' functional mobility (P=0.007) and walking speed (P=0.001). The exercise intervention did not have a significant impact on the participants' range of motion and quality of life. Conclusions In a group of people with lower-limb amputation, the performance of a comprehensive exercise programme that included core strengthening, was found to be beneficial for functional mobility and walking speed, although no significant effect was observed for range of motion and quality of life measures.


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