scholarly journals Functional outcome of lower-limb amputees: A prospective descriptive study in a general hospital

1996 ◽  
Vol 20 (2) ◽  
pp. 79-87 ◽  
Author(s):  
A. C. Greive ◽  
G. J. Lankhorst
Keyword(s):  
Functional Outcome ◽  
General Hospital ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Diabetic Patients ◽  
Functional Abilities ◽  
Age Related ◽  
Co Morbidity ◽  
Lower Limb Amputees

This paper describes functional outcome of a population of lower limb amputees five months after amputation compared with their pre-operative functional abilities and studies the relationship between potential determinants and functional outcome. Twenty out of 26 patients who underwent a lower limb amputation between December 1993 and August 1994 in a general hospital in Amsterdam were included in the study. Their functional abilities before amputation were retrospectively assessed using an ICIDH (International Classification of Impairments, Disabilities and Handicaps)-based questionnaire. Functional outcome was assessed after amputation of the lower limb using ICIDH-based and SIP (Sickness Impact Profile)-questionnaires. The mean SIP scores were high (referring to a low functional outcome). Disabilities were spread over the five disability fields of the ICIDH. The functional outcome of the diabetic versus the non-diabetic group was lower on the physical, activities of daily living (ADL), psychological and communicative categories of the ICIDH. In most patients, functional outcome decreased. The diabetic patients compared to the non-diabetics showed more diversity in functional outcome, compared with their preoperative functional abilities. Increasing age is significantly associated with a low functional outcome on the SIP scores. Diabetes is age-related for this sample. Co-morbidity and motivation are strongly age-related for this sample. It was concluded that lower-limb amputees appear quite disabled in all disability categories of the ICIDH and as assessed by the SIP scores. In most patients, functional abilities decrease after lower limb amputation. Age seems to be a significant factor related to functional outcome.

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

2006 ◽  
Vol 30 (2) ◽  
pp. 155-164 ◽  
Author(s):  
Ji Cheol Shin ◽  
Eun Joo Kim ◽  
Chang Il Park ◽  
Eun Sook Park ◽  
Kyoo-Ho Shin
Keyword(s):  
Clinical Features ◽  
Lower Limb ◽  
Daily Living ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Medical Problems ◽  
Amputation Level ◽  
Significant Difference ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

The objectives of this study were to evaluate the clinical features and outcomes of 43 bilateral lower limb amputees. The clinical features obtained included the causes of amputation, level of amputation, concurrent medical problems, and stump condition. Outcome measures were obtained using the activities of daily living (ADL) index, the Frenchay Activities Index (FAI), and mobility grading with prostheses or wheelchair. Of 33 amputees who were prosthetic ambulators, 22 (67%), mainly bilateral trans-tibial (TT) amputees, were community ambulators, and participated in activities which included stair-walking, and six of 11 household ambulators were combination trans-femoral (TF) and TT amputees. Of 10 amputees who were wheelchair ambulators, only one was able to perform wheelchair transfers independently and five were independent wheelchair ambulators. Using the ADL index and FAI, there was no significant difference in scores according to the level of amputation ( p > 0.05), but the scores of community prosthetic ambulators were significantly higher than those of wheelchair ambulators ( p < 0.05). Age was found to be negatively correlated with ADL index and FAI scores ( r = −0.518 vs. r = −0.550) ( p < 0.01). This study concludes that overall independence in ADL after bilateral lower limb amputation improved with young age and prosthetic mobility.

Pain in diabetic patients with lower limb amputation

2021 ◽  
Author(s):  
Soumaya Elarem ◽  
Salah Aymen Haj ◽  
Ikram Haddada ◽  
Amira Jemni ◽  
Wafa Said ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Diabetic Patients

scholarly journals Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study

Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 47-57
Author(s):  
Susana Pedras ◽  
Estela Vilhena ◽  
Rui Carvalho ◽  
M. Graça Pereira
Keyword(s):  
Quality Of Life ◽  
Multicenter Study ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Diabetic Patients

Long-term mortality after lower-limb amputation

2016 ◽  
Vol 40 (5) ◽  
pp. 545-551 ◽  
Author(s):  
Rajiv Kumar Singh ◽  
Guru Prasad
Keyword(s):  
Lower Limb ◽  
Odds Ratio ◽  
Univariate Analysis ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Rehabilitation Centre ◽  
Prosthetic Limb ◽  
Prosthesis Fitting ◽  
Co Morbidity ◽  
First Time

Background:Mortality after amputation is known to be extremely high and is associated with a number of patient features. We wished to calculate this mortality after first-time lower-limb amputation and investigate whether any population or treatment factors are associated with worse mortality.Objective:To follow up individuals after lower limb amputation and ascertain the mortality rate as well as population or treatment features associated with mortality.Study design:A prospective cohort study.Methods:Prospective lower-limb amputations over 1 year ( N = 105) at a Regional Rehabilitation Centre were followed up for 3 years.Results:After 3 years, 35 individuals in the cohort had died, representing a mortality of 33%. On initial univariate analysis, those who died were more likely to have diabetes mellitus ( χ2 = 7.16, df = 1, p = 0.007) and less likely to have been fitted with a prosthesis ( χ2 = 5.84, df = 1, p = 0.016). There was no association with age, gender, level of amputation, social isolation, significant medical co-morbidity other than diabetes or presence of mood disorders. A multi-variable logistic regression (backward step) confirmed that diabetes (odds ratio = 3.04, confidence intervals = 1.25–7.40, p = 0.014) and absence of prosthesis-fitting (odds ratio = 2.60, confidence interval = 1.16–6.25, p = 0.028) were independent predictors of mortality.Conclusion:Mortality after amputation is extremely high and is increased in individuals with diabetes or in those who are not fitted with a prosthesis after amputation.Clinical relevanceThe link between diabetes and mortality after amputation has been noted by others, but this is the first study to find an effect from prosthetic limb-wearing. This requires further investigation to ascertain why the wearing of a prosthetic limb, confers an independent survival benefit that is not related to the presence of medical co-morbidity.

scholarly journals Functional Outcome After Lower Limb Amputation

Medicine ◽  
2015 ◽  
Vol 94 (49) ◽  
pp. e2167
Author(s):  
Stefano Brunelli ◽  
Augusto Fusco ◽  
Marco Iosa ◽  
Elena Ricciardi ◽  
Marco Traballesi
Keyword(s):  
Functional Outcome ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation

Lower limb amputation following injury: a survey of long-term functional outcome

Injury ◽  
1994 ◽  
Vol 25 (6) ◽  
pp. 387-392 ◽  
Author(s):  
C.R.C. Walker ◽  
R.R. Ingram ◽  
M.G. Hullin ◽  
S.W. McCreath
Keyword(s):  
Functional Outcome ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation

Preoperative characteristics and functional outcomes of lower limb amputees treated at Southern Älvsborg Hospital, Sweden

2013 ◽  
Vol 37 (4) ◽  
pp. 298-304 ◽  
Author(s):  
Maria Glemne ◽  
Nerrolyn Ramstrand ◽  
Jessica Crafoord ◽  
Linus Nygren
Keyword(s):  
Lower Limb ◽  
Functional Outcomes ◽  
Daily Practice ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Clinical Practices ◽  
Timed Up And Go ◽  
Significant Difference ◽  
Research Findings ◽  
Lower Limb Amputees

Background:Within the prosthetics profession, there is a lack of evidence to support many clinical practices. It is therefore important that clinicians systematically document and evaluate their daily practices.Objectives:To record preoperative characteristics and functional outcomes for patients with a lower limb amputation and to investigate variations between prosthetic users and non-prosthetic users.Study Design:Prospective cohort study.Methods:A total of 23 patients (mean age = 80 years, standard deviation = 7.3) who underwent a major lower limb amputation were assessed within 2 weeks of admission and 6 months post-operatively. Locomotor Capabilities Index-5, the Timed-Up-and-Go Test and prosthetic use were used to evaluate functional outcomes.Results:A total of 13 participants (57%) received a prosthesis within 6 months of amputation. Mean time to prosthetic fitting was 48 days (range = 28–97). No statistically significant difference was found between prosthetic users and non-prosthetic users regarding age, time to rehabilitation and Locomotor Capabilities Index-5 (p > 0.05). Locomotor Capabilities Index-5 basic was significantly lower at 6 months than prior to amputation (p = 0.039).Conclusion:The functional outcome at 6 months indicates a sizable restriction in mobility among lower limb amputees. No variation in preoperative characteristics between prosthetic users and non-prosthetic users could be confirmed in this study.Clinical relevanceThis study highlights the need for prosthetists to better incorporate research findings into their daily practice and presents an example of how to implement a procedure for assessment and documentation of patients’ functional outcomes in a clinical setting. Results confirm difficulties in identifying amputees who will become prosthetic users based on preoperative characteristics.

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