PERFORMANCE TESTING IN PEOPLE WITH LOWER LIMB AMPUTATION: INTERVIEWS WITH PROSTHETISTS, PHYSICAL THERAPISTS, AND PHYSICIANS

INTRODUCTION A variety of performance-based tests are available to assess mobility in people with lower limb amputation (LLA)1. Selection of a specific test is likely to be guided by the clinical value of tasks patients perform; the space and equipment available to administrator the test; and/or the time required to set up, administer, score, and interpret the test results. The aim of this study was to collect information about the clinical value of performance tests, and the space, equipment, and time available to rehabilitation specialists who provide care to people with LLA (i.e., prosthetists, physical therapists (PTs), and physical medicine and rehabilitation (PM&R) physicians). Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32018/24437 How to cite: Balkman G, Morgan S, Gaunaurd I, Kristal A, Amtmann D, Gailey R, Hafner B.J. PERFORMANCE TESTING IN PEOPLE WITH LOWER LIMB AMPUTATION: INTERVIEWS WITH PROSTHETISTS, PHYSICAL THERAPISTS, AND PHYSICIANS. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, POSTER PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32018 Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee. http://www.aopanet.org/

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ESTABLISHING THE RELIABILITY AND VALIDITY OF THE COMPONENT TIMED-UP-AND-GO TEST TO DETERMINE BASIC PROSTHETIC MOBILITY IN PEOPLE WITH LOWER LIMB AMPUTATION

Canadian Prosthetics & Orthotics Journal ◽

10.33137/cpoj.v1i2.32036 ◽

2018 ◽

Author(s):

Sheila Clemens ◽

Ignacio Gaunaurd ◽

Jennifer Lucarevic ◽

Glenn Klute ◽

Neva Kirk-Sanchez ◽

...

Keyword(s):

Lower Limb ◽

Convergent Validity ◽

Reliability And Validity ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Timed Up And Go ◽

National Assembly ◽

Sit To Stand ◽

Time Required ◽

Test Retest Reliability

INTRODUCTION Studies suggest that brief bouts of activity consisting of sit-to-stand transitions, gait initiation, turning and negotiation of obstacles, are essential tasks of daily mobility, as well as prosthetic mobility1,2. Using outcome measures deemed reliable for use in the amputee population is ideal3,4. The purpose of this study was to investigate the reliability and validity of a component timed-up-and-go test (cTUG), using a mobile application (App), to evaluate basic prosthetic mobility tasks in people with lower limb amputation (LLA). The cTUG captures time required to perform the subtask components of sit to stand transitions, linear gait, and a 180˚ turn that are requisites of the standard TUG test. It was hypothesized that the cTUG would demonstrate test-retest reliability, differentiate between groups based on anatomical level of amputation, and exhibit convergent validity with other measures of prosthetic mobility and balance. Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32036/24452 How to cite: Clemens S, Gaunaurd I, Lucarevic J, Klute G, Kirk-Sanchez N, Bennett C, Gailey R. ESTABLISHING THE RELIABILITY AND VALIDITY OF THE COMPONENT TIMED-UP-AND-GO TEST TO DETERMINE BASIC PROSTHETIC MOBILITY IN PEOPLE WITH LOWER LIMB AMPUTATION. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32036 Abstracts were Peer-reviewed by the AOPA 2018 National Assembly Scientific Committee.

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BACK PAIN AND OSTEOARTHRITIS AS SECONDARY DISABILITIES OF LOWER LIMB AMPUTATION

Canadian Prosthetics & Orthotics Journal ◽

10.33137/cpoj.v1i2.32034 ◽

2018 ◽

Cited By ~ 1

Author(s):

Eva Pröbsting ◽

Andreas Kannenberg ◽

Siegmar Blumentritt

Keyword(s):

Back Pain ◽

Lower Limb ◽

Hip Osteoarthritis ◽

Gait Pattern ◽

Lower Limb Amputation ◽

Limb Amputation ◽

National Assembly ◽

Sound Side ◽

Extremity Amputation

INTRODUCTION Long-term damages after lower extremity amputation have previously been analysed in three systematic reviews 5–7 showing that amputees have a higher risk for developing knee and hip osteoarthritis on the sound side. The altered gait pattern appears to increase the load on the sound side.1–3 This paper analysed the extent to which the above described assumption is supported by the scientific literature with specific focus on the risk of developing back pain and osteoarthritis in amputees. Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32034/24450 How to cite: Pröbsting E, Kannenberg A, Blumentritt S. BACK PAIN AND OSTEOARTHRITIS AS SECONDARY DISABILITIES OF LOWER LIMB AMPUTATION. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32034 Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee. http://www.aopanet.org/

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Metric Charcteristics of Sit-to-stand Tests in Patients After Lower-limb Amputation

Case Medical Research ◽

10.31525/ct1-nct04293237 ◽

2020 ◽

Author(s):

Keyword(s):

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Sit To Stand

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Prostheses and orthoses. Factors to be considered when specifying a prosthesis for a person who has had a lower limb amputation

10.3403/30178636 ◽

2009 ◽

Keyword(s):

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation

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Prostheses and orthoses. Factors to be included when describing physical activity of a person who has had a lower limb amputation(s) or who has a deficiency of a lower limb segment(s) present at birth

10.3403/30178633u ◽

2015 ◽

Keyword(s):

Physical Activity ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Limb Segment

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Prostheses and orthoses. Factors to be included when describing physical activity of a person who has had a lower limb amputation(s) or who has a deficiency of a lower limb segment(s) present at birth

10.3403/30178633 ◽

2009 ◽

Keyword(s):

Physical Activity ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Limb Segment

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P90 PERCEIVE: PrEdiction of Risk and Communication of outcome following major lower limb amputation - a collaboratIVE study

BJS Open ◽

10.1093/bjsopen/zrab032.089 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

B Gwilym ◽

C Waldron ◽

E Thomas-Jones ◽

P Pallmann ◽

R Preece ◽

...

Keyword(s):

Risk Prediction ◽

Lower Limb ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Demographic Data ◽

Collaborative Study ◽

Lower Limb Amputation ◽

Research Network ◽

Limb Amputation ◽

Prediction Tools

Abstract Introduction Major Lower Limb Amputation (MLLA) is a life changing event with significant morbidity and mortality. Inaccurate risk prediction can lead to poor decision making, resulting in delay to definitive surgery, or undertaking amputation when not in the patient’s best interest. We aim to answer: In adult patients undergoing MLLA for chronic limb threatening ischaemia or diabetes, how accurately do health care professionals prospectively predict outcomes after MLLA, and how does this compare to existing prediction tools? Methods A multicentre prospective observational cohort study is being delivered through the Vascular and Endovascular Research Network. Dissemination was via an existing network of contacts and social media. Consecutive data will be collected for seven months from site launch date, including demographic data and pre-operative outcome predictions from surgeons, anaesthetists, and allied healthcare professionals. Follow-up data will comprise 30-day (mortality, morbidity, MLLA revision, surgical site infection, and blood transfusion) and 1-year (mortality, MLLA revision and ambulation). The accuracy of surgeons’ predictions will be evaluated and compared to pre-existing risk prediction scoring tools. Results PERCEIVE launched on 01/10/2020 with 23 centres (16 UK, 7 international) registered to collect data. 50 other centres (27 UK, 23 international) have expressed interest/are pursuing local audit/ethical approval. We aim to collect data on clinicians estimate of outcomes for over 500 patients. Discussion This study will utilise a trainee research network to provide data on the accuracy of healthcare professionals’ predictions of outcomes following MLLA and compare this to the utility of existing prediction tools in this patient cohort.

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