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

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. 

The timed “up and go” test: Reliability and validity in persons with unilateral lower limb amputation

1999 ◽  
Vol 80 (7) ◽  
pp. 825-828 ◽  
Author(s):  
Tanneke Schoppen ◽  
Annemarijke Boonstra ◽  
Johan W. Groothoff ◽  
Jaap de Vries ◽  
Ludwig N.H. Göeken ◽  
...  
Keyword(s):  
Lower Limb ◽  
Reliability And Validity ◽  
Lower Limb Amputation ◽  
Test Reliability ◽  
Limb Amputation ◽  
Timed Up And Go

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

2018 ◽  
Author(s):  
Geoffrey Balkman ◽  
Sara Morgan ◽  
Ignacio Gaunaurd ◽  
Anat Kristal ◽  
Dagmar Amtmann ◽  
...  
Keyword(s):  
Lower Limb ◽  
Physical Therapists ◽  
Performance Testing ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Clinical Value ◽  
Specific Test ◽  
National Assembly ◽  
Set Up ◽  
Time Required

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/

scholarly journals The Relationship Between Vestibular Sensory Integration and Prosthetic Mobility in Community Ambulators With Unilateral Lower Limb Amputation

2020 ◽  
Author(s):  
Jennifer Lučarević ◽  
Ignacio Gaunaurd ◽  
Sheila Clemens ◽  
Paulina Belsky ◽  
Lauren Summerton ◽  
...  
Keyword(s):  
Lower Limb ◽  
Sensory Integration ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Clinical Test ◽  
Timed Up And Go ◽  
Convenience Sample ◽  
The Relationship ◽  
Step Turn ◽  
Degree Step

Abstract Objective The modified Clinical Test of Sensory Interaction and Balance (mCTSIB) is used to clinically assess vestibular sensory integration (VSI), the process by which the central nervous system integrates vestibular afference to maintain balance. The rate and effects of impaired VSI (IVSI) on prosthetic mobility in people with lower limb amputation (LLA) is unknown. The objective of this study was to use the mCTSIB to classify VSI in active community ambulators with LLA and to examine the relationship between IVSI and prosthetic mobility, as measured by the Component Timed Up and Go (cTUG) test. Methods This was a cross-sectional study with a convenience sample of 130 community ambulators with unilateral LLA. Classification of VSI was determined based on a time-based pass/fail mCTSIB performance. Participants were classified as having normal sensory integration (NSI) if they could balance for 30 seconds in every mCTSIB condition. Participants who failed condition 4 exclusively were classified as IVSI. Prosthetic mobility, as measured by the cTUG, was compared between NSI and IVSI groups. Results Of the 130 participants, 29 (22%) were classified as IVSI and 95 (73%) were classified as having NSI. Prosthetic mobility significantly differed between IVSI and NSI groups, with IVSI participants performing all components of the cTUG significantly slower. Medium to large effect sizes were found between groups during cTUG. Conclusions These results suggest that 1 in 5 community ambulators with LLA have IVSI, with associated limitations in balance confidence and prosthetic mobility. Impact The ability to integrate vestibular information was found to have a strong relationship with prosthetic mobility in active community ambulators with LLA, especially with performing a 180-degree step turn. Physical therapists can use the mCTSIB to classify sensory integration during prosthetic rehabilitation and develop an appropriate balance intervention. Lay Summary Active adults with LLA can use information from their senses to maintain their standing balance. Adults with LLA who have difficulty balancing on foam with closed eyes were slower to get in and out of a chair, walk, and perform a 180-degree step turn.

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.

Selecting a test for the clinical assessment of balance and walking capacity at the definitive fitting state after unilateral amputation: a comparative study

2012 ◽  
Vol 36 (4) ◽  
pp. 415-422 ◽  
Author(s):  
Vincent Gremeaux ◽  
Sabeur Damak ◽  
Odile Troisgros ◽  
Amine Feki ◽  
Davy Laroche ◽  
...  
Keyword(s):  
Lower Limb ◽  
Pearson Correlation ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Clinical Test ◽  
Functional Evaluation ◽  
Score Distribution ◽  
Timed Up And Go ◽  
Walking Capacity ◽  
Functional Reach Test

Background:There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation.Objectives:To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking.Study Design:Validation of a diagnostic procedure.Methods:Sixty-four patients were included. Outcome measures: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function.Results:The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83–0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance.Conclusions:2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders.Clinical relevanceThis validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments – especially prosthetics – at the definitive prosthetic phase.

scholarly journals BACK PAIN AND OSTEOARTHRITIS AS SECONDARY DISABILITIES OF LOWER LIMB AMPUTATION

2018 ◽  
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/

Patient satisfaction following lower-limb amputation: the role of gait deviation

2011 ◽  
Vol 35 (2) ◽  
pp. 225-233 ◽  
Author(s):  
Lauren Kark ◽  
Anne Simmons
Keyword(s):  
Patient Satisfaction ◽  
Lower Limb ◽  
Functional Ability ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
High Functioning ◽  
Satisfaction Measures

Background: Patient satisfaction is an important measurement in healthcare for administrators, clinicians and patients.Objectives: This study investigated the role of gait deviation in patient satisfaction following lower-limb amputation and prosthesis prescription.Study design: A cross-sectional study was done.Methods: Twenty community-based unilateral lower-limb amputees, 12 transtibial and 8 transfemoral, were recruited from support groups. Participants completed the prosthesis evaluation questionnaire (PEQ) with embedded satisfaction-related questions, the timed-up-and-go test and the six-minute walk test, and also underwent quantitative three-dimensional analysis. Kinematic deviation was summarized using the gait profile score (GPS).Results: Satisfaction levels were generally high (median 80 + /100). Sociodemographic variables did not correlate significantly with any of the satisfaction measures (−0.35 ≤  r ≤ 0.54). Satisfaction correlated strongly with the PEQ scales, particularly ambulation, prosthetic utility, frustration, perceived response and social burden ( r ≥ 0.70). By contrast, the relationships between satisfaction and performance-based outcome measures were not significant (−0.45 ≤  r ≤ 0.43), and the GPS did not correlate with any satisfaction measures (−0.23 ≤  r ≤ 0.15).Conclusions: In this study of high functioning amputees, gait deviation was unimportant to the amputee, while self-reported functional ability and attitudes toward the prosthesis were the strongest correlates of satisfaction following lower-limb amputation.Clinical relevance For the high functioning individuals with lower-limb amputation in this study, gait deviation was not a significant correlate of patient satisfaction. Results suggest that improving self-perceived functional ability and attitudes toward the prosthesis, rather than minimizing gait deviation, will improve patient satisfaction.

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