Objective: To assess performance of life habits among persons with lower-limb amputation at admission, at discharge, and 3 months after rehabilitation discharge and describe their prosthetic profile at discharge and follow-up. Design: Case series. Setting: Inpatient rehabilitation. Participants: Unilateral persons with lower-limb amputation (N = 19; 14 men; mean age, 53.4 +/- 14.6y). Intervention: Interdisciplinary rehabilitation. Main Outcome Measures: Life habits performance and prosthetic profile. Results: In the daily activities subdomain, the lowest performances were observed for mobility and housing at all evaluation times. Within the social role subdomain, employment, recreation, and community life scores were the lowest for the 3 evaluations. Mean scores for all activities of daily living subdomain categories significantly increased (P<05) during rehabilitation except for personal care and communication. Only community life (social roles subdomain) significantly increased during rehabilitation; life habits remained unchanged after discharge. Fifty-eight percent of patients at discharge versus 68.4% at follow-up used their prosthesis for more than 9 hours a day, and this increased significantly postdischarge (P = .017). Locomotor capability with prosthesis was similarly high at discharge and follow-up. Conclusions: Among persons with lower-limb amputation, social role life habits appear to be more disturbed than those associated with activities of daily living. At discharge, prosthetic wear and locomotor capabilities with prosthesis were high and tended to improve on return to the community.
机构:
Harvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA
Bosma, Niels H.
Teunis, Teun
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA
Teunis, Teun
Eberlin, Kyle R.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Plast Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA
Eberlin, Kyle R.
Jupiter, Jesse B.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA
机构:
Institute of Clinical Medicine, Department of Public Health, University of Turku
Institute of Clinical Medicine, Department of Family Medicine/General Practice, University of TurkuInstitute of Clinical Medicine, Department of Public Health, University of Turku
Remes L.
Isoaho R.
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Nordic School of Public Health, Gothenburg
Institute of Clinical Medicine, Department of Biostatistics, University of Turku
Institute of Clinical Medicine, Department of Geriatrics, University of TurkuInstitute of Clinical Medicine, Department of Public Health, University of Turku
Isoaho R.
Vahlberg T.
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Karolinska Institutet, Department of Geriatrics, Karolinska University Hospital, Huddinge, StockholmInstitute of Clinical Medicine, Department of Public Health, University of Turku
Vahlberg T.
Viitanen M.
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Institute of Clinical Medicine, Department of Family Medicine/General Practice, University of Turku
Institute of Clinical Medicine, Department of Public Health, University of TurkuInstitute of Clinical Medicine, Department of Public Health, University of Turku
Viitanen M.
Rautava P.
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Institute of Clinical Medicine, Department of Public Health, University of Turku
Institute of Clinical Medicine, Department of Family Medicine/General Practice, University of TurkuInstitute of Clinical Medicine, Department of Public Health, University of Turku
机构:
Univ Turku, Dept Publ Hlth, Inst Clin Med, FI-20014 Turku, Finland
Turku City Hosp, Turku, FinlandUniv Turku, Dept Publ Hlth, Inst Clin Med, FI-20014 Turku, Finland
Remes, Leena
Isoaho, Raimo
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Univ Turku, Dept Family Med Gen Practice, Inst Clin Med, FI-20014 Turku, Finland
Nord Sch Publ Hlth, Gothenburg, SwedenUniv Turku, Dept Publ Hlth, Inst Clin Med, FI-20014 Turku, Finland
机构:
Sao Jose do Rio Preto Sch Med FAMERP, Cardiol & Cardiovasc Surg, Sao Jose Do Rio Preto, Brazil
Clin Godoy, Angiol & Vasc Surg, Sao Jose Do Rio Preto, BrazilSao Jose do Rio Preto Sch Med FAMERP, Cardiol & Cardiovasc Surg, Sao Jose Do Rio Preto, Brazil
Pereira de Godoy, Jose Maria
Guerreiro Godoy, Maria de Fatima
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Sao Jose do Rio Preto Sch Med FAMERP, Med, Sao Jose Do Rio Preto, Brazil
Clin Godoy, Rehabil Serv, Sao Jose Do Rio Preto, BrazilSao Jose do Rio Preto Sch Med FAMERP, Cardiol & Cardiovasc Surg, Sao Jose Do Rio Preto, Brazil
Guerreiro Godoy, Maria de Fatima
Barufi, Stelamarys
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Clin Godoy, Rehabil Serv, Sao Jose Do Rio Preto, BrazilSao Jose do Rio Preto Sch Med FAMERP, Cardiol & Cardiovasc Surg, Sao Jose Do Rio Preto, Brazil
Barufi, Stelamarys
Pereira de Godoy, Henrique Jose
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Clin Godoy, Gen Practice, Sao Jose Do Rio Preto, BrazilSao Jose do Rio Preto Sch Med FAMERP, Cardiol & Cardiovasc Surg, Sao Jose Do Rio Preto, Brazil