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Weight-bearing, pain and walking velocity during primary transtibial amputee rehabilitation
JONES ME; BASHFORD GM; BLIOKAS VV
CLIN REHABIL , 2001, vol. 15, n° 2, p. 172-176 Doc n°: 100479 Localisation : Documentation IRR Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR, DF241 - MARCHE DE L'AMPUTE - ETUDES - REEDUCATION OBJECTIVE: To explore the relationships between weight-bearing, pain and walking velocity in the first four weeks of prosthetic training. SUBJECTS: Consecutively referred transtibial amputees (n = 27). DESIGN: Longitudinal study. SETTING: Inpatient rehabilitation centre. INTERVENTIONS: Measurements of static weight-bearing (SWB), perceived pain during the SWB test and self-selected walking velocity (VEL) were taken at entry, and at four weeks into the prosthetic training programme. Path analysis was conducted using a series of linear regression analyses to determine predictors of walking velocity at week 4. RESULTS: Significant improvements from week 1 to week 4 were found in SWB, reported pain and velocity. SWB at week 4, when coupled with age, predicted 66% of the variance in walking velocity at week 4. Pain did not directly predict velocity. However, SWB at entry and perceived pain at week 4 predicted 56% of the variance in SWB at week 4. CONCLUSIONS: These analyses suggested a model in which SWB and age were both significantly related to velocity, and further, that pain played a role in velocity through a relationship mediated by its direct effect on SWB. Unlike age, SWB is a predictor of velocity that might be altered through pain reduction, wound-healing and rehabilitative interventions. Langue : ANGLAIS Identifiant basis : 2001216420 |
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