Article

The immediate postoperative prosthesis has been purported to allow
early mobilization with potential physical and psychologic benefits to patients.
This study used accelerometers and validated questionnaires to prospectively
examine activity level and quality of life data for patients receiving an
immediate postoperative prosthesis after transtibial amputation. METHODS: A total
of 10 patients were included in the study. Mean age was 58 yrs (range, 22-69
yrs), there were 9 men and 1 woman, and reason for amputation was nonhealing
gangrenous ulcer in 9 patients and ischemic limb in 1 patient. Patients were
followed for 6 wks. Activity data were collected on ActiGraph GT3X accelerometers
and analyzed using ActiLife 6 Data Analysis Software. At the 6-wk postoperative
visit, an Amputee Mobility Predictor clinician-rated performance evaluation was
conducted and a Short Form-36 questionnaire was completed. RESULTS: Patients in
the cohort spent an average of 88% (range, 83%-92%) of their time sedentary,
11.5% (range, 7.6%-16.9%) of their time in light physical activity, and 0.3%
(range, 0.12%-1.36%) of their time in moderate to vigorous physical activity. No
statistically significant relationships were observed between expected level of
function and recorded activity level. Patients had low physical and emotional
Short Form-36 component scores. CONCLUSIONS: Patients with transtibial
amputations were extremely sedentary in the early postoperative period despite
their immediate postoperative prosthesis dressings.

Langue : ANGLAIS