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The role of knee immobilizers in cancer patients with femoral neuropathy

JONES VA; STUBBLEFIELD MD
ARCH PHYS MED REHABIL , 2004, vol. 85, n° 2, p. 303-307
Doc n°: 112826
Localisation : Documentation IRR
Descripteurs : MB - CANCEROLOGIE, DE46 - TRAITEMENTS - CUISSE-FEMUR
Article consultable sur : http://www.archives-pmr.org

Objective: To determine the utility of knee immobilizers for cancer patients with femoral neuropathy. Design: Retrospective case series with chart reviews and telephone interviews. Setting: Teaching hospital, inpatient setting, and 1-year follow-up as outpatients. Participants: Five cancer patients with femoral neuropathy (4 men. 1 woman age range, 51-76y). Inclusion criteria were (1) diagnosis of femoral neuropathy, (2) receipt of knee immobilizer as an inpatient, and (3) ability to discuss opinions about knee orthotics at 1-year follow-up. Intervention: Knee immobilizer. Main Outcome Measures: Number of falls with and without knee immobilizer, ambulatory distance with and without immobilizer, subjective rating of activity level, and feeling of stability with and without immobilizer. Results: Patients reported that the knee immobilizer reduced their number of falls by up to 10-fold, increased ambulatory distance between 105 and 420ft (31.5 and 126m), improved their feeling of stability, and increased overall activity levels. Conclusions: Patients can benefit from knee immobilizers during their rehabilitation efforts: risk of falls decreased, ambulation distance increased, and relative peace of mind was achieved with the orthotic's use.

Langue : ANGLAIS

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