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Life habits and prosthetic profile of persons with lower-limb amputation during rehabilitation and at 3-month follow-up

ZIDAROV D; SWAINE B; GAUTHIER GAGNON C
ARCH PHYS MED REHABIL , 2009, vol. 90, n° 11, p. 1953-1959
Doc n°: 144650
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2009.06.011
Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR
Article consultable sur : http://www.archives-pmr.org

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.
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.

Langue : ANGLAIS

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