Evaluation of short-term functional mobility outcomes in patients with traumatic lower limb amputations: A prospective cohort study in India

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2024-11-15 DOI:10.1016/j.jbmt.2024.11.015

Uttam Chand Saini , Sushant Soni , Aseem Mehra , B.U. Shubhankar , Arjit Bansal , Neha Suri , Himanshu Bhayana

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引用次数: 0

Abstract

Background

Traumatic amputation of the lower limb is a significant life-changing event. It is associated with substantial functional disability.

Objective

To assess the serial improvement in functional mobility outcomes after the rehabilitation provided to traumatic unilateral lower limb amputee (TULLA) over 6 months of follow-up.

Methods

It is a prospective observational cohort study including 106 TULLA performed in a tertiary care trauma center in North India from January 2021 to December 2021. Patients were followed up at 2 weeks, 3 months and 6 months post-surgery in the focused amputee clinic, where functional mobility care was provided by physical rehabilitation and prosthesis application and patients were evaluated using the Locomotors Capabilities Index (LCI-5) and L-Test of functional mobility.

Results

There was a significant improvement in LCI-5 and L-Test from discharge to follow-up. The mean overall LCI-5 scores were 14.68 ± 6.56, 28.29 ± 9.04 and 42.77 ± 8.94 at 2 weeks, 3 months and 6 months respectively. The mean L-test for overall individuals with limb loss (N = 100) at discharge, 2 weeks, 3 months and 6 months were 178.41 ± 49.62, 126.98 ± 37.76, 98.39 ± 30.09 and 72.82 ± 21.03 respectively. Further, a subgroup analysis showed a significant improvement in LCI-5 and L-test in individuals with above-knee and below-knee limb loss with prostheses compared to those without prostheses.

Conclusion

Our multidisciplinary approach helps to improve functional mobility outcomes among TULLA. Focused amputee clinics are the need of the hour to achieve successful functional mobility following amputation.

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评估外伤性下肢截肢患者的短期功能活动能力：印度前瞻性队列研究

背景外伤性下肢截肢是改变人生的重大事件，与严重的功能障碍有关。方法这是一项前瞻性观察性队列研究，包括 2021 年 1 月至 2021 年 12 月在北印度一家三级医疗创伤中心进行的 106 例单侧下肢创伤性截肢（TULLA）患者。患者在术后2周、3个月和6个月在重点截肢者门诊接受随访，门诊通过物理康复和假肢应用提供功能移动护理，并使用运动机能指数（LCI-5）和功能移动能力L-测试对患者进行评估。2周、3个月和6个月时的LCI-5平均总分分别为（14.68 ± 6.56）、（28.29 ± 9.04）和（42.77 ± 8.94）。所有肢体缺失患者（N = 100）在出院、2周、3个月和6个月时的L-test平均值分别为（178.41 ± 49.62）、（126.98 ± 37.76）、（98.39 ± 30.09）和（72.82 ± 21.03）。此外，亚组分析显示，与无假肢者相比，膝上和膝下肢体缺失者的LCI-5和L-test均有显著改善。要想在截肢后成功实现功能性移动，当务之急是开设重点截肢者诊所。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina