| Titre : | Relevance of medical comorbidities for functional mobility in people with limb loss: retrospective explanatory models for a clinical walking measure and a patient-reported functional outcome (2020) |
| Auteurs : | Christopher Kevin Wong ; Stanford T. Chihuri ; Elizabeth G. Santo ; Ryan A. White |
| Type de document : | Article |
| Dans : | Physiotherapy (Vol. 107, 2020) |
| Article en page(s) : | p. 133-141 |
| Note générale : | https://doi.org/10.1016/j.physio.2020.01.002 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Amputation ; Équilibre postural ; Évaluation de résultat (soins) ; Membres ; Prothèses et implants |
| Résumé : |
Objectives
Various modifiable and non-modifiable factors affect functional mobility, but subjective patient-reported and objective performance-based measures are rarely combined in explanatory analyses of functional mobility in people with limb loss. This study determined separate explanatory models for patient-reported function using the Prosthetic Evaluation Questionnaire Mobility Subscale (PEQ-MS), and performance-based 2-Minute Walk Test (2MWT). Design Retrospective cross-sectional observational analysis. Setting Wellness-walking program. Participants Three hundred five volunteers with lower limb loss participated. Sixty nine percent were men, mean age 56 (15) years. Fifty two percent had vascular amputation causes, 42% had surgical levels above the knee, and 82% had medical comorbidities. Walking levels included limited-household (21%), limited-community (30%), and independent-community (49%). Outcome measures included patient-reported PEQ-MS, Activities-specific Balance Confidence (ABC) and Houghton scales; and performance-based balance and walking. Main outcomes Separate PEQ-MS and 2MWT multiple regression models fit using backward deletion. Results Modifiable (balance ability, ABC, Houghton score; P Conclusions Both modifiable and non-modifiable factors explained prosthetic functional mobility. Performance-based walking was explained by modifiable factors including balance ability and confidence, prosthesis and walking aid use. Patient-reported function was also explained by prosthesis and walking aid use, walking speed and medical comorbidities. Modifiable factors for objective and subjective prosthetic mobility may provide a clinical roadmap for rehabilitation. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S003194062030002X |
Bibliothèques HE Vinci
