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Titre : | Postamputation Cognitive Impairment Is Related to Worse Perceived Physical Function Among Middle-Aged and Older Prosthesis Users (2022) |
Auteurs : | Matthew J. Miller ; Rashelle M. Hoffman ; Laura A. Swink ; Deborah E. Barnes ; Cory L. Christiansen ; Cory L. Christiansen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 9, 2022) |
Article en page(s) : | p. 1723-1729 |
Langues: | Français |
Descripteurs : |
HE Vinci Amputation chirurgicale ; Dysfonctionnement cognitif ; Prothèses et implants ; Réadaptation ; Vieillissement |
Résumé : | Objective To compare characteristics between middle-aged and older prosthesis users with and without cognitive impairment and determine whether cognitive impairment contributes to variability in perceived physical function. Design Cross-sectional, observational study Setting General community. Participants Adults 45 years or older, at least 1-year post lower limb amputation (LLA) who were walking independently with a prosthesis (N=119). Intervention Not applicable. Main Outcome Measures We identified cognitive impairment using an education-adjusted Telephone Interview for Cognitive Status-modified score. Perceived physical function was measured using the Prosthesis Mobility Questionnaire. Results Of 119 participants (mean age, 62.6+8.2 years; male: 89.1%; vascular etiology: 82.4%; years since amputation: 4.9+4.7 years), 28 (23.5%) had cognitive impairment. Compared with participants without cognitive impairment, those with cognitive impairment were more likely to use an assistive device (60.7% vs 25.3%, P=.002); were older (66.3+7.3 vs 61.5+8.1 years, P=.006) and had more chronic conditions (7.1+3.4 vs 5.4+2.5, P=.004), more depressive symptoms (6.6+5.1 vs 4.2+3.8, P=.008), and worse perceived physical function (2.0+0.6 vs 2.6+0.7, P<.001 using backward stepwise linear regression we found that participants with cognitive impairment had worse perceived physical function parameter estimate p=".02)," even after adjusting for depressive symptoms prosthesis satisfaction number of chronic conditions and assistive device use together these variables explained variability. conclusions is common associated post lla controlling mental health differences. tailored rehabilitation interventions may be needed to improve in users impairment.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322000223 |