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Titre : | Stability and Falls Evaluations in AMPutees (SAFE-AMP 2): Reduced functional mobility is associated with a history of injurious falls in lower limb prosthesis users (2023) |
Auteurs : | Taavy A. Miller ; Rajib Paul ; Melinda Forthofer ; Shane R. Wurdeman |
Type de document : | Article |
Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 66, n° 4, May 2023) |
Article en page(s) : | 101679 |
Note générale : | https://doi.org/10.1016/j.rehab.2022.101679 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amputation chirurgicale ; Chutes accidentelles ; Membre inférieur ; Réadaptation |
Résumé : | Background Injurious falls have a high cost and economic impact on an individual and the health system. Several studies have assessed performance-based functional mobility in lower limb prosthesis (LLP) users and fall risk including fall history. However, limited data exist regarding the relationship between functional mobility and a history of injurious falls in individuals who use a LLP. Such information could inform clinical practice and decision making from prosthesis design to policy. The purpose of this study was to identify factors associated with a history of injurious falls among LLP users using a clinical outcomes database. Methods Retrospective (2016-2018) observational study. Logistic regression applied. Results A final sample of 12,044 LLP users was included for analysis. Within the sample, 1,529 individuals reported a history of an injurious fall within the previous 6 months. Self-reported functional mobility was stratified into low, middle, and high levels: differences were found between levels for history of an injurious fall. The lowest mobility level was associated with 2.29 higher odds of a history of an injurious fall (95% CI: 1.96-2.69) indicating a potentially greater serious fall risk compared to those with higher mobility levels while controlling for covariates (sex, cause of amputation and level of amputation). Conclusion(s) Self-reported functional mobility was associated with a history of injurious falls in LLP users. The Prosthetic Limb Users Survey of Mobility is an accessible tool that prosthetists could use to identify individuals with a high risk of falls; this can inform care planning. Rehabilitation plans and prosthesis designs that target LLP users who report low functional mobility may positively impact health outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1877065722000525 |