Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses

To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residu...

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Vydáno v:Archives of physical medicine and rehabilitation Ročník 94; číslo 11; s. 2174
Hlavní autoři: Van de Meent, Hendrik, Hopman, Maria T, Frölke, Jan Paul
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.11.2013
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ISSN:1532-821X, 1532-821X
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Abstract To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23-67y) and mean time since amputation was 16.4 years (range, 2-45y). Causes of amputation were trauma (n=20) and tumor (n=2). Implantation of an osseointegration prosthesis (OIP). Global score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking. With the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively. Osseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.
AbstractList To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study. University medical center. Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23-67y) and mean time since amputation was 16.4 years (range, 2-45y). Causes of amputation were trauma (n=20) and tumor (n=2). Implantation of an osseointegration prosthesis (OIP). Global score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking. With the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively. Osseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.
To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses.OBJECTIVETo investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses.Prospective case-control study.DESIGNProspective case-control study.University medical center.SETTINGUniversity medical center.Subjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23-67y) and mean time since amputation was 16.4 years (range, 2-45y). Causes of amputation were trauma (n=20) and tumor (n=2).PARTICIPANTSSubjects (N=22) with transfemoral amputation (1 bilateral) referred to our center because of socket-related skin and residual limb problems resulting in limited prosthesis use. Their mean age was 46.5 years (range, 23-67y) and mean time since amputation was 16.4 years (range, 2-45y). Causes of amputation were trauma (n=20) and tumor (n=2).Implantation of an osseointegration prosthesis (OIP).INTERVENTIONImplantation of an osseointegration prosthesis (OIP).Global score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking.MAIN OUTCOME MEASURESGlobal score of the Questionnaire for Persons With a Transfemoral Amputation (Q-TFA), prosthesis use, 6-minute walk test (6MWT), Timed Up & Go (TUG) test, and oxygen consumption during treadmill walking.With the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively.RESULTSWith the socket prosthesis, the mean ± SD Q-TFA global score, prosthesis use, 6MWT, TUG, and oxygen consumption were 39±4.7 points, 56±7.9h/wk, 321±28m, 15.1±2.1 seconds, and 1330±310mL/min, respectively, and significantly improved with OIP to 63±5.3 points, 101±2.4h/wk, 423±21m, 8.1±0.7 seconds, and 1093±361mL/min, respectively.Osseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.CONCLUSIONSOsseointegration is a suitable intervention for persons whose prosthesis use is reduced because of socket-related problems. Subjects with OIP significantly increased their walking ability and prosthesis-related quality of life.
Author Van de Meent, Hendrik
Hopman, Maria T
Frölke, Jan Paul
Author_xml – sequence: 1
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  organization: Department of Rehabilitation Medicine, Radboud University Nijmegen Medical Centre, Nijmegen Centre of Evidence Based Practice, Nijmegen, The Netherlands. Electronic address: h.vandemeent@reval.umcn.nl
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  fullname: Frölke, Jan Paul
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Keywords preferred walking speed
Osseointegration
Timed Up & Go
Prosthesis
TUG
Medical Outcomes Study 36-Item Short-Form Health Survey
6MWT
PWS
osseointegration prosthesis
Quality of life
SF-36
6-minute walk test
Function
Osseointegrated Prosthesis for the Rehabilitation of Amputees
OPRA
Amputation
OIP
Q-TFA
Questionnaire for Persons With a Transfemoral Amputation
Rehabilitation
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Snippet To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses. Prospective case-control study....
To investigate walking ability and quality of life of osseointegrated leg prostheses compared with socket prostheses.OBJECTIVETo investigate walking ability...
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SubjectTerms Adult
Aged
Amputation
Amputees - rehabilitation
Artificial Limbs
Case-Control Studies
Female
Femur - surgery
Humans
Male
Middle Aged
Osseointegration
Oxygen Consumption
Prospective Studies
Prosthesis Design
Quality of Life
Walking
Young Adult
Title Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses
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