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: | , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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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. |
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| AbstractList | 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. 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. |
| Author | Van de Meent, Hendrik Hopman, Maria T Frölke, Jan Paul |
| Author_xml | – sequence: 1 givenname: Hendrik surname: Van de Meent fullname: Van de Meent, Hendrik email: h.vandemeent@reval.umcn.nl 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 – sequence: 2 givenname: Maria T surname: Hopman fullname: Hopman, Maria T – sequence: 3 givenname: Jan Paul surname: Frölke fullname: Frölke, Jan Paul |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23774380$$D View this record in MEDLINE/PubMed |
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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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| 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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