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Handling stairs in the seated position for people with unilateral lower-limb amputations

KIRBY RL; BROWN BA; CONNOLLY CM; MCRAE S; PHILLIPS P
ARCH PHYS MED REHABIL , 2009, vol. 90, n° 7, p. 1250-1253
Doc n°: 143933
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2009.01.015
Descripteurs : DF14 - POSITION ASSISE - EQUILIBRATION, EB3 - AMPUTATION DU MEMBRE INFERIEUR
Article consultable sur : http://www.archives-pmr.org

Handling stairs in the seated position for people with unilateral lower-limb
amputations. The objective of this uncontrolled pilot study was to test the
hypotheses that the seated stair-handling method enables people with unilateral
lower-limb amputations to ascend and descend stairs effectively and safely, and
with an acceptable level of perceived exertion. Eight people with unilateral
lower-limb amputations each received a single 20-minute education session on
climbing stairs in the seated position. The main outcome measures, assessed 3
days after training, were success in ascending and descending a flight of 11
stairs, safety, and rating of perceived exertion (Borg CR-10 scale, range 0-10).
Before training, 3 participants (37.5%) were successful in using a variety of
methods. After training, all 8 (100%) were successful, but only 7 (87.5%) were
successful when required to use the seated stair-handling method. Two
participants had difficulty with this method, one as a result of arm weakness and
the other as a result of aggravation of knee pain. There were no adverse events.
Ratings of perceived exertion for the seated method (n=7) ranged from 3 to 7.5
for stair ascent and 1 to 5.5 for descent. The seated stair-handling method is a
generally effective, safe, and well-tolerated method for people with unilateral
lower-limb amputations to ascend and descend stairs.

Langue : ANGLAIS

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