Article

The purpose of this study was to examine the possible relationship between
factors modifiable by rehabilitation interventions (rehabilitation factors),
other factors related to lower-limb loss (other factors), and high-level mobility
as measured by the Comprehensive High-Level Activity Mobility Predictor (CHAMP)
in servicemembers (SMs) with traumatic lower-limb loss. One-hundred eighteen male
SMs with either unilateral transtibial amputation (TTA), unilateral transfemoral
amputation (TFA), or bilateral lower-limb amputation (BLLA) participated.
Stepwise regression analysis was used to develop separate regression models of
factors predicting CHAMP score. Regression models containing both rehabilitation
factors and other factors explained 81% (TTA), 36% (TFA), and 91% (BLLA) of the
variance in CHAMP score. Rehabilitation factors such as lower-limb strength and
dynamic balance were found to be significantly related to CHAMP score and can be
enhanced with the appropriate intervention. Further, the findings support the
importance of salvaging the knee joint and its effect on high-level mobility
capabilities. Lastly, the J-shaped energy storage and return feet were found to
improve high-level mobility for SMs with TTA. These results could help guide
rehabilitation and aid in developing appropriate interventions to assist in
maximizing high-level mobility capabilities for SMs with traumatic lower-limb
loss.

Langue : ANGLAIS