Article

This study reviewed prevalence of patients with lower limb
amputations with above normal weight profile, with body mass index over 25, in
seven disablement services centres managing their amputee rehabilitation in the
United Kingdom. OBJECTIVES: To review two clinical standards of practice in
amputee rehabilitation. Ambulant lower limb amputees should have their body
weight recorded on an electronic information system, with identification of
cohort with body weight >100 kg. Lower limb amputees to be provided with suitable
weight-rated prosthesis. STUDY DESIGN: Observational study of clinical practice.
METHODS: Data were collected from the Clinical Information Management Systems.
Inclusion criteria - subjects were ambulant prosthetic users with some prosthetic
intervention in the last 5 years and had at least one lower limb amputation.
RESULTS: In 96% of patients, the weight record profile was maintained. In
addition, 86% were under 100 kg, which is the most common weight limit of
prosthetic componentry. Of 15,204 amputation levels, there were 1830 transfemoral
and transtibial sites in users with body weight over 100 kg. In 60 cases, the
prosthetic limb build was rated to be below the user body weight. CONCLUSIONS: In
96% of our patients, body weight was documented, and in 97%, the prosthetic limb
builds were within stated body weight limits, but this may not be the case in all
the other disablement services centres in the United Kingdom. Also, the incidence
of obesity in the United Kingdom is a growing problem, and the health issues
associated with obesity are further compounded in the amputee population.
CLINICAL RELEVANCE: Prosthetic componentry has distinct weight limits which must
be considered during prescription. As people with amputation approach the limits
of specific components, clinicians are faced with the challenge of continued
provision in a safe and suitable manner. This article reviews the amputee
population and the current national profile to consider trends in provision and
the incidence of these challenges.
CI - (c) The International Society for Prosthetics and Orthotics 2014.
- Surpoids

Langue : ANGLAIS