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Predicting mobility outcome in lower limb amputees with motor ability tests used in early rehabilitation

SPAAN MH; VRIELING AH; VAN DE BERG P; DIJKSTRA PU; VAN KEEKEN HG
PROSTHET ORTHOT INT , 2017, vol. 41, n° 2, p. 171-177
Doc n°: 182205
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364616670397
Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR, AD3 - MOTRICITE

Persons with a lower limb
amputation can regain mobility using a prosthetic device.
For fast and adequate
prescription of prosthetic components, it is necessary to predict the mobility
outcome early in rehabilitation. Currently, prosthetic prescription is primarily
based on empirical knowledge of rehabilitation professionals. OBJECTIVE: In this
study, we explored motor ability tests, to be completed without a prosthetic
device, which have predictive value for mobility outcome at the end of
rehabilitation. METHODS: For this study, data of 82 patients with a lower limb
amputation were included. The Single-limb standing balance test (Balance test),
the Lower-Extremity Motor Coordination Test and the Amputee Mobility Predictor
Assessment Tool (AMPnoPRO) were used as measures for motor ability. Mobility
outcome was measured using the Timed Up and Go Test, the Two-Minute Walking Test
and K levels were used. RESULTS: The explained variance of the Balance test, the
Lower-Extremity Motor Coordination Test and the AMPnoPRO was, respectively,
0.603, 0.534 and 0.649 on the Two-Minute Walking Test (linear regression); 0.597,
0.431 and 0.624 on the Timed Up and Go Test (linear regression); and 0.432, 0.420
and 0.526 on the K levels (logistic regression). CONCLUSION: The AMPnoPRO
predicted mobility outcome statistically (largest amount of explained variance).
Clinical relevance This study explored the possibility of statistically
predicting mobility outcome in lower limb amputees at the end of rehabilitation,
using motor ability tests conducted in early rehabilitation. This study suggests
the use of the AMPnoPRO to predict mobility outcome in lower limb amputees.
- Rééducation précoce

Langue : ANGLAIS

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