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The effect of cognitive impairment on prosthesis use in older adults who underwent amputation due to vascular-related etiology

Older adults with amputations secondary to vascular etiologies may
additionally present with cognitive impairment. Cognition plays an important role
in the adoption of a prosthetic limb, although the degree and type of impact are
debated. Previous literature reviews have not been directed at the specific
population of older adults who underwent vascular-related lower limb amputation.
OBJECTIVES: First, to assess extant literature for relationships between
cognitive function and prosthesis-related outcomes in older adults who underwent
lower limb amputation for vascular-related etiologies. Second, to perform a
critical analysis of prosthesis-related outcomes and cognitive assessments
performed in the studies. STUDY DESIGN: Systematic literature review. METHODS: A
systematic review of the literature was performed in databases using keyword
combinations. A total of nine articles were selected to be included in this
review. RESULTS: Seven of the nine included studies found a relationship between
decreased cognitive function and reduced performance on a prosthesis-related
outcome. There were eight different prosthesis-related outcome measures, with
only one study utilizing a comprehensive outcome measure. CONCLUSION: Cognitive
impairment can negatively impact successful prosthesis use in older adults with
lower limb amputation secondary to vascular complications. Future studies should
utilize comprehensive outcome measures that represent the multifaceted constructs
of cognition and prosthesis use. Clinical relevance Cognitive assessment of older
adults who have undergone lower limb amputation secondary to diabetes related
complications or vascular disease can be used to inform clinical decision-making.
Clinicians should consider selecting prosthesis-related outcome measures that
capture the full breadth of prosthesis use when evaluating patients with
cognitive impairment.

Langue : ANGLAIS

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