Article

OBJECTIVE: To determine whether scores on a cognitive measure are associated with
walking endurance and functional mobility of individuals with transfemoral or
transtibial amputations at discharge from inpatient prosthetic rehabilitation.
DESIGN: Retrospective cohort study. SETTING:
Rehabilitation hospital.
PARTICIPANTS: Consecutive admissions (N=176 ; mean
age +/- SD, 64.27+/-13.23y)
with transfemoral or transtibial amputation that had data at admission and
discharge from an inpatient prosthetic rehabilitation program. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Cognitive status was assessed using the
Montreal Cognitive Assessment (MoCA). The L Test and the 2-minute walk test
(2MWT) were used to estimate functional mobility and walking endurance. RESULTS:
The mean +/- SD MoCA score was 24.05+/-4.09 (range, 6-30), and 56.3% of patients
had scores <26. MoCA scores had a small positive correlation with the 2MWT
(r=.29, P<.01), and a small negative correlation to the L Test (r=-.24, P<.01).
In multivariable linear regression, compared with people with the highest MoCA
score quartile, there was no difference on the 2MWT, but people in the lowest 2
quartiles took longer to complete the L Test. CONCLUSIONS: Cognitive impairment
was very prevalent. The association between MoCA and functional mobility was
statistically significant. These results highlight the potential for differences
on complex motor tasks for individuals with cognitive impairment but does not
indicate a need to exclude them from rehabilitation on the basis of cognitive impairment alone.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS