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Related Experiment Videos

Mobility outcome following unilateral lower limb amputation.

B Davies1, D Datta

  • 1Northern General Hospital, Sheffield, England, UK.

Prosthetics and Orthotics International
|January 20, 2004
PubMed
Summary

Mobility outcomes after lower limb amputation worsen with age and higher amputation levels. Trans-tibial amputees over 50 had better mobility than transfemoral amputees.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Prosthetics & Orthotics

Background:

  • Unilateral lower limb amputation significantly impacts patient mobility.
  • Understanding factors influencing mobility outcomes is crucial for rehabilitation.
  • Previous research highlights age and amputation level as key determinants.

Purpose of the Study:

  • To investigate mobility outcomes one year post-amputation in unilateral trans-tibial and trans-femoral amputees.
  • To assess the influence of age and amputation level on functional mobility.
  • To provide data for optimizing rehabilitation strategies.

Main Methods:

  • Observational study at a UK sub-regional amputee rehabilitation center.
  • Inclusion of all unilateral trans-tibial or transfemoral amputees referred during the study period.
  • Recording of Harold Wood Stanmore mobility grade approximately one year post-assessment.

Main Results:

  • Mobility outcomes significantly worsen with increasing age and higher amputation levels (trans-femoral vs. trans-tibial).
  • Younger amputees (≤50 years) generally achieved functional household and community mobility.
  • Among amputees over 50, trans-tibial had better community (approx. 50%) and household (approx. 60%) mobility compared to trans-femoral (community <25%, household approx. 50%).

Conclusions:

  • Mobility rates one year after prosthetic provision decline with increasing age at amputation.
  • Higher amputation levels (trans-femoral) are associated with poorer mobility outcomes compared to lower levels (trans-tibial).
  • Age and level of amputation are critical factors influencing long-term mobility in amputees.

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