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Published on: February 1, 2018
Physical disability after severe lower-extremity injury
Kristin R Archer1, Renan C Castillo, Ellen J Mackenzie
1Center for Injury Research and Policy, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. karcher5@comcast.net.
Archives of Physical Medicine and Rehabilitation
|August 1, 2006
Summary
A combined measure of slower walking speed and gait deviation effectively identifies physical disability in patients undergoing lower-limb salvage surgery. This approach aids in assessing recovery and functional outcomes post-trauma.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Severe lower-extremity trauma often necessitates limb salvage procedures.
- Assessing physical disability after limb salvage is crucial for patient outcomes.
- Current measures may not fully capture functional limitations.
Purpose of the Study:
- To evaluate a combined measure of walking speed and gait deviation.
- To determine its validity in identifying high physical disability.
- To assess patients undergoing lower-limb salvage.
Main Methods:
- Longitudinal study of 276 patients with lower-limb salvage.
- Data collected from eight level I trauma centers.
- Measured Sickness Impact Profile (SIP) scores, walking speed, and gait deviation at 24 months.
Main Results:
- Mean SIP scores differed significantly across groups based on walking speed and gait deviation.
- The mobility category of the SIP showed no statistical difference between impaired speed/deviation and no impairment groups.
- Impaired speed or deviation indicated higher physical disability.
Conclusions:
- Decreased walking speed combined with gait deviation is a valid indicator of physical disability.
- This combined measure can aid in the assessment of patients with lower-limb salvage.
- It offers a practical tool for evaluating functional recovery.
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