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Return to driving after lower-extremity amputation.

Chris Boulias1, Ben Meikle, Tim Pauley

  • 1Division of Physiatry, Department of Medicine, University of Toronto, Toronto, ON, Canada.

Archives of Physical Medicine and Rehabilitation
|August 29, 2006
PubMed
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Most individuals with major lower-extremity amputations can return to driving, though often with reduced frequency. Factors like female sex, older age, and right-sided amputation decrease the likelihood of resuming driving.

Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Occupational Therapy

Background:

  • Major lower-extremity amputations significantly impact daily activities, including driving.
  • Understanding driving behaviors post-amputation is crucial for patient independence and quality of life.

Purpose of the Study:

  • To investigate driving behaviors following major lower-extremity amputations.
  • To identify factors influencing the return to driving after amputation.

Main Methods:

  • Cross-sectional study of 123 patients with major lower-extremity amputations.
  • Data collected from an outpatient amputee and prosthetics clinic.
  • Inclusion criteria: >18 years, unilateral/bilateral amputation, 1+ year post-prosthetic fitting, active driver pre-amputation.

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Main Results:

  • 80.5% returned to driving, averaging 3.8 months post-amputation, but with decreased frequency.
  • Female sex, age ≥60, right-sided amputation, and lower pre-amputation driving frequency were associated with reduced return to driving.
  • Right-sided amputees commonly required vehicle modifications or adapted driving styles.

Conclusions:

  • The majority of patients can resume driving after lower-extremity amputation.
  • Vehicle modifications are frequent among right-sided amputees.
  • Key predictors and barriers to returning to driving were identified.