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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Testing the effectiveness of the Amputee Mobility Protocol: a pilot study.

Karen D Marzen-Groller1, Sandra M Tremblay, Julie Kaszuba

  • 1Lehigh Valley Hospital and Health Network, Division of Education, Allentown, Pennsylvania 18103, USA.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|August 19, 2008
PubMed
Summary

The Amputee Mobility Protocol (AMP) improved functional mobility in lower extremity amputation patients but did not significantly reduce hospital length of stay (LOS). This protocol enhances patient independence and guides future vascular surgery recovery research.

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Area of Science:

  • Vascular Surgery
  • Rehabilitation Medicine
  • Nursing Science

Background:

  • Prolonged length of stay (LOS) is a concern for acute care patients, particularly those with lower extremity amputations.
  • Loss of functional mobility status is a significant complication post-amputation.
  • Standardized protocols are needed to optimize patient outcomes in vascular surgery units.

Purpose of the Study:

  • To evaluate the effect of the Amputee Mobility Protocol (AMP) on functional mobility and LOS in patients undergoing lower extremity amputation.
  • To implement AMP as a standard of care on a medical-surgical vascular unit.
  • To assess the impact of AMP on patient independence and recovery.

Main Methods:

  • A comparative pre-post observational study design was utilized.
  • Data collected retrospectively (pre-AMP) and concurrently (post-AMP) from patient charts.
  • Functional mobility assessed using modified Functional Independence Measure (FIM) scores; LOS measured in hospital days.

Main Results:

  • Functional mobility improved across amputation types (transmetatarsal, transtibial, transfemoral) post-AMP implementation.
  • LOS decreased for transmetatarsal amputations but increased for transtibial and transfemoral amputations.
  • AMP implementation heightened staff awareness and positively impacted patient functional mobility and independence.

Conclusions:

  • The Amputee Mobility Protocol (AMP) effectively enhances functional mobility and patient independence after lower extremity amputation.
  • While AMP did not significantly decrease acute care LOS, its benefits in functional recovery warrant continued use.
  • Future research should explore AMP's application in other vascular procedures and address study limitations like sample size.