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Related Experiment Videos

Psychologic testing in amputation rehabilitation.

M S Pinzur1, G Graham, H Osterman

  • 1STAMP (Special Teams for Amputations, Mobility, Prosthetics/Orthotics) Center, Hines Veterans Administration Hospital, Illinois.

Clinical Orthopaedics and Related Research
|April 1, 1988
PubMed
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Objective psychologic testing identified significant cognitive and psychiatric deficits in amputee prosthetic candidates. These deficits predicted poor outcomes, highlighting the importance of psychological assessment in rehabilitation potential for dysvascular amputees.

Area of Science:

  • Rehabilitation Medicine
  • Psychology
  • Prosthetics

Background:

  • Successful prosthetic limb fitting and gait training are crucial for amputee rehabilitation.
  • Patient selection for prosthetic candidacy typically involves multidisciplinary team evaluation.
  • The role of objective psychologic testing in predicting rehabilitation outcomes for amputees remains an area for investigation.

Purpose of the Study:

  • To investigate the utility of objective psychologic testing in assessing the rehabilitation potential of adult patients undergoing lower-limb amputation.
  • To determine the correlation between psychologic deficits and outcomes in prosthetic limb fitting and gait training.

Main Methods:

  • Sixty adult patients who underwent below- or above-knee amputation were evaluated.

Related Experiment Videos

  • All patients were initially considered prosthetic candidates by a multidisciplinary rehabilitation team.
  • Objective psychologic testing was administered to assess cognitive ability and psychiatric status.

    • Main Results:

    • 10% of patients exhibited severe cognitive deficits, 13% had covert psychiatric illness, and 5% had both.
    • Objective psychologic testing identified 28% of patients as poor candidates for prosthetic use.
    • Among those identified as poor candidates, only 6% achieved minimal prosthesis use, with none returning to their pre-amputation ambulation level.

    Conclusions:

    • Objective psychologic testing can identify significant cognitive and psychiatric impairments in amputee populations.
    • Psychologic assessment is a valuable tool for predicting rehabilitation potential and outcomes in dysvascular amputees.
    • Integrating psychologic evaluations may optimize prosthetic fitting and gait training success rates.