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Elderly patients with lower extremity amputations: three-year study in a rehabilitation setting
Archives of Physical Medicine and Rehabilitation
|March 1, 1977
Summary
This study shows that a team-based, two-phase rehabilitation program enables most elderly patients with lower extremity amputations to become independent prosthetic ambulators, maintaining mobility long-term.
Area of Science:
- Rehabilitation Medicine
- Prosthetics
- Geriatric Care
Background:
- Elderly patients with lower extremity amputations often present complex medical, psychological, and social challenges.
- Previous surgical procedures and severe psychological issues like depression are common.
- Effective rehabilitation strategies are crucial for restoring mobility and independence.
Purpose of the Study:
- To evaluate the effectiveness of a two-phase, team-approach prosthetic rehabilitation program.
- To assess long-term outcomes for elderly patients with lower extremity amputations.
Main Methods:
- A cohort of 112 elderly patients with lower extremity amputations were evaluated.
- An 86-patient subset completed a two-phase prosthetic rehabilitation program.
- Outpatient follow-up was conducted for four years on patients who completed phase II.
Main Results:
- 86 out of 112 patients were discharged as independent prosthetic ambulators.
- After four years, 66 of the initial 86 completers remained independent ambulators.
- 14 patients died, and contact was lost with 6 during follow-up.
Conclusions:
- A comprehensive, team-based prosthetic rehabilitation program significantly improves long-term ambulation outcomes for elderly amputees.
- Despite challenges, many patients can achieve and maintain independence with prosthetic devices.
- Addressing multifaceted patient needs is vital for successful rehabilitation.