@misc{10481/56123,
year = {2017},
url = {http://hdl.handle.net/10481/56123},
abstract = {Objective: To determine and compare specific factors that could be associated and predictive
with successful prosthetic rehabilitation in major lower-limb amputations.
Methods: A 15-year long (2000-2014) retrospective observational cohort study was conducted.
Two different criteria were used to define successful prosthetic rehabilitation: (1) the ability
to walk at least 45 m, regardless of assistive devices; and (2) walking >45 m without other
ambulatory aids than one cane (if required). Age, gender, comorbidities, cause and level of
amputation, stump characteristics, ulcers in the preserved limb, and time between surgery and
physical therapy were examined as predictors of successful prosthetic rehabilitation.
Results: A total of 169 patients (61.60±15.9 years) were included. Regarding walking ability
with or without walking aids, the presence of ulcers in the preserved limb was individually
associated with failed prosthetic rehabilitation (p < 0.001), while being male (OR = 0.21;
95%CI = 0.06-0.80) and transtibial level of amputation (OR = 6.73; 95%CI = 1.92-23.64) were
identified as independent predictors of failure and success, respectively. Regarding the criterion
of successful rehabilitation, a shorter time until rehabilitation was individually associated
with improved walking ability (p < 0.013), while failure could be predicted by comorbidities
(OR = 0.48; 95%CI = 0.29---0.78) and age groups of 65---75 years old (OR = 0.19; 95%CI = 0.05-0.78)
and over 75 years old (OR = 0.19; 95%CI = 0.04-0.91).
Conclusions: Regarding walking ability with or without walking aids, male gender and transtibiallevel of amputation are independently associated with failure and success respectively, whereasolder age and comorbidities can predict failed prosthetic rehabilitation when assistive walking devices are considered. Future prospective cohort studies are needed to confirm these findings.},
publisher = {Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia},
keywords = {Successful rehabilitation},
keywords = {Predictive},
keywords = {Walking ability},
keywords = {Lower-limb},
keywords = {Amputees},
title = {Predicting successful prosthetic rehabilitation in major lower-limb amputation patients: a 15-year retrospective cohort study},
author = {Fajardo-Martos, Inés and Roda Murillo, Olga and Zambudio-Periago, Ramón and Bueno Cavanillas, Aurora and Hita Contreras, Fidel and Sánchez-Montesinos García, Indalecio},
}