Prosthetics and orthotics international · 2024
Four weeks of inpatient comprehensive prosthetic rehabilitation achieves contrasting results in different groups of prosthetic users.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Hjermundrud Vegar, Hilding Gitte Flindt, Gjøvaag Terje
Аннотация
BACKGROUND: This study explored how inpatient exercise rehabilitation affected prosthetic mobility, function, and ambulation in persons with lower limb loss.
METHODS: In this explorative prospective nonrandomized intervention study, experienced (EXP-INT, n = 20) and new prosthetic users (NEW-INT, n = 18) completed a 4-week rehabilitation intervention. A control group of experienced prosthetic users (n = 19) received no intervention. Tests were performed at baseline (pretest) and after 4 weeks (posttest). A step-monitoring device recorded ambulatory activity.
RESULTS: For the primary outcome measure, Prosthetic Limb Users Survey of Mobility, the between-group analysis revealed significant differences (χ 2 = 10.91, df = 2, p < 0.01). Within-group Prosthetic Limb Users Survey of Mobility T-scores improved by 8.1% for the EXP-INT ( p < 0.01) and 15.1% for NEW-INT ( p < 0.01). Significant between-group differences were observed for the Amputee Mobility Predictor, L-test, 2-minute walk test, and 10-meter walk test. Within-group analysis demonstrated nonsignificant changes for the EXP-INT except for Prosthetic Limb Users Survey of Mobility, while the NEW-INT improved by 24.1% ( p < 0.001), 34.0% ( p < 0.01), 46.5% ( p < 0.05), and 31.0% ( p < 0.01), respectively. The number of steps during the last 7 d of rehabilitation showed significant differences between the groups (χ 2 = 13.99, df = 2, p < 0.001). The NEW-INT improved by 138% ( p < 0.05) compared with the first 7 d of rehabilitation, while the EXP-INT had nonsignificant changes.
CONCLUSIONS: A 4-week rehabilitation intervention substantially increased prosthetic mobility, function, and ambulation activity for new prosthetic users but less so for experienced users. The results of the NEW-INT at discharge signify a considerable functional improvement.
METHODS: In this explorative prospective nonrandomized intervention study, experienced (EXP-INT, n = 20) and new prosthetic users (NEW-INT, n = 18) completed a 4-week rehabilitation intervention. A control group of experienced prosthetic users (n = 19) received no intervention. Tests were performed at baseline (pretest) and after 4 weeks (posttest). A step-monitoring device recorded ambulatory activity.
RESULTS: For the primary outcome measure, Prosthetic Limb Users Survey of Mobility, the between-group analysis revealed significant differences (χ 2 = 10.91, df = 2, p < 0.01). Within-group Prosthetic Limb Users Survey of Mobility T-scores improved by 8.1% for the EXP-INT ( p < 0.01) and 15.1% for NEW-INT ( p < 0.01). Significant between-group differences were observed for the Amputee Mobility Predictor, L-test, 2-minute walk test, and 10-meter walk test. Within-group analysis demonstrated nonsignificant changes for the EXP-INT except for Prosthetic Limb Users Survey of Mobility, while the NEW-INT improved by 24.1% ( p < 0.001), 34.0% ( p < 0.01), 46.5% ( p < 0.05), and 31.0% ( p < 0.01), respectively. The number of steps during the last 7 d of rehabilitation showed significant differences between the groups (χ 2 = 13.99, df = 2, p < 0.001). The NEW-INT improved by 138% ( p < 0.05) compared with the first 7 d of rehabilitation, while the EXP-INT had nonsignificant changes.
CONCLUSIONS: A 4-week rehabilitation intervention substantially increased prosthetic mobility, function, and ambulation activity for new prosthetic users but less so for experienced users. The results of the NEW-INT at discharge signify a considerable functional improvement.