PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of an Intensive Rehabilitation Program on Physical Activity and Wearing Satisfaction in Traumatic Lower Limb Amputees -A Retrospective Study-

집중재활프로그램이 하지 절단 환자의 신체활동 및 의지 착용감에 미치는 영향 -후향적 연구-

  • Kim, Jin-Hong (Clinical Rehabilitation Research Center, Incheon Hospital, Korea Worker's Compensation & Welfare Service) ;
  • Hong, Ye-Ji (Clinical Rehabilitation Research Center, Incheon Hospital, Korea Worker's Compensation & Welfare Service) ;
  • Kim, Yu-Ri (Clinical Rehabilitation Research Center, Incheon Hospital, Korea Worker's Compensation & Welfare Service) ;
  • Lee, Gang-Pyo (Rehabilitation Medicine Center, Incheon Hospital, Korea Worker's Compensation & Welfare Service)
  • 김진홍 (근로복지공단 인천병원 재활의학연구센터) ;
  • 홍예지 (근로복지공단 인천병원 재활의학연구센터) ;
  • 김유리 (근로복지공단 인천병원 재활의학연구센터) ;
  • 이강표 (근로복지공단 인천병원 재활의학센터)
  • Received : 2020.11.03
  • Accepted : 2020.12.01
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the effect of an intensively rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. Methods: In this study, the anonymized electronic medical records of individuals who participated in the intensive rehabilitation program (among those who were admitted to the hospital belonging to the Labor Welfare Corporation) due to an industrial accident from August 2018 to September 2019 were collected. As a result, the records of 12 subjects meeting the screening criteria were analyzed. Results: According to the time of application to the intensive rehabilitation program, the 10 Meter Walk Test (10MWT) (p < 0.01), Berg Balance Scale (BBS) (p < 0.01), Timed Up and Go Test (TUG) (p = 0.01), the L Test of Functional Mobility (L-test) (p < 0.01), Prosthetic Limb Users Survey of Mobility (Plus-M) (p < 0.01), and Houghton Score Question (HSQ) (p < 0.01) values significantly improved with time. Conclusion: This study confirmed the positive effect of an intensive rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. However, this study was limited by the absence of a control group, and, thus, it highlights the need for more extensive research with a large sample.

Keywords

References

  1. Corio F, Troiano R, Magel J. The effects of spinal stabilization exercises on the spatial and temporal parameters of gait in individuals with lower limb loss. JPO: Journal of Prosthetics and Orthotics. 2010;22(4):230-236. https://doi.org/10.1097/JPO.0b013e3181f2f905
  2. Damayanti Sethy M, Kujur E, Sau K. Effect of balance exercise on balance control in unilateral lower limb amputees. Indian Journal of Occupational Therapy. 2009:41(3):63-68.
  3. De-Rosende Celeiro I, Simon Sanjuan L, Santos-del-Riego S. Activities of daily living in people with lower limb amputation: outcomes of an intervention to reduce dependence in pre-prosthetic phase. Disability and rehabilitation. 2017;39(18):1799-1806. https://doi.org/10.1080/09638288.2016.1211757
  4. Devlin M, Pauley T, Head K, et al. Houghton scale of prosthetic use in people with lower-extremity amputations: reliability, validity, and responsiveness to change. Archives of physical medicine and rehabilitation. 2014;85(8):1339-1344. https://doi.org/10.1016/j.apmr.2003.09.025
  5. Duncan P, Weiner D, Chandler J, et al. Functional reach: a new clinical measure of balance. Journal of gerontology. 1990;45(6):M192-M197. https://doi.org/10.1093/geronj/45.6.M192
  6. Escamilla N, Michelini A, Andrysek J. Biofeedback systems for gait rehabilitation of individuals with lower-limb amputation: a systematic review. Sensors. 2020;20:1628; doi:10.3390/s20061628.
  7. Gailey R, Allen K, Castles J, et al. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. Journal of rehabilitation research & development. 2008;45(1):15-30. https://doi.org/10.1682/JRRD.2006.11.0147
  8. Geertzen J, Martina J, Rietman H. Lower limb amputation part 2: Rehabilitation-A 10 year literature review. Prosthetics and orthotics international. 2001;25(1):14-20. https://doi.org/10.1080/03093640108726563
  9. Hafner B, Gaunaurd I, Morgan S, et al. Construct validity of the prosthetic limb users survey of mobility (PLUS-M) in adults with lower limb amputation. Archives of physical medicine and rehabilitation. 2017;98(2):277-285. https://doi.org/10.1016/j.apmr.2016.07.026
  10. Horgan O, MacLachlan M. Psychosocial adjustment to lower-limb amputation: a review. Disability and rehabilitation. 2014;26(14-15):837-850. https://doi.org/10.1080/09638280410001708869
  11. Hyland N. A comparative analysis of two gait training approaches for individuals with transtibial amputation. Seton Hall University. Dissertation of Master's Degree. 2009.
  12. Han TR, Choi JK, Kim DY. Causes of amputation of the lower extremities and patterns of changes in the area in the last decade. Annals of Rehabilitation Medicine. 2014;28(1):98-103.
  13. Kang JS, Jung BR, Kim GS, et al. Quantitative evaluation of the dynamic balance and gait ability of the lower limb amputator before and after prosthesis gait training. Journal of the Society of Rehabilitation and Welfare Engineering. 2018;12(3):168-175.
  14. Kim SH, Lee YH, Oh WJ, et al. Survey on disabled persons: Korea Institute for Health and Social Affairs, Ministry of Health and Welfare. 2017.
  15. Major M, Fatone S, Roth E. Validity and reliability of the Berg balance scale for community-dwelling persons with lower-limb amputation. Archives of physical medicine and rehabilitation. 2013;94(11):2194-2202. https://doi.org/10.1016/j.apmr.2013.07.002
  16. Miller W, Speechley M, Deathe B. The prevalence and risk factors of falling and fear of falling among lower extremity amputees. Archives of physical medicine and rehabilitation. 2001;82(8):1031-1037. https://doi.org/10.1053/apmr.2001.24295
  17. Newton K, Evans C, Osmotherly P. The timed up and go and two-minute walk test: exploration of a method for establishing normative values for established lower limb prosthetic users. European Journal of Physiotherapy. 2016;18(3):161-166. https://doi.org/10.3109/21679169.2016.1150511
  18. Norvell D, Czerniecki J, Reiber G, et al. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Archives of physical medicine and rehabilitation. 2005; 86(3):487-493. https://doi.org/10.1016/j.apmr.2004.04.034
  19. Pua Y, Ong P, Clark R, et al. Fall efficacy, postural balance, and risk for falls in older adults with falls-related emergency department visits: prospective cohort study. BMC geriatrics. 2017;17(1):291 DOI 10.1186/s12877-017-0682-2.
  20. Peters D, Fritz S, Krotish D. Assessing the reliability and validity of a shorter walk test compared with the 10-meter walk test for measurements of gait speed in healthy, older adults. Journal of geriatric physical therapy. 2013;36(1):24-30. https://doi.org/10.1519/jpt.0b013e318248e20d
  21. Schmiegelow M, Sode N, Riis T, et al. Re-amputations and mortality after below-knee, through-knee and above-knee amputations. Danish Medical Journal. 2018;65(12):A5520.
  22. Samuelsson K, Toytari O, Salminen A, et al. Effects of lower limb prosthesis on activity, participation, and quality of life: a systematic review. Prosthetics and orthotics international. 2012;36(2):145-158. https://doi.org/10.1177/0309364611432794
  23. Schoppen T, Boonstra A., Groothoff J, et al. The timed "up and go" test: reliability and validity in persons with unilateral lower limb amputation. Archives of physical medicine and rehabilitation.1999; 80(7):825-828. https://doi.org/10.1016/S0003-9993(99)90234-4
  24. Singh R, Hunter J, Philip A, et al. Gender differences in amputation outcome. Disability and rehabilitation. 2008;30(2):122-125. https://doi.org/10.1080/09638280701254095
  25. Sinha R, van den Heuvel W, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthetics and orthotics international. 2011;35(1):90-96. https://doi.org/10.1177/0309364610397087
  26. Sjodahl C, Jarnlo G, Soderberg B, et al. Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-education. Prosthetics and orthotics international. 2002;26(2):101-112. https://doi.org/10.1080/03093640208726632
  27. Su P, Gard S, Lipschutz R, et al. Gait characteristics of persons with bilateral transtibial amputations. Journal of rehabilitation research & development. 2007;44(4):491-502. https://doi.org/10.1682/JRRD.2006.10.0135
  28. Ulger O, Yildirim Sahan T, Celik S. A systematic literature review of physiotherapy and rehabilitation approaches to lower-limb amputation. Physiotherapy theory and practice. 2018;34(11):821-834. https://doi.org/10.1080/09593985.2018.1425938
  29. Van de Meent H, Hopman M, Frolke J. Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses. Archives of physical medicine and rehabilitation. 2013;94(11):2174-2178. https://doi.org/10.1016/j.apmr.2013.05.020
  30. Wurdeman S, Stevens P, Campbell J. Mobility analysis of AmpuTees (MAAT I): quality of life and satisfaction are strongly related to mobility for patients with a lower limb prosthesis. Prosthetics and orthotics international. 2018;42(5):498-503. https://doi.org/10.1177/0309364617736089