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Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge

Caroline E. Roffman, John Buchanan, Garry T. Allison
DOI: 10.2522/ptj.20140164 Published 1 July 2016
Caroline E. Roffman
C.E. Roffman, BScPT, School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia, and Physiotherapy Department, Royal Perth Hospital, Perth, Western Australia 6847, Australia.
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John Buchanan
J. Buchanan, GDipPT, School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, and Physiotherapy Department, Royal Perth Hospital.
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Garry T. Allison
G.T. Allison, PhDPT, School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, and Physiotherapy Department, Royal Perth Hospital.
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Figures

Figure 1.
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Figure 1.

Flowchart showing participant recruitment and eligibility for the study.

Figure 2.
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Figure 2.

Descriptive variables, available locomotor test data assessed during rehabilitation, and time frames relative to physical therapy discharge abstracted from the medical records. IQR=interquartile range, 10MWT=10-Meter Walk Test, 6MWT=Six-Minute Walk Test, TUGT=Timed “Up & Go” Test, FSST=Four Square Step Test.

Tables

Table 4.
Table 4.

Multifactorial Reasons for Prosthetic Nonuse Self-Reported by Participants Who Were Prosthetic Nonusers at 12 Months After Discharge From Rehabilitationa

  • ↵a Participants were able to report more than one reason for not using their prosthesis; therefore, the cumulative percentage exceeds 100.

Table 1.
Table 1.

Demographic, Comorbidity, and Amputation Details Abstracted From the Medical Records of People Who Remained Prosthetic Users and Became Prosthetic Nonusers at 12 Months After Discharge From Rehabilitationa

  • ↵a CCI=Charlson Comorbidity Index, IQR=interquartile ratio.

Table 2.
Table 2.

Median (IQR) and Mann-Whitney U Test Performance Results for People Who Remained Prosthetic Users and Became Nonusers at 12 Months After Dischargea

  • ↵a IQR=interquartile range, 10MWT=10-Meter Walk Test, 6MWT=Six-Minute Walk Test, TUGT=Timed “Up & Go” Test, FSST=Four Square Step Test.

  • b 999 represents median and IQR of participants who were unable to perform the test.

Table 3.
Table 3.

Locomotor Test Thresholds From Receiver Operating Characteristic Curve Analysis and Associated Accuracy Statistics (95% Confidence Interval) for People Who Became Prosthetic Nonusers at 12 Months After Dischargea

  • ↵a 10MWT=10-Meter Walk Test, 6MWT=Six-Minute Walk Test, TUGT=Timed “Up & Go” Test, FSST=Four Square Step Test.

Supplementary Data

eAppendix and eFigures

Files in this Data Supplement:

  • eAppendix and eFigures (PDF) (2.13 MB) - This PDF contains the following supplements:
    • eAppendix. Procedures, Scoring, and Psychometric Properties for the Locomotor Tests
    • eFigure 1. Multidisciplinary Model of Care at Royal Perth Hospital
    • eFigure 2. Receiver Operating Characteristic Curve for 10-Meter Walk Test Gait Speed in Prosthetic Users and Nonusers
    • eFigure 3. Receiver Operating Characteristic Curve for Six-Minute Walk Test Distance in Prosthetic Users and Nonusers
    • eFigure 4. Receiver Operating Characteristic Curve for Timed "Up & Go" Test Time in Prosthetic Users and Nonusers
    • eFigure 5. Receiver Operating Characteristic Curve for Four Square Step Test Time in Prosthetic Users and Nonusers
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Vol 96 Issue 7 Table of Contents
Physical Therapy: 96 (7)

Issue highlights

  • The TIDieR Checklist Will Benefit the Physical Therapy Profession
  • The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016 Statement
  • National Profile of Physical Therapists in Critical Care Units of Sri Lanka: Lower Middle-Income Country
  • Raising the Priority of Lifestyle-Related Noncommunicable Diseases in Physical Therapy Curricula
  • Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future
  • Prognostic Models in Adults Undergoing Physical Therapy for Rotator Cuff Disorders: Systematic Review
  • Disability Trajectories in Patients With Complaints of Arm, Neck, and Shoulder (CANS) in Primary Care: Prospective Cohort Study
  • Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge
  • Physical Therapists' Use of Functional Electrical Stimulation for Clients With Stroke: Frequency, Barriers, and Facilitators
  • Improving Shoulder Kinematics in Individuals With Paraplegia: Comparison Across Circuit Resistance Training Exercises and Modifications in Hand Position
  • Concussion Attitudes and Beliefs, Knowledge, and Clinical Practice: Survey of Physical Therapists
  • Dietary Protein Intake and Lean Muscle Mass in Survivors of Childhood Acute Lymphoblastic Leukemia: Report From the St. Jude Lifetime Cohort Study
  • Problems, Solutions, and Strategies Reported by Users of Transcutaneous Electrical Nerve Stimulation for Chronic Musculoskeletal Pain: Qualitative Exploration Using Patient Interviews
  • Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity
  • Treatment-Based Classification System for Low Back Pain: Revision and Update
  • Interdisciplinary Management of Complex Regional Pain Syndrome of the Face
  • Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study
  • Therapists' Perceptions of Application and Implementation of AM-PAC “6-Clicks” Functional Measures in Acute Care: Qualitative Study
  • Highlight
  • Alberta Infant Motor Scale (AIMS) Performance of Greek Preterm Infants: Comparisons With Full-Term Infants of the Same Nationality and Impact of Prematurity-Related Morbidity Factors
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Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge
Caroline E. Roffman, John Buchanan, Garry T. Allison
Physical Therapy Jul 2016, 96 (7) 985-994; DOI: 10.2522/ptj.20140164

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Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge
Caroline E. Roffman, John Buchanan, Garry T. Allison
Physical Therapy Jul 2016, 96 (7) 985-994; DOI: 10.2522/ptj.20140164
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  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
Show more Musculoskeletal

Subjects

  • Diagnosis/Prognosis
    • Diagnosis/Prognosis: Other
  • Musculoskeletal System/Orthopedic
    • Injuries and Conditions: Lower Extremity
    • Amputation
  • Intervention
    • Adaptive/Assistive Devices

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