Prosthesis and wheelchair use in veterans with lower-limb amputation

被引:55
作者
Karmarkar, Amol M. [1 ,2 ]
Collins, Diane M. [1 ,2 ]
Wichman, Todd [3 ]
Franklin, Allison [3 ]
Fitzgerald, Shirley G. [4 ]
Dicianno, Brad E. [1 ,2 ]
Pasquina, Paul. F. [3 ]
Cooper, Rory A. [1 ,2 ]
机构
[1] Univ Pittsburgh, Dept Rehabil Sci & Technol, Pittsburgh, PA 15260 USA
[2] VA Pittsburgh Healthcare Syst, Dept Vet Affairs, Human Engn Res Labs, Pittsburgh, PA USA
[3] Walter Reed Army Med Ctr, Dept Phys Med & Rehabil, Washington, DC 20307 USA
[4] James A Haley Vet Hosp, Patient Safety Ctr Inquiry, Tampa, FL USA
关键词
function; health characteristics; lower-limb amputation; mobility device; outcome; prostheses; rehabilitation; satisfaction; veterans; wheelchairs; SATISFACTION; DEVICES; PEOPLE; RISK;
D O I
10.1682/JRRD.2008.08.0102
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
We determined the demographic, health, functional, and satisfaction factors related to lower-limb prosthesis or wheelchair use among veterans with lower-limb amputation. Forty-two veterans were recruited from the 20th National Disabled Veterans Winter Sports Clinic and the 26th National Veterans Wheelchair Games. Participants were at least 18 years of age, had a lower-limb amputation, and were either prosthesis or wheelchair users. Level of amputation was the most significant health-related characteristic determining the veterans' use of a prosthesis versus a wheelchair (p = 0.02). Veterans who had a higher level of amputation and used a prosthesis reported significantly greater difficulty navigating a ramp (p = 0.03), getting in and out of cars and buses (p = 0.03), carrying 10 lb of groceries (p = 0.02), and participating in sports and leisure activities) = 0.03). The parameter "satisfaction related to prosthesis" did not determine selection of mobility device type. The interaction of demographics, health-related characteristics, and mobility device characteristics affects functional performance and influences the use of prostheses, wheelchairs, or both in persons with lower-limb amputation. Long-term outcome assessments may help determine factors associated with either transition from one device to another or combined use of the devices over time.
引用
收藏
页码:567 / 575
页数:9
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