Claimed walking distance of lower limb amputees

Purpose: Walking ability in general and specifically for lower limb amputees is of major importance for social mobility and ADL independence. Walking determines prosthesis prescription. The aim of this study was to mathematically analyse factors influencing claimed walking distance of lower limb amp...

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Bibliographic Details
Published in:Disability and rehabilitation 2005-02, Vol.27 (3), p.101-104
Main Authors: Geertzen, Jan HB, Bosmans, Joline C, van der Schans, Cees P, Dijkstra, Pieter U
Format: Article
Language:English
Subjects:
Age Factors
Aged
Amputees
Artificial Limbs
Female
Femur - surgery
Humans
Leg
Lower limb amputee
Male
Models, Theoretical
Neuralgia - physiopathology
Phantom Limb - physiopathology
phanton pain
Surveys and Questionnaires
Vascular Diseases - physiopathology
walking
Walking - physiology
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Summary:Purpose: Walking ability in general and specifically for lower limb amputees is of major importance for social mobility and ADL independence. Walking determines prosthesis prescription. The aim of this study was to mathematically analyse factors influencing claimed walking distance of lower limb amputees of 500 m or more. Method: A total of 437 patients returned two questionnaires: the Groningen Questionnaire Problems after Leg Amputation, in which walking distance was assessed, and the RAND 36. Results: The chance of walking 500 m or more reduced when a transfemoral amputation was performed. The chance reduced even more when phantom pain or stump pains were present. If the amputation was performed because of vascular disease or because of vascular problems because of diabetes the chance reduced again. Independently of these factors, age reduced the chance of walking 500 m or more. Conclusion: The chance of walking 500 m or more reduces with increase in age and a more proximal amputation. The chance reduces even further when the amputation is performed because of diabetes or a vascular disease and also if phantom pain and or stump pain is present.
ISSN:0963-8288
1464-5165
DOI:10.1080/09638280400009345