Impact of C-LEG on mobility, satisfaction and quality of life in a multicenter cohort of femoral amputees - 20/02/21
, Gérard Chiesa a, Jean Paysant b, Eric Vicaut c, Marie-Christine Cristina d, Domenico Ménager a
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | The use of the microprocessor-controlled C-LEG knee joint significantly improved locomotor capabilities, satisfaction and quality of life in active transfemoral amputees. |
• | The use of C-LEG allowed for improving daily use of the prosthesis and reducing the frequency of falls as compared with the usual prosthetic knee, which was mechanical in almost all cases. |
• | Some moderately active patients may benefit from C-LEG with electronically controlled stance and swing phases. |
Abstract |
Background |
In some countries, the microprocessor-controlled C-LEG knee joint is reimbursed by the national health insurance for transfemoral amputees under certain conditions. However, whether users really benefit from such a technology in their daily life is unknown.
Objective |
To observe the performance of active C-LEG users in terms of locomotor ability and activities, satisfaction and quality of life after 6 months of wearing the prosthesis in real-life conditions.
Methods |
This multicenter observational study investigated locomotor ability [Locomotor Capability Index 5 (LCI-5)], satisfaction [Quebec User Evaluation of Satisfaction with Assistive Device 2.0 (QUEST 2.0)] and quality of life [Medical Outcomes Study Short Form 36 (SF-36)] at the beginning (T0) and end (T1) of the C-LEG test period and at 6 months (T2) after the confirmed prescription of the C-LEG. Information was also collected on the use of walking aids, daily wear of the prosthesis, falls and adverse events.
Results |
We enrolled 102 participants; 81 were assessed at T1 (62 had a previous prosthesis) and 56 were followed up after 6 months (45 had a previous prosthesis). For participants who had previously been fitted with a prosthetic knee, which was mechanical in almost all cases, as compared with baseline, the use of C-LEG significantly improved locomotor ability (LCI-5 52.6 vs. 46.7, P<0.001), satisfaction (QUEST score 4.6 vs. 3.7, P<0.001) and physical quality of life (SF-36 physical component summary score 51.1 vs. 45.3, P<0.001). In addition, daily use of the prosthesis was higher and use of walking aids and frequency of falls were lower as compared with the previous period.
Conclusions |
Active transfemoral amputees with prescription of the C-LEG knee joint showed improved function, satisfaction and physical quality of life after 6 months of wear as compared with their previous prosthesis.
Le texte complet de cet article est disponible en PDF.Plan
Vol 64 - N° 1
Article 101386- janvier 2021 Retour au numéro
Article précédent
- Charlie Chaplin and gesture training in severe aphasia: A controlled double-blind single-case experimental design
- Clemence Vibrac, Amelie Avias, Pierre-Olivier François, Marie-Eve Isner-Horobeti, Agata Krasny-Pacini
- Functional outcome after severe childhood traumatic brain injury: Results of the TGE prospective longitudinal study
- Sara Neumane, Hugo Câmara-Costa, Leila Francillette, Mélanie Araujo, Hanna Toure, Dominique Brugel, Anne Laurent-Vannier, Linda Ewing-Cobbs, Philippe Meyer, Georges Dellatolas, Laurence Watier, Mathilde Chevignard
Bienvenue sur EM-consulte, la référence des professionnels de santé.