Stability and Falls Evaluations in AMPutees (SAFE-AMP 2): Reduced functional mobility is associated with a history of injurious falls in lower limb prosthesis users - 03/06/23
, Rajib Paul b, Melinda Forthofer b, Shane R. Wurdeman a
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Highlights |
• | A low functional mobility level is associated with a history of injurious falls. |
• | Maintaining or improving mobility post-amputation may reduce risk of injurious falls. |
• | PLUS-M is an accessible and useful tool to guide prosthetic rehabilitation. |
• | Continued need to explore modifiable clinical factors relative to prosthesis use. |
Abstract |
Background |
Injurious falls have a high cost and economic impact on an individual and the health system. Several studies have assessed performance-based functional mobility in lower limb prosthesis (LLP) users and fall risk including fall history. However, limited data exist regarding the relationship between functional mobility and a history of injurious falls in individuals who use a LLP. Such information could inform clinical practice and decision making from prosthesis design to policy. The purpose of this study was to identify factors associated with a history of injurious falls among LLP users using a clinical outcomes database.
Methods |
Retrospective (2016-2018) observational study. Logistic regression applied.
Results |
A final sample of 12,044 LLP users was included for analysis. Within the sample, 1,529 individuals reported a history of an injurious fall within the previous 6 months. Self-reported functional mobility was stratified into low, middle, and high levels: differences were found between levels for history of an injurious fall. The lowest mobility level was associated with 2.29 higher odds of a history of an injurious fall (95% CI: 1.96-2.69) indicating a potentially greater serious fall risk compared to those with higher mobility levels while controlling for covariates (sex, cause of amputation and level of amputation).
Conclusion(s) |
Self-reported functional mobility was associated with a history of injurious falls in LLP users. The Prosthetic Limb Users Survey of Mobility is an accessible tool that prosthetists could use to identify individuals with a high risk of falls; this can inform care planning. Rehabilitation plans and prosthesis designs that target LLP users who report low functional mobility may positively impact health outcomes.
Le texte complet de cet article est disponible en PDF.Key Words : Lower limb amputation, Prosthetic outcomes, Injurious falls, Rehabilitation
Abbreviations : ABC, AKA, BKA, LLP, LLA, QoL, PLUS-M, TUG
Plan
Vol 66 - N° 4
Article 101679- mai 2023 Retour au numéro
Article précédent
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