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.
Il testo completo di questo articolo è disponibile in PDF.Key Words : Lower limb amputation, Prosthetic outcomes, Injurious falls, Rehabilitation
Abbreviations : ABC, AKA, BKA, LLP, LLA, QoL, PLUS-M, TUG
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Vol 66 - N° 4
Articolo 101679- maggio 2023 Ritorno al numero
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