Bilateral lower limb amputee rehabilitation: a retrospective review

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Date: May 1991
From: The Western Journal of Medicine(Vol. 154, Issue 5)
Publisher: BMJ Publishing Group Ltd.
Document Type: Article
Length: 1,880 words

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Abstract :

Evaluation of ambulation status (ability to move from place to place) is one important parameter used to judge the effectiveness of rehabilitation programs. Patients with bilateral lower limb amputation (involving both legs) are being admitted to rehabilitation programs, yet few reports are available on their status after ambulation training. The outcome of 61 patients (20 female) with bilateral amputations who attended such programs was studied. The average length of stay for these patients was 24 days. Twenty-five patients had bilateral below-knee amputations, 14 had one above-knee and one below-knee, 12 had two above-knee amputations, and 10 others had amputations involving the feet. Forty-seven returned home, 12 required hospital care for complications, and two were discharged to nursing homes. Of the 47 who returned home, eight achieved some type of community ambulation, 10 attained a household level of ambulation, 17 had a limited household level, and 12 needed a wheelchair for mobility. Mobility status was approximately the same three months after discharge. Patients who had at least one knee joint intact (below-knee amputation) were more likely to ambulate at home. Patients with bilateral above-knee amputations most often used wheelchairs for mobility. (Consumer Summary produced by Reliance Medical Information, Inc.)

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Gale Document Number: GALE|A10940133