Abstract
Brunelli S, Averna T, Porcacchia P, Paolucci S, Di Meo F, Traballesi M. Functional status and factors influencing the rehabilitation outcome of people affected by above-knee amputation and hemiparesis. Objectives: To evaluate the functional status of people with transfemoral amputation and hemiparesis and to identify the factors that influence rehabilitation outcome after inpatient treatment. Design: Retrospective study. Setting: Rehabilitation hospital. Participants: Forty-five patients (30 men, 15 women; mean age, 69±9y) with intact mental status affected by unilateral transfemoral amputation for vascular disease and mild or moderate hemiparesis. Interventions: Not applicable. Main Outcome Measures: Barthel Index, Barthel Index effectiveness, and Locomotor Capabilities Index (LCI) scores were measured. The following factors were studied: side and cause of amputation, side and severity of hemiparesis, sequence and laterality of dual impairment, time interval between impairments, and hospital length of stay. Results: At discharge, mean Barthel Index and LCI scores ±1 standard deviation were 79±12 and 15±5.6, respectively; Barthel Index effectiveness was 55±23.8. Only 2 patients ambulated without walking aids. Barthel Index effectiveness was better in patients with mild hemiparesis than in patients with more severe impairment. Ipsilateral localization of dual impairment increased the probability of higher LCI scores. Conclusions: Selected patients with dual impairment can recover the ability to walk. Severity of hemiparesis and laterality were the 2 clinical factors that had the greatest influence on functional measures.
| Original language | English |
|---|---|
| Pages (from-to) | 995-1000 |
| Number of pages | 6 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 87 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Jul 2006 |
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Keywords
- Amputees
- Hemiparesis
- Rehabilitation
ASJC Scopus subject areas
- Rehabilitation
Cite this
Functional Status and Factors Influencing the Rehabilitation Outcome of People Affected by Above-Knee Amputation and Hemiparesis. / Brunelli, Stefano; Averna, Tiziano; Porcacchia, Paolo; Paolucci, Stefano; Di Meo, Francesco; Traballesi, Marco.
In: Archives of Physical Medicine and Rehabilitation, Vol. 87, No. 7, 07.2006, p. 995-1000.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Functional Status and Factors Influencing the Rehabilitation Outcome of People Affected by Above-Knee Amputation and Hemiparesis
AU - Brunelli, Stefano
AU - Averna, Tiziano
AU - Porcacchia, Paolo
AU - Paolucci, Stefano
AU - Di Meo, Francesco
AU - Traballesi, Marco
PY - 2006/7
Y1 - 2006/7
N2 - Brunelli S, Averna T, Porcacchia P, Paolucci S, Di Meo F, Traballesi M. Functional status and factors influencing the rehabilitation outcome of people affected by above-knee amputation and hemiparesis. Objectives: To evaluate the functional status of people with transfemoral amputation and hemiparesis and to identify the factors that influence rehabilitation outcome after inpatient treatment. Design: Retrospective study. Setting: Rehabilitation hospital. Participants: Forty-five patients (30 men, 15 women; mean age, 69±9y) with intact mental status affected by unilateral transfemoral amputation for vascular disease and mild or moderate hemiparesis. Interventions: Not applicable. Main Outcome Measures: Barthel Index, Barthel Index effectiveness, and Locomotor Capabilities Index (LCI) scores were measured. The following factors were studied: side and cause of amputation, side and severity of hemiparesis, sequence and laterality of dual impairment, time interval between impairments, and hospital length of stay. Results: At discharge, mean Barthel Index and LCI scores ±1 standard deviation were 79±12 and 15±5.6, respectively; Barthel Index effectiveness was 55±23.8. Only 2 patients ambulated without walking aids. Barthel Index effectiveness was better in patients with mild hemiparesis than in patients with more severe impairment. Ipsilateral localization of dual impairment increased the probability of higher LCI scores. Conclusions: Selected patients with dual impairment can recover the ability to walk. Severity of hemiparesis and laterality were the 2 clinical factors that had the greatest influence on functional measures.
AB - Brunelli S, Averna T, Porcacchia P, Paolucci S, Di Meo F, Traballesi M. Functional status and factors influencing the rehabilitation outcome of people affected by above-knee amputation and hemiparesis. Objectives: To evaluate the functional status of people with transfemoral amputation and hemiparesis and to identify the factors that influence rehabilitation outcome after inpatient treatment. Design: Retrospective study. Setting: Rehabilitation hospital. Participants: Forty-five patients (30 men, 15 women; mean age, 69±9y) with intact mental status affected by unilateral transfemoral amputation for vascular disease and mild or moderate hemiparesis. Interventions: Not applicable. Main Outcome Measures: Barthel Index, Barthel Index effectiveness, and Locomotor Capabilities Index (LCI) scores were measured. The following factors were studied: side and cause of amputation, side and severity of hemiparesis, sequence and laterality of dual impairment, time interval between impairments, and hospital length of stay. Results: At discharge, mean Barthel Index and LCI scores ±1 standard deviation were 79±12 and 15±5.6, respectively; Barthel Index effectiveness was 55±23.8. Only 2 patients ambulated without walking aids. Barthel Index effectiveness was better in patients with mild hemiparesis than in patients with more severe impairment. Ipsilateral localization of dual impairment increased the probability of higher LCI scores. Conclusions: Selected patients with dual impairment can recover the ability to walk. Severity of hemiparesis and laterality were the 2 clinical factors that had the greatest influence on functional measures.
KW - Amputees
KW - Hemiparesis
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=33745245053&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745245053&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2006.04.004
DO - 10.1016/j.apmr.2006.04.004
M3 - Article
VL - 87
SP - 995
EP - 1000
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 7
ER -