BACKGROUND: There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation. OBJECTIVES: To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking. STUDY DESIGN: Validation of a diagnostic procedure. METHODS: Sixty-four patients were included. OUTCOME MEASURES: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function. RESULTS: The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83-0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance. CONCLUSIONS: 2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders. Clinical relevance This validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments--especially prosthetics--at the definitive prosthetic phase.
BACKGROUND: There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation. OBJECTIVES: To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking. STUDY DESIGN: Validation of a diagnostic procedure. METHODS: Sixty-four patients were included. OUTCOME MEASURES: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function. RESULTS: The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83-0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance. CONCLUSIONS: 2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders. Clinical relevance This validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments--especially prosthetics--at the definitive prosthetic phase.
Authors: Jason T Kahle; M Jason Highsmith; Hans Schaepper; Anton Johannesson; Michael S Orendurff; Kenton Kaufman Journal: Technol Innov Date: 2016-09-01
Authors: Mayank Seth; Emma Haldane Beisheim; Ryan Todd Pohlig; John Robert Horne; Frank Bernard Sarlo; Jaclyn Megan Sions Journal: Am J Phys Med Rehabil Date: 2022-01-01 Impact factor: 2.159
Authors: Bita Imam; William C Miller; Heather C Finlayson; Janice J Eng; Michael Wc Payne; Tal Jarus; Charles H Goldsmith; Ian M Mitchell Journal: JMIR Res Protoc Date: 2014-12-22
Authors: Evren Karaali; Altuğ Duramaz; Osman Çiloğlu; Mustafa Yalın; Mehmet Atay; Furkan Çağlayan Aslantaş Journal: Turk J Phys Med Rehabil Date: 2020-10-16