Communication Affichée: Poster Tour 1
Le 14/10/2021 de 11:00 à 11:30
Statut fonctionnel de patients amputés d'un membre inférieur : visite de suivi au domicile
Grégory Cicchellero (Liege, Belgique), Aurore Thibaut (Liege, Belgique), Charlotte Beaudart (Liege, Belgique), Jean-François Kaux (Liege, Belgique), Benoît Maertens de Noordhout (Liege, Belgique), Doriane Pelzer (Liege, Belgique)
Objective : To evaluate patients with lower limb amputation’s functional status and prosthetic use during a follow-up visit at home.
Material / Patients and Methods : In this observational prospective study patients were seen during a consultation 1-month after the patient's discharge (T1) and one months later at the patients’ home (T2). The Timed Up and Go (TUG), the Prosthetic Profile of the Amputee Locomotor Capabilities Index (PPA-LCI) and the Houghton Instrument were collected. A questionnaire aiming at assessing patients’ satisfaction and the use of their prosthesis and technical aids was developed. Data are presented as medians and interquartile range (25-75). Wilcoxon matched-pairs was used to compare the outcomes between T1 and T2.
Results : 10 patients were included [6 men, 8(7.5-8.5) months post-amputation, 66.5(60.0-73.5) years-old]; 5 transtibial, 5 transfemoral; 7 arthritis, 2 traumatic, 1 oncologic complication. PPA-LCI scores remained unchanged, while the Houghton scores increased. No difference on the TUG was found between T1 and T2. On the visual analogue scale (VAS), patients evaluated their daily functional difficulties similarly at T1 and T2, while their appraisal to have reached their walking capacity and autonomy improved. The hours per day of prosthesis use was equal, while their comfort was enhanced. They evaluated their autonomy regarding the prosthetic placement as excellent both at T1 and T2. See Table 1 for a summary of the results.
Discussion - Conclusion : These preliminary findings highlighted a significant enhancement on the Houghton scale, highlighting a better perception of prosthetic use. In addition, patients’ perception on their walking capacity and autonomy improved when reassessed at home.
Keywords : amputee, quality of life, functional status, prosthesis