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Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Authors
 Ji Cheol Shin  ;  Eun Joo Kim  ;  Chang Il Park  ;  Eun Sook Park  ;  Kyoo-Ho Shin 
Citation
 PROSTHETICS AND ORTHOTICS INTERNATIONAL, Vol.30(2) : 155-164, 2006 
Journal Title
 PROSTHETICS AND ORTHOTICS INTERNATIONAL 
ISSN
 0309-3646 
Issue Date
2006
MeSH
Activities of Daily Living ; Adolescent ; Adult ; Age Factors ; Aged ; Amputation* ; Amputation, Traumatic/rehabilitation* ; Artificial Limbs* ; Disability Evaluation ; Female ; Humans ; Leg/surgery* ; Leg Injuries/rehabilitation* ; Male ; Middle Aged ; Retrospective Studies ; Wheelchairs*
Keywords
Amputation ; bilateral lower limb ; clinical feature
Abstract
The objectives of this study were to evaluate the clinical features and outcomes of 43 bilateral lower limb amputees. The clinical features obtained included the causes of amputation, level of amputation, concurrent medical problems, and stump condition. Outcome measures were obtained using the activities of daily living (ADL) index, the Frenchay Activities Index (FAI), and mobility grading with prostheses or wheelchair. Of 33 amputees who were prosthetic ambulators, 22 (67%), mainly bilateral trans-tibial (TT) amputees, were community ambulators, and participated in activities which included stair-walking, and six of 11 household ambulators were combination trans-femoral (TF) and TT amputees. Of 10 amputees who were wheelchair ambulators, only one was able to perform wheelchair transfers independently and five were independent wheelchair ambulators. Using the ADL index and FAI, there was no significant difference in scores according to the level of amputation (p > 0.05), but the scores of community prosthetic ambulators were significantly higher than those of wheelchair ambulators (p < 0.05). Age was found to be negatively correlated with ADL index and FAI scores (r = −0.518 vs. r = −0.550) (p < 0.01). This study concludes that overall independence in ADL after bilateral lower limb amputation improved with young age and prosthetic mobility.
Full Text
http://poi.sagepub.com/content/30/2/155.long
DOI
10.1080/03093640600608074
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Park, Chang Il(박창일)
Shin, Kyoo Ho(신규호)
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110117
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