Aim of the study is to compare the most relevant protocols for the assessment of the rehabilitative path of patient with lower limb prosthesis. The first one is the “Timed up and go”, a test created to analyse balance disorders in adults. It was modified to quantify the mobility in adults with different pathologies. The test analyses the transition from the sitting to the upright position and vice versa after a walking distance of three meters. This test is quick and easy to perform, does not require special instruments or training, so it can be administered by any healthcare professional. The second one is the “2-minute walk test”. It is proposed when it is difficult for the patient to support the walk for a longer time. Results from previous studies show that this test is particularly sensitive to clinical changes resulting from rehabilitation treatment; it is also practical, simple and quick to administer. One of the most used protocol in the field of prosthetics is the “K level” test. The method classifies patients in five levels that indicate the degree of activity that the amputee can sustain based on an assessment of the patient’s current situation, including the status of the stump, the desire to walk and other pathological conditions. With this test it is possible to determine the components of the prosthetic aid best suited to the patient’s activity levels. The “Locomotor Capabilities Index” is a questionnaire that allows to define the gait characteristics of prosthetic amputees and their level of independence. The “Russek’s Code” protocol is used to measure the functional abilities of amputees with their own prosthesis. This test provides significant results for differences between patients of different ages and amputation level. However, these results require a fairly large sample of patients. The “Prosthetic Profile of the Amputee” is a questionnaire that consists of 44 questions divided into six sections concerning the patient’s physical condition, the prosthesis, use of the prosthesis, the environment of use, recreational activities and other general information. The questionnaire is completed in approximately 25Â min, and clear instructions on how to proceed are provided to facilitate the patient. Finally, it is appropriate to mention the fact that a fundamental contribution to the assessment of the amputee’s mobility is given in the Gait Analysis with which it is possible to objectify the spatio-temporal parameters of the gait.
Comparative analysis of the assessment methods of the rehabilitative-prosthetic path of the patient with lower limb prosthesis / Draicchio, F.; Tatarelli, A.; Castellano, S.; Poni, I.; Fiori, L.; Silvetti, A.; Rossi, P.. - 970:(2019), pp. 443-457. (Intervento presentato al convegno AHFE International Conference on Social and Occupational Ergonomics, 2019 tenutosi a usa) [10.1007/978-3-030-20145-6_44].
Comparative analysis of the assessment methods of the rehabilitative-prosthetic path of the patient with lower limb prosthesis
Draicchio F.;Fiori L.;
2019
Abstract
Aim of the study is to compare the most relevant protocols for the assessment of the rehabilitative path of patient with lower limb prosthesis. The first one is the “Timed up and go”, a test created to analyse balance disorders in adults. It was modified to quantify the mobility in adults with different pathologies. The test analyses the transition from the sitting to the upright position and vice versa after a walking distance of three meters. This test is quick and easy to perform, does not require special instruments or training, so it can be administered by any healthcare professional. The second one is the “2-minute walk test”. It is proposed when it is difficult for the patient to support the walk for a longer time. Results from previous studies show that this test is particularly sensitive to clinical changes resulting from rehabilitation treatment; it is also practical, simple and quick to administer. One of the most used protocol in the field of prosthetics is the “K level” test. The method classifies patients in five levels that indicate the degree of activity that the amputee can sustain based on an assessment of the patient’s current situation, including the status of the stump, the desire to walk and other pathological conditions. With this test it is possible to determine the components of the prosthetic aid best suited to the patient’s activity levels. The “Locomotor Capabilities Index” is a questionnaire that allows to define the gait characteristics of prosthetic amputees and their level of independence. The “Russek’s Code” protocol is used to measure the functional abilities of amputees with their own prosthesis. This test provides significant results for differences between patients of different ages and amputation level. However, these results require a fairly large sample of patients. The “Prosthetic Profile of the Amputee” is a questionnaire that consists of 44 questions divided into six sections concerning the patient’s physical condition, the prosthesis, use of the prosthesis, the environment of use, recreational activities and other general information. The questionnaire is completed in approximately 25Â min, and clear instructions on how to proceed are provided to facilitate the patient. Finally, it is appropriate to mention the fact that a fundamental contribution to the assessment of the amputee’s mobility is given in the Gait Analysis with which it is possible to objectify the spatio-temporal parameters of the gait.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
