Characteristics of the profile of amputated individuals attended at a rehabilitation institute
DOI:
https://doi.org/10.11606/issn.2317-0190.v26i1a163005Keywords:
Amputees, Inpatients, Rehabilitation ServicesAbstract
Objective: To present characteristics of the profile of unilateral amputees in the pre-prosthetic phase treated at a hospital rehabilitation institute. Method: A retrospective study based on medical records of amputated patients of the Institute of Physical Medicine and Rehabilitation of the University of São Paulo who underwent hospital rehabilitation at the institution. The medical records from July 2015 to November 2018 were analyzed. Information on: age, gender, type of injury, time of injury, etiology of the injury, functional mobility by the Timed Up and Go (TUG) test was collected, balance/functionality through the Amputee Mobility Predictor (AMP) test, ability to walk through the 2-minute walk test (TC2Min). Descriptive analyzes were performed to evaluate the demographic and clinical characteristics of the patients. Results: The mean age was 43.59 ± 16.52 years, with amputation time of 21.9 ± 32.7 months. There was a predominance of males and traumatic etiology and transfemoral amputation were the most prevalent. The clinical data found were: TUG test execution time: 18.7 seconds, AMP: 31.2 points, TC2Min: 111.2 meters. Conclusion: In the pre-prosthetic phase, the traumatic origin was predominant, most of them male. Transfemoral amputation was superior to the others. The average time from amputation to hospitalization is almost two years. Clinical tests, although successful, show the need to improve issues such as functional mobility that is commensurate with the risk of falls in these individuals.
Downloads
References
Battistella LR, Juca SS, Tateishi M, Oshiro MS, Yamanaka EI, Lima E, et al. Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy. Disabil Rehabil Assist Technol. 2015;10(4):309-15. DOI: https://doi.org/10.3109/17483107.2015.1027294
Filippo TRM, Alfieri FM, Daniel CR, Souza DR, Battistella LR. Modelo de reabilitação hospitalar após acidente vascular cerebral em país em desenvolvimento. Acta Fisiatr 2017;24(1):44-7. DOI: https://doi.org/10.5935/0104-7795.20170009
Sinha R, Van Den Heuvel WJ. A systematic literature review of quality of life in lower limb amputees. Disabil Rehabil. 2011;33(11):883-99. DOI: https://doi.org/10.3109/09638288.2010.514646
Rommers GM, Vos LD, Groothoff JW, Schuiling CH, Eisma WH. Epidemiology of lower limb amputees in the north of The Netherlands: aetiology, discharge destination and prosthetic use. Prosthet Orthot Int. 1997;21(2):92-9. DOI: https://doi.org/10.3109/03093649709164536
Pernot HF, Winnubst GM, Cluitmans JJ, De Witte LP. Amputees in Limburg: incidence, morbidity and mortality, prosthetic supply, care utilisation and functional level after one year. Prosthet Orthot Int. 2000;24(2):90-6. DOI: https://doi.org/10.1080/03093640008726531
Narang IC, Mathur BP, Singh P, Jape VS. Functional capabilities of lower limb amputees. Prosthet Orthot Int. 1984;8(1):43-51. DOI: https://doi.org/10.3109/03093648409145345
Tokeji K, Mutsuzaki H, Shimizu Y, Takeuchi R, Mataki Y, Wadano Y. Investigation of amputees with prosthetic limbs at our hospital. J Rural Med. 2017;12(2):85-90. DOI: https://doi.org/10.2185/jrm.2931
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower limb amputee’s ability to ambulate. Arch Phys Med Rehabil. 2002;83(5):613-27. DOI: https://doi.org/10.1053/ampr.2002.32309
Brooks D, Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83. DOI: https://doi.org/10.1053/apmr.2001.25153
Chamlian TR, Varanda RR, Pereira CL, Resende JR, Faria CC. Perfil epidemiológico dos pacientes amputados de membros inferiores atendidos no Lar Escola São Francisco entre 2006 e 2012. Acta Fisiatr. 2013;20(4):219-23. DOI: https://doi.org/10.5935/0104-7795.20130036
Montiel A, Vargas MAO, Leal SMC. Caracterização de pessoas submetidas a amputação. Enfermagem Foco. 2012;3(4):169-73.
Rodrigues FFL, Alves D, Teixeira CRS, Arrelias CCA, Torquato MTCG, Santos MA, et al. The hospitalization profiles of patients with or without diabetes treated for nontraumatic lower extremity amputation in Ribeirão Preto, São Paulo State, Brazil, 2001-2008. J Vasc Nurs. 2017;35(2):64-9. DOI: https://doi.org/10.1016/j.jvn.2016.10.002
Carvalho FS, Kunz VC, Depieri TZ, Cervelini R. Prevalência de amputação em membros inferiores de causa vascular: análise de prontuários. Arq Cienc Saude Unipar. 2005;9(1):23-30.
Arruda GO, Marcon SS. Inquérito sobre a utilização dos serviços de saúde por homens adultos: prevalências e fatores associados. Rev Lat Am Enfermagem. 2016;24:e2685. DOI: https://doi.org/10.1590/1518-8345.0296.2685
Singh R, Hunter J, Philip A, Tyson S. Gender differences in amputation outcome. Disabil Rehabil. 2008;30(2):122-5. DOI: https://doi.org/10.1080/09638280701254095
Lima LB, Correia VD, Salimene ACM. Perfil social do paciente amputado em processo de reabilitação. Acta Fisiatr. 2016;23(2):57-60. DOI: https://doi.org/10.5935/0104-7795.20160012
Luccia N, Silva ES. Aspectos técnicos de amputações de membros inferiores. Rio de Janeiro: Guanabara Koogan; 2003.
Pezzin LE, Dillingham TR, MacKenzie EJ. Rehabilitation and the long-term outcomes of persons with trauma-related amputations. Arch Phys Med Rehabil. 2000;81(3):292-300. DOI: https://doi.org/10.1016/s0003-9993(00)90074-1
Ozaki LAT, Filho JCC, Tarumoto MH, Camargo RCT. Characterization of amputee patients in rehabilitation center. Ter Man. 2010;8(40):561-7.
Gregory-Dean A. Amputations: statistics and trends. Ann R Coll Surg Engl. 1991;73(3):137-42.
Monteiro HC, Silva VFA, Ferreira MB, Barbosa D, Martins CA, Foresti BB. Perfil dos pacientes amputados de membros inferiores atendidos por um centro de referência: estudo clínico e epidemiológico. FisiSenectus. 2018;6(1):38-47. DOI: http://dx.doi.org/10.22298/rfs.2018.v6.n1.4507
Meikle B, Devlin M, Garfinkel S. Interruptions to amputee rehabilitation. Arch Phys Med Rehabil. 2002;83(9):1222-8. DOI: https://doi.org/10.1053/apmr.2002.33657
Schoppen T, Boonstra A, Groothoff JW, de Vries J, Göeken LN, Eisma WH. The Timed "up and go" test: reliability and validity in persons with unilateral lower limb amputation. Arch Phys Med Rehabil. 1999;80(7):825-8. DOI: https://doi.org/10.1016/s0003-9993(99)90234-4
Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80(9):896-903. DOI: https://doi.org/10.1093/ptj/80.9.896
Spaan MH, Vrieling AH, van de Berg P, Dijkstra PU, van Keeken HG. Predicting mobility outcome in lower limb amputees with motor ability tests used in early rehabilitation. Prosthet Orthot Int. 2017;41(2):171-7. DOI: https://doi.org/10.1177/0309364616670397
Ladlow P, Phillip R, Etherington J, Coppack R, Bilzon J, McGuigan MP, et al. Functional and Mental Health Status of United Kingdom Military Amputees Postrehabilitation. Arch Phys Med Rehabil. 2015;96(11):2048-54. DOI: https://doi.org/10.1016/j.apmr.2015.07.016
