Role of balance ability and confidence in prosthetic use for mobility of people with lower-limb loss

Journal of Rehabilitation Research and Development
Christopher Kevin WongWren M Blackwell

Abstract

For people with lower-limb loss, impaired balance is common and limits prosthetic function within the community. This cross-sectional study (1) analyzed relationships among prosthetic use for mobility, balance ability and confidence, and amputation-related variables and (2) determined multivariate models to identify level of prosthetic use. Subjects included 46 community-dwelling adults (mean age 56.2 yr) with limb loss (91.3% unilateral) of varied levels (52.2% transtibial) and etiologies (69.6% vascular). A three-variable linear regression model including balance ability, balance confidence, and years since amputation explained 63.7% of variance in the Houghton scale of prosthetic use score. A logistic regression model including the 14-task Berg Balance Scale, balance confidence, years since amputation, age, and number of comorbidities correctly differentiated between people who had reached a satisfactory level of prosthetic use or not 89.1% of the time. The first three variables demonstrated moderate accuracy with positive likelihood ratios from 2.34 to 4.35. The regression model was further reduced to correctly classify 87.0% of cases with three balance ability tasks (retrieving objects from floor, turning to look behind, a...Continue Reading

References

Jun 1, 1996·Physical Therapy·L D Bogle Thorbahn, R A Newton
Apr 2, 1998·Archives of Physical Medicine and Rehabilitation·T R DillinghamE J MacKenzie
Oct 6, 2001·Archives of Physical Medicine and Rehabilitation·W C MillerM Speechley
Jun 17, 2003·Archives of Physical Medicine and Rehabilitation·Tanneke SchoppenWillem H Eisma
Jan 20, 2004·Prosthetics and Orthotics International·Z Matjaĉić, H Burger
Aug 6, 2004·Archives of Physical Medicine and Rehabilitation·Michael DevlinSusan Garfinkel
Oct 23, 2004·Disability and Rehabilitation·W C Miller, A B Deathe
Oct 27, 2006·Clinical Rehabilitation·J M van VelzenH Houdijk
Nov 6, 2007·Prosthetics and Orthotics International·B RauR de Bie
Jan 22, 2008·Gait & Posture·A H VrielingK Postema
Mar 5, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·A M MyersW Sherk
Feb 12, 2010·The Journal of International Medical Research·S HamamuraM Kurosaka
Mar 4, 2010·Prosthetics and Orthotics International·Michele A RayaKathyrn E Roach
Jun 28, 2011·Archives of Physical Medicine and Rehabilitation·Brodie M SakakibaraCatherine L Backman
Jun 8, 2012·Journal of the American Academy of Nurse Practitioners·Mary Grace GaerlanSusan Kowalski
Jan 8, 2013·American Journal of Physical Medicine & Rehabilitation·Carley N SauterTimothy R Dillingham
Jul 17, 2013·Archives of Physical Medicine and Rehabilitation·Matthew J MajorElliot J Roth
Sep 27, 2013·Disability and Rehabilitation·Ella Kolbrun Kristinsdottir, Bergthora Baldursdottir

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Citations

Jan 1, 2014·Journal of Rehabilitation Research and Development·Alan Marc AtkinsMindy Lipson Aisen
Apr 26, 2018·Disability and Rehabilitation·Melissa Catherine DaySiobhan Strike
Aug 11, 2018·Prosthetics and Orthotics International·Robert GaileyIgnacio Gaunaurd
Nov 13, 2018·Injury Epidemiology·Stanford Chihuri, Christopher Kevin Wong
Oct 28, 2019·Prosthetics and Orthotics International·Sarah AndersonMichael Dillon
Aug 17, 2020·Disability and Rehabilitation·Crystal MacKaySander L Hitzig
Nov 30, 2016·Journal of Rehabilitation Research and Development·Alena MandelTim Pauley
Nov 7, 2019·Disability and Rehabilitation. Assistive Technology·Alana das Mercês SilvaDaniel Dominguez Ferraz
Sep 22, 2015·American Journal of Physical Medicine & Rehabilitation·Christopher Kevin WongParisa Karimi
Feb 14, 2016·Archives of Physical Medicine and Rehabilitation·Christopher Kevin WongElizabeth Sell Chen

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