Selective criteria for successful long-term prosthetic use.

Abstract:

:The purpose of this study was to identify criteria contributing to successful long-term prosthetic use in patients with an amputation secondary to vascular disease. All elderly patients with a unilateral below-knee amputation or an above-knee amputation, secondary to vascular disease, seen in our clinic between 1977 and 1982 were included in this telephone survey. Of those contacted, 37 of 38 below-knee amputees (BKAs) and 7 of 18 above-knee amputees (AKAs) still wore their prostheses at least part of every day (success). We used a two-tailed chi-square to compare the success of the BKAs with the success of the AKAs. The BKAs were successful more often (X2 = 24.81, df = 1, p less than .001). All AKAs also were characterized according to age, time from prescription, obesity, ambulatory status, strength, range of motion, sex, general compliance, and medical problems after prosthetic prescription. Of these criteria, only compliance and medical problems after prescription showed a significant difference between successful and nonsuccessful long-term AKA prosthetic users (X2 = 5.76, df = 1, p less than .05 for each criterion). As the demands of quality assurance and diagnostic related groupings increase, these results can assist the physical therapy clinician in setting realistic goals for the geriatric amputee and help predict if the patient will be a successful prosthetic user.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Mueller MJ,Delitto A

doi

10.1093/ptj/65.7.1037

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

1037-40

issue

7

eissn

0031-9023

issn

1538-6724

journal_volume

65

pub_type

杂志文章
  • McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study.

    abstract:BACKGROUND:Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080365

    authors: Derasari A,Brindle TJ,Alter KE,Sheehan FT

    更新日期:2010-03-01 00:00:00

  • Standardization of the continuing care activity measure: a multicenter study to assess reliability, validity, and ability to measure change.

    abstract:BACKGROUND:There is a lack of standardized mobility measures specific to the long-term care (LTC) population. Therefore, the Continuing Care Activity Measure (CCAM) was developed. OBJECTIVE:This study determined levels of reliability, validity for clinical utilization, and sensitivity to change of this measure. DESIG...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.2522/ptj.20080287

    authors: Huijbregts MP,Teare GF,McCullough C,Kay TM,Streiner D,Wong SK,McEwen SE,Otten I

    更新日期:2009-06-01 00:00:00

  • Dose estimation and surveillance of mechanical loading interventions for bone loss after spinal cord injury.

    abstract:BACKGROUND AND PURPOSE:The interpretation of the results of previous anti-osteoporosis interventions after spinal cord injury (SCI) is undermined by incomplete information about the intervention dose or patient adherence to dose requirements. Rehabilitation research as a whole traditionally has struggled with these sam...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20070224

    authors: Dudley-Javoroski S,Shields RK

    更新日期:2008-03-01 00:00:00

  • Population Health, Prevention, Health Promotion, and Wellness Competencies in Physical Therapist Professional Education: Results of a Modified Delphi Study.

    abstract:OBJECTIVE:Physical therapists are well positioned to meet societal needs and reduce the global burden of noncommunicable diseases through the integration of evidence-based population health, prevention, health promotion, and wellness (PHPW) activities into practice. Little guidance exists regarding the specific PHPW co...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa056

    authors: Magnusson DM,Rethorn ZD,Bradford EH,Maxwell J,Ingman MS,Davenport TE,Bezner JR

    更新日期:2020-08-31 00:00:00

  • Evidence for the validity of the modified dynamic gait index across diagnostic groups.

    abstract:BACKGROUND:The modified Dynamic Gait Index (mDGI) measures the capacity to adapt gait to complex tasks utilizing 8 tasks and 3 facets of performance. The measurement stability of the mDGI in specific diagnostic groups is unknown. OBJECTIVE:This study examined the psychometric properties of the mDGI in 5 diagnostic gro...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130294

    authors: Matsuda PN,Taylor CS,Shumway-Cook A

    更新日期:2014-07-01 00:00:00

  • The effect of soft foot orthotics on three-dimensional lower-limb kinematics during walking and running.

    abstract:BACKGROUND AND PURPOSE:Although foot orthotics are often prescribed to alter the lower-extremity mechanics during the stance period of gait, there is little documentation of the actual effect of foot orthotics on the movement of the lower-extremity joints during walking and running. This study examined the effect of fo...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/74.9.836

    authors: Eng JJ,Pierrynowski MR

    更新日期:1994-09-01 00:00:00

  • Combined clinical and home rehabilitation: case report of an integrated knowledge-to-action study in a Dutch rehabilitation stroke unit.

    abstract:BACKGROUND AND PURPOSE:There is growing awareness that the poor uptake of evidence in health care is not a knowledge-transfer problem but rather one of knowledge production. This issue calls for re-examination of the evidence produced and assumptions that underpin existing knowledge-to-action (KTA) activities. Accordin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130495

    authors: Nanninga CS,Postema K,Schönherr MC,van Twillert S,Lettinga AT

    更新日期:2015-04-01 00:00:00

  • Cost-effectiveness of acupuncture care as an adjunct to exercise-based physical therapy for osteoarthritis of the knee.

    abstract:BACKGROUND:The delivery of acupuncture alongside mainstream interventions and the cost-effectiveness of "alternative" treatments remain areas of controversy. OBJECTIVE:The aim of this study was to assess the cost-utility of adding acupuncture to a course of advice and exercise delivered by UK National Health Service (...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20100239

    authors: Whitehurst DG,Bryan S,Hay EM,Thomas E,Young J,Foster NE

    更新日期:2011-05-01 00:00:00

  • Beyond lecture and laboratory in the physical therapy classroom.

    abstract::The purpose of this paper is to describe how two teaching models, the Inquiry Training Model and the Simulation Model, have been adapted for use in the physical therapy classroom. To help students synthesize the various physical therapy skills they were learning, variations of the Inquiry Training Model and the Simula...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.8.1214

    authors: Day JA

    更新日期:1985-08-01 00:00:00

  • Similarities in patient response to chronic and terminal illness.

    abstract::Physical therapists sometimes hesitate to treat terminally ill patients because they believe the approach to them should differ from the approach to other patients. This belief is based on the assumption that patient needs during terminal illness differ from the needs of other patients. Some important similarities in ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.3.279

    authors: Purtilo RB

    更新日期:1976-03-01 00:00:00

  • Iontophoresis: applications in transdermal medication delivery.

    abstract::This article presents a review of the literature relating to iontophoresis. This technique has been used in physical therapy to introduce ionic medications through the skin, primarily for a local effect. Recently, there has been increased interest in using this technique for the transdermal delivery of medications, bo...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/75.6.554

    authors: Costello CT,Jeske AH

    更新日期:1995-06-01 00:00:00

  • Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) and Alberta Infant Motor Scale (AIMS): Validity and Responsiveness.

    abstract:BACKGROUND:Although preliminary studies have established a good psychometric foundation for the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) for a broad population of youth with disabilities, additional validation is warranted for young children. OBJECTIVE:The study objective was to (...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20140339

    authors: Dumas HM,Fragala-Pinkham MA,Rosen EL,Lombard KA,Farrell C

    更新日期:2015-11-01 00:00:00

  • The Low Back Activity Confidence Scale (LoBACS): preliminary validity and reliability.

    abstract:BACKGROUND:Low back pain affects a substantial number of adults each year and is persistent or recurrent for many. Self-efficacy is an important predictor of functional recovery. OBJECTIVE:The purpose of this investigation was to assess the preliminary reliability and validity of the Low Back Activity Confidence Scale...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100135

    authors: Yamada KA,Lewthwaite R,Popovich JM Jr,Beneck GJ,Kulig K,Physical Therapy Clinical Research Network.

    更新日期:2011-11-01 00:00:00

  • Early Physical Therapist Interventions for Patients With COVID-19 in the Acute Care Hospital: A Case Report Series.

    abstract:OBJECTIVE:The aim of this case series was to describe the experience of Swiss physical therapists in the treatment of patients with COVID-19 during their acute care hospital stay and to discuss challenges and potential strategies in the clinical management of these patients. METHODS:We report 11 cases of patients with...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa194

    authors: Eggmann S,Kindler A,Perren A,Ott N,Johannes F,Vollenweider R,Balma T,Bennett C,Silva IN,Jakob SM

    更新日期:2021-01-04 00:00:00

  • Use of anabolic steroids to attenuate the effects of glucocorticoids on the rat diaphragm.

    abstract:BACKGROUND AND PURPOSE:Administration of glucocorticoids results in atrophy and contractile dysfunction in the rat diaphragm. Anabolic steroids may be useful in preventing atrophy and contractile dysfunction. The purpose of this study was to assess the effects of simultaneous administration of testosterone and glucocor...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Eason JM,Dodd SL,Powers SK

    更新日期:2003-01-01 00:00:00

  • Application of 24-hour burst TENS in a back school.

    abstract::The Back School program consists of exercises and education designed to reduce back pain. Sixty-six percent of the patients had too much back pain to participate. The purpose of this clinical report is to describe how 24-hour burst transcutaneous electrical nerve stimulation (TENS) treatment enabled these patients wit...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.9.1355

    authors: Brill MM,Whiffen JR

    更新日期:1985-09-01 00:00:00

  • Barriers to exercise in people with Parkinson disease.

    abstract:BACKGROUND:Exercise is known to reduce disability and improve quality of life in people with Parkinson disease (PD). Although barriers to exercise have been studied in older adults, barriers in people with chronic progressive neurological diseases, such as PD, are not well defined. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120279

    authors: Ellis T,Boudreau JK,DeAngelis TR,Brown LE,Cavanaugh JT,Earhart GM,Ford MP,Foreman KB,Dibble LE

    更新日期:2013-05-01 00:00:00

  • Establishing activity and training levels for patients with ischemic heart disease.

    abstract::The paper presents guidelines for determining ideal training heart rates and recreational and occupational energy-cost levels for individual patients with ischemic heart disease. These guidelines were established by Karvonen, are based on results of progressive exercise testing, and have been applied to a broad spectr...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.6.754

    authors: Amundsen LR

    更新日期:1979-06-01 00:00:00

  • Reliability of a clinical kinematic assessment of the sit-to-stand movement.

    abstract::We examined the reproducibility of a kinematic assessment of the sit-to-stand movement in 15 healthy subjects using a standardized protocol. We examined the within-rater and between-rater reliability of the assessment using a clinically feasible method, the video-goniometric measurement method, to analyze the task. Tw...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.8.511

    authors: Jeng SF,Schenkman M,Riley PO,Lin SJ

    更新日期:1990-08-01 00:00:00

  • Sleep enhances learning of a functional motor task in young adults.

    abstract:BACKGROUND:Sleep has been demonstrated to enhance simple motor skill learning "offline" in young adults. "Offline learning" refers to either the stabilization or the enhancement of a memory through the passage of time without additional practice. It remains unclear whether a functional motor task will benefit from slee...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20120502

    authors: Al-Sharman A,Siengsukon CF

    更新日期:2013-12-01 00:00:00

  • Autism: an approach to learning.

    abstract::The literature on autism as a childhood disorder is briefly reviewed, concentrating on diagnosis and methods of treatment. The autistic child is treated as a complex organism with many unknown factors in his development. A dysfunction in sensory integration is thought to interfere with the development of physical, int...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/57.7.814

    authors: Gerardot JM,Dossett R

    更新日期:1977-07-01 00:00:00

  • Impact of Inflammation and Anti-inflammatory Modalities on Skeletal Muscle Healing: From Fundamental Research to the Clinic.

    abstract::Anti-inflammatory modalities are commonly used for the treatment of various musculoskeletal injuries. Although inflammation was originally believed to interfere with skeletal muscle regeneration, several recent studies have highlighted the beneficial effects of inflammatory cells on muscle healing. This discrepancy is...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/pzx056

    authors: Duchesne E,Dufresne SS,Dumont NA

    更新日期:2017-08-01 00:00:00

  • Proprietary physical therapy service in entry-level physical therapy curricula.

    abstract::The purposes of this study were to 1) assess the value of including an expanded business administration unit that would include proprietary practice issues in an entry-level physical therapy curriculum and 2) organize topics by priority that could be included in such a unit. Twenty-seven physical therapists (100%) in ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/68.7.1123

    authors: Hulme JB,Newman WC,Miller K,Dougan J

    更新日期:1988-07-01 00:00:00

  • Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy.

    abstract:BACKGROUND:Balance function is central in walking, and impaired balance function may be related to walking deterioration in adults with spastic bilateral cerebral palsy (CP). OBJECTIVES:The purposes of this study were: (1) to compare balance confidence, fear of falling, and balance ability in adults with spastic bilat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100432

    authors: Opheim A,Jahnsen R,Olsson E,Stanghelle JK

    更新日期:2012-02-01 00:00:00

  • Contributions of Ankle, Knee, Hip, and Trunk Muscle Function to Gait Performance in People With Multiple Sclerosis: A Cross-Sectional Analysis.

    abstract:Background:The relative importance of lower extremity and trunk muscle function to gait in people with multiple sclerosis (MS) is unknown. Objective:This study aimed to investigate the association of lower extremity and trunk muscle function with gait performance in people who have MS and mild-to-moderate disability. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy048

    authors: Mañago MM,Hebert JR,Kittelson J,Schenkman M

    更新日期:2018-07-01 00:00:00

  • Pain sensitivity subgroups in individuals with spine pain: potential relevance to short-term clinical outcome.

    abstract:BACKGROUND:Cluster analysis can be used to identify individuals similar in profile based on response to multiple pain sensitivity measures. There are limited investigations into how empirically derived pain sensitivity subgroups influence clinical outcomes for individuals with spine pain. OBJECTIVE:The purposes of thi...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20130372

    authors: Coronado RA,Bialosky JE,Robinson ME,George SZ

    更新日期:2014-08-01 00:00:00

  • Serial Casting of the Ankle and Knee in a Child With Vascular Anomaly of the Calf Musculature: A Case Report.

    abstract:BACKGROUND AND PURPOSE:Contracture and toe-walking in children due to vascular anomaly of the calf musculature is rarely described, and there is limited evidence regarding treatment. The purpose of this case is to describe the novel use of serial casting, combining the knee and ankle, to reduce contracture in a child w...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz147

    authors: Peyton C

    更新日期:2020-02-07 00:00:00

  • Transcutaneous electrical nerve stimulation attenuates postsurgical allodynia and suppresses spinal substance P and proinflammatory cytokine release in rats.

    abstract:BACKGROUND:Transcutaneous electrical nerve stimulation (TENS) is often used for management of chronic pain. OBJECTIVE:The purpose of this study was to investigate whether TENS altered postincisional allodynia, substance P, and proinflammatory cytokines in a rat model of skin-muscle incision and retraction (SMIR). DES...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130306

    authors: Chen YW,Tzeng JI,Lin MF,Hung CH,Wang JJ

    更新日期:2015-01-01 00:00:00

  • Mobilization of the spine.

    abstract::This article presents spinal dysfunction (as opposed to disease) as being an altered state of mechanics demonstrating either an aberrant motion or an increase or decrease from the expected range. Examination techniques, including passive intervertebral motion testing, are outlined, as is the grading system for recordi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.8.988

    authors: Paris SV

    更新日期:1979-08-01 00:00:00

  • Osteoporosis. A review.

    abstract::This article provides physical therapists with current information about osteoporosis. I describe the epidemiology and etiology of the condition and discuss the advantages and disadvantages of measurement techniques used to detect and quantify bone mass. I outline methods of retarding or preventing osteoporosis and pr...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:

    authors: Mac Kinnon JL

    更新日期:1988-10-01 00:00:00