The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA) in the previous five years and completed a rehabilitation and prosthetic trai...

OBJECTIVE There is a lack of continuous longitudinal population-based data on lower extremity amputation (LEA) in the U.K. We present here accurate data on trends in diabetes-related (DR) LEAs and non-DRLEAs in the South Tees area over a continuous 5-year period. RESEARCH DESIGN AND METHODS All cases of LEA from 1 July 1995 to 30 June 2000 within the area were identified. Estimated ascertainm...

OBJECTIVE (1) To identify significant changes in disability and quality of life (QOL) across 3 time points (t1: admission to rehabilitation; t2: 6wk postdischarge; t3: 6mo postdischarge) in individuals with lower limb amputation, and (2) to examine whether goal pursuit and goal adjustment at t1 were predictive of these outcomes at t3. DESIGN Prospective cohort study. SETTING Inpatient rehab...

OBJECTIVE Our aim was to assess the risk of major amputation or death after leg bypass surgery for critical limb ischemia in patients with diabetes versus those without. RESEARCH DESIGN AND METHODS We did a population-based cohort study by linking nationwide databases in Sweden. We identified 1,840 patients in the Swedish Vascular Registry who had their first leg bypass procedure for critical...

BACKGROUND The elderly patient with a lower extremity amputation (LEA) remains relatively common in most family medicine practices. LEA can be categorized into three major types: partial foot, transtibial amputation, and transfemoral amputation. Family physicians have not been well trained to provide care to these patients. METHODS A literature review was performed using the key words "lower ...

Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this pilot study was to correlate post amputation pain scores to opioid analgesic consumption and Beck Anxiety Inventory (BAI) scores. Twenty-three patients with lower extremity amputation at an 827-be...

Diabetes is a common chronic disease, which can lead to a number of complications including lower extremity amputation (LEA). On-going management of diabetes requires the provision of good quality care. Assessing the quality of diabetes care is difficult. Measurement of quality has been described in terms of structures, processes and outcomes. This article focuses on the long-term clinical outc...

OBJECTIVES To assess the trends of peripheral arterial disease associated major lower limb amputation in Hungary over a 9 year period (2004-2012) in the whole Hungarian population. METHODS This was a retrospective cohort study employing administrative health care data. Major amputations were identified in the entire Hungarian population during a 9 year period (2004-2012) using the health care...

BACKGROUND Stump problems (SPs) secondary to traumatic lower limb amputation had a crucial influence on amputees' ability to return to living and work. The purpose of this study was to investigate the surgical management strategies of the SPs after above-ankle amputation of the lower limb secondary to trauma. METHOD A cohort of clinical cases, who were troubled by SPs after above-ankle amputa...