Diploma thesis "Effect of gait school with prosthesis on stability and walking parameters of patients after transfemoral amputation deals with problems of patients after transfemoral amputation due to vascular etiology. It mentions elementary knowledge of rehabilitation after amputation of lower extremity. Furthermore, there are described main complications that amputation brings into the patient ́s life: pain associated with amputation, skin complications and psychological hardships. Emphasis is laid on gait and gait practice for patients with amputation. I further deal with deviations commonly observed on gait of these patients and with factors influencing the gait, including the influence of particular parts of the prosthesis on patients ́ gait. The practical part is dedicated to comparison of two different approaches to gait practice. The effect of these approaches is evaluated on the basis of results of two groups of patients. The results were gathered by examination on force plate, measurement of gait velocity, examination of gait cadence and evaluation of patients ́s gait videos. Furthermore, I use functional tests: LCI - 5, ABIS - R, ABC scale and PEQ. All of these examinations were performed at the beginning and in the end of patients ́ stay at the Clinic of rehabilitation in Hradec Králové. The...

ITC/USA 2009 Conference Proceedings / The Forty-Fifth Annual International Telemetering Conference and Technical Exhibition / October 26-29, 2009 / Riviera Hotel & Convention Center, Las Vegas, Nevada / Even after rehabilitation, patients with lower-limb amputation may continue to exhibit suboptimal gait. A wireless telemetry system, featuring force sensors, accelerometers, control electronics and a Bluetooth transmission module was developed to measure plantar pressure information and remotely monitor patient mobility. Plantar pressure characterization studies were performed to determine the optimal sensor placement. Finally, the wireless telemetry system was integrated with a previously developed haptic feedback system in order to allow remote monitoring of patient mobility during haptic system validation trials.

Bakgrund: I Sverige genomförs ungefär 2600 amputationer av nedre extremiteter årligen. Traumatiska och diabetesrelaterade amputationer belyses och kan genomföras som en livräddande åtgärd men genomförs med risk för komplikationer. Amputation innebär att genomgå en transitionsprocess där sjuksköterskan har en avgörande roll. Syfte: Syftet är att beskriva patienters upplevelser efter amputation av nedre extremiteter. Metod: En litteraturöversikt med induktiv ansats där 12 vetenskapliga artiklar med kvalitativ design inkluderades. Bearbetning av samtliga artiklar genomfördes utifrån Fribergs femstegsmodell. Artiklarna är kvalitetsgranskade och etiskt godkända.   Resultat: Resultatet är sammanställt utifrån tre huvudkategorier: rehabiliteringsprocessen, förändrade förmågor och socialt samspel. Det beskriver att patienters upplevelser efter amputation är varierande samt att det finns flertalet faktorer som påverkar. Slutsats: Amputation innebär en fysisk förändring där personerna ställs inför utmaningar relaterat till självbild, förändrat utseende, samhällets ideal och skapandet av en ny normalitet i vardagen. Sjuksköterskan har en vital roll genom sjukhusförloppet och transitionsprocessen. God omvårdnad och ett positivt tillfrisknande främjas genom individanpassad information.

Bakgrund: I Sverige genomförs cirka 3500 amputationer per år och de flesta utförs på nedre extremitet. Globalt sett utförs amputation främst på grund av trauma och i Sverige är den vanligaste orsaken perifer cirkulationssvikt. Amputation ändrar patienters kroppsuppfattning och sätt att se på världen. Det är via kroppen vi förhåller oss till världen och det innebär att kroppen har betydelse för vår identitet. Syfte: Syftet med litteraturstudien var att beskriva patienters upplevelser efter amputation av nedre extremitet. Metod: Studien var utformad som en systematisk litteraturstudie. Genom sökning i databaserna cinahl, pubmed och psycinfo valde vi ut sju vetenskapliga artiklar som kritiskt granskades enligt SBU:s granskningsmall. Kvalitativ metod och innehållsanalys genomfördes med stöd av Forsberg och Wengström (2015). Resultat: I analysen identifierades fem kategorier; att sakna vägledning, att isolera sig, att förlora sin självständighet, att få stöd och att acceptera sin situation. Patienter upplevde att vårdpersonal gav otillräcklig information om de förändringar amputation kunde medföra samt att deras roll och självbild förändrades efter ingreppet. Att få stöd och att acceptera sin situation visade sig underlätta patienternas livssituation. Resultatet diskuterades utifrån begreppet levd kropp. Slutsats: Information visade sig ha betydelse för patienternas återhämtning. Amputation av nedre extremitet kunde leda till en förändrad roll och självbild. Därför var det viktigt för patienter att försöka acceptera och anpassa sig till sin nya kropp. Patienter upplevde till viss del kunskapsbrist och otillräcklig information från vårdpersonalens sida. Ett behov av vidare forskning om patienters upplevelser efter amputation av nedre extremitet uppmärksammades.

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

A amputação do membro caracteriza um importante fator de incapacidade física, requerendo amplos cuidados desde o momento da pré-amputação, passando pelo processo propriamente dito e indo até a recuperação funcional do paciente. Suas principais causas são necrose tecidual causada por doença vascular, más-formações congênitas, infecções, tumores e traumas. As mais importantes são complicações do diabetes e doença vascular periférica, com cerca de 75% dos casos, e o trauma, com 20%. Estima-se que a incidência de amputações de membros inferiores seja de 2,8 a 43,9 por 100.000 habitantes, dependendo da população estudada. O presente trabalho objetivou estudar pacientes com amputações de membros inferiores acompanhados no Centro Regional de Reabilitação de Araraquara (CRRA), Estado de São Paulo, Brasil. Foi realizado um estudo descritivo do tipo levantamento epidemiológico. A população de estudo foi de 181 indivíduos que deram entrada no CRRA entre os anos de 2001 e 2012. As fontes de informação foram os prontuários arquivados no Serviço e através de entrevista utilizando-se de formulário específico. Observou-se predomínio do sexo masculino (74,0%) e das faixas etárias de 18 a 44 anos e 45 a 64 anos, com 43,3% e 29,9%, respectivamente (p = 0,013). Os participantes mostraram baixo nível de escolaridade, com 80,1% correspondendo ao nível fundamental. Causas vasculares e traumáticas foram responsáveis por 49,7% e 40,9% das amputações, com predomínio das primeiras entre os indivíduos acima de 44 anos de idade e das traumáticas entre as faixas de 18 a 44 anos (p<0,0001). Os homens predominaram em ambas as causas, com valores de 89,2% entre as traumáticas e de 65,6% entre as vasculares (p < 0,0001). Presença de feridas infectadas anteriores à amputação ocorreu em 57,8% entre as vasculares e 13,2% nas traumáticas (p < 0,0001). Tabagismo esteve presente em 54,9% dos amputados por causa vascular e em apenas 20,9% dos participantes amputados pelas outras causas agrupadas (p < 0,0001). Com relação ao tipo de acidente que levou a amputação, os associados ao trânsito representaram 52,7% do total, com 86,5% entre os 18 e 64 anos de vida e com predomínio durante o período diurno (61,5%). Colisão com outro veículo (76,9%) e envolvimento com motocicletas (81,8%) foram os tipos mais comuns de acidentes. Indicação do uso de prótese foi verificada em 80,0% de amputados de causa vascular e em 97,3% nos indivíduos acometidos por causa traumática (p = 0,008). Observou-se considerável demora para a implantação de próteses nos pacientes que delas necessitam, com um tempo médio de três anos e um custo financeiro total de R$ 227.549,70. / Lower limb amputations are an important cause of disability, and require special care from preamputation to the procedure and the patient\'s functional recovery. Its main causes are tissue necrosis caused by vascular disease; congenital malformations; infections, tumors, and traumas. The most important causes of amputations are complications of diabetes and peripheral vascular disease, accounting for 75% of cases; trauma accounts for 20%. The incidence of lower limb amputations is estimated at 2.8 to 43.9 per 100.000 population. The purpose of this study was to assess patients with lower limb amputations followed at the Local Rehabilitation Center (CRRA) in the city of Araraquara, Brazil. We performed a descriptive epidemiological survey with a sample of 181 individuals admitted to the CRRA between 2001 and 2012. Our sources of information were files available at the facility and interviews based on a pre-defined form. There was a prevalence of males (74.0%) and ages between 18-44 and 45-64 years old (43.3% and 29.9%, respectively) (p = 0.013); participants showed low educational level (80.1% only attended elementary school). Vascular conditions and trauma accounted for 49.7% and 40.9% of amputations; vascular conditions prevailed among individuals aged over 44, while trauma prevailed among individuals aged between 18-44 (p < 0.0001). Vascular and traumatic causes were more common for men, with values ranging from 89.2% for trauma and 65.6% for vascular conditions (p < 0.0001). Infected wounds prior to amputation were observed in 57.8% of vascular patients and 13.2% of trauma patients (p < 0.0001). Smoking was present in 54.9% of patients submitted to amputations for vascular causes; only 20.9% of patients submitted to amputations for all other causes were smokers (p < 0.0001). Traffic-related amputations represented 52.7% of all cases; 86.5% of patients were aged between 18-64, and most accidents took place in daytime (61.5%). The most common accidents involved another vehicle (76.9%) or motorcycles (81.8%). Vascular patients were eligible to prosthetics in 80.0% of cases; the same applied to 97.3% of trauma patients (p = 0,008). Considerable delay in prosthetics implantation was observed with three years in average and a total financial cost of R$ 227.549,70.

Bakgrund: Amputation innebär att en kroppsdel kirurgisk opereras bort. En amputation kan medföra fysiska och psykiska förändringar i en patients liv, och omvårdnaden av dessa patienter kan vara komplex. Travelbee’s teori beskriver omvårdnadens mellanmänskliga aspekter och människors lidande. Syfte: Syftet var att belysa patienters upplevelser i samband med en amputation av nedre extremitet. Metod: Metoden utgjordes av en systematisk litteraturstudie där åtta kvalitativa artiklar valdes, kvalitetsgranskades och analyserades genom en innehållsanalys. Resultat: Resultatet beskrevs utifrån tre kategorier, där varje kategori hade två underkategorier. Resultatets tre kategorier var: Beslutsfattandet som beskrev hur patienter saknade information och vägledning när de skulle ta ställning. En förändrad livssituation innebar isolering, en förändrad självbild och en känsla av osjälvständighet. Att återhämta sig gick ut på att få stöd och att kunna acceptera situationen och uppleva hopp inför framtiden. Slutsats: Det framkom att personer som ska genomgå en amputation kände att de saknade information och vägledning. När patienterna hade genomgått en amputation upplevde de en förändrad livssituation. Vikten av att ge information och att fokusera på ett helhetsperspektivet av patienten belystes.

No description available.

A amputação do membro caracteriza um importante fator de incapacidade física, requerendo amplos cuidados desde o momento da pré-amputação, passando pelo processo propriamente dito e indo até a recuperação funcional do paciente. Suas principais causas são necrose tecidual causada por doença vascular, más-formações congênitas, infecções, tumores e traumas. As mais importantes são complicações do diabetes e doença vascular periférica, com cerca de 75% dos casos, e o trauma, com 20%. Estima-se que a incidência de amputações de membros inferiores seja de 2,8 a 43,9 por 100.000 habitantes, dependendo da população estudada. O presente trabalho objetivou estudar pacientes com amputações de membros inferiores acompanhados no Centro Regional de Reabilitação de Araraquara (CRRA), Estado de São Paulo, Brasil. Foi realizado um estudo descritivo do tipo levantamento epidemiológico. A população de estudo foi de 181 indivíduos que deram entrada no CRRA entre os anos de 2001 e 2012. As fontes de informação foram os prontuários arquivados no Serviço e através de entrevista utilizando-se de formulário específico. Observou-se predomínio do sexo masculino (74,0%) e das faixas etárias de 18 a 44 anos e 45 a 64 anos, com 43,3% e 29,9%, respectivamente (p = 0,013). Os participantes mostraram baixo nível de escolaridade, com 80,1% correspondendo ao nível fundamental. Causas vasculares e traumáticas foram responsáveis por 49,7% e 40,9% das amputações, com predomínio das primeiras entre os indivíduos acima de 44 anos de idade e das traumáticas entre as faixas de 18 a 44 anos (p<0,0001). Os homens predominaram em ambas as causas, com valores de 89,2% entre as traumáticas e de 65,6% entre as vasculares (p < 0,0001). Presença de feridas infectadas anteriores à amputação ocorreu em 57,8% entre as vasculares e 13,2% nas traumáticas (p < 0,0001). Tabagismo esteve presente em 54,9% dos amputados por causa vascular e em apenas 20,9% dos participantes amputados pelas outras causas agrupadas (p < 0,0001). Com relação ao tipo de acidente que levou a amputação, os associados ao trânsito representaram 52,7% do total, com 86,5% entre os 18 e 64 anos de vida e com predomínio durante o período diurno (61,5%). Colisão com outro veículo (76,9%) e envolvimento com motocicletas (81,8%) foram os tipos mais comuns de acidentes. Indicação do uso de prótese foi verificada em 80,0% de amputados de causa vascular e em 97,3% nos indivíduos acometidos por causa traumática (p = 0,008). Observou-se considerável demora para a implantação de próteses nos pacientes que delas necessitam, com um tempo médio de três anos e um custo financeiro total de R$ 227.549,70. / Lower limb amputations are an important cause of disability, and require special care from preamputation to the procedure and the patient\'s functional recovery. Its main causes are tissue necrosis caused by vascular disease; congenital malformations; infections, tumors, and traumas. The most important causes of amputations are complications of diabetes and peripheral vascular disease, accounting for 75% of cases; trauma accounts for 20%. The incidence of lower limb amputations is estimated at 2.8 to 43.9 per 100.000 population. The purpose of this study was to assess patients with lower limb amputations followed at the Local Rehabilitation Center (CRRA) in the city of Araraquara, Brazil. We performed a descriptive epidemiological survey with a sample of 181 individuals admitted to the CRRA between 2001 and 2012. Our sources of information were files available at the facility and interviews based on a pre-defined form. There was a prevalence of males (74.0%) and ages between 18-44 and 45-64 years old (43.3% and 29.9%, respectively) (p = 0.013); participants showed low educational level (80.1% only attended elementary school). Vascular conditions and trauma accounted for 49.7% and 40.9% of amputations; vascular conditions prevailed among individuals aged over 44, while trauma prevailed among individuals aged between 18-44 (p < 0.0001). Vascular and traumatic causes were more common for men, with values ranging from 89.2% for trauma and 65.6% for vascular conditions (p < 0.0001). Infected wounds prior to amputation were observed in 57.8% of vascular patients and 13.2% of trauma patients (p < 0.0001). Smoking was present in 54.9% of patients submitted to amputations for vascular causes; only 20.9% of patients submitted to amputations for all other causes were smokers (p < 0.0001). Traffic-related amputations represented 52.7% of all cases; 86.5% of patients were aged between 18-64, and most accidents took place in daytime (61.5%). The most common accidents involved another vehicle (76.9%) or motorcycles (81.8%). Vascular patients were eligible to prosthetics in 80.0% of cases; the same applied to 97.3% of trauma patients (p = 0,008). Considerable delay in prosthetics implantation was observed with three years in average and a total financial cost of R$ 227.549,70.

>Magister Scientiae - MSc / Persons with lower limb amputations (LLA) experience different challenges in the community. These challenges include the physical, psychological and social function of an individual. Little is known in Malawi on what persons with lower limb amputations go through in the communities where they live. Therefore, the study aimed at exploring and determining community experiences of persons with LLA in Malawi. The study sought to address the following objectives: 1) To determine the functional and psychological status of persons with LLA in the community; 2) To explore and describe experiences on social participation of persons with LLA in the community; 3). To explore experiences on community re-integration following LLA. A mixed method approach was applied where quantitative and qualitative data were collected simultaneously to provide a more holistic overview of the experiences of persons with LLA at one point in time. The study setting was Queen Elizabeth Central Hospital (QECH) and Kamuzu Central Hospitals (KCH) (500 miles), located in Malawi. A sample of 180 participants was recruited to participate in the study. Three self-administered questionnaires (socio-demographic questionnaire, OPUS module of lower extremity functional status, and a Beck’s depression inventory scale) and a semi-structured interview guide were used for data collection. Thematic data analysis was used to analyze qualitative data, while quantitative data was analyzed using descriptive and inferential statistics. Ethical clearance was obtained from the University of the Western Cape Biomedical Research Ethics Committee (BMREC) and College of Medicine Research Ethics Committee (COMREC). Permission to conduct the study was obtained from KCH (500 miles) and QECH. Privacy andconfidentiality was strictly observed such that data obtained was anonymous. It was kept in a secure place, and electronic data was secured using a password.