Category: Limb Restoration Rehabilitation; Measurement; International
Objective : To describe the clinical characteristics of a sample of lower-limb amputees treated at a Colombian Hospital.
Design : Case series.
Setting : National referral center for amputee ambulatory and hospitalized care.
Participants (or Animals, Specimens, Cadavers) : We include ninety patients with traumatic lower limb amputation who where treated at a referral center for amputation care.
Interventions : Clinical ealuation and functional scales measurements
Main Outcome Measure(s) : We include clinical, epidemiological and prosthetics characteristics: Age, sex, manual dominance, weight, height, BMI, Barthel Index, amputation side and level, K-level classification, presence/absence of pain (somatic,neuropatic, phantom limb sensation/pain), prosthesis wearing time, socket design, interfaces,type of prosthetic foot and knee, score obtained at Houghton scale and Walking velocity obtained at the 2 minutes walking test
Results : Ninety lower limbs amputee patients were included, most of them were men (97.8%), age 34 years (+/- 9.2 years),The most frequent amputation level was transtibial (68.9%), followed by transfemoral (18.9%).Most of the amputees used prostheses for more than 1 year. The most frequent K level was K3 (74.4%) followed by K2 (13.3%) and K4 (12.2). The average walking speed measured in the 2-minute test was 1.22 meters / second (+/- 0.33 m / s). The average score in theHoughton scale was 11 (10-12). 17.8% of the patients presented pain, somatic (7.1%) and neuropathic (4.1%); 36.7% presented Phantom Limb Sensation and 11.1% Phantom Limb Pain. The most used socket for transtibial amputee was the TSB and for transfemoral socket was the quadrilateral socket. The walking speed had a strong correlation with the Houghton scale (r = 0.547 p
Conclusions : We described the clinical, epidemiological and prosthetics characteristics of a sample of traumatic lower limb amputees. Most of amputee patients presented a high functional level, documented in the Barthel Index and specific measures using the Houghton Scale and walking speed with a strong correlation.
Thomas Torres-Cuenca– PM&R Resident, Universidad Nacional de Colombia, Ibague, Tolima
Miguel Gutierrez-Ramirez– PHYSIATRIST, Universidad Nacional de Colombia -Hospital Militar Central, BOGOTA, Distrito Capital de Bogota
Diana Guevara-Martinez– PM&R Resident, Universidad Nacional de Colombia, Bogotá, Distrito Capital de Bogota
Carolina Gonzalez-Alvarado– PM&R Resident, Universidad Nacional de Colombia, Bogota, Distrito Capital de Bogota
Nelson Orozoco Higuera– PM&R Resident, Universidad Nacional de Colombia, Bogotá, Distrito Capital de Bogota