RT Journal Article
SR Electronic
T1 Impact of rehabilitation programs on dependency and functional performance of patients with major lower limb amputations
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1109
OP 1113
DO 10.15537/smj.2016.10.16033
VO 37
IS 10
A1 Mohammad A. AlSofyani
A1 Abdulaziz S. AlHarthi
A1 Fayssal M. Farahat
A1 Wesam T. Abuznadah
YR 2016
UL http://smj.org.sa/content/37/10/1109.abstract
AB Objectives: To determine pattern and impact of physical rehabilitation on dependency and functional performance of patients.Methods: This retrospective chart review was carried out between July and August 2012 at King Abdulaziz Medical City, Jeddah, Saudi Arabia. Data were collected using demographic, clinical, and dependency assessment checklists.Results: Patients who underwent major lower limb amputations between January 2007 and April 2012 (n=121) were included in the study. There were 84 (69.4%) male and 37 (30.6%) female patients with a mean ± standard deviation of 63.3±17.4 years old. Diabetes mellitus was the most frequent cause in 63.6% of patients. Only one-third of the amputees (32.2%) have records of completion of their rehabilitation programs, although 20.7% of them completed the <50% of the scheduled rehabilitation sessions, 17.2% attended between 50% and 80%, and the remaining 62.1% attended more than 80% of the scheduled sessions. Muscle power scores in each side of the upper and lower limbs were significantly better following rehabilitation (p<0.0001). Basic functions of mobility and transfer have also significantly improved (p<0.05).Conclusions: Overall dependency and functional performance were significantly better following implementation of the physical rehabilitation programs. A multidisciplinary team approach is mandatory to improve compliance of patients toward the rehabilitation programs.