Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 6, 2017
   Pages 1061 — 1068

Abstract — Barriers to outcome measure administration and completion at discharge from inpatient rehabilitation of people with amputation

Heather M. MacKenzie, MD;1* Danielle B. Rice, BA;2 C. Michele Sealy, BScPT;3 Peter D. Cox, MSc, BScPT;3 A. Barry Deathe, MD, FRCPC;1,3 Michael W. C. Payne, MD, FRCPC1,3

1Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; and Department of Physical Medicine and Rehabilitation, Parkwood Institute, St. Joseph's Health Care London, London, Ontario, Canada; 2Lawson Health Research Institute, London, Ontario, Canada; 3Regional Amputee Rehabilitation Program, Parkwood Institute, St. Joseph's Health Care London, London, Ontario, Canada

Abstract — We performed a retrospective chart review of consecutive patients discharged from an inpatient amputee rehabilitation program over a 2 yr period (January 2010–December 2011). Our objective was to determine barriers to the completion of a standardized maximum walk test (MWT) at discharge. Over the study period, there were 190 discharges. The sample had a mean age of 63.5 yr (standard deviation [SD] +/– 14.2 yr), was 71.6% male, and had a majority of transtibial amputation (67%). The average length of inpatient stay was 28.1 d (SD +/– 13.2 d). MWT including distance and time was completed in 149 (78%) of the discharges; the main factors limiting patient performance on this measure were cardiorespiratory fatigue (53%), lower-limb pain (24%), back pain (12%), and skin problems (6%). Among those patients who completed the MWT, in 31% no limiting factor was identified. Forty-one discharge MWTs were not completed as a result of nonambulatory status (34%), acute illness (17%), limb pain (7%), skin problems (12%), or other reasons. Knowing these limitations may direct care from a clinical standpoint and provides valuable data for research planning to further examine outcome measures in this population.

Key words: amputees, diabetes, gait, locomotion, lower-limb amputation, outcome measures, peripheral vascular disease, rehabilitation, rehabilitation center, walk test.


View HTML ?? View PDF ?? Contents Vol. 53, No. 6
This article and any supplementary material should be cited as follows:
MacKenzie HM, Rice DB, Sealy CM, Cox PD, Deathe AB, Payne MW. Barriers to outcome measure administration and completion at discharge from inpatient rehabilitation of people with amputation. J Rehabil Res Dev. 2016;53(6):1061–68.
http://dx.doi.org/10.1682/JRRD.2015.07.0142

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