Global Position Sensing and Step Activity as Outcome Measures of Community Mobility and Social Interaction for an Individual With a Transfemoral Amputation Due to Dysvascular Disease.
Background and Purpose. Community mobility of individuals following lower limb amputation is highly variable and has a great impact on their quality of life. Currently, clinical assessments of ambulatory ability and motivation influence prosthetic prescription. However, these outcome measures do not...
| Published in: | Physical Therapy Vol. 94; no. 3; pp. 401 - 411 |
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| Main Authors: | , , , , |
| Format: | case study pictorial tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Mar2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107892089&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107892089 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Mar2014 vid: 94 iid: 3 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 107892089 94765711 10.2522/ptj.20120527 NLM24092905 107892089 ppf: 401 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Global Position Sensing and Step Activity as Outcome Measures of Community Mobility and Social Interaction for an Individual With a Transfemoral Amputation Due to Dysvascular Disease. aug: au: Jayaraman, Arun Deeny, Sean Eisenberg, Yochai Mathur, Gayatri Kuiken, Todd affil: Max Nader Center for Rehabilitation Technologies and Outcomes Research and Center for Bionic Medicine, Rehabilitation Institute of Chicago, and Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois. sug: subj: Above-Knee Amputation Rehabilitation Outcome Assessment Methods Physical Mobility Evaluation Step Geographic Information Systems Vascular Diseases Surgery Social Participation Physical Examination Aged Female Aged: 65+ years Female ab: Background and Purpose. Community mobility of individuals following lower limb amputation is highly variable and has a great impact on their quality of life. Currently, clinical assessments of ambulatory ability and motivation influence prosthetic prescription. However, these outcome measures do not effectively quantify community mobility (ie, mobility outside of the clinic) of individuals with an amputation. Advances in global positioning systems (GPSs) and other wearable step- monitoring devices allow for objective, quantifiable measurement of community mobility. This case report will examine the combined use of a GPS unit and a step activity monitor to quantify community mobility and social interaction of an individual with transfemoral amputation due to dysvascular disease. Case Description. A 76-year-old woman with a unilateral transfemoral amputation due to vascular disease carried a commercial GPS unit and step activity monitor to quantify her community mobility and social interaction every day over a period of 1 month. The step activity monitor was affixed to her prosthesis. The patient used a wheelchair as well as her prosthesis for everyday mobility. Outcome. Information from the GPS unit and step activity monitor provided quantitative details on the patient's steps taken in and out of the home, wheelchair use, prosthesis use, driving trips, and time spent on social and community trips. Discussion. This case report describes a potential clinical measurement procedure for quantifying community mobility and social interaction of an individual with lower limb amputation. Future efforts are needed to validate this measurement tool on large sample sizes and in individuals with different mobility levels. Additionally, automatization of data analysis and technological approaches to reduce compromised GPS signals may eventually lead to a practical, clinically useful tool. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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