Evidence map›Paper›PMID 25978948›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2015

Functional Outcomes After the Prosthetic Training Phase of Rehabilitation After Dysvascular Lower Extremity Amputation.

Cory L Christiansen, Thomas Fields, Guy Lev, Ryan O Stephenson, Jennifer E Stevens-Lapsley

Open access · greenAbstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Cory L ChristiansenDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, University of Colorado Anschutz Medical Campus, Mailstop C244, 13121 East 17th Avenue, Aurora, CO 80045.
Thomas FieldsDepartment of Physical Medicine and Rehabilitation, Veterans Affairs Eastern Colorado Health Care System, Denver, CO.
Guy LevPhysical Therapy Department, University of Colorado Hospital, Aurora, CO.
Ryan O StephensonPhysical Therapy Department, University of Colorado Hospital, Aurora, CO.
Jennifer E Stevens-LapsleyDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, CO.
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Hospital · USVA Eastern Colorado Health Care System · US

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NICHD NIH HHS K12 HD05593NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

objectiveTo describe physical function outcomes and modes of physical therapy intervention for a cohort of patients with dysvascular lower extremity amputation (LEA) during the prosthetic training phase of rehabilitation.

designA retrospective cohort study.

settingPhysical rehabilitation clinics at a Veterans Affairs medical center and a university hospital. PATIENTS: Forty-two patients (38 men, 4 women, age 60.2 ± 8.4 years) who completed outpatient physical therapy rehabilitation with prosthetic training after dysvascular LEA.

methodsAll patients underwent a prosthetic training phase of rehabilitation, with standardized outcome measures performed at initiation and discharge.

main outcome measuresPerformance-based physical function measures included Two-Minute Walk (2 MW), Timed-Up and Go (TUG), and 5-meter gait speed. Self-report physical function measures included the Prosthesis Evaluation Questionnaire-Mobility Section (PEQ-MS) and the Patient-Specific Functional Scale. Rehabilitation dose was tracked as total number of clinic visits, rehabilitation duration, and specific intervention modes.

resultsThere were significant improvements between initial and discharge values (mean ± SD) for the Two-Minute Walk (67.5 ± 29.9 m and 103.3 ± 45.8 m, respectively, P < .001), gait speed (0.58 ± 0.27 m/s and 0.88 ± 0.39 m/s, respectively, P < .001), TUG (34.8 ± 21.3 seconds and 18.6 ± 13.9 seconds, respectively, P < .001), PEQ-MS (2.2 ± 0.9 and 2.8 ± 0.8, respectively, P < .001), and Patient-Specific Functional Scale (3.2 ± 2.0 and 5.9 ± 2.3, respectively, P < .001). Performance-based (TUG) and self-report (PEQ-MS) changes in functional mobility from initial exam to discharge had low or no correlations with rehabilitation dose measures. The number of clinic visits was 12.7 ± 13.1 and rehabilitation duration was 13.7 ± 16.8 weeks.

conclusionsSignificant improvements in performance-based and self-report measures of physical function occurred during the prosthetic training phase of physical rehabilitation after dysvascular major LEA. Despite improvements in function, gait speed, and TUG outcomes remained below clinically important thresholds, indicating patients were limited in community ambulation and at risk for falls. Lack of moderate or greater correlation between rehabilitation dose and outcome measures may indicate the need for more specific rehabilitation dose measures.

Indexed as

Artificial LimbsPhysical Therapy ModalitiesAdultAgedAged, 80 and overAmputation, SurgicalDependent AmbulationFemaleGaitHumansLegMaleMiddle AgedOutcome Assessment, Health CarePeripheral Vascular DiseasesRecovery of Function

Identifiers

PMID25978948
PMCPMC4643436
OpenAlexW1588274644

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.