Selecting a test for the clinical assessment of balance and walking capacity at the definitive fitting state after unilateral amputation: a comparative study.

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Serval ID
serval:BIB_BC8936355247
Type
Article: article from journal or magazin.
Collection
Publications
Title
Selecting a test for the clinical assessment of balance and walking capacity at the definitive fitting state after unilateral amputation: a comparative study.
Journal
Prosthetics and Orthotics International
Author(s)
Gremeaux V., Damak S., Troisgros O., Feki A., Laroche D., Perennou D., Benaim C., Casillas J.M.
ISSN
1746-1553 (Electronic)
ISSN-L
0309-3646
Publication state
Published
Issued date
2012
Volume
36
Number
4
Pages
415-422
Language
english
Notes
Publication types: Comparative Study ; Journal Article Publication Status: ppublish
Abstract
BACKGROUND: There is a lack of data and consensus concerning the most appropriate functional evaluation in clinical practice at the definitive prosthetic phase after lower limb amputation.
OBJECTIVES: To determine among several selected functional tests the most pertinent to evaluate balance and prosthetic walking.
STUDY DESIGN: Validation of a diagnostic procedure.
METHODS: Sixty-four patients were included.
OUTCOME MEASURES: Timed Up and Go test, Functional Reach test (FRT), one-leg balance, tandem test, Modified Houghton Scale, Berg Balance Scale, two-minute walk test (2MW test). Correlations were assessed with the Pearson correlation coefficient and the Principal Component Analysis. Score distribution was analyzed with the Shapiro-Wilk W normality test. Receiver operating characteristic curves were drawn to identify the best predictor for the function.
RESULTS: The clinical tests correlated highly with each other. Only 2MW test and FRT did not have either a floor/ceiling effect, or a bi-modal distribution. The 2MW test was the best predictor of prosthetic walking limitations (area under the curve 0.93 (0.83-0.97), the best threshold was between 130 and 150 meters), and FRT was best for balance.
CONCLUSIONS: 2MW test can be proposed as the first-line clinical test. The FRT can be indicated for the specific assessment of balance disorders. Clinical relevance This validation of a clinical evaluation of balance and walking capacity after lower limb amputation may be useful in everyday practice to ensure in a simple and standardized way the follow-up of patients and adapt treatments--especially prosthetics--at the definitive prosthetic phase.
Keywords
Adult, Amputees/rehabilitation, Health Status Indicators, Humans, Outcome Assessment (Health Care), Postural Balance, Principal Component Analysis, Psychometrics, ROC Curve, Recovery of Function, Sensitivity and Specificity, Walking, Young Adult
Pubmed
Web of science
Create date
19/01/2016 13:19
Last modification date
05/05/2020 17:22
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