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Title: Clinical identification of multiple fall risk early after unilateral transtibial amputation.
Austin Authors: Dite, Wayne ;Connor, Helen J;Curtis, Heather C
Affiliation: Austin Health, Royal Talbot Rehabilitation Centre, Kew, Australia
Issue Date: 1-Jan-2007
Publication information: Archives of Physical Medicine and Rehabilitation; 88(1): 109-14
Abstract: To examine if previously reported clinical tests of stepping and functional mobility could discriminate between multiple-falling and nonmultiple-falling people with unilateral transtibial amputations.Nonrandomized prospective cohort.Rehabilitation hospital and general community.Forty-seven subjects initially recruited and tested at discharge. Forty subjects were retested at 6 months postdischarge and grouped as either multiple fallers (n=13) or nonmultiple fallers (n=27).Not applicable.Four Square Step Test (FSST), Timed Up & Go (TUG) test, 180 degrees turn test, and the Locomotor Capabilities Index (LCI) advanced score.Significant differences (P<.01) were found between the 2 groups for all of the main outcome measures. The test scores associated with an increased risk of having multiple falls were as follows: TUG test of 19 seconds or more (sensitivity, 85%; specificity, 74%), turn time of 3.7 seconds or more (sensitivity, 85%; specificity, 78%), turn steps 6 steps or more (sensitivity, 100%; specificity, 74%), FSST of 24 seconds or more (sensitivity, 92%; specificity, 93%), and LCI advanced score of 15 or less (sensitivity, 43%; specificity, 91%).In this study, multiple-falling people with transtibial amputations displayed impaired mobility on the outcome measures reported. These measures offer valuable clinical tests of different and functionally relevant activities and provide good identification of multiple-falls risk.
Gov't Doc #: 17207685
DOI: 10.1016/j.apmr.2006.10.015
Type: Journal Article
Subjects: Accidental Falls.statistics & numerical data
Activities of Daily Living
Amputation.adverse effects.rehabilitation
Analysis of Variance
Discriminant Analysis
Exercise Test.methods.standards
Middle Aged
New South Wales.epidemiology
Postural Balance
Predictive Value of Tests
Prospective Studies
Rehabilitation Centers
Risk Assessment.methods.standards
Risk Factors
Sensation Disorders.diagnosis.etiology
Sensitivity and Specificity
Statistics, Nonparametric
Appears in Collections:Journal articles

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