Pain, Balance-Confidence, Functional Mobility, and Reach Are Associated With Risk of Recurrent Falls Among Adults With Lower-Limb Amputation
| Author(s) | Seth, Mayank | |
| Author(s) | Horne, John Robert | |
| Author(s) | Pohlig, Ryan Todd | |
| Author(s) | Sions, Jaclyn Megan | |
| Date Accessioned | 2024-02-09T20:05:04Z | |
| Date Available | 2024-02-09T20:05:04Z | |
| Publication Date | 2023-12-10 | |
| Description | This article was originally published in Archives of Rehabilitation Research and Clinical Translation. The version of record is available at: https://doi.org/10.1016/j.arrct.2023.100309. © 2023 The Authors. Published by Elsevier Inc. on behalf of American Congress of Rehabilitation Medicine | |
| Abstract | Objective The study evaluated whether pain intensity and extent, balance-confidence, functional mobility, and balance (eg, functional reach) are potential risk factors for recurrent falls among adults with a lower-limb amputation. Design Cross-sectional study. Setting Research laboratory. Participants Eighty-three adults with unilateral lower-limb amputation that occurred >1 year prior (26 transfemoral- and 57 transtibial-level amputation; 44.6% women; 51.8% traumatic cause of amputation; N=83). Intervention Not applicable. Main Outcome Measures Participants reported on the number of falls in the past year, as well as pain intensity in the low back, residual, and sound limbs. Balance-confidence (per the Activities-Specific Balance-Confidence Scale [ABC]), functional mobility (per the Prosthetic Limb Users Survey of Mobility ([PLUS-M]), and balance (per the Functional Reach and modified Four Square Step Tests) were obtained. Results After considering non-modifiable covariates, greater extent of pain, less balance-confidence, worse self-reported mobility, and reduced prosthetic-side reach were factors associated with recurrent fall risk. Adults reporting pain in the low back and both lower-limbs had 6.5 times the odds of reporting recurrent falls as compared with peers without pain. A 1-point increase in ABC score or PLUS-M T score, or 1-cm increase in prosthetic-side reaching distance, was associated with a 7.3%, 9.4%, and 7.1% decrease in odds of reporting recurrent falls in the past year, respectively. Conclusions Of the 83 adults, 36% reported recurrent falls in the past year. Presence of pain in the low back and both lower-limbs, less balance-confidence, worse PLUS-M score, and less prosthetic-side reaching distance were identified as modifiable factors associated with an increased odd of recurrent falls. | |
| Sponsor | Disclosures: The authors have no conflicts of interest to report. The material within has been presented as a talk at the 2023 Combined Sections Meeting of the American Physical Therapy Association, held from Feb 23-25, 2023, in San Diego, CA, but has not been previously published. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Dr Seth was supported by a Postdoctoral Researcher Fund provided by Independence Prosthetics-Orthotics, Inc. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funder or institutions. | |
| Citation | Seth, Mayank, John Robert Horne, Ryan Todd Pohlig, and Jaclyn Megan Sions. “Pain, Balance-Confidence, Functional Mobility, and Reach Are Associated With Risk of Recurrent Falls Among Adults With Lower-Limb Amputation.” Archives of Rehabilitation Research and Clinical Translation 5, no. 4 (December 2023): 100309. https://doi.org/10.1016/j.arrct.2023.100309. | |
| ISSN | 2590-1095 | |
| URL | https://udspace.udel.edu/handle/19716/33967 | |
| Language | en_US | |
| Publisher | Archives of Rehabilitation Research and Clinical Translation | |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | en |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| Keywords | accidental falls | |
| Keywords | amputees | |
| Keywords | mobility limitation | |
| Keywords | postural balance | |
| Keywords | prostheses and implants | |
| Title | Pain, Balance-Confidence, Functional Mobility, and Reach Are Associated With Risk of Recurrent Falls Among Adults With Lower-Limb Amputation | |
| Type | Article |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- Pain, balance-confidence, functional mobility and reach.pdf
- Size:
- 1012.79 KB
- Format:
- Adobe Portable Document Format
- Description:
- Main article
License bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- license.txt
- Size:
- 2.22 KB
- Format:
- Item-specific license agreed upon to submission
- Description: