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This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. J Rehabil Res Dev. 49(10):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.01.0001 Slideshow Project DOI:10.1682/JRRD.2012.01.0001JSP Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study Joseph B. Webster, MD; Kevin N. Hakimi, MD; Rhonda M. Williams, PhD; Aaron P. Turner, PhD; Daniel C. Norvell, PhD; Joseph M. Czerniecki, MD

2 This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. J Rehabil Res Dev. 49(10):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.01.0001 Slideshow Project DOI:10.1682/JRRD.2012.01.0001JSP Aim – Describe rate of successful prosthetic fitting over 12 mo. – Describe prosthetic use after amputation. – Determine factors associated with greater prosthetic fitting, function, and satisfaction. Relevance – Providing satisfactory, functional prosthesis following lower-limb amputation is primary rehabilitation goal.

3 This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. J Rehabil Res Dev. 49(10):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.01.0001 Slideshow Project DOI:10.1682/JRRD.2012.01.0001JSP Methods Study design: – Multicenter prospective cohort study of individuals undergoing their first major lower-limb amputation because of vascular disease and/or diabetes.

4 This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. J Rehabil Res Dev. 49(10):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.01.0001 Slideshow Project DOI:10.1682/JRRD.2012.01.0001JSP Results At 4 mo: – Unsuccessful prosthetic fitting associated with depression, prior arterial reconstruction, diabetes, and residual limb pain. At 12 mo: – 92% of subjects were fitted with prosthetic limb. – Subjects with transfemoral amputation were less likely to be fitted. Greater functional restrictions associated with: – Older age. – Major depressive episode. – Chronic obstructive pulmonary disease. Fewer prosthetic walking hours associated with: – Age >55 yr. – Major depressive episode. – Renal dialysis history.

5 This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. J Rehabil Res Dev. 49(10):XX–XX. http://dx.doi.org/10.1682/JRRD.2012.01.0001 Slideshow Project DOI:10.1682/JRRD.2012.01.0001JSP Conclusion While most individuals achieve successful prosthetic fitting by 1 yr following a first major nontraumatic lower-limb amputation, numerous medical variables and psychosocial factors are associated with prosthetic fitting, utilization, and function.

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