PTCohortAmerican journal of physical medicine & rehabilitation2022

Mobility Analysis of AmpuTees (MAAT 7): Normative Mobility Values for Lower Limb Prosthesis Users of Varying Age, Etiology, and Amputation Level.

Dwiesha L England, Taavy A Miller, Phillip M Stevens and 2 others

PMID 34864771

WHAT IT FOUND

Mobility scores varied by age and cause of amputation.

People with diabetes or dysvascular disease, and older adults, had the lowest scores. For congenital below-knee users, the study did not show clear age differences. These norms can help set realistic goals.

Key findings

01Among 11,995 analyzed unilateral lower limb prosthesis users, 62% reported amputation due to diabetes/dysvascular disease.

02For above-knee and below-knee amputation, patients with diabetes/dysvascular disease had significantly lower median mobility than patients with trauma, cancer, or congenital amputation.

03The oldest groups, 75 years and older, had the lowest mobility estimates from the regression models for cancer, trauma, and diabetes/dysvascular causes.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

This was a retrospective cross-sectional database review, so it can show recorded differences but cannot show that age or cause of amputation caused those differences. The analysis used each patient's highest PLUS-M score instead of the latest score, so the values represent best reported mobility and may overstate current function. Mobility was patient-reported, which can be influenced by recall or imprecision. The study included only unilateral amputation, so the values do not apply to bilateral amputation. Some age and cause groups, especially congenital groups, had fewer than 15 people and were omitted from statistical models, reducing certainty for those subgroups. The study did not account for how long a person had used a prosthesis or for access to advanced prosthetic components, which may affect mobility.

Declared interests

The paper reports that financial disclosure statements were obtained and no conflicts of interest were reported by the authors or by anyone in control of the content.

The easy way to misread this

Do not read these values as proof that a treatment works or that diabetes or dysvascular disease causes low mobility. The study is descriptive and used the best reported score, so it shows what mobility levels were recorded, not what caused them or what intervention would improve them.

Read it on PubMed →