Self-reported Functional Status in US Service Members After Combat-Related Amputation
Journal Article - Embargoed Full-Text,01 Jun 2017,01 Dec 2017
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States
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Objective To describe the functional status of U.S. service members after combat-related amputation. Design Cross-sectional analysis of the Wounded Warrior Recovery Project WWRP, an ongoing, web-based, longitudinal examination of patient-reported outcomes of injured service members. Setting Combat casualty care clinic and hospital records and web-based surveys. Participants The sample included 82 WWRP participants with a combat-related lower extremity amputation who reported using a prosthetic device. Main Outcome Measures Lower Extremity Functional Status Measure of the Orthotics and Prosthetics User Survey LEFS-OPUS, which measures self-reported functional status in participants with a prosthetic device. Results Basic activities, such as walking indoors, getting on and off the toilet, and getting up from a chair, were reported by the majority of participants as very easy or easy, whereas higher level activities, such as climbing stairs, walking long distances, or running, were reported as difficult or cannot do this activity. Functional status varied significantly by amputation site unilateral below knee, unilateral above knee, or bilateral P .004, with significantly better function reported in those with unilateral below knee than bilateral amputation P .05.
- Medicine and Medical Research