Song S1,2, Suth S1, Graham D1, Un S3, Chan LH4, Barth CA5, Heng V6,7
1International Committee of Red Cross, Physical Rehabilitation Programme, Phnom Penh, Cambodia, 2Cambodian Physical Therapy Association, Research and Training, Phnom Penh, Cambodia, 3Kampong Speu Physical Rehabilitation Center, Management, Kampong Speu, Cambodia, 4Battambang Physical Rehabilitation Center, Management, Battambang, Cambodia, 5International Committee of Red Cross, Physical Rehabilitation, Geneva, Switzerland, 6Battambang Physical Rehabilitation Center, Physical Rehabilitation, Phnom Penh, Cambodia, 7BAA, PRP, Phnom Penh, Cambodia
Background: Limb amputation leads to permanent disability and impacts significantly on an individual's life and function. Many studies have shown the effectiveness of physiotherapy on mobility and functional ability of the lower limb amputations. However, in Cambodia there have been no studies to assess the effectiveness of physiotherapy intervention on persons with lower limb amputation.
Purpose: This study's aim is to assess the change of body structure and function and functional mobility of persons with lower limb amputation before and after the physiotherapy intervention.
Methods: Among 150 persons with lower limb amputations registered in rehabilitation centers in a period of January to July 2018, only 25 participants were eligible and had full scores (baseline and discharge data) for the study. The participants received physiotherapy intervention including massage on the artificial stump, stump stimulation (pushing on the sand), shape modification, stretching, strengthening exercise and gait training at the two centers. Outcomes were measured using an ICRC-developed score consisting of two domains body structure and function domain (consists of 4 sub-domains) and functional mobility domain (consists of 4 sub-domains) were used in this study. Each sub-domain is scored with three scales ( 5 for normal, 2.5 for moderately deficient and 0 for severely deficient; for single leg tests it is 2.5-1.25-0 for each side). A paired t-test examined the difference between the change scores and Linear regression was used to identify factors potentially associated with changes in score of the domains.
Results: All 25 participants had mean age of 44.2 (±15.05). 22 (88%) were men, 17 (68%) were married, 10 (40%) participants were caused by landmines and 10 (40%) were caused by road accident. There was statistically significant increased the mean total score of body structure and function domain and functional mobility domain (p-value=0.0022) after receiving physiotherapy intervention. These improvement was also statically significant found at Body structure and function domain (p-value=0.0062) and functional mobility domain (p-value=0.0194).
Age group, gender, marital status and cause of amputation were not associated to improvement of the total mean score.
Conclusion(s): Physiotherapy intervention shown improvement in the body structure and function and functional mobility of persons with lower limb amputations.
Implications: physiotherapy intervention should be available at both medical rehabilitation and physical rehabilitation centers and this service should be provided as soon after amputation as possible to increase its effectiveness on body structure and function and functional mobility and may lead to improve their quality of life. Due to high invalid or missing data (83%) outcome measurement should be trained and monitored with rehabilitation workers.
Keywords: Physiotherapy, amputation, outcome measurement
Funding acknowledgements: Acknowledgment to International Committee of the Red Cross and both physical rehabilitation centers (Battambang and Kompong Speu Provinces, Cambodia).
Purpose: This study's aim is to assess the change of body structure and function and functional mobility of persons with lower limb amputation before and after the physiotherapy intervention.
Methods: Among 150 persons with lower limb amputations registered in rehabilitation centers in a period of January to July 2018, only 25 participants were eligible and had full scores (baseline and discharge data) for the study. The participants received physiotherapy intervention including massage on the artificial stump, stump stimulation (pushing on the sand), shape modification, stretching, strengthening exercise and gait training at the two centers. Outcomes were measured using an ICRC-developed score consisting of two domains body structure and function domain (consists of 4 sub-domains) and functional mobility domain (consists of 4 sub-domains) were used in this study. Each sub-domain is scored with three scales ( 5 for normal, 2.5 for moderately deficient and 0 for severely deficient; for single leg tests it is 2.5-1.25-0 for each side). A paired t-test examined the difference between the change scores and Linear regression was used to identify factors potentially associated with changes in score of the domains.
Results: All 25 participants had mean age of 44.2 (±15.05). 22 (88%) were men, 17 (68%) were married, 10 (40%) participants were caused by landmines and 10 (40%) were caused by road accident. There was statistically significant increased the mean total score of body structure and function domain and functional mobility domain (p-value=0.0022) after receiving physiotherapy intervention. These improvement was also statically significant found at Body structure and function domain (p-value=0.0062) and functional mobility domain (p-value=0.0194).
Age group, gender, marital status and cause of amputation were not associated to improvement of the total mean score.
Conclusion(s): Physiotherapy intervention shown improvement in the body structure and function and functional mobility of persons with lower limb amputations.
Implications: physiotherapy intervention should be available at both medical rehabilitation and physical rehabilitation centers and this service should be provided as soon after amputation as possible to increase its effectiveness on body structure and function and functional mobility and may lead to improve their quality of life. Due to high invalid or missing data (83%) outcome measurement should be trained and monitored with rehabilitation workers.
Keywords: Physiotherapy, amputation, outcome measurement
Funding acknowledgements: Acknowledgment to International Committee of the Red Cross and both physical rehabilitation centers (Battambang and Kompong Speu Provinces, Cambodia).
Topic: Disability & rehabilitation; Orthopaedics; Outcome measurement
Ethics approval required: Yes
Institution: International Committee of the Red Cross
Ethics committee: Battambang Physical Rehabilitation Center
Ethics number: Kampong Speu Physical Rehabilitation Center
All authors, affiliations and abstracts have been published as submitted.
