Avaliação funcional em pacientes amputados de membros inferiores
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i1a102913Palavras-chave:
Avaliação, Amputação, Extremidade Inferior, Próteses e Implantes, ReabilitaçãoResumo
A avaliação funcional possui grande importância para os amputados, uma vez que a reabilitação deste grupo de pacientes visa melhorar a mobilidade e a independência pessoal. O objetivo deste estudo foi buscar na literatura instrumentos existentes para se avaliar a função em pacientes amputados de membros inferiores e realizar uma análise crítica dos textos selecionados. Foram incluídos 52 artigos publicados no período entre 1985 a 2005, nos idiomas inglês, português, espanhol e francês, nas bases de dados Lilacs, Medline, Pubmed, Cochrane e por meio de busca não eletrônica, a partir das referências dos artigos selecionados. Este estudo demonstrou que existem diversos instrumentos usados para avaliar a função em pacientes amputados, porém não há um considerado padrão-ouro e que instrumentos genéricos não específicos para medir função de amputados são inapropriados para uso com este grupo de pacientes.
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Calmels P, Béthoux F, Le-Quang B, Chagnon PY, Rigal F. Échelles dévaluation fonctionnelle et amputation du membre inférieurFunctional assessment scales and lower limb amputation. Ann Readapt Med Phys. 2001;44(8):499-507.
Geertzen JH, Martina JD, Rietman HS. Lower limb amputation. Part 2: Rehabilitation - a 10 year literature review. Prosthet Orthot Int. 2001;25(1):14-20.
Deathe B, Miller WC, Speechley M.The status of outcome measurement in amputee rehabilitation in Canada.Arch Phys Med Rehabil. 2002;83(7):912-8.
De Luccia N, Pinto MAGS, Bruneli MC, Seiler MY, Albers MTV. Reabilitaçao em doentes amputados por doença arterial periférica. Cir Vasc Ang. 1985;1(2):29-33.
O'Toole DM, Goldberg RT, Ryan B. Functional changes in vascular amputee patients: evaluation by Barthel Index, PULSES profile and ESCROW scale. Arch Phys Med Rehabil. 1985;66(8):508-11.
Mahoney FI, Barthel DW. Functional evaluation. The Barthel Index. Md Med J 1965;14:61-5.
Goldberg RT, Hannon H, Granger C. Vocational and functional assessment of clients reopened for service. Scand J Rehabil Med. 1977;9(2):85-90.
Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60(4):145-54.
Helm P, Engel T, Holm A, Kristiansen VB, Rosendahl S. Function after lower limb amputation. Acta Orthop Scand. 1986;57(2):154-7.
Hansen SE. A follow-up examination of elderly amputees fitted with prostheses. Ugeskr Laeger. 1978;140(28):1684-6.
Thomas TG, Stevens RS. Social effects of fractures of the neck of the femur. Br Med J. 1974;3(5928):456-8.
Chan KM, Tan ES. Use of lower limb prosthesis among elderly amputees. Ann Acad Med Singapore. 1990;19(6):811-6.
Weiss GN, Gorton TA, Read RC, Neal LA. Outcomes of lower extremity amputations. J Am Geriatr Soc. 1990;38(8):877-83.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. the index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9.
Bradburn NM. The structure of psychological well-being. Chicago: University of Chicago Press;1969.
Pohjolainen T, Alaranta H. Predictive factors of functional ability after lower-limb amputation. Ann Chir Gynaecol. 1991;80(1):36-9.
Datta D, Nair PN, Payne J. Outcome of prosthetic management of bilateral lower-limb amputees. Disabil Rehabil. 1992;14(2):98-102.
Volpicelli LJ, Chambers RB, Wagner FW. Ambulation levels of bilateral lower-extremity amputees. Analysis of one hundred and three cases. J Bone Joint Surg Am. 1983;65(5):599-605.
Wade DT, Legh-Smith J, Hewer RL. Social activities after stroke: measurement and natural history using the Frenchay Activities Index. Int Rehabil Med 1985;7:176-81.
De Luccia N, Pinto MA, Guedes JP, Albers MT. Rehabilitation after amputation for vascular disease: a follow-up study. Prosthet Orthot Int. 1992;16(2):124-8.
Diogo MJD, Campedelli MC. O idoso submetido à amputaçao de membros inferiores e as alteraçoes nas atividades de vida diária. Rev Paul Enf. 1992;11(2):92-9.
Houghton AD, Taylor PR, Thurlow S, Rootes E, McColl I. Success rates for rehabilitation of vascular amputees: implications for preoperative assessment and amputation level. Br J Surg. 1992;79(8):753-5.
Muecke L, Shekar S, Dwyer D, Israel E, Flynn JP. Functional screening of lower-limb amputees: a role in predicting rehabilitation outcome? Arch Phys Med Rehabil. 1992;73(9):851-8.
Granger CV, Hamilton BB. Measurement of stroke rehabilitation outcome in the 1980s.Stroke. 1990;21(9 Suppl):II46-7.
Nissen SJ, Newman WP. Factors influencing reintegration to normal living after amputation. Arch Phys Med Rehabil. 1992;73(6):548-51.
Wood-Dauphinee S, Williams JI. Reintegration to Normal Living as a proxy to quality of life. J Chronic Dis. 1987;40(6):491-502.
Jones L, Hall M, Schuld W. Ability or disability? A study of the functional outcome of 65 consecutive lower limb amputees treated at the Royal South Sydney Hospital in 1988-1989. Disabil Rehabil. 1993;15(4):184-8.
Pinzur MS, Gottschalk F, Smith D, Shanfield S, de Andrade R, Osterman H, et al. Functional outcome of below-knee amputation in peripheral vascular insufficiency. A multicenter review. Clin Orthop Relat Res. 1993;(286):247-9.
Stewart CP, Jain AS. Dundee revisited--25 years of a total amputee service. Prosthet Orthot Int. 1993;17(1):14-20.
Grisé MC, Gauthier-Gagnon C, Martineau GG. Prosthetic profile of people with lower extremity amputation: conception and design of a follow-up questionnaire. Arch Phys Med Rehabil. 1993;74(8):862-70.
Gauthier-Gagnon C, Grisé MC. Prosthetic profile of the amputee questionnaire: validity and reliability. Arch Phys Med Rehabil. 1994;75(12):1309-14.
McWhinnie DL, Gordon AC, Collin J, Gray DW, Morrison JD. Rehabilitation outcome 5 years after 100 lower-limb amputations. Br J Surg. 1994;81(11):1596-9.
Walker CR, Ingram RR, Hullin MG, McCreath SW. Lower limb amputation following injury: a survey of long-term functional outcome.Injury. 1994;25(6):387-92.
Christensen B, Ellegaard B, Bretler U, Ostrup EL. The effect of prosthetic rehabilitation in lower limb amputees. Prosthet Orthot Int. 1995;19(1):46-52.
Greive AC, Lankhorst GJ. Functional outcome of lower-limb amputees: a prospective descriptive study in a general hospital. Prosthet Orthot Int. 1996;20(2):79-87.
Bergner M, Bobbitt RA, Carter WB, Gilson BS. The Sickness Impact Profile: development and final revision of a health status measure. Med Care. 1981;19(8):787-805.
Jiwa-Boerrigter H, van Engelen HG, Lankhorst GJ. Application of the ICIDH in rehabilitation medicine. Int Disabil Stud. 1990;12(1):17-9.
Leung EC, Rush PJ, Devlin M. Predicting prosthetic rehabilitation outcome in lower limb amputee patients with the functional independence measure. Arch Phys Med Rehabil. 1996;77(6):605-8.
Houghton A, Allen A, Luff R, McColl I. Rehabilitation after lower limb amputation: a comparative study of above-knee, through-knee and Gritti-Stokes amputations. Br J Surg. 1989;76(6):622-4.
Rommers GM, Vos LDW, Groothoff JW, Eisma WH. Clinical rehabilitation of the amputee: a retrospective study. Prosthet Orthot Int. 1996;20:72-78.
Chamlian TR, Masiero D, Atlas S. Próteses de polietileno de alta densidade com pé de Jaipur: análise crítica. Acta Ortop Brás. 1997;5(1):19-25.
Steinberg FU, Sunwoo I, Roettger RF. Prosthetic rehabilitation of geriatric amputee patients: a follow-up study. Arch Phys Med Rehabil. 1985;66(11):742-5.
Mueller MJ, Salsich GB, Strube MJ. Functional limitations in patients with diabetes and transmetatarsal amputations. Phys Ther. 1997;77(9):937-43.
Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance.J Gerontol. 1990;45(6):M192-7.
Reuben DB, Siu AL. An objective measure of physical function of elderly outpatients. The Physical Performance Test. J Am Geriatr Soc. 1990;38(10):1105-12.
Frykberg RG, Arora S, Pomposelli FB Jr, LoGerfo F. Functional outcome in the elderly following lower extremity amputation.J Foot Ankle Surg. 1998;37(3):181-5.
Gagnon-Gauthier C, Grisé MC, Lepage Y. The Locomotor Capabilities Index: content validity. J Rehabil Outcomes Meas. 1998;2(4):40-6.
Gauthier-Gagnon C, Grise MC, Potvin D. Predisposing factors related to prosthetic use by people with a transtibial and transfemoral amputati-on. J Prosthet Orthot. 1998;10(4):99-109.
Monzón Y, Cho R, Salinas PJ, Carrasco H. Recuperácion funcional y laboral de los amputados del hospital universitário de Los Andes, Mérida, Venezuela. Med Rev Faculd Med Los Andes. 1998;7(1-4):45-53.
Rusk H. Medicina de rehabilitación. 2 ed. Mexico: Interamericana; 1966.
Traballesi M, Brunelli S, Pratesi L, Pulcini M, Angioni C, Paolucci S. Prognostic factors in rehabilitation of above knee amputees for vascular diseases. Disabil Rehabil. 1998;20(10):380-4.
Collen FM, Wade DT, Robb GF, Bradshaw CM. The Rivermead Mobility Index: a further development of the Rivermead Motor Assessment. Int Disabil Stud. 1991;13(2):50-4.
Treweek SP, Condie ME. Three measures of functional outcome for lower limb amputees: a retrospective review. Prosthet Orthot Int. 1998;22(3):178-85.
Russek AS. Management of lower extremity amputees. Arch Phys Med Rehabil. 1961;42:687-703.
Gauthier-Gagnon C, Grisé MC, Potvin D. Enabling factors related to prosthetic use by people with transtibial and transfemoral amputation. Arch Phys Med Rehabil. 1999;80(6):706-13.
Schoppen T, Boonstra A, Groothoff JW, de Vries J, Göeken LN, Eisma WH. The Timed "up and go" test: reliability and validity in persons with unilateral lower limb amputation. Arch Phys Med Rehabil. 1999;80(7):825-8.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
Kempen GI, Miedema I, Ormel J, Molenaar W. The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties. Soc Sci Med. 1996;43(11):1601-10.
Brooks D, Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
Buzato MAS, Tribulatto EC, Costa SM, Zorn WGW, van Bellen B. Amputados de membros inferiores: a condiçao dos pacientes dois anos depois. An Paul Med Cir. 2001;128(4):111-19.
Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563-71.
Baker SP, O'Neill B. The injury severity score: an update. J Trauma. 1976;16(11):882-5.
Miller WC, Deathe AB, Speechley M, Koval J. The influence of falling, fear of falling, and balance confidence on prosthetic mobility and social activity among individuals with a lower extremity amputation. Arch Phys Med Rehabil. 2001;82(9):1238-44.
Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Arch Phys Med Rehabil. 1998;79(8):931-8.
Miller WC, Deathe AB, Speechley M. Lower extremity prosthetic mobility: a comparison of 3 self-report scales. Arch Phys Med Rehabil. 2001;82(10):1432-40.
Brooks D, Hunter JP, Parsons J, Livsey E, Quirt J, Devlin M. Reliability of the twominute walk test in individuals with transtibial amputation. Arch Phys Med Rehabil. 2002;83(11):1562-5.
Brooks D, Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83.
Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee's ability to ambulate. Arch Phys Med Rehabil. 2002;83(5):613-27.
Montgomery PS, Gardner AW. The clinical utility of a six-minute walk test in peripheral arterial occlusive disease patients. J Am Geriatr Soc. 1998;46(6):706-11.
Day HJ. The assessment and description of amputee activity. Prosthet Orthot Int. 1981;5(1):23-8.
Melchiorre PJ, Findley T, Boda W. Functional outcome and comorbidity indexes in the rehabilitation of the traumatic versus the vascular unilateral lower limb amputee. Am J Phys Med Rehabil. 1996;75(1):9-14.
Hoffman RD, Saltzman CL, Buckwalter JA. Outcome of lower extremity malignancy survivors treated with transfemoral amputation. Arch Phys Med Rehabil. 2002;83(2):177-82.
Martin DP, Engelberg R, Agel J, Snapp D, Swiontkowski MF. Development of a musculoskeletal extremity health status instrument: the Musculoskeletal Function Assessment instrument. J Orthop Res. 1996;14(2):173-81.
Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33.
Meikle B, Devlin M, Garfinkel S. Interruptions to amputee rehabilitation. Arch Phys Med Rehabil. 2002;83(9):1222-8.
Davies B, Datta D. Mobility outcome following unilateral lower limb amputation. Prosthet Orthot Int. 2003;27(3):186-90.
Hanspal RS, Fisher K. Assessment of cognitive and psychomotor function and rehabilitation of elderly people with prostheses. BMJ. 1991;302(6782):940. Erratum in: BMJ 1991;302(6786):1182.
Diogo MJD. Avaliaçao funcional de idosos com amputaçao de membros inferiores atendidos em um hospital universitário. Rev Latino-Am Enf. 2003;11(1):59-65.
Diogo MJD. Satisfaçao global com a vida e determinados domínios entre idosos com amputaçao de membros inferiores. Rev Panam Salud Publica. 2003;13(6):395-9.
Cantrill H. The pattern of human concerns. New Brunswick: Rutgers University Press; 1967.
Miller WC, Deathe AB, Speechley M. Psychometric properties of the Activities-specific Balance Confidence Scale among individuals with a lower-limb amputation. Arch Phys Med Rehabil. 2003;84(5):656-61.
Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995;50A(1):M28-34.
Ryall NH, Eyres SB, Neumann VC, Bhakta BB, Tennant A. The SIGAM mobility grades: a new population-specific measure for lower limb amputees. Disabil Rehabil. 2003;25(15):833-44.
Wade DT. Personal physical disability. In: Wade DT, editor. Measurement in neurological rehabilitation. Oxford: Oxford Medical Publications; 1992. p.78-9.
Schoppen T, Boonstra A, Groothoff JW, de Vries J, Göeken LN, Eisma WH. Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees. Arch Phys Med Rehabil. 2003;84(6):803-11.
Burger H, Marincek C, Jaeger RJ. Prosthetic device provision to landmine survivors in Bosnia and Herzegovina: outcomes in 3 ethnic groups. Arch Phys Med Rehabil. 2004;85(1):19-28.
Devlin M, Pauley T, Head K, Garfinkel S. Houghton Scale of prosthetic use in people with lower-extremity amputations: Reliability, validity, and responsiveness to change. Arch Phys Med Rehabil. 2004;85(8):1339-44.
Cassefo V, Chamlian TR, Masiero D. Perfil protético dos pacientes amputados do Lar Escola Sao Francisco. Med Reabil. 2005;24(2):24-7.
Geertzen JH, Bosmans JC, van der Schans CP, Dijkstra PU. Claimed walking distance of lower limb amputees. 1: Disabil Rehabil. 2005;27(3):101-4.
van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002t;24(4):429-36.
Zee van der K, Sanderman R. Het meten van de algemene gezondheidstoestand met de RAND-36: een handleiding. Noordelijk Centrum voor Gezondheidsvraagstukken: Rijksuniversiteit Groningen; 1993. p.1-28.
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