Comparison of Frequency and Circumstances of Falls Among Male and Female Transfemoral Prosthesis Users

Zia  Rehman; Amna Jehanzeb

doi:10.36082/jpost.v1i1.645

Authors

Zia Ur Rehman
Amna Jehanzeb PIPOS

DOI:

https://doi.org/10.36082/jpost.v1i1.645

Keywords:

Trans femoral, Fall Frequency, circumstances, amputees

Abstract

Incidence of amputation rises sharply with age. Most of the amputation occur above the age of 65. Lower limb amputation has a significant impact on the functional ability of the patients. The phenomenon of falls is globally recognized as the most common problem identified by health care workers. The study design is a cross sectional survey to compare the frequency and circumstances of falls among male and female transfemoral prosthetic patients. Out of the 90 patients frequency of fall in ages group 1 (15-30) is n=20, age group 2 (31-45) is n=25, age group 3 (45-60) is n=31 and ages group 4 (60+) is n=14. Also the fall frequency is higher in male patients than female. N=14 reported falls on slippery surface while n=31 reported falls on non-slippery surfaces. Out of 90 patients with Trans femoral prosthesis user n=30 falls because of mobility system failure, n=39 falls because of impaired balance and n=1 falls because of sensory impairment. The results of this study suggest that fall is quite prevalent among ambulatory transfemoral prosthetic patients and should be prioritized to evaluate the circumstances surrounding the fall so that to reduce the future risk of fall.

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References

Hausdorff, J. M., Rios, D. A., & Edelberg, H. K. (2001). Gait variability and fall risk in community-living older adults: a 1-year prospective study. Archives of Physical Medicine and Rehabilitation, 82(8), 1050–1056. https://doi.org/10.1053/apmr.2001.24893

Kahle, J. T., Klenow, T. D., & Highsmith, M. J. (2016). Comparative Effectiveness of an Adjustable Transfemoral Prosthetic Interface Accommodating Volume Fluctuation: Case Study. Technology & Innovation, 18(2), 175–183. https://doi.org/10.21300/18.2-3.2016.175

Rosenblatt, N. J., Bauer, A., Rotter, D., & Grabiner, M. D. (2014). Active dorsiflexing prostheses may reduce trip-related fall risk in people with transtibial amputation. Journal of Rehabilitation Research and Development, 51(8), 1229–1242. https://doi.org/10.1682/JRRD.2014.01.0031

Singh, R., Ripley, D., Pentland, B., Todd, I., Hunter, J., Hutton, L., & Philip, A. (2009). Depression and anxiety symptoms after lower limb amputation: the rise and fall. Clinical Rehabilitation, 23(3), 281–286. https://doi.org/10.1177/0269215508094710

Steinberg, N., Gottlieb, A., Siev-Ner, I., & Plotnik, M. (2019). Fall incidence and associated risk factors among people with a lower limb amputation during various stages of recovery – a systematic review. Disability and Rehabilitation, 41(15), 1778–1787. https://doi.org/10.1080/09638288.2018.1449258

Stevens, J. A., Corso, P. S., Finkelstein, E. A., & Miller, T. R. (2006). The costs of fatal and non-fatal falls among older adults. Injury Prevention?: Journal of the International Society for Child and Adolescent Injury Prevention, 12(5), 290–295. https://doi.org/10.1136/ip.2005.011015

Strini, V., Schiavolin, R., & Prendin, A. (2021). Fall Risk Assessment Scales: A Systematic Literature Review. Nursing Reports, 11(2), 430–443. https://doi.org/10.3390/nursrep11020041

Tesio, L., Lanzi, D., & Detrembleur, C. (1998). The 3-D motion of the centre of gravity of the human body during level walking. II. Lower limb amputees. Clinical Biomechanics, 13(2), 83–90. https://doi.org/10.1016/S0268-0033(97)00081-8

Vanicek, N., Strike, S., McNaughton, L., & Polman, R. (2009). Gait patterns in transtibial amputee fallers vs. non-fallers: Biomechanical differences during level walking. Gait & Posture, 29(3), 415–420. https://doi.org/10.1016/j.gaitpost.2008.10.062