title: Functional status and factors influencing the rehabilitation outcome of people affected by above-knee amputation and hemiparesis.
abstract: OBJECTIVE
  To evaluate the functional status of people with transfemoral amputation and hemiparesis and to identify the factors that influence rehabilitation outcome after inpatient treatment.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Rehabilitation hospital.
  
  
  METHODS
  Forty-five patients (30 men, 15 women; mean age, 69+/-9y) with intact mental status affected by unilateral transfemoral amputation for vascular disease and mild or moderate hemiparesis.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Barthel Index, Barthel Index effectiveness, and Locomotor Capabilities Index (LCI) scores were measured. The following factors were studied: side and cause of amputation, side and severity of hemiparesis, sequence and laterality of dual impairment, time interval between impairments, and hospital length of stay.
  
  
  RESULTS
  At discharge, mean Barthel Index and LCI scores +/-1 standard deviation were 79+/-12 and 15+/-5.6, respectively; Barthel Index effectiveness was 55+/-23.8. Only 2 patients ambulated without walking aids. Barthel Index effectiveness was better in patients with mild hemiparesis than in patients with more severe impairment. Ipsilateral localization of dual impairment increased the probability of higher LCI scores.
  
  
  CONCLUSIONS
  Selected patients with dual impairment can recover the ability to walk. Severity of hemiparesis and laterality were the 2 clinical factors that had the greatest influence on functional measures.
authors.affiliation: Unità Operativa D, Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Healthcare, Rome, Italy. s.brunelli@hsantalucia.it
authors.forename: Stefano
authors.initials: S
authors.lastname: Brunelli
authors.forename: Tiziano
authors.initials: T
authors.lastname: Averna
authors.forename: Paolo
authors.initials: P
authors.lastname: Porcacchia
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.forename: Francesco
authors.initials: F
authors.lastname: Di Meo
authors.forename: Marco
authors.initials: M
authors.lastname: Traballesi
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000674:Amputees / Q000534:rehabilitation*; D000704:Analysis of Variance; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000503:physiopathology* / Q000534:rehabilitation*; D020127:Recovery of Function / Q000502:physiology*; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016138:Walking / Q000502:physiology*