In dysvascular unilateral lower limb amputees does hopping increase the risk of further vascular disease in the remaining leg.
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Report By: Andrew Oldham and Laura Goldie - Physiotherapist
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Search checked by Laura Goldie - Physiotherapist
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Institution: MRI
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Date Submitted: 8th October 2012
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Last Modified: 8th October 2012
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Status: Blue (submitted but not checked)
Three Part Question
In [dysvascular lower limb amputees] does [hopping] increase the risk of [further vascular disease in the remaining leg].
Clinical Scenario
There are 65-80 lower limb amputations in our trust annually. It is considered good practice that amputees remain in a wheelchair until fitted with prosthesis. However, this practice has little evidence base.
A wheelchair poses problems for accessing all areas of property. May be easier if patient could hop a few steps. Recurring patient question from unilateral amputees; can I have crutches or a zimmer frame and hop around my home?
Search Strategy
AHMED, CINAHL, EMBASE, MEDLINE, psychINFO, Cochrane.
All via the National Library for Health databases, all dates available
1) Amput*
2) lower limb loss
3) dysvascular
4) hopping
5) hop
6) vascular disease
7) peripheral vascular disease
8) diabetes
9) ulcer*
10) blood circulation
11) 1 OR 2 OR 3
12) 4 OR 5
13) 6 OR 7 OR 8 OR 9 OR 10
14) 11 AND 12 AND 13
Search Outcome
No articles found that fulfil our criteria.
Comment(s)
We were unable to find any evidence to support or refute our question.
Clinical Bottom Line
There is no evidence that hopping impacts upon the vascular disease in the remaining limb of dysvascular unilateral amputees.