Best Evidence Topics
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In dysvascular unilateral lower limb amputees does hopping increase the risk of further vascular disease in the remaining leg.

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

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.


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.