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Jenna Welsh - One of the best experts on this subject based on the ideXlab platform.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background. Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective. The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design. Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods. Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospitalbased community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results. The study participants were 40 people (26 men and 14 women; 57.8 [SD9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospital-based community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results The study participants were 40 people (26 men and 14 women; 57.8 [SD=9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool. Limitations Limitations included a convenience sample and a lack of rater reliability testing. Conclusions The BBS cohered with the unidimensional construct of balance ability and had strong internal validity for use in a variety of people with Leg Amputations.
Christopher Kevin Wong - One of the best experts on this subject based on the ideXlab platform.
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balance ability measured with the berg balance scale a determinant of fall history in community dwelling adults with Leg Amputation
Journal of Rehabilitation Medicine, 2015Co-Authors: Christopher Kevin Wong, Christine C Chen, Wren M Blackwell, Rana T Rahal, Stephany A BenoyAbstract:Objective: Falls are common among adults with Leg Amputations and associated with balance confidence. But subjective confidence is not equivalent with physical ability. This multivariate analyses of community-dwelling adults with Leg Amputations examined relationships among individual characteristics, falls, balance ability and balance confidence. Design: Cross-sectional study. Subjects/Patients: Community-dwelling adults with Leg Amputations recruited from a support group and prosthetic clinic. Methods: Subjects provided self-reported medical/fall history, prosthetic functional use, and Activities-specific Balance Confidence (ABC) questionnaire data. Balance ability was assessed with the Berg Balance Scale (BBS). Fall incidence was categorized as any fall (one or more) and recurrent falls (more than one). Multivariate logistic regression analyzed relationships within the two fall categories. Cross tabulations and ANOVA analyzed differences among subcategories. Results: Fifty-four subjects (mean age 56.8) with various etiologies, Amputation levels, and balance abilities participated. 53.7% had any fall; 25.9% had recurrent falls. Models for both fall categories correctly classified fall history in > 70% of subjects with combinations of the variables ABC, BBS, body-mass-index, and Amputation level. Conclusion: Falls occurred regardless of clinical characteristics. Total BBS and select item scores were independent determinants of fall history. Unlike other balance-impaired populations, adults with Leg Amputation and better balance ability had greater odds of falling.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background. Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective. The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design. Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods. Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospitalbased community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results. The study participants were 40 people (26 men and 14 women; 57.8 [SD9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospital-based community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results The study participants were 40 people (26 men and 14 women; 57.8 [SD=9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool. Limitations Limitations included a convenience sample and a lack of rater reliability testing. Conclusions The BBS cohered with the unidimensional construct of balance ability and had strong internal validity for use in a variety of people with Leg Amputations.
Konrad Salata - One of the best experts on this subject based on the ideXlab platform.
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end of life care following Leg Amputation in patients with peripheral artery disease or diabetes
British Journal of Surgery, 2019Co-Authors: C De Mestral, Amy T Hsu, Robert Talarico, Douglas S Lee, Mohamad A Hussain, Konrad SalataAbstract:BACKGROUND The aim was to characterize end-of-life care in patients who have had a Leg amputated for peripheral artery disease (PAD) or diabetes. METHODS This was a population-based retrospective cohort study of patients with PAD or diabetes who died in Ontario, Canada, between 2011 and 2017. Those who had a Leg Amputation within 3 years of death were compared with a control cohort of deceased patients with PAD or diabetes, but without Leg Amputation. The patients were identified from linked health records within the single-payer healthcare system. Place and cause of death, as well as health services and costs within 90 days of death, were compared between the amputee and control cohorts. Among amputees, multivariable regression models were used to characterize the association between receipt of home palliative care and in-hospital death, as well as time spent in hospital at the end of life. RESULTS Compared with 213 300 controls, 3113 amputees were less likely to die at home (15·5 versus 24·9 per cent; P < 0·001) and spent a greater number of their last 90 days of life in hospital (median 19 versus 8 days; P < 0·001). Amputees also had higher end-of-life healthcare costs across all sectors. However, receipt of palliative care was less frequent among amputees than controls (inpatient: 13·4 versus 16·8 per cent, P < 0·001; home: 14·5 versus 23·8 per cent, P < 0·001). Among amputees, receipt of home palliative care was associated with a lower likelihood of in-hospital death (odds ratio 0·49, 95 per cent c.i. 0·40 to 0·60) and fewer days in hospital (rate ratio 0·84, 0·76 to 0·93). CONCLUSION Palliative care is underused after Amputation in patients with PAD or diabetes, and could contribute to reducing in-hospital death and time spent in hospital at the end of life.
Nigel Tai - One of the best experts on this subject based on the ideXlab platform.
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factors affecting outcome after traumatic limb Amputation
British Journal of Surgery, 2011Co-Authors: Zane Perkins, Henry D Death, G Sharp, Nigel TaiAbstract:Background: Traumatic Leg Amputation commonly affects young, active people and leads to poor long-term outcomes. The aim of this review was to describe common causes of disability and highlight therapeutic interventions that may optimize outcome after traumatic Leg Amputation. Methods: A comprehensive search of MEDLINE, Embase and Cumulative Index to Nursing and Allied Health Literature databases was performed, using the terms ‘Leg injury’, ‘Amputation’ and ‘outcome’. Articles reporting outcomes following traumatic Leg Amputation were included. Results: Studies demonstrated that pain, psychological illness, decreased physical and vocational function, and increased cardiovascular morbidity and mortality were common causes of disability after traumatic Leg Amputation. The evidence highlights that appropriate preoperative management and operative techniques, in conjunction with suitable rehabilitation and postoperative follow-up, can lead to improved treatment outcome and patient satisfaction. Conclusion: Patients who undergo Leg Amputation after trauma are at risk of poor long-term physical and mental health. Clinicians involved in their care have many opportunities to improve their outcome using a variety of therapeutic variables. Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Christine C Chen - One of the best experts on this subject based on the ideXlab platform.
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balance ability measured with the berg balance scale a determinant of fall history in community dwelling adults with Leg Amputation
Journal of Rehabilitation Medicine, 2015Co-Authors: Christopher Kevin Wong, Christine C Chen, Wren M Blackwell, Rana T Rahal, Stephany A BenoyAbstract:Objective: Falls are common among adults with Leg Amputations and associated with balance confidence. But subjective confidence is not equivalent with physical ability. This multivariate analyses of community-dwelling adults with Leg Amputations examined relationships among individual characteristics, falls, balance ability and balance confidence. Design: Cross-sectional study. Subjects/Patients: Community-dwelling adults with Leg Amputations recruited from a support group and prosthetic clinic. Methods: Subjects provided self-reported medical/fall history, prosthetic functional use, and Activities-specific Balance Confidence (ABC) questionnaire data. Balance ability was assessed with the Berg Balance Scale (BBS). Fall incidence was categorized as any fall (one or more) and recurrent falls (more than one). Multivariate logistic regression analyzed relationships within the two fall categories. Cross tabulations and ANOVA analyzed differences among subcategories. Results: Fifty-four subjects (mean age 56.8) with various etiologies, Amputation levels, and balance abilities participated. 53.7% had any fall; 25.9% had recurrent falls. Models for both fall categories correctly classified fall history in > 70% of subjects with combinations of the variables ABC, BBS, body-mass-index, and Amputation level. Conclusion: Falls occurred regardless of clinical characteristics. Total BBS and select item scores were independent determinants of fall history. Unlike other balance-impaired populations, adults with Leg Amputation and better balance ability had greater odds of falling.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background. Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective. The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design. Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods. Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospitalbased community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results. The study participants were 40 people (26 men and 14 women; 57.8 [SD9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool.
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preliminary assessment of balance with the berg balance scale in adults who have a Leg Amputation and dwell in the community rasch rating scale analysis
Physical Therapy, 2013Co-Authors: Christopher Kevin Wong, Christine C Chen, Jenna WelshAbstract:Background Self-report measures of balance and multidimensional mobility assessments are common for people with a Leg Amputation, yet clinical assessment of balance ability remains less explored. The Berg Balance Scale (BBS), typically used for other populations with impaired balance, has been used for young people with a high level of functioning after traumatic Amputation but rarely for older people after vascular Amputation. Objective The study objective was to examine the psychometric properties of the BBS with Rasch rating scale analysis to determine the validity and utility of the BBS in assessing balance ability in adults who have a Leg Amputation and dwell in the community. Design Rating scale analysis was applied to BBS scores obtained from a single assessment. Methods Adult volunteers (men and women) who had a Leg Amputation (any level and etiology) and dwelled in the community were recruited from a hospital-based community support group and a prosthetic clinic. Rating scale analysis of the BBS was used to assess unidimensionality, internal validity, goodness of fit, structural integrity, and person and item analyses. Results The study participants were 40 people (26 men and 14 women; 57.8 [SD=9.7] years old) with Leg Amputations (24 transtibial, 13 transfemoral, and 3 bilateral) of mixed etiology (32 vascular and 8 nonvascular). The psychometric properties of the BBS confirmed that it measures the unidimensional construct of balance ability with adequate validity and with goodness of fit and structural integrity that meet the acceptability criteria. Person measures revealed that some participants scored near the top of the BBS, suggesting a ceiling effect; item measures revealed that participants with Leg Amputations had the most difficulty performing the following tasks: standing with 1 Leg in front, turning 360 degrees, and placing alternate foot on a stool. Limitations Limitations included a convenience sample and a lack of rater reliability testing. Conclusions The BBS cohered with the unidimensional construct of balance ability and had strong internal validity for use in a variety of people with Leg Amputations.