In dysvascular unilateral lower limb amputees does hopping increase the risk of further vascular disease in the remaining leg. n
Date First Published:
October 8, 2012
Last Updated:
October 8, 2012
Report by:
Andrew Oldham and Laura Goldie, Physiotherapist (MRI)
Search checked by:
Laura Goldie, MRI
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?
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
All via the National Library for Health databases, all dates available
Search Details:
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
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
Outcome:
No articles found that fulfil our criteria.
Author Commentary:
We were unable to find any evidence to support or refute our question.
Bottom Line:
There is no evidence that hopping impacts upon the vascular disease in the remaining limb of dysvascular unilateral amputees.