Aim: Early mobilization of patients with a major lower extremity amputation (LEA) is often a challenge because of lack of compliance. Therefore, we investigated factors limiting independent mobility and physiotherapy on the first day with physiotherapy (PTDay1) and the following 2 days after LEA.
Methods: A total of 60 consecutive patients, mean age 73.7 years (SD 12.1 years), undergoing LEA were included over a period of 7 months. The Basic Amputee Mobility Score was used to assess basic mobility. Predefined limitations for not achieving independent mobility or not completing physiotherapy were residual limb pain, pain elsewhere, fear of being mobilized, fatigue, nausea/vomiting, acute cognitive dysfunction or "other" factors reported on PTDay1 and the following 2 days after LEA.
Results: Fatigue and fear of being mobilized were the most frequent limitations for not achieving independent mobility on PTDay1 and the following 2 days after LEA. Patients (n = 55) who were not independent in the Basic Amputee Mobility Score activity transferring from bed to chair on PTDay1 were limited by fatigue (44%) and fear of being mobilized (33%). A total of 21 patients did not complete planned physiotherapy on PTDay1, and were limited by fatigue (38%), residual limb pain (24%) and "other" factors (24%).
Conclusion: Fatigue and fear of being mobilized were the most frequent factors that limited independent mobility early after LEA. Fatigue, residual limb pain and "other" factors limited completion of physiotherapy. Geriatr Gerontol Int 2024; 24: 470-476.
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http://dx.doi.org/10.1111/ggi.14874 | DOI Listing |
Soc Sci Med
December 2024
Department of Political Science, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei, 106319, Taiwan. Electronic address:
This paper investigates how fertility clinics stage anticipation on their websites to create imagined futures for their potential users. We developed an analytical framework to explore their "tools of futuring," focusing on two key modes: probabilistic and interpretative. This framework helps identify the strategies used by clinics to convey specific visions of assisted reproductive technologies (ARTs).
View Article and Find Full Text PDFBrain Behav Immun
December 2024
Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph ON, Canada. Electronic address:
Chronic pain is a major global concern, with at least 1 in 5 people suffering from chronic pain worldwide. Mounting evidence indicates that neuroplasticity of the anterior cingulate cortex (ACC) is a critical step in the development of chronic pain. Previously, we found that chronic pain and fear learning are both associated with enhanced neuronal excitability and cause similar neuroplasticity-related gene expression changes in the ACC of male mice.
View Article and Find Full Text PDFJ Glob Health
December 2024
Centre for Global Health, Usher Institute, The University of Edinburgh, UK.
Humans have developed sensory organs for their 'major' senses and specific neuronal receptors for a number of additional senses. Although information from sensors is integrated and processed in the brain, the brain itself has not been proposed as a sensory organ associated with a particular sense - at least not in Western culture or scientific literature. Perception of ideas has many elements of a separate sense, with the brain being a primary sensory organ.
View Article and Find Full Text PDFJ Relig Health
November 2024
The Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.
The Black Church has long been an institution of refuge, mobilization, and healing in Black or African American communities. While health promotion interventions have been implemented in the Black Church, little is known about ways to incorporate faith into colorectal cancer (CRC) screening messages. Using modified boot camp translation, a community-based approach, we met with 27 members of the African Methodist Episcopal Church in Atlanta, Georgia, for in-person and virtual sessions to co-create faith-based CRC screening messages and identify channels for sharing information within the church community.
View Article and Find Full Text PDFEur J Midwifery
November 2024
Department of Obstetrics and Gynecology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Introduction: Cesarean section is the most common surgery performed on women. The enhanced recovery recommendations are early urinary catheter removal and early mobilization, as essential elements of post-operative care. This study aimed to analyze the association between these elements and whether limiting the catheter treatment duration affects the timing of post-operative mobilization.
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