Diabetes Metab J.  2020 Aug;44(4):614-618. 10.4093/dmj.2019.0080.

Short-Term Walking Outcomes in Diabetic and Non-Diabetic Unilateral Transtibial Amputees

• Kwak DG
• Hur JY
• Moon JS
• Chang MC

• KMID: 2513020
• DOI: http://doi.org/10.4093/dmj.2019.0080

Abstract

This study compared short-term walking outcomes in diabetic amputees after prosthesis fitting compared to that in non-diabetic amputees. We retrospectively investigated walking outcomes at 3 months after starting gait training with a prosthesis. Forty-four unilateral transtibial amputees with (n=18) and without diabetes (n=26) were included. At 3 months after gait training with a prosthesis, only 2/18 (11.1%) and 3/18 (16.7%) diabetic amputees were capable of independent outdoor and indoor walking without cane, respectively. However, 21/26 (80.8%) and 24/26 (92.3%) non-diabetic amputees were capable of independent outdoor and indoor walking without cane, respectively. With assistance of cane, most of non-diabetic amputees (n=24, 92.3%) were capable of walking in both outdoor and indoor but only seven (38.9%) and nine (50.0%) diabetic amputees were capable, respectively. Thus, short-term walking outcome were poor in transtibial amputee with diabetes compare to those without diabetes, and these results suggest intensive rehabilitation would be needed to them.

Keyword

Amputees; Canes; Diabetes mellitus; Gait; Rehabilitation

Figure

• 

  Fig. 1 Walking outcomes with and without a cane in diabetic and non-diabetic amputees. Indoor/outdoor included walking outcome with and without cane. DM, diabetes mellitus. aSignificantly different between the diabetic and non-diabetic amputees, P<0.001.

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