Skip to main content
Erschienen in: Advances in Gerontology 4/2019

01.10.2019

Current Issues of the Rehabilitation of Disabled Elderly and Senile Persons with Limb Loss due to Obliterative Arterial Disease

verfasst von: E. M. Vasilchenko

Erschienen in: Advances in Gerontology | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

The use of prosthetic and orthotic care services among patients with limb stumps due to obliterative diseases of peripheral arteries is analyzed based on the population register of limb amputations. It is established that not more than 34% of patients apply for primary prosthesis after lower limb amputation. This rate decreases among patients older than 60 years and significantly decreases among patients older than 70 years—down to 16.2%. Particularly low indicators of the use of prosthetics are revealed among women older than 70 years. In order to improve the mobility level and quality of life among this population of patients, it is proposed to design and implement interdepartmental rehabilitation programs in the regions.
Literatur
1.
Zurück zum Zitat Burleva, E.P., The importance of clinical, epidemiological, and economic analysis for the organization of care for patients with chronic lower limb arterial insufficiency, Angiol. Sosudistaya Khir., 2002, vol. 8, no. 4, pp. 15–19. Burleva, E.P., The importance of clinical, epidemiological, and economic analysis for the organization of care for patients with chronic lower limb arterial insufficiency, Angiol. Sosudistaya Khir., 2002, vol. 8, no. 4, pp. 15–19.
2.
Zurück zum Zitat Vasilchenko, E.M., Rehabilitation of disabled people without a limb: role of prosthetics and alternative ways to restore mobility, Materialy nauchno-prakticheskoi konferentsii “Organizatsionnye i metodicheskie aspekty realizatsii individual’noi programmy reabilitatsii (abilitatsii) invalida s narusheniem funktsii opory i dvizheniya. Aktual’nye voprosy formirovaniya regional’noi sistemy reabilitatsii,” 5–6 oktyabrya 2017 g. (Proc. Sci.-Pract. Conf. “Organizational and Methodological Aspects in Implementation of Individual Program of Rehabilitation (Abilitation) of a Disabled Person with Impaired Support and Movement. Urgent Problems in Development of Regional Rehabilitation System,” October 5–6, 2017), Novokuznetsk: IP Petrovskii K.V., 2017, p. 11. Vasilchenko, E.M., Rehabilitation of disabled people without a limb: role of prosthetics and alternative ways to restore mobility, Materialy nauchno-prakticheskoi konferentsii “Organizatsionnye i metodicheskie aspekty realizatsii individual’noi programmy reabilitatsii (abilitatsii) invalida s narusheniem funktsii opory i dvizheniya. Aktual’nye voprosy formirovaniya regional’noi sistemy reabilitatsii,” 5–6 oktyabrya 2017 g. (Proc. Sci.-Pract. Conf. “Organizational and Methodological Aspects in Implementation of Individual Program of Rehabilitation (Abilitation) of a Disabled Person with Impaired Support and Movement. Urgent Problems in Development of Regional Rehabilitation System,” October 5–6, 2017), Novokuznetsk: IP Petrovskii K.V., 2017, p. 11.
3.
Zurück zum Zitat Vasilchenko, E.M. and Zoloev, G.K., Survival rates of patients with peripheral arterial disease of non-diabetic origin after amputation of the lower limb: a population study, Ann. Khir., 2012, no. 3, pp. 48–54. Vasilchenko, E.M. and Zoloev, G.K., Survival rates of patients with peripheral arterial disease of non-diabetic origin after amputation of the lower limb: a population study, Ann. Khir., 2012, no. 3, pp. 48–54.
4.
Zurück zum Zitat Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., Limb amputation register: a new for Russia, Vestn. Vseross. Gil’dii Protez.-Ortop., 2010, no. 2 (40), pp. 27–29. Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., Limb amputation register: a new for Russia, Vestn. Vseross. Gil’dii Protez.-Ortop., 2010, no. 2 (40), pp. 27–29.
5.
Zurück zum Zitat Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., The frequency of amputations of the lower limb due to obliterating diseases of the arteries in Novokuznetsk city: importance of medical, social, and demographic factors, Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii “Epidemiologiya serdechno-sosudistykh zabolevanii v XXI veke: prioritetnye napravleniya v diagnostike i profilaktike. Aktual’nye problemy organizatsii zdravookhraneniya,” 18–19 sentyabrya 2014 g. (Proc. All-Russ. Sci.-Pract. Conf. “Epidemiology of Cardiovascular Diseases in 21st Century: General Aspects in Diagnostics and Prophylactics. Current Problems in Health Care Organization,” September 18–19, 2014), Novokuznetsk, 2014, p. 27. Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., The frequency of amputations of the lower limb due to obliterating diseases of the arteries in Novokuznetsk city: importance of medical, social, and demographic factors, Materialy Vserossiiskoi nauchno-prakticheskoi konferentsii “Epidemiologiya serdechno-sosudistykh zabolevanii v XXI veke: prioritetnye napravleniya v diagnostike i profilaktike. Aktual’nye problemy organizatsii zdravookhraneniya,” 18–19 sentyabrya 2014 g. (Proc. All-Russ. Sci.-Pract. Conf. “Epidemiology of Cardiovascular Diseases in 21st Century: General Aspects in Diagnostics and Prophylactics. Current Problems in Health Care Organization,” September 18–19, 2014), Novokuznetsk, 2014, p. 27.
6.
Zurück zum Zitat Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., Epidemiology of limb amputation in Novokuznetsk, Zdravookhr. RF, 2011, no. 3, pp. 47–50. Vasilchenko, E.M., Zoloev, G.K., and Chechenin, G.I., Epidemiology of limb amputation in Novokuznetsk, Zdravookhr. RF, 2011, no. 3, pp. 47–50.
7.
Zurück zum Zitat Vasilchenko, E.M., Kislova, A.S., and Zoloev, G.K., Organizational and methodological aspects of adaptation to a wheelchair for disabled people with limited mobility, Med.-Sots. Eksp. Reabil., 2013, no. 2, pp. 53–56. Vasilchenko, E.M., Kislova, A.S., and Zoloev, G.K., Organizational and methodological aspects of adaptation to a wheelchair for disabled people with limited mobility, Med.-Sots. Eksp. Reabil., 2013, no. 2, pp. 53–56.
8.
Zurück zum Zitat Zoloev, G.K., Obliteriruyushchie zabolevaniya arterii. Khirurgicheskoe lechenie i reabilitatsiya bol’nykh s utratoi konechnosti (Obliterating Arterial Disease. Surgery and Rehabilitation of Patients with Limb Loss), Moscow: Litterra, 2015. Zoloev, G.K., Obliteriruyushchie zabolevaniya arterii. Khirurgicheskoe lechenie i reabilitatsiya bol’nykh s utratoi konechnosti (Obliterating Arterial Disease. Surgery and Rehabilitation of Patients with Limb Loss), Moscow: Litterra, 2015.
9.
Zurück zum Zitat Puzin, S.N., Socio-hygienic characteristics of primary disabled people after amputation of the lower extremities in the Samara region, Materialy VIII Rossiiskogo natsional’nogo kongressa “Chelovek i ego zdorov’e” (Proc. VIII Ross. National Congr. “A Man and Its Health”), St. Petersburg, 2003, p. 308. Puzin, S.N., Socio-hygienic characteristics of primary disabled people after amputation of the lower extremities in the Samara region, Materialy VIII Rossiiskogo natsional’nogo kongressa “Chelovek i ego zdorov’e” (Proc. VIII Ross. National Congr. “A Man and Its Health”), St. Petersburg, 2003, p. 308.
10.
Zurück zum Zitat Rebrova, O.Yu., Statisticheskii analiz meditsinskikh dannykh. Primenenie paketa program Statistica (Statistical Analysis of Medical Data. Use of Statistica Software), Moscow: Media Sfera, 2003. Rebrova, O.Yu., Statisticheskii analiz meditsinskikh dannykh. Primenenie paketa program Statistica (Statistical Analysis of Medical Data. Use of Statistica Software), Moscow: Media Sfera, 2003.
11.
Zurück zum Zitat Ahmad, N., Thomas, G.N., Gill, P., et al., Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data, J. R. Soc. Med., 2014, vol. 107, no. 12, pp. 483–489.CrossRef Ahmad, N., Thomas, G.N., Gill, P., et al., Lower limb amputation in England: prevalence, regional variation and relationship with revascularisation, deprivation and risk factors. A retrospective review of hospital data, J. R. Soc. Med., 2014, vol. 107, no. 12, pp. 483–489.CrossRef
12.
Zurück zum Zitat Dillingham, T.R., Pezzin, L.E., and MacKenzie, E.J., Limb amputation and limb deficiency; epidemiology and recent trends in the United States, South. Med. J., 2014, vol. 95, no. 8, pp. 875–883. Dillingham, T.R., Pezzin, L.E., and MacKenzie, E.J., Limb amputation and limb deficiency; epidemiology and recent trends in the United States, South. Med. J., 2014, vol. 95, no. 8, pp. 875–883.
13.
Zurück zum Zitat Firat, S., Gore, E., and Byhardt, R.W., Do “elderly fit” patients have less comorbidity?, Int. J. Radiat. Oncol. Biol. Phys., 2003, vol. 55, no. 5, pp. 1166–1168.CrossRef Firat, S., Gore, E., and Byhardt, R.W., Do “elderly fit” patients have less comorbidity?, Int. J. Radiat. Oncol. Biol. Phys., 2003, vol. 55, no. 5, pp. 1166–1168.CrossRef
14.
Zurück zum Zitat Fortington, L.V., Rommers, G.M., Postema, K., et al., Lower limb amputation in Northern Netherlands: unchanged incidence from 1991–1992 to 2003–2004, Prosthet. Orthot. Int., 2013, vol. 37, no. 4, pp. 305–310.CrossRef Fortington, L.V., Rommers, G.M., Postema, K., et al., Lower limb amputation in Northern Netherlands: unchanged incidence from 1991–1992 to 2003–2004, Prosthet. Orthot. Int., 2013, vol. 37, no. 4, pp. 305–310.CrossRef
15.
Zurück zum Zitat Kirby, R.L., Smith, C., Parker, K., et al., The wheelchair skills program manual. https://wheelchairskillsprogram.ca. Accessed August 2, 2018. Kirby, R.L., Smith, C., Parker, K., et al., The wheelchair skills program manual. https://​wheelchairskills​program.​ca.​ Accessed August 2, 2018.
16.
Zurück zum Zitat Kolossváry, E., Ferenci, T., Kováts, T., et al., Trends in major lower limb amputations related to peripheral arterial disease in Hungary: a nationwide study (2004–2012), Eur. J. Vasc. Endovasc. Surg., 2015, vol. 50, no. 1, pp. 78–85.CrossRef Kolossváry, E., Ferenci, T., Kováts, T., et al., Trends in major lower limb amputations related to peripheral arterial disease in Hungary: a nationwide study (2004–2012), Eur. J. Vasc. Endovasc. Surg., 2015, vol. 50, no. 1, pp. 78–85.CrossRef
17.
Zurück zum Zitat Ma, V.Y., Chan, L., and Carruthers, K.J., The incidence, prevalence, costs and impact on disability of common conditions requiring rehabilitation in the us: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain, Arch. Phys. Med. Rehabil., 2014, vol. 95, no. 5, pp. 986–995.CrossRef Ma, V.Y., Chan, L., and Carruthers, K.J., The incidence, prevalence, costs and impact on disability of common conditions requiring rehabilitation in the us: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain, Arch. Phys. Med. Rehabil., 2014, vol. 95, no. 5, pp. 986–995.CrossRef
18.
Zurück zum Zitat Mattes, E., Norman, P.E., and Jamrozik, K., Falling incidence of amputations for peripheral occlusive arterial disease in Western Australia between 1980 and 1992, Eur. J. Vasc. Endovasc. Surg., 1997, vol. 13, no. 1, pp. 14–22.CrossRef Mattes, E., Norman, P.E., and Jamrozik, K., Falling incidence of amputations for peripheral occlusive arterial disease in Western Australia between 1980 and 1992, Eur. J. Vasc. Endovasc. Surg., 1997, vol. 13, no. 1, pp. 14–22.CrossRef
19.
Zurück zum Zitat Rowe, V.L., Lee, W., Weaver, F.A., and Etzioni, D., Patterns of treatment for peripheral arterial disease in the United States: 1996–2005, J. Vasc. Surg., 2008, vol. 49, no. 4, pp. 910–917.CrossRef Rowe, V.L., Lee, W., Weaver, F.A., and Etzioni, D., Patterns of treatment for peripheral arterial disease in the United States: 1996–2005, J. Vasc. Surg., 2008, vol. 49, no. 4, pp. 910–917.CrossRef
20.
Zurück zum Zitat Sansam, K., Neumann, V., Connor, R.O., et al., Predicting walking ability following lower amputation: a systematic review of the literature, J. Rehabil. Med., 2009, vol. 41, no. 8, pp. 593–603.CrossRef Sansam, K., Neumann, V., Connor, R.O., et al., Predicting walking ability following lower amputation: a systematic review of the literature, J. Rehabil. Med., 2009, vol. 41, no. 8, pp. 593–603.CrossRef
21.
Zurück zum Zitat Schoppen, T., Boonstra, A., Groothoff, J.W., et al., Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees, Arch. Phys. Med. Rehabil., 2003, vol. 84, no. 6, pp. 803–811.CrossRef Schoppen, T., Boonstra, A., Groothoff, J.W., et al., Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees, Arch. Phys. Med. Rehabil., 2003, vol. 84, no. 6, pp. 803–811.CrossRef
22.
Zurück zum Zitat Sigvant, B., Wiberg-Hedman, K., Bergqvist, D., et al., A population-based study of peripheral arterial disease prevalence with special focus on critical limb ischemia and sex differences, J. Vasc. Surg., 2007, vol. 45, no. 6, pp. 1185–1191.CrossRef Sigvant, B., Wiberg-Hedman, K., Bergqvist, D., et al., A population-based study of peripheral arterial disease prevalence with special focus on critical limb ischemia and sex differences, J. Vasc. Surg., 2007, vol. 45, no. 6, pp. 1185–1191.CrossRef
23.
Zurück zum Zitat The West-coast Vascular Surgeons Study Group, Variations of rates of vascular surgical procedures for chronic critical limb ischemia and lower limb amputation rates in Western Swedish Counties, Eur. J. Vasc. Endovasc. Surg., 1997, vol. 14, no. 4, pp. 310–314. The West-coast Vascular Surgeons Study Group, Variations of rates of vascular surgical procedures for chronic critical limb ischemia and lower limb amputation rates in Western Swedish Counties, Eur. J. Vasc. Endovasc. Surg., 1997, vol. 14, no. 4, pp. 310–314.
Metadaten
Titel
Current Issues of the Rehabilitation of Disabled Elderly and Senile Persons with Limb Loss due to Obliterative Arterial Disease
verfasst von
E. M. Vasilchenko
Publikationsdatum
01.10.2019
Verlag
Pleiades Publishing
Erschienen in
Advances in Gerontology / Ausgabe 4/2019
Print ISSN: 2079-0570
Elektronische ISSN: 2079-0589
DOI
https://doi.org/10.1134/S2079057019040143

Weitere Artikel der Ausgabe 4/2019

Advances in Gerontology 4/2019 Zur Ausgabe

Leitlinien kompakt für die Allgemeinmedizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Facharzt-Training Allgemeinmedizin

Die ideale Vorbereitung zur anstehenden Prüfung mit den ersten 24 von 100 klinischen Fallbeispielen verschiedener Themenfelder

Mehr erfahren

Update Allgemeinmedizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.