The effect of gait rehabilitation with prosthesis on the mobility of
hemiplegic patients with lower-limb amputation at Nakornpathom Hospital

Preeda Sungsawang¹

¹Preedasung@hotmail.com

Abstract

The objectives of this study were (1) to investigate the effect of gait rehabilitation with prosthesis on the mobility of hemiplegic patients with lower-limb amputation at Nakornpathom Hospital; and (2) to compare the mobility of hemiplegic patients with lower-limb amputation before and after wearing prosthesis. The sample consisted of 5 patients in Rehabilitation Subdivision under the Office of Nakornpathom Hospital, obtained by purposive sampling. Pre-experimental one group, pretest-posttest design. Independent variables for this study were general history taking, physical fitness assessment and gait rehabilitation with prosthesis program Dependent variable was Stroke Rehabilitation Assessment of Movement Thai version (Basic mobility) Inter-rater agreement ranged 0.96-0.99. Research findings were as follows: Comparison between before and after gait rehabilitation with prosthesis program on the mobility, the movement performance was better according to the increased percentage as (23.33/56.66), (40.00/70.00), (33.33/66.66), (23.33/60.00) and (23.33/60.00), the averaged increased percentage was 28.66/62.66, and every patient can walk with additional points [Walk 10 m. indoors: (0/2), (1a/2), (1a/2), (0/2) and (0/2)]. This finding supported the hypothesis whether hemiplegic patients with lower-limb amputation at Nakornpathom Hospital who received gait rehabilitation with prosthesis on the mobility were better.

Keywords: Hemiplegic patients with lower-limb amputation, Mobility, Multiple disabilities