DOS 2018

204 · DOS Abstracts THE EFFECT OF EARLY MUNICIPALITY BASED REHABILITATION FOR PERSONS WITH A DYSVASCULAR LOWER-LIMB AMPUTATION Nikolaj Odderskær, Kajsa Lindberg, Daniel Haaning Kristensen, Morten Tange Kristensen Risskov, Bandagist-Centret; Copenhagen, Sundhed og Genoptræning - Vanløse- Brønshøj-Husum; Departments of Physiotherapy and Orthopedic Surgery, Amager-Hvidovre Hospital; Aarhus, DemensCentrum Background: Currently, there is no national clinical guideline for the rehabilita- tion offered to patients with lower limb amputations (LLA) in Danish municipali- ties. Thus, with the ambition of evidence-based healthcare practice, a potential heterogeneity in rehabilitation approaches seem problematic. Purpose / Aim of Study: To evaluate the functional effect of a consensus and evidence-based rehabilitation program on a cohort of LLA patients, using three well-known outcome measures. Materials and Methods: We studied a cohort of 44 newly amputated, dysvas- cular LLA patients (25 below knee amputations (BKA) and 19 above knee am- putations (AKA), 33 men and 11 women, mean (SD) age of 67 (9.3) years). All participants completed a one-hour supervised exercise program twice a week for a mean of 17.5 (8.8) weeks. Baseline data was collected the second time walking with a prosthesis out of parallel bars or when considered safe by physio- therapist while the final test was collected following completion of the program. Functional levels were measured using three standardized tests: 10 Meter Walk (10MWT), Timed Up&Go (TUG) and 2 Minute Walk (2MWT). Findings / Results: Performances improved significantly (p<0.001) in all three outcome measures from baseline to completion of program; the 10MWT from a mean of 0.44 (0.25) meter/seconds to 0.74 (0.44) meter/seconds, (Effect Size [ES]=1.06), the TUG from 34.3 (20.7) seconds to 20.3 (12.9) seconds, (ES=1.04), and the 2MWT from 56.07 (27.19) meters to 82.57 (38.04) me- ters, (ES=0.99). Conclusions: Large improvements were seen in walking speed, functional mo- bility, and endurance for a cohort of LLA patients who followed a consensus and evidence-based rehabilitation program. Still, performances were below thresh- olds for non- amputated people. Further, long-term intervention studies seem needed to evaluate if further progress can be achieved. 145.