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KMID : 1200020200440040614
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Diabetes & Metabolism Journal
2020 Volume.44 No. 4 p.614 ~ p.618
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Short-Term Walking Outcomes in Diabetic and Non-Diabetic Unilateral Transtibial Amputees
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Kwak Dong-Gyu
Hur Jeong-Yong
Moon Jun-Sung
Chang Min-Cheol
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Abstract
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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.
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KEYWORD
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Amputees, Canes, Diabetes mellitus, Gait, Rehabilitation
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