rehabilitation
Development of a rehabilitation programme for individuals with chronic limb threatening ischaemia post revascularisation (HOPE): a modified Delphi study
Introduction Peripheral artery disease (PAD) affects over 236 million globally,1 equating to approximately 20% of individuals aged over 60 in the UK. Already identified as the leading contributor to vascular service demand within secondary care,2 the prevalence of this condition is projected to increase by 50% by the year 2045.3 The most severe manifestation of…
Long-term outcomes of major and minor lower limb amputation: eight-year retrospective analysis from a single tertiary referral centre
Introduction Major amputation is a life-changing yet common endpoint in the management of diabetic foot disease (DFD) and chronic limb-threatening ischaemia (CLTI). Less commonly, amputation is performed for traumatic limb injury, deformity, chronic pain or loss of function.1–4 Major amputation is estimated to affect 3–4% of all patients with peripheral arterial disease (PAD)5 and 15–20%…
Changes in functional health status following open abdominal aortic aneurysm repair and the role of exercise-based rehabilitation: a systematic review
Introduction Patients with abdominal aortic aneurysms (AAA) are usually older adults with widespread atherosclerosis and considerable cardiovascular risk factors.1–3 As a result, open surgical repair is associated with significant perioperative morbidity which may require a prolonged inpatient or intensive care stay.4,5 The associated metabolic and cardiopulmonary challenges may have substantial resultant consequences on functional status…
Exploring the assessment, diagnosis and conservative management of patients with neurogenic thoracic outlet syndrome (NTOS): an online survey of UK medical and allied health professionals
Introduction Thoracic outlet syndrome (TOS) is a highly controversial medical diagnosis, as highlighted in a Cochrane review by Povlsen et al in 2014.1 Diagnosis is challenging due to the existence of four reported subgroups of TOS – namely, neurogenic, arterial, vascular and disputed – each presenting with diverse and wide-ranging symptoms.1-3 Authors describe three pertinent…
Surgical and rehabilitation outcomes of patients undergoing through knee amputation compared with above knee amputation
Introduction Every year more than 5,000 patients undergo a major lower limb amputation in the UK.1-3 Major lower limb amputation is a pivotal life-changing event which can result in significant physical and psychological impacts, depending on the person’s functional ability pre-amputation, the cause of their amputation, their co-morbidities and the level of amputation.4,5 Below knee…
