Disclosures: Jonathan J. Naber, MPH: Range of Motion Project (Products/Services: Yes) (Employment)
Objective: The six-month pilot aimed to improve the multifaceted mobility of ten patients who received a prosthesis at a nonprofit clinic and resided in the same province. Objectives included improving physical health, mental health, physical mobility, livelihood, and quality of life.
Design: Prospective cohort study Setting : Community based clinic, with home visitation, in a Central American town. Participants : Adults with recent extremity amputation
Interventions: An intake screening was conducted and an individualized intervention plan was created for each participant. A small team of community rehabilitation workers (CRWs) visited each participant at home twice per month, following a protocol addressing general health, mental health, prosthetic care, and physical therapy needs. The CRWs also coordinated services according to the needs of each participant, including: medicine, nutrition, laboratories, dentistry, group therapy, psychiatry, psychology, prosthetic care, physical therapy, self-employment, wage-employment, and legal support. The majority of these services were donated or highly-subsidized by Guatemalan volunteers. Participants were trained in accessing services and caring for themselves post-graduation.
Main Outcome Measures: Baseline, midpoint, and endpoint data were collected with the home visit protocol, SF-36, PHQ-9, GAD-7, PC-PTSD-5, prosthesis use questionnaire, LSMS, and WHOQoL-BREF instruments
Results: The data showed wide-ranging and important signals of improvement in all objectives. Conclusions: CBR could be an effective way to improve the outcomes of patients with amputation. Higher-powered studies are needed to establish statistically-significant evidence for effectiveness.
Level of Evidence: Level II
To cite this abstract in AMA style:
Naber JJ, Ladley SE. Pilot Program of Community-Based Rehabilitation for People with Amputation in a Central American Country [abstract]. PM R. 2020; 12(S1)(suppl 1). https://pmrjabstracts.org/abstract/pilot-program-of-community-based-rehabilitation-for-people-with-amputation-in-a-central-american-country/. Accessed May 27, 2025.« Back to AAPM&R Annual Assembly 2020
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/pilot-program-of-community-based-rehabilitation-for-people-with-amputation-in-a-central-american-country/