{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:47:16Z","timestamp":1790113636376,"version":"4.0.1"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000957","name":"Alzheimer's Association","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"published-print":{"date-parts":[[2019,8]]},"abstract":"\n Background<\/jats:title>\n Falls in individuals with lower limb amputations (LLAs) pose significant health concerns. The literature is limited regarding falls during the preprosthetic phase of rehabilitation for persons with LLAs.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To determine the incidence of falls and identify factors associated with falls during the preprosthetic recovery phase.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective chart audit.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Inpatient rehabilitation program.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Four hundred forty individuals with LLAs (age\u2009\u00b1 SD =\u200961.93\u2009\u00b1\u200914.53\u2009years, 73.18% male) who attended inpatient rehabilitation from 26 July 2011 to 21 August 2017.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Not applicable.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements<\/jats:title>\n The number of self\u2010reported falls was recorded from the time of surgery to admission for inpatient rehabilitation. Outcomes of interest were any fall (1+ fall) and recurrent falls (2+ falls). A retrospective chart audit was performed on consecutive admissions to an inpatient rehabilitation program.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The incidence of falls was 8.37 per 1000 patient\u2010days. Falls were sustained by 60.9% of the sample. Unilateral transtibial amputation was independently associated with an increased risk of recurrent falls (relative risk [RR] 1.59, 95% confidence interval [CI] 1.13\u20132.23,\n P<\/jats:italic>\n \u2009=\u2009.008). Diabetes mellitus was independently associated with an increased risk of any fall (RR 1.18, 95% CI 1.01\u2013.38,\n P<\/jats:italic>\n \u2009=\u2009.03). Finally, bilateral transtibial amputation was independently associated with a reduced risk of any fall (RR 0.59, 95% CI 0.39\u20130.90,\n P<\/jats:italic>\n \u2009=\u2009.014).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Consistent with the current literature, diabetes mellitus and a unilateral transtibial amputation were risk factors for falling, whereas a bilateral transtibial amputation and increasing age presented new findings as factors associated with decreased falling.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n III.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.12046","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T12:37:36Z","timestamp":1554122256000},"page":"828-833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Risk Factors for Falls in Individuals With Lower Extremity Amputations During the Pre\u2010Prosthetic Phase: A Retrospective Cohort Study"],"prefix":"10.1002","volume":"11","author":[{"given":"Kimberly","family":"Vu","sequence":"first","affiliation":[{"name":"School of Health Studies University of Western Ontario London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.C.","family":"Payne","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine & Dentistry, Department of Physical Medicine & Rehabilitation University of Western Ontario London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan W.","family":"Hunter","sequence":"additional","affiliation":[{"name":"School of Physical Therapy University of Western Ontario London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Viana","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine & Dentistry, Department of Physical Medicine & Rehabilitation University of Western Ontario London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000219119.58965.8c"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2016.07.531"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2010.06.005"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr738oa"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2006.10.015"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.24295"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0309364611418874"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2015.05.006"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53455.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2042"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht149"}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpmrj.12046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12046","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T12:39:29Z","timestamp":1694263169000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1002\/pmrj.12046"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12046","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]},"assertion":[{"value":"2018-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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