Van De Ven C M
Br Med J (Clin Res Ed). 1981 Sep 12;283(6293):707-10. doi: 10.1136/bmj.283.6293.707.
Patients with bilateral high level amputations of the legs are rarely functionally independent after their discharge from hospital. Eighty bilateral amputees were visited by a research physiotherapist, and information was obtained on their family circumstances, accommodation, mobility, and prostheses. A second questionnaire was completed by hospital staff on medical condition, assessments, rehabilitation, and total overall management. The results showed that mobility was severely restricted; out of the 80 patients visited, only 65 could manoeuvre wheelchairs and 23 use prostheses. Accommodation presented difficulties: 34 homes had steps inside and 40 had steps outside. Of the 80 patients seen, 60 could not cope in the bath while 33 were unable to use the lavatory. Assessments and rehabilitation were lacking. There appeared to be little overall management, and hospital staff made only 36 visits to the patient's accommodation before discharge.
双腿双侧高位截肢患者出院后很少能实现功能独立。一名研究物理治疗师走访了80名双侧截肢患者，收集了他们的家庭情况、住所、行动能力和假肢等方面的信息。医院工作人员填写了第二份问卷，内容涉及医疗状况、评估、康复及整体管理情况。结果显示，患者的行动能力受到严重限制：在走访的80名患者中，只有65人能够操作轮椅，23人能够使用假肢。住所方面存在困难：34户家中室内有台阶，40户室外有台阶。在80名受访患者中，60人无法在浴室自理，33人无法使用厕所。评估和康复工作也有所欠缺。整体管理似乎不足，医院工作人员在患者出院前仅对其住所进行了36次探访。
