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Predicting prosthetic rehabilitation outcome in lower limb amputee patients with the functional independence measure.

OBJECTIVE: To determine the value of the Functional Independence Measure (FIM) score as a prognostic indicator for prosthetic use in the lower limb amputee patient.

DESIGN: Cohort study of 41 patients with lower limb amputations.

SETTING: University hospital rehabilitation unit.

MAIN OUTCOME MEASURES: FIM motor subscore and Houghton Scale for prosthetic use.

RESULTS: FIM score on admission did not correlate with prosthetic use as measured by the Houghton Scale; however, FIM motor subscore at discharge did.

CONCLUSION: The admission FIM score is not useful in predicting successful prosthetic rehabilitation in lower extremity amputee patients. Only the motor subscore at discharge correlates with the use of prosthesis.

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