She had difficulty to elevate the right leg, difficulty to walk, and felt severe pain when getting up from a chair by a rotating movement of the body.
When the patient visited us, 4 years after the first laparoscopy, she still had severe pain with difficulty to walk, to do physical activity, to have intercourse and to get up from a chair.
The severe pain with difficulty to walk, work, move the right leg and have intercourse were erroneously considered for 4 years as the consequence of a nerve trauma while the local pain was considered a nerve entrapment in the wall.
Participants were asked to rate their perceived difficulty to walk indoors without a walking aid and perceived difficulty to walk outdoors (with or without walking aid).
Those included wounds, loss of consciousness or blood, belly pains, difficulty to walk or sicknesses.
I have difficulty to walk now and to play with my seven brothers and sisters".
Accounting for difficulty to walk outdoors resulted in a significant decrease over time (P = 0.049) in both groups.
ADL incapacity was also associated with difficulty to walk approximately 400 meters (adjusted OR 7.52 for the highest level).
However, reduced difficulty to walk indoors and increased physical activity partly accounted for the decrease in PEB rendering "time" nonsignificantly (P ≥ 0.211).
After adjustment for level of physical activity, a proxy for the amount of exposure to the outdoor environment, the number of POB decreased over time, indicating at least partial mediation by increased physical activity and decreased difficulty to walk outdoors.
