吊带使用对老年人群功能性移动性的影响
Sudarsan Murali1, Mathew Hargreaves2, Kyle Paul3
1From the Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland.
Southern medical journal
|March 1, 2024
概括
旋转手腕修复后的吊带固定损害了老年人的运动能力和平衡. 避免拖绳可显著改善步态和平衡得分,降低跌倒风险.
科学领域:
- 整形外科 整形外科 整形外科
- 老年病的医生 老年病的医生
- 物理疗法物理治疗
背景情况:
- 吊链固定是标准的旋转手套后修复.
- 它对老年人的移动性和平衡的影响需要研究.
研究的目的:
- 评估拖绳使用对老年人平衡和移动性的影响.
- 为了确定悬挂固定是否会对步态和稳定性产生负面影响.
主要方法:
- 一个随机前性临床试验,50名参与者 (2019-2021年).
- 患者被随机分为带套筒和没有套筒的组.
- 评估包括埃德蒙顿脆弱度量和Tinetti步态和平衡评分.
主要成果:
- 吊带的使用与平衡 (中位数为15.00比16.00) 和步态 (中位数为11.50比12.00) 的得分明显较低 (P=0.006,P=0.011).
- 结合的步态和平衡得分在没有吊带的情况下显著更高 (中位数为27.00比26.00,P=0.001).
- 对于跌倒的焦虑是最小的 (得分为0.16).
结论:
- 在老年人群中,手术后吊链固定对平衡和步态产生负面影响.
- 这可能会增加老年患者手术后跌倒的风险.
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