在全膝关节整形术后,向后走需要更多的自身感知和平衡吗?
Fatih Özden1, İsmail Uysal2, İsmet Tümtürk3
1Muğla Sıtkı Koçman University, Köyceğiz Vocational School of Health Services, Department of Health Care Services, Muğla, Turkey.
Journal of orthopaedics
|April 1, 2024
概括
在接受全膝关节整形手术 (TKA) 的老年人中改善倒行需要专注于平衡. 在这种人群中,平衡能力比自身感知更为重要,以提高向后行走的表现.
科学领域:
- 整形外科 整形外科 整形外科
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
背景情况:
- 倒行是老年人日常生活中必不可少的活动.
- 对于改善全膝关节整形术 (TKA) 患者的倒行走的关键参数的了解有限.
研究的目的:
- 为了研究老年人与TKA之间的自身感知,平衡和前后行走之间的关系.
- 在这个人口群体中,确定增强倒行表现的最关键因素.
主要方法:
- 一项前性横截面研究,涉及105名患有TKA的老年人.
- 使用定时上行测试 (TUG) 和3米回行测试 (3MBWT) 评估步行能力.
- 用倾斜计测量自身感知;使用伯格平衡量表 (BBS) 和活动特定平衡信心量表 (ABC) 评估平衡.
主要成果:
- 前进和后退步伐与平衡和自身感知有着相似的关联.
- TUG和3MBWT与自身感知 (RLPT/LLPT) 有较弱的相关性.
- TUG和3MBWT都与余额指标 (BBS/ABC) 显示出强烈的负相关性.
结论:
- 在TKA的老年人中,平衡能力与倒行表现比自觉更强烈地相关.
- 临床医生应优先考虑针对平衡的干预措施,以改善TKA患者的倒行.
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