假肢复杂化和截肢水平对自我报告的移动性和对移动性的满意度的影响
Daniel C Norvell1, Alison W Henderson2, David C Morgenroth1
1VA Puget Sound Health Care System, Seattle, WA; VA Center for Limb Loss and MoBility (CLiMB), Seattle, WA; Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
Archives of physical medicine and rehabilitation
|April 1, 2024
概括
更复杂的下肢假肢 (LLPs) 改善了骨截肢患者的移动性,但不能改善骨截肢患者的移动性. 然而,先进的LLP提高了跨肢截肢者的流动性满意度.
科学领域:
- 康复医学 康复医学 康复医学
- 假肢和整形手术
- 生物医学工程 生物医学工程
背景情况:
- 下肢假体 (LLP) 的复杂性可能会影响患者的移动性和满意度.
- 了解这些关联对于优化假肢护理至关重要.
- 截肢水平可能会影响先进的LLP的好处.
研究的目的:
- 为了确定下肢假体的复杂性是否与患者报告的移动性和移动性满意度有关.
- 调查这些关联是否因截肢水平而有所不同 (跨骨与转骨).
主要方法:
- 这是一项对347名退伍军人进行的队列研究,这些退伍军人曾经经发生过跨骨 (TT) 或跨骨 (TF) 截肢.
- 参与者在2018年3月至2020年11月期间获得了合格的LLP.
- 通过PROClass测量的假肢复杂性;通过Locomotor Capabilities Index-5和利克特尺度评估的移动性和满意度.
主要成果:
- 中级/高级LLP与比基本LLP更好的流动性有关,特别是在TF截肢者中 (aOR=10.2,P=.04).
- 中级LLP显著改善了TT截肢者的流动性满意度 (aβ=.79,P=.03).
- 在TT截肢者中,没有发现假肢复杂度和高级移动性之间的显著关联.
结论:
- 假肢的复杂性会根据截肢程度不同地影响移动性.
- 先进的LLP增强了关节截肢患者的移动性和关节截肢患者的满意度.
- 假肢选择应考虑个体截肢水平和患者报告的结果.
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