在重大下肢截肢后,坐立时的重量轴承不对称:系统性审查和元分析
Tanguy Le Corre1, Hélène Bisseriex2, Christelle Pons3,4,5,6
1Physical and Rehabilitation Medicine Department, Fondation Ildys, Roscoff, France.
与没有截肢的人相比,下肢截肢的人在坐立运动中表现出更大的承重不对称性. 这种不对称性会影响表现时间和动力学,因此需要针对跨骨和骨截肢进行量身定制的康复策略.
科学领域:
- 生物力学和康复科学 生物力学和康复科学
- 肌肉骨健康和假肢
背景情况:
- 坐立 (STS) 期间的负重不对称性是下肢截肢患者的一个重大问题,可能导致肌肉骨问题.
- 了解这种不对称性的程度和性质对于开发有效的干预措施至关重要.
研究的目的:
- 系统地审查和分析现有文献,比较STS期间的负重不对称性,主要是下肢截肢的人与没有的个人.
- 为了研究跨腿截肢 (TTA) 和腿截肢 (TFA) 人群之间的不对称性差异.
主要方法:
- 在PubMed,科克伦图书馆,科学网络和HAL的系统文献搜索,截至2022年6月.
- 包括11项涉及102名截肢受试者的研究.
- 使用标准化平均差异 (SMD) 来量化承重不对称性,STS性能时间和动力学差异的元分析.
主要成果:
- 与对照组相比,截肢患者的体重不对称性明显增加 (SMD = 1.72,p < 0.00001).
- 无论是TTA (SMD = 1.20,p < 0.00001) 和TFA (SMD = 5.32,p < 0.00001) 两组都比对照组表现出更大的不对称性.
- STS表现时间较长 (SMD = 0.52,p = 0.0004),截肢者,特别是那些有TFA的截肢者身上,干部/下肢动力学显著不同.
结论:
- 患有较大的下肢截肢的个体在STS期间表现出明显更高的承重不对称性.
- 对于TTA (重量支重点康复) 和TFA (假膝改善) 需要明确的生物力学策略和有针对性的干预措施来增强对称性.
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