身体康复计划对截肢患者的温度对称性,移动性,功能和步态的影响
F Marcon Alfieri1, D Mitiyo Odagiri Utiyama2, A C Aquino Dos Santos1
1Centro de Pesquisa Clínica do Instituto de Medicina Física e de Reabilitaçao do Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
Rehabilitacion
|April 17, 2025
概括
这项研究发现,身体康复计划显著改善了下肢截肢者的运动能力,功能和步态. 然而,下肢皮肤温度分布在课程后没有显著变化.
科学领域:
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
- 临床生物力学 临床生物力学
背景情况:
- 康复中心为截肢者提供专门的程序,以改善功能和生活质量.
- 下肢截肢在移动,功能和步行方面带来了挑战.
- 了解康复对皮肤温度等生理参数的影响至关重要.
研究的目的:
- 评估医院康复计划对下肢截肢者的影响.
- 评估康复后皮肤温度分布,运动,功能和步态的变化.
- 确定下肢截肢者多学科身体康复疗法的有效性.
主要方法:
- 一项试点,纵向,观察性研究,涉及14名住院的截肢患者.
- 红外热图评估了下肢皮肤温度.
- 定时启动和启动 (TUG),截肢者移动性预测器 (AMP) 和2分钟步行测试 (2-MWT) 测量了移动性,功能和步行.
- 使用适当的统计测试,比较了干预前后的数据.
主要成果:
- 观察到平衡 (AMP得分),步态 (2MWT距离) 和整体功能 (TUG测试完成时间) 显著改善.
- 在基线和干预后评估之间,没有发现下肢皮肤温度分布的显著变化.
- 康复计划对功能恢复产生了积极影响.
结论:
- 身体康复计划显著提高了下肢截肢的个体的流动性,功能性和步态.
- 下肢的皮肤温度分布在康复干预过程中没有显著改变.
- 该研究强调了康复的功能益处,同时指出没有温度调节的变化.
相关概念视频
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:28Factors Affecting Body Temperature
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
01:29Decreased Body Temperature
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...
01:27Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:19Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...