随着骨整合和向肌肉再内内化进行的跨度上肢截肢的结果:一项初步观察性队列研究
Joseph Webster1,2, Jeffrey Heckman3,4, Matthew Borgia5
1Department of Physical Medicine and Rehabilitation, School of Medicine at Virginia Commonwealth University, Richmond, Virginia, USA.
概括
在上肢截肢 (ULA) 中,骨整合 (OI) 和向肌肉再生 (TMR) 的结合导致了更好的假肢使用和满意度. 需要进一步的研究来证实这些好处在更大的患者群体.
科学领域:
- 生物医学工程 生物医学工程
- 康复医学 康复医学 康复医学
- 假肢和整形手术
背景情况:
- 对于上肢截肢 (ULA) 的联合骨整合 (OI) 和向肌肉再生 (TMR) 的结果尚不清楚.
- 这项研究解决了关于这种联合手术和假肢方法疗效的知识差距.
研究的目的:
- 评估使用肌电假肢治疗OI和TMR的三个ULA病例的功能结果.
- 将这些案件的结果与假肢使用者的匹配对照组进行比较.
主要方法:
- 一个观察性,近乎实验性的队列设计,没有等效的对照组.
- 参与者包括美国退伍军人和平民,跨年ULA,社区居住的成年人.
- 通过多项指标来评估结果,这些指标包括灵巧度,功能,假肢满意度,生活质量,患者体验,假肢使用和疼痛.
主要成果:
- 与对照组相比,患有OI和TMR的病例在残余四肢健康和假肢直觉性方面表现出更高的得分.
- 患有OI和TMR的患者报告了明显更好的假肢满意度,包括舒适性和外观.
- 在OI和TMR的病例中,观察到每天使用更大的假肢 (小时/天).
结论:
- 在ULA中OI和TMR的组合似乎增强了残余四肢的健康,假肢的直观性和日常使用.
- 建议进行更大的样本研究,以进一步调查OI和TMR结合的附加效益.
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