创伤性单侧关节截肢患者的骨矿物质密度和相关因素
Gizem Kılınç Kamacı1, Merve Örücü Atar1, Elif Tekin1
1Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
概括
剩余的四肢长度和部曲器的强度是影响骨矿物质密度 (BMD) 的关键因素. 保持肢体长度和加强部肌肉可能会改善截肢侧的BMD结果.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 骨外截肢 (TFA) 显著降低了下肢的骨矿物密度 (BMD).
- 靠近截肢水平,像TFA一样,对BMD有更明显的负面影响.
研究的目的:
- 为了检查残余四肢长度 (RLL),部肌肉强度和截肢侧的BMD在创伤性单侧TFA的个体之间的相关性.
- 为了确定影响残余肢体骨质量 (BMD) 的因素.
主要方法:
- 这是一项追溯,横截面研究,涉及39名TFA患者.
- 肌肉强度 (部曲器/延伸器) 通过异动力学峰值扭矩测量.
- 剩余四肢长度 (RLL) 从大三叉骨测量.
- 使用双能X射线吸收计 (DXA) 测定部部和腰椎T分数的BMD.
主要成果:
- 在RLL和大腿部BMDT-score (r=0.432,p=0.006) 之间发现了显著的积极关系.
- 峰值曲扭矩也与大腿部BMDT-score (r=0.327,p=0.045) 有积极的相关性.
- RLL和部屈曲强度是大腿部BMD的重要决定因素.
结论:
- 在TFA患者的康复计划中,加强部曲器的干预措施可能是至关重要的,以改善BMD.
- 在截肢手术期间最大化残余四肢长度可能会对截肢侧的BMD产生积极影响.
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