用微处理器评估临床结果Essor kNee在K2群体中进行uTilization (ASCENT K2):对于65岁以上的膝盖上方假体使用者的随机对照试验结果
Shane R Wurdeman1, Brian J Hafner2, Andrew Sawers3
1Hanger Institute for Clinical Research and Education, Hanger Clinic, Austin, TX, USA.
Disability and rehabilitation
|July 21, 2025
概括
微处理器膝盖 (MPKs) 与非微处理器膝盖 (NMPKs) 相比,显著降低了老年膝盖上方假肢使用者的跌倒和跌倒的恐惧. 这导致K2门诊人员的流动性和生活质量得到改善.
科学领域:
- 生物医学工程 生物医学工程
- 康复科学 康复科学 康复科学
- 老年学是一门学科.
背景情况:
- 使用膝盖以上假肢的老年人往往面临着移动性和跌倒风险的挑战.
- 医疗保险K2门诊人员代表了具有有限功能能力的大量人口.
研究的目的:
- 为了比较微处理器膝盖 (MPK) 与非微处理器膝盖 (NMPK) 的有效性.
- 评估对老K2门诊人员跌倒恐惧,跌倒发生率,移动性和生活质量的影响.
主要方法:
- 一个为期12个月的随机对照试验,涉及107名单边膝盖上方假体使用者 (医疗保险K2门诊者,年龄65岁以上).
- 干预组接受了MPK,对照组接受了标准NMPK.
- 结果指标包括对跌倒的恐惧,避免行为,跌倒,接近跌倒,移动性,平衡以及与健康相关的生活质量 (HR-QoL).
主要成果:
- 在MPK组中,由于害怕跌倒而避免活动显著减少 (FFABQ,p < 0.001).
- 与NMPK用户相比,MPK用户的跌倒 (p = 0.015) 和接近跌倒 (p = 0.001) 较少.
- 在MPK组中观察到移动性和HR-QoL的显著改善.
结论:
- 微处理器膝盖通过减少跌倒恐惧和跌倒率来提高老年假肢用户的安全性和幸福感.
- MPKs为NMPKs提供了一种优越的替代方案,改善K2门诊人员的功能结果和生活质量.
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