实现功能性肢体救援的客观和主观措施之间的相关性
Olivia B Allen1, Kishan S Shah1, Ann Hu1
1Georgetown University School of Medicine, Washington, DC, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 7, 2025
概括
这项研究表明,在下肢功能量表 (LEFS) 上的较低得分与慢性下肢伤病患者的较差步行参数相关. 使用传感器的客观步态分析可以识别有不良结果风险的个体.
科学领域:
- 生物力学 生物力学
- 临床评估 临床评估
- 可穿戴技术可穿戴技术
背景情况:
- 功能性行走对于在慢性下肢 (LE) 伤口中挽救四肢至关重要.
- 患者报告的结果测量 (PROM) 和可穿戴步态传感器提供了主观和客观的功能评估.
研究的目的:
- 评估步态参数和PROMs之间的关系.
- 通过步态分析和PROMs识别患有不良结果风险的患者.
主要方法:
- 包括没有开放性伤口或行走过程中的疼痛的成年患者 (≥18岁).
- 患者完成了下肢功能量表 (LEFS),步行测试,以及使用传感器进行罗姆伯格摇摆测试.
- 分析对比了中度高功能 (LEFS ≥ 41) 和轻度最小功能 (LEFS < 41) 组.
主要成果:
- 104名患者参与了这项研究,76.9%的患者有中度至高水平的功能.
- 中等高功能组表现出明显更好的步行速度,步骤持续时间,节奏,步伐长度,单肢支和稳定性 (p<0.001).
- 更高的功能水平独立地预测了改善的步态参数.
结论:
- 较低的LEFS分数与病态步态相关,表明潜在的临床实用性.
- 该LEFS对临床实施有希望,以评估门诊状态.
- 这项研究开创了客观步行传感器数据与门诊状态评估的PROM相关性的研究.
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