在使用跨骨或转骨假肢的人中进行潜在的跌倒风险查:从探索性队列研究中切断时间
M G Finco1, Cody L McDonald2, Sarah C Moudy3
1Department of Anatomy and Physiology, University of North Texas Health Science Center, Fort Worth, TX, USA.
Clinical biomechanics (Bristol, Avon)
|January 21, 2026
概括
假肢使用者的跌倒风险可以通过临床措施进行查. 通过四方步骤测试和跨肢体使用者的步行速度,以及转肢体使用者的定时上升和移动测试,可以识别可能在六个月内跌倒的个人.
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
- 临床生物力学 临床生物力学
背景情况:
- 超过52%的下肢假肢使用者每年都会跌倒.
- 在临床实践中,确定这一群体中跌倒风险因素至关重要.
- 很少有研究确定了用于查跌倒风险的具体临床措施.
研究的目的:
- 确定临床结果测量是否可以在六个月内显著区分将会跌倒和不会跌倒的个体.
- 确定特定的临床参数,用于对假肢使用者进行跌倒风险查.
主要方法:
- 一项探索性队列研究涉及21名单边假肢使用者.
- 参与者完成了7项临床结果测量和12个月的秋季病史.
- 在为期六个月的随访期内,每两周报告一次跌倒,参与者按假肢类型分组 (横,腿骨转移).
主要成果:
- 对于穿腿假肢使用者 (n=14),四方步骤测试 (FSST) 和步行速度显示了落者和非落者之间的显著差异 (p=0.022),具有很高的临床适用性 (AUC=0.883).
- 对于移植关节假肢使用者 (n=7),定时启动和启动 (TUG) 测试具有统计学意义 (p=0.029),具有很好的临床适用性 (AUC=1.000).
- 确定了特定的截止值:FSST (≥12.83秒),步行速度 (≥1.28米/秒) 和TUG (≥9.44秒).
结论:
- FSST和步行速度可以作为有价值的工具,用于识别穿腿假肢使用者的跌倒风险.
- TUG测试显示了腿移植假肢使用者跌风险查的潜力.
- 这些临床措施提供了实际的切断点,以区分假肢使用者中潜在的落者和非落者.
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