提高下肢截肢患者的表现和生活质量:体力活动,一种有价值的工具 - - 范围审查
Federica Delbello1, Leonardo Zullo1, Andrea Giacomini2
1Spinal Unit, Department of Rehabilitation, Physical Medicine and Rehabilitation Institute, via Gervasutta 48, 33100 Udine, Italy.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
身体活动干预可以改善下肢截肢 (LLA) 患者的生活质量和表现. 虽然没有单一的方法是优越的,但针对患者需求量身定制的个性化培训是最佳结果的建议.
科学领域:
- 康复医学 康复医学 康复医学
- 运动科学 运动科学 运动科学
- 假肢和整形手术
背景情况:
- 下肢截肢 (LLA) 显著影响身体和心理健康,往往导致生活质量降低和久坐行为.
- 确定有效的体力活动 (PA) 干预措施对于改善LALA患者的结果至关重要.
研究的目的:
- 对LLA患者的体力活动干预措施的现有证据进行范围审查.
- 调查这些干预措施对生活质量和绩效结果的影响.
主要方法:
- 遵守PRISMA指导方针进行范围审查.
- 使用PICO问题 (截肢,体育炼,生活质量,表现) 对PubMed,Cochrane和Pedro数据库进行系统搜索.
- 包括对任何病因的LLA个体的研究,在假肢或前假肢阶段,参与非竞争性PA.
主要成果:
- 包括18项研究 (6项系统性审查,5项RCT,4项病例控制,1项病例报告,2项横截面研究).
- 身体活动干预措施是多样化的,包括调查 (57%),个性化训练 (23%),力量训练 (13%),耐力训练 (13%),综合训练 (2%) 和步行训练 (5%).
- 生活质量 (42%),心血管健康 (20%),肌肉健康 (14%),步态参数 (13%) 和功能/残疾 (11%) 是关键结果,干预措施的好处各不相同.
结论:
- 动力增强是提高LALA患者表现和生活质量的有价值的策略.
- 虽然没有单一的PA干预措施是普遍优越的,但根据个体患者的需要,建议进行个性化培训,长期规划和远程监测.
- 需要进一步的研究来优化LLA患者的PA干预措施和管理策略.
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