患者在下肢创伤后可以自我识别步态障碍吗? 提高患者参与他们的护理
Tyler Forbes1, Joseph Cavataio2, Andrew Robinson1
1School of Medicine, Wayne State University, Detroit, MI 48201, USA.
Journal of clinical medicine
|February 13, 2026
概括
从下肢创伤中恢复过来的患者可以准确地识别行走异常. 的自我认知与较低的PROMIS身体功能得分相关,有助于康复参与.
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
- 生物机械工程 生物机械工程
背景情况:
- 下肢创伤通常会导致步态障碍,影响患者的移动性和独立性.
- 患者对步行异常的自我意识可以改善康复的坚持和功能恢复.
研究的目的:
- 为了确定骨科创伤患者是否能够准确地自我评估步态异常.
- 调查自我识别的步态异常与PROMIS身体功能得分之间的相关性.
主要方法:
- 美国一级创伤中心的前性横截面研究.
- 包括66名患有隔离下肢创伤后手术的患者,能够无助行走.
- 评估患者对的自我感知,PROMIS身体功能和临床步态评估.
主要成果:
- 患者在自我识别行走异常的存在 (95.92%) 和缺席 (89.47%) 中表现出高准确度.
- 在患有 (37.2) 和没有 (44.4) 的患者之间观察到PROMIS身体功能t-score的显著差异.
- 脚识别与较差的身体功能结果有很强的相关性.
结论:
- 从下肢创伤中恢复过来的患者拥有识别其步态障碍的能力.
- 对步态异常的自我意识与减少的身体功能有关,这突出了其在康复中的重要性.
- 鼓励患者参与监测康复可以提高参与度并指导临床决策.
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