Yiğiter K, Sener G, Erbahçeci F, Bayar K, Ulger O G, Akdoğan S
Department of Prosthetics and Biomechanics, School of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Prosthet Orthot Int. 2002 Dec;26(3):213-7. doi: 10.1080/03093640208726650.
Reports in the rehabilitation literature suggest that patients with trans-femoral amputation ambulate well after suitable prosthetic treatment. The effects of exercise protocols on function, however, have not been documented in this population. This study was conducted to compare the outcome of traditional and proprioceptive neuromuscular facilitation (PNF) techniques on weight bearing and gait. Fifty unilateral trans-femoral amputees who were attending for their first prosthesis, participated in this study. Amputees were randomly assigned into groups receiving the traditional training or PNF. Traditional treatment was consisted of weight-shifting, balancing, stool-stepping and gait exercises. In the other group the same activities were given by PNF. Amputees were trained 30 minutes daily, for a total of 10 treatments. Pre- and post-training assessment included weight bearing measurements by using two bathroom scales and time-distance characteristics of gait from footprints. A statistically significant difference was found in all parameters within the groups due to pre- and post-training evaluation data (p<0.05), but more obvious improvement was observed in the group who received PNF (p<0.05). The results of the study suggest that the prosthetic training based on proprioceptive feedback was more effective to improve weight bearing and gait when compared with a traditional programme.
康复文献中的报告表明，经股骨截肢患者在接受适当的假肢治疗后能很好地行走。然而，运动方案对该人群功能的影响尚未有文献记载。本研究旨在比较传统技术和本体感觉神经肌肉促进法（PNF）对负重和步态的影响。五十名首次安装假肢的单侧经股骨截肢者参与了本研究。截肢者被随机分为接受传统训练或PNF训练的组。传统治疗包括体重转移、平衡、踩凳子和步态练习。另一组则通过PNF进行相同的活动。截肢者每天训练30分钟，共进行10次治疗。训练前和训练后的评估包括使用两个浴室秤测量负重以及通过脚印测量步态的时间-距离特征。由于训练前和训练后的评估数据，各组内所有参数均存在统计学上的显著差异（p<0.05），但接受PNF训练的组改善更为明显（p<0.05）。研究结果表明，与传统方案相比，基于本体感觉反馈的假肢训练在改善负重和步态方面更有效。
