Kirby R Lee, Tsai H Y Amy, Graham Monette M
Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Nova Scotia, Canada.
Assist Technol. 2002 Winter;14(2):112-7. doi: 10.1080/10400435.2002.10132060.
Our objective was to describe the progression of ambulation aid use by people with lower limb amputations during their initial rehabilitation. We prospectively studied 37 people with recent lower limb amputations and a mean (SD) age of 68 (13) years. Subjects were evaluated each weekday during gait-training physiotherapy sessions, and the type and order of ambulation aids used during ambulation training were documented. The total number of gait-training sessions that we observed was 605, with a mean (SD) of 16.4 (7.7) sessions per participant and a range of 5-47. Of the 37 participants, 33 (89%) were discharged with prostheses. The mean (SD) number of aids per person was 2.9 (1.0). The percentage of participants who used each aid (presented in the mean order in which they were first used) were 76% parallel bars, 60% four-footed walkers, 81% two-wheeled walkers, 11% two crutches, 8% four-wheeled walkers, 46% two canes, and 14% one cane. People with lower limb amputations generally use a number of ambulation aids in a fairly consistent order as they progress through their initial rehabilitation. These findings have implications for the process of providing ambulation aids and provide a foundation for further study.
我们的目标是描述下肢截肢患者在初始康复期间使用助行器的进展情况。我们前瞻性地研究了37例近期下肢截肢患者，平均（标准差）年龄为68（13）岁。在步态训练物理治疗期间，每个工作日对受试者进行评估，并记录步行训练期间使用的助行器类型和顺序。我们观察到的步态训练总次数为605次，每位参与者平均（标准差）为16.4（7.7）次，范围为5 - 47次。37名参与者中，33名（89%）佩戴假肢出院。每人使用的助行器平均（标准差）数量为2.9（1.0）个。使用每种助行器的参与者百分比（按首次使用的平均顺序列出）分别为：平行杠76%、四脚助行器60%、两轮助行器81%、双拐11%、四轮助行器8%、双杖46%、单杖14%。下肢截肢患者在初始康复过程中通常会按照相当一致的顺序使用多种助行器。这些发现对提供助行器的过程具有启示意义，并为进一步研究奠定了基础。
