Ulger Ozlem, Sener Gül
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Samanpazari, Ankara, Turkey.
J Pediatr Orthop B. 2011 May;20(3):178-83. doi: 10.1097/BPB.0b013e3283449362.
The purpose of this study was to compare the functional status of children with acquired and congenital lower limb loss after 3 weeks and 6 months of prosthetic rehabilitation. Forty-one children aged between 8 and 17 years participated in the study. The children underwent prosthetic fitting, prosthetic training and rehabilitation after physiotherapy evaluations. Gait patterns and weight bearing values were assessed, and the Amputee Mobility Predictor (AMP) Questionnaire was applied. The congenital group had better gait patterns, weight bearing values and AMP scores in the initial assessment and after 3 weeks. The statistical analyses of the same parameters after 6 months showed that there were no significant differences between the two groups (P>0.05). It was determined that all congenital patients and only 16 of 20 acquired patients were wearing their prostheses for more than 8 h a day. When the outcomes of the first assessments were compared, the congenital group showed a better functional level, gait pattern and weight bearing value. At the end of 6 months, an improvement was observed in the functional level, gait pattern and weight bearing value in both the groups. The functional state, gait pattern and weight bearing value of children with limb loss can be improved if they actively use their prosthesis.
本研究的目的是比较后天性和先天性下肢缺失儿童在假肢康复3周和6个月后的功能状况。41名年龄在8至17岁之间的儿童参与了该研究。这些儿童在接受理疗评估后进行了假肢装配、假肢训练和康复。评估了步态模式和负重值，并应用了截肢者运动预测器（AMP）问卷。先天性组在初始评估和3周后具有更好的步态模式、负重值和AMP评分。6个月后对相同参数的统计分析表明，两组之间没有显著差异（P>0.05）。确定所有先天性患者和20名后天性患者中只有16名每天佩戴假肢超过八小时。当比较首次评估的结果时，先天性组显示出更好的功能水平、步态模式和负重值。在6个月末，两组的功能水平、步态模式和负重值均有改善。如果肢体缺失儿童积极使用假肢，其功能状态、步态模式和负重值可以得到改善。
