Frlan-Vrgoc Ljubinka, Vrbanić Tea Schnurrer-Luke, Kraguljac Darko, Kovacević Miljenko
University of Rijeka, Rijeka University Hospital Center, Center for Physical and Rehabilitation Medicine, Rijeka, Croatia.
Coll Antropol. 2011 Dec;35(4):1215-8.
The aim of this study was to assess the functional outcome of a population of lower limb amputees supplied with prosthesis. The research was conducted from June to September of 2010 at the Center for Physical and Rehabilitation Medicine, of the Clinical Hospital Center Rijeka, Croatia. The study included 50 adult subjects of both genders with a unilateral transtibial or transfemoral lower limb amputations. The 2-minute walk test (2MWT) was used to assess the functional outcome of these individuals. Data were statistically analyzed. Subjects were divided into groups according to age. The best results were obtained by subjects between the age of 45 and 59 years. The difference between groups was statistically significant (p < 0.001). Taking into account the cause of amputation, there was a statistically significant difference in the results of the 2 MWT between subjects in whom the cause of amputation was circulatory and those where the cause of the amputation was not due to circulatory problems. The best results were obtained in subjects in whom the cause of amputation was not circulatory (p = 0.009). Considering the level of amputation there was a statistically significant difference in the results of the 2MWT between subjects with transtibial and those with transfemoral amputations. Better results were obtained in transtibial amputees (p = 0.039). Considering the first prosthetic supply, better results were obtained in subjects using prosthetic devices over 9 years (p = 0.031). Our research confirmed that age, gender, level and cause of amputation, including the time from the first prosthetic supply have an effect on the 2MWT results.
本研究的目的是评估配备假肢的下肢截肢者群体的功能结局。该研究于2010年6月至9月在克罗地亚里耶卡临床医院中心的物理与康复医学中心进行。该研究纳入了50名成年受试者，男女皆有，均为单侧经胫骨或经股骨下肢截肢。采用2分钟步行试验（2MWT）来评估这些个体的功能结局。对数据进行了统计学分析。受试者根据年龄分组。45岁至59岁的受试者取得了最佳结果。组间差异具有统计学意义（p < 0.001）。考虑到截肢原因，截肢原因是循环系统问题的受试者与截肢原因并非循环系统问题的受试者在2MWT结果上存在统计学显著差异。截肢原因不是循环系统问题的受试者取得了最佳结果（p = 0.009）。考虑到截肢水平，经胫骨截肢者与经股骨截肢者在2MWT结果上存在统计学显著差异。经胫骨截肢者取得了更好的结果（p = 0.039）。考虑到首次配备假肢的情况，使用假肢超过9年的受试者取得了更好的结果（p = 0.031）。我们的研究证实，年龄、性别、截肢水平和原因，包括首次配备假肢后的时间，都会对2MWT结果产生影响。
