Onat Sule Sahin, Ünsal-Delialioğlu Sibel, Özel Sumru
J Back Musculoskelet Rehabil. 2017;30(4):829-833. doi: 10.3233/BMR-160532.
The role of the selected prothesis on activities of daily living (ADL).
To evaluate the impact of prothesis on ADL in patients with lower-limb amputations.
The data of 500 patients with unilateral lower limb amputation were recorded. The activity level was defined based on the Medicare Functional Classification Level. Old and new prescribed prosthesis were recorded. Nottingham Extended Activities of daily living activities Daily Living Scale was used to evaluate ADL.
Amputation levels were transfemoral (TF) in 268 (53.6%), transtibial (TT) in 178 (35.6%), knee disarticulation (KD) in 54 (10.8%). In patients with TF and KD amputation active vacuum system, pin modular system, hydraulic system and mechanical modular prosthesis were replaced with the swing stance phase microprocessor-controlled prostheses. In patients with TT amputation pin modular system, hydraulic system and mechanical modular prosthesis were converted to active vacuum system prostheses. Prescribed new prosthesis has caused a statistically significant increase in all amputation levels in ADL of patients (p≤ 0.05).
We observed that there was significant improvement in ADL when conventional prostheses replaced with advanced technology prostheses in unilateral lower extremity amputation patients.
所选假肢对日常生活活动（ADL）的作用。
评估假肢对下肢截肢患者日常生活活动的影响。
记录500例单侧下肢截肢患者的数据。根据医疗保险功能分级水平定义活动水平。记录新旧规定的假肢。使用诺丁汉扩展日常生活活动量表评估日常生活活动能力。
截肢水平为大腿截肢（TF）268例（53.6%），小腿截肢（TT）178例（35.6%），膝关节离断（KD）54例（10.8%）。在大腿截肢和膝关节离断的患者中，主动真空系统、销钉模块化系统、液压系统和机械模块化假肢被摆动期微处理器控制的假肢所取代。在小腿截肢患者中，销钉模块化系统、液压系统和机械模块化假肢被转换为主动真空系统假肢。规定使用新假肢使患者在所有截肢水平的日常生活活动能力有统计学意义的提高（p≤0.05）。
我们观察到，在单侧下肢截肢患者中，用先进技术假肢替代传统假肢后，日常生活活动能力有显著改善。
