Ülger Özlem, Yıldırım Şahan Tezel, Çelik Seher Erol
a Health Sciences Faculty, Department of Physiotherapy and Rehabilitation , Hacettepe University , Ankara , Turkey.
b Health Sciences Faculty, Department of Physiotherapy and Rehabilitation , Kırıkkale University , Kırıkkale , Turkey.
Physiother Theory Pract. 2018 Nov;34(11):821-834. doi: 10.1080/09593985.2018.1425938. Epub 2018 Jan 19.
Successful use of prostheses after lower-limb amputation (LLA) depends on undergoing physiotherapy and rehabilitation both physically and psychologically. The aim of this systematic literature review is to systematically review the scientific evidence regarding prosthetic rehabilitation and physiotherapy after LLA.
A systematic literature search was conducted using PubMed, Web of Science, Cochrane, CINAHL, EMBASE, SCOPUS, and EMB Reviews databases on December 31, 2015. Studies with the search keywords were identified and independently assessed by reviewers. The search yielded 403 potentially relevant articles after the removal of duplicates. Of these, only nine articles met the inclusion criteria. All studies were original articles, one of which was a randomized controlled study. Different measurement methods were used and positive results in terms of functional status, weight-lifting capacity with prosthesis, walking and balance ability, and acute care process were gained with a physiotherapy program. Conventional methods still possess high importance; however, it is safe to say that virtual reality and software-based programs for rehabilitation are increasingly being developed and getting more and more support.
LLA rehabilitation is a topic that requires the focus of current and future studies; evidence-based studies are required on the approaches to rehabilitation for specific LLA groups.
下肢截肢（LLA）后成功使用假肢取决于接受身体和心理方面的物理治疗与康复训练。本系统文献综述的目的是系统回顾关于LLA后假肢康复和物理治疗的科学证据。
于2015年12月31日使用PubMed、科学网、Cochrane、CINAHL、EMBASE、SCOPUS和EMB Reviews数据库进行了系统文献检索。检索到的带有搜索关键词的研究由评审人员独立评估。去除重复项后，检索得到403篇潜在相关文章。其中，只有9篇文章符合纳入标准。所有研究均为原创文章，其中一篇为随机对照研究。研究使用了不同的测量方法，通过物理治疗方案在功能状态、假肢承重能力、行走和平衡能力以及急性护理过程方面取得了积极成果。传统方法仍然非常重要；然而，可以肯定地说，虚拟现实和基于软件的康复程序正在越来越多地被开发并获得越来越多的支持。
LLA康复是一个需要当前和未来研究关注的课题；需要针对特定LLA群体的康复方法开展循证研究。
