Sherman Kate, Roberts Andrew, Murray Kevin, Deans Sarah, Jarvis Hannah
1 Defence Medical Rehabilitation Centre Stanford Hall, Loughborough, LE12 5BL, UK.
2 University of Strathclyde, Glasgow, UK.
Prosthet Orthot Int. 2019 Apr;43(2):188-195. doi: 10.1177/0309364618806058. Epub 2018 Oct 30.
: Reduced function and health in individuals with lower limb amputation is well documented. Step count measurement could facilitate rehabilitation and help monitor functional health outcomes.
: To determine whether mean daily step count changed between in-patient rehabilitation and consecutive leave periods.
: Observational study.
: Nine individuals with bilateral traumatic amputations attending rehabilitation at the Defence Medical Rehabilitation Centre during a 4-month period were invited to participate in the study (two bilateral transfemoral, two bilateral transfemoral/knee disarticulation, two transfemoral/transtibial, one bilateral transfemoral plus transradial, one bilateral transfemoral plus transhumeral and one transfemoral/transtibial/transradial). Prostheses worn by each participant were fitted with an activity monitor (LAM2; PAL Technologies Ltd, Glasgow). Mean daily step count was analysed for each participant following 2 weeks in-patient rehabilitation and consecutive 2 weeks away from rehabilitation.
: Nine participants completed the study (time since injury: 19 ± 7 months, age: 26 ± 6 years). Mean daily step count significantly decreased from 2258 ± 192 during in-patient rehabilitation to 1387 ± 363 at home ( p < 0.01).
: The step count decreased when away from rehabilitation, confirming the hypothesis that the mean daily step count would change between in-patient rehabilitation and consecutive leave period.
These data provide an indication of the step count achievable by young, military male personnel with bilateral lower limb amputations and highlights differences between intensive in-patient rehabilitation and consecutive leave periods. It is suggested that further investigation and support of clinical monitoring could facilitate rehabilitation tailored to the individual.
下肢截肢患者功能减退和健康状况下降已有充分记录。步数测量有助于康复并监测功能健康结果。
确定住院康复期间与连续休假期间的日均步数是否发生变化。
观察性研究。
邀请了9名在4个月期间于国防医疗康复中心接受康复治疗的双侧创伤性截肢患者参与研究（2例双侧经股骨截肢、2例双侧经股骨/膝关节离断、2例经股骨/经胫骨截肢、1例双侧经股骨加经桡骨截肢、1例双侧经股骨加经肱骨截肢以及1例经股骨/经胫骨/经桡骨截肢）。为每位参与者佩戴的假肢安装了活动监测器（LAM2；PAL Technologies Ltd，格拉斯哥）。在住院康复2周以及连续2周未进行康复治疗后，对每位参与者的日均步数进行分析。
9名参与者完成了研究（受伤时间：19±7个月，年龄：26±6岁）。日均步数从住院康复期间的2258±192显著降至在家时的1387±363（p<0.01）。
离开康复机构时步数减少，证实了住院康复期间与连续休假期间日均步数会发生变化这一假设。
这些数据表明了双侧下肢截肢的年轻男性军事人员可达到的步数，并突出了强化住院康复与连续休假期间的差异。建议进一步开展调查并支持临床监测，以促进针对个体的康复治疗。
