University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, The Netherlands.
Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
PLoS One. 2019 Aug 2;14(8):e0220649. doi: 10.1371/journal.pone.0220649. eCollection 2019.
To investigate cycling participation and barriers, and facilitators in adults with a lower limb amputation in Thailand.
Questionnaires were given to 424 adults with uni/bilateral lower limb amputation from midfoot to hip disarticulation level at five public hospitals in Bangkok and prosthetic mobile units in Thailand. Participant characteristics were summarized using descriptive statistics. Variables associated with cycling (p<0.1) were entered in a logistic regression model.
Participants who cycled (46.7%, N = 197), mostly used their walking prostheses (91.9%, n = 188). Of cyclists, 92.4% had cycled before the amputation. Cyclists started cycling after the amputation by themselves (86.7%) mostly in order to increase/maintain health (67.0%). Most cyclists cycled on quiet roads. The most frequent destination was shops/market (64.1%). More facilitators were reported than barriers. Most reported barriers were related to health problems and negative attitudes toward cycling. Most reported facilitators were related to perceived health benefits and positive attitude toward cycling. The likelihood of cycling after the amputation increased in people who cycled before the amputation, were amputated lower than the knee, used a prosthetic foot with axis/axes, were amputated due to trauma, had income higher than 415 euro/month, and who reported a higher numbers of facilitators.
After a lower limb amputation, nearly half of people cycled. People with a below knee amputation due to trauma with prior cycling experience and higher income tended to cycle after the amputation. People who perceived more facilitators were more likely to cycle. Although cyclists could use a walking prosthesis to cycle, a prosthetic foot with a greater range of motion than the SACH increased the cycling likelihood.
调查泰国下肢截肢成年人的骑行参与情况以及骑行的障碍和促进因素。
在曼谷的五家公立医院和泰国的假肢移动单位，向 424 名从中足到髋关节离断水平的单侧/双侧下肢截肢成年人发放了问卷。使用描述性统计方法总结参与者的特征。将与骑行相关的变量（p<0.1）输入逻辑回归模型。
骑行者（46.7%，N=197），他们大多使用他们的步行假肢（91.9%，n=188）。在截肢前，92.4%的骑行者曾骑行过。骑行者在截肢后自行开始骑行（86.7%），主要是为了增进/保持健康（67.0%）。大多数骑行者在安静的道路上骑行。最常去的目的地是商店/市场（64.1%）。报告的促进因素多于障碍。报告的大多数障碍与健康问题和对骑行的负面态度有关。报告的大多数促进因素与感知到的健康益处和对骑行的积极态度有关。在截肢前有过骑行经历、截肢位置低于膝盖、使用带有轴/多个轴的假肢脚、因创伤而截肢、收入高于 415 欧元/月、报告更多促进因素的人，在截肢后更有可能骑行。
下肢截肢后，近一半的人会骑行。因创伤导致的膝下截肢、有过骑行经历且收入较高的人在截肢后更倾向于骑行。感知到更多促进因素的人更有可能骑行。尽管骑行者可以使用步行假肢进行骑行，但比 SACH 具有更大运动范围的假肢脚增加了骑行的可能性。
