Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea.
Shinsegae Prosthesis & Orthosis Center, Korea.
Diabetes Metab J. 2020 Aug;44(4):614-618. doi: 10.4093/dmj.2019.0080. Epub 2019 Nov 4.
This study compared short-term walking outcomes in diabetic amputees after prosthesis fitting compared to that in non-diabetic amputees. We retrospectively investigated walking outcomes at 3 months after starting gait training with a prosthesis. Forty-four unilateral transtibial amputees with (=18) and without diabetes (=26) were included. At 3 months after gait training with a prosthesis, only 2/18 (11.1%) and 3/18 (16.7%) diabetic amputees were capable of independent outdoor and indoor walking without cane, respectively. However, 21/26 (80.8%) and 24/26 (92.3%) non-diabetic amputees were capable of independent outdoor and indoor walking without cane, respectively. With assistance of cane, most of non-diabetic amputees (=24, 92.3%) were capable of walking in both outdoor and indoor but only seven (38.9%) and nine (50.0%) diabetic amputees were capable, respectively. Thus, short-term walking outcome were poor in transtibial amputee with diabetes compare to those without diabetes, and these results suggest intensive rehabilitation would be needed to them.
本研究比较了糖尿病截肢患者和非糖尿病截肢患者在安装假肢后的短期步行结果。我们回顾性调查了开始步态训练后 3 个月时的步行结果。共纳入 44 例单侧胫骨截肢患者，其中糖尿病组(=18)和非糖尿病组(=26)。在安装假肢后的 3 个月，只有 2/18(11.1%)和 3/18(16.7%)的糖尿病截肢患者能够独立地在室外和室内无手杖行走。然而，21/26(80.8%)和 24/26(92.3%)的非糖尿病截肢患者能够独立地在室外和室内无手杖行走。在拐杖的帮助下，大多数非糖尿病截肢患者(=24，92.3%)能够在室外和室内行走，但只有 7(38.9%)和 9(50.0%)的糖尿病截肢患者能够行走。因此，与非糖尿病截肢患者相比，糖尿病胫骨截肢患者的短期步行结果较差，这表明他们需要强化康复治疗。
