Department of Physiotherapy of Motor Disorders and Dysfunctions, University School of Physical Education, al. Paderewskiego 35, 51-612, Wrocław, Poland.
Health Promotion, Faculty of Physiotherapy, University School of Physical Education, Wrocław, Poland.
J Orthop Surg Res. 2021 Jan 19;16(1):62. doi: 10.1186/s13018-021-02202-1.
Inequalities in leg length result in functional disorders, as they impair the biomechanics of the musculoskeletal system, significantly reducing the quality of life (QoL). This study used the WHOQoL-BREF questionnaire in patients with varying degrees of lower leg shortness who had undergone treatment by the Ilizarov method, compared to a healthy control group.
Fifty-eight patients treated with the Ilizarov method for discrepancies in lower limb length were grouped by degree of limb equalization (group 1, 37 treated individuals with limb length discrepancy < 1 cm; group 2, 21 individuals with discrepancy ≥ 1 cm but not more than 4 cm). The control group 3 contained 61 healthy individuals. Patient quality of life (QoL) was assessed using a shortened version of the WHOQoL-BREF questionnaire, at least 24 months after the end of Ilizarov therapy.
Control subjects obtained higher scores in all domains than subjects in both treatment groups, as well as significantly higher self-assessed QoL, and health, in the physical, psychological, social, and general lifestyle domains, as compared to those with inequalities ≥ 1 cm. Furthermore, patients with inequalities ≥ 1 cm had higher odds ratios of low self-assessment (3.28 times; p = 0.043), low self-assessment of health (4. 09 times; p = 0.047), and low physical and psychological domains (respectively 6.23 times; p = 0.005 and 8.46 times, p = 0.049) compared with patients with inequality < 1 cm. The shortened version of the WHOQoL questionnaire was used.
After at least 24 months of treatment with the Ilizarov method, patients with limb length discrepancy < 1 cm did not differ significantly from healthy individuals in the WHOQoL self-assessment of mental functioning, social, or life satisfaction.
肢体长度的差异会导致功能障碍，因为它们会影响肌肉骨骼系统的生物力学，显著降低生活质量（QoL）。本研究使用 WHOQoL-BREF 问卷对接受伊里扎洛夫（Ilizarov）方法治疗的下肢不等长患者进行评估，并与健康对照组进行比较。
将 58 例接受伊里扎洛夫（Ilizarov）方法治疗的下肢不等长患者按肢体平衡程度分组（组 1：37 例肢体长度差异<1cm；组 2：21 例差异≥1cm 但不超过 4cm）。对照组 3 包含 61 名健康个体。使用 WHOQoL-BREF 问卷的简化版评估患者生活质量（QoL），至少在伊里扎洛夫（Ilizarov）治疗结束后 24 个月进行。
对照组在所有领域的得分均高于两组治疗组，并且在身体、心理、社会和一般生活方式领域的自我评估 QoL 和健康状况均显著更高，与差异≥1cm 的患者相比。此外，差异≥1cm 的患者自我评估健康状况较差的比值比（OR）较高（3.28 倍；p=0.043），自我评估健康状况较差的 OR 较高（4.09 倍；p=0.047），以及身体和心理领域较差的 OR 较高（分别为 6.23 倍；p=0.005 和 8.46 倍；p=0.049），与差异<1cm 的患者相比。使用了 WHOQoL 问卷的简化版。
在接受伊里扎洛夫（Ilizarov）方法治疗至少 24 个月后，肢体长度差异<1cm 的患者在 WHOQoL 心理功能、社会或生活满意度的自我评估方面与健康个体无显著差异。
