Belete Yihalem, Belay Gashaw Jember, Dugo Tamiru, Gashaw Moges
Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Orthop Res Rev. 2021 Mar 9;13:35-45. doi: 10.2147/ORR.S300459. eCollection 2021.
Lower limb fractures account for approximately one-third of all fractures. Lower limb fracture complications are one of the major reasons for hospital stays and have high impact on rehabilitation services. Functional limitations with lower extremities fractures are related to decreased functional mobility, the need for long term use of assistive devices, lack of independence, and the long term need for assistive care. This study aimed to assess the functional limitation and identify the possible predictors among lower limb fracture patients by using the Lower Extremity Functional Scale (LEFS).
A prospective institutional-based cross-sectional study was conducted from July to October 30/2020, at University of Gondar, comprehensive specialized hospital. The data of 226 participants were collected through face-to-face interviews, patient record review and by physical examination with simple random sampling techniques. Binary logistic regression was used to identify predictors of functional limitation among lower limb fracture with SPSS 25. The strength of the association was present by adjusted odds ratios (OR).
One hundred and eighty-two (n = 182 (80.5%): 95% CI (74.8 to 85.8) patients with following lower limb fracture have functional limitation. Level of education (AOR =5.50; 95% CI: 1.707-17.742), presence of hospitalized complication AOR=3.26; 95% CI (1.147-9.294), severity of pain AOR=3.19; 95% CI (1.399-7.259), duration of onset AOR=9.512; 95% CI (3.585-25.237), knee flexion limitation AOR=7.13; 95% CI (1.926-26.368) were the independent risk factors for functional limitation.
The magnitude of functional limitation in following lower limb fracture individual was considerably high in study setup. Level of education, presence of hospitalized complication, severity of pain, duration of onset, knee flexion limitation were the independent risk factors for functional limitation.
下肢骨折约占所有骨折的三分之一。下肢骨折并发症是住院的主要原因之一，对康复服务有很大影响。下肢骨折导致的功能限制与功能活动能力下降、长期需要使用辅助器械、缺乏独立性以及长期需要辅助护理有关。本研究旨在通过使用下肢功能量表（LEFS）评估下肢骨折患者的功能限制，并确定可能的预测因素。
2020年7月至10月30日，在贡德尔大学综合专科医院进行了一项基于机构的前瞻性横断面研究。通过面对面访谈、患者病历审查和体格检查，采用简单随机抽样技术收集了226名参与者的数据。使用SPSS 25通过二元逻辑回归确定下肢骨折患者功能限制的预测因素。关联强度通过调整后的比值比（OR）表示。
182例（n = 182，80.5%；95%可信区间[74.8至85.8]）下肢骨折患者存在功能限制。教育程度（调整后比值比=5.50；95%可信区间：1.707 - 17.742）、住院并发症的存在（调整后比值比=3.26；95%可信区间[1.147 - 9.294]）、疼痛严重程度（调整后比值比=3.19；95%可信区间[1.399 - 7.259]）、发病持续时间（调整后比值比=9.512；95%可信区间[3.585 - 25.237]）、膝关节屈曲受限（调整后比值比=7.13；95%可信区间[1.926 - 26.368]）是功能限制的独立危险因素。
在本研究中，下肢骨折患者的功能限制程度相当高。教育程度、住院并发症的存在、疼痛严重程度、发病持续时间、膝关节屈曲受限是功能限制的独立危险因素。
