下肢截肢者的慢性疼痛综合征是否会影响假肢的使用？
Do chronic pain syndromes in lower limb amputees have an effect on the use of prostheses?
机构信息
Physical Medicine and Rehabilitation Unit, IRCCS - Istituto Ortopedico Rizzoli, Bologna, BO, Italy.
Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy.
出版信息
NeuroRehabilitation. 2022;50(1):123-131. doi: 10.3233/NRE-210241.
BACKGROUND
The use of a prosthesis is critical to regain the ability to walk in lower limb amputees but the relationship between the use of a prosthesis and chronic pain syndromes (PLS, PLP, RLP), common in amputees patients, is still poorly understood.
OBJECTIVE
This long-term follow-up study investigates the possible correlation between prosthesis use and the presence of PLP, PLS and RLP in lower limb amputees.
METHODS
Patients undergoing transtibial, transfemoral or hemipelvectomy amputation of any aetiology at the Rizzoli Orthopaedic Institute from 2008 to 2018 were included. The Houghton scale was used to assess functional use of the prosthesis. The PEQ was used for pain assessment.
RESULTS
The results show that, in lower limb amputees, prosthesis use is greater in individuals with below-the-knee amputation and in those who were younger at the time of amputation. No significant correlation between the presence of pain syndromes (PLS, PLP, RLP) and the various items on the Houghton scale was found.
CONCLUSIONS
The study found no significant correlation indicating that phantom limb pain syndromes affect amputee use of a prosthesis in the long term follow up.
背景
对于下肢截肢者来说，使用假肢是恢复行走能力的关键，但假肢的使用与慢性疼痛综合征（PLS、PLP、RLP）之间的关系仍不清楚，而慢性疼痛综合征在截肢患者中很常见。
目的
本长期随访研究调查了下肢截肢者使用假肢与 PLS、PLP 和 RLP 之间存在的可能相关性。
方法
研究纳入了 2008 年至 2018 年在里佐利骨科研究所因任何病因接受经胫骨、股骨或半骨盆截肢的患者。使用 Houghton 量表评估假肢的功能使用情况，使用 PEQ 评估疼痛情况。
结果
研究结果表明，在下肢截肢者中，膝下截肢者和截肢时年龄较小者使用假肢的比例更高。在 Houghton 量表的各项指标中，均未发现疼痛综合征（PLS、PLP、RLP）的存在与这些指标之间存在显著相关性。
结论
本研究未发现显著相关性，表明幻肢痛综合征会影响截肢者在长期随访中对假肢的使用。
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