WestMARC, Queen Elizabeth University Hospital, Glasgow.
Govan Mbeki Building, Glasgow Caledonian University, Glasgow.
Prosthet Orthot Int. 2023 Jun 1;47(3):258-264. doi: 10.1097/PXR.0000000000000176. Epub 2022 Aug 26.
The pneumatic postamputation mobility (PPAM) aid is the most commonly used early walking aid in the United Kingdom in transtibial amputation (TTA) and promotes wound healing and prepares the stump for prosthetic limb fitting. Optimal guidelines for PPAM aid use and how these factors affect achievement of rehabilitation milestones have not yet been conclusively established.
To investigate the relationship between PPAM aid use and the time taken to achieve rehabilitation milestones in patients undergoing unilateral TTA.
Retrospective case note analysis.
Case notes of patients from one National Health Service amputation rehabilitation center who were identified as having a unilateral TTA in 2017-2018 and fitted with a prosthesis were reviewed.
One hundred seven patients (67.5% male; mean age of 59.9 years) were identified. Use of PPAM aid during inpatient physiotherapy was associated with the days to reach referral, casting, delivery of prosthetic limb, and inpatient discharge dates (r (105) =-0.345; -0.400; -0.423; 0.546, respectively, all P < 0.05). Frequency of PPAM aid use was associated with the time to reach casting (r (105) =-0.533, P < 0.05) and delivery (r (105) =-0.513, P < 0.05). The days to being PPAM aid use and the frequency of PPAM aid use were predictive of the days to reach referral, casting, delivery, and inpatient discharge.
The use of the PPAM aid is associated with a reduction in the time taken to reach rehabilitation milestones. Early and more frequent use of PPAM aid during rehabilitation will decrease the time fit and delivery of the prosthetic limb.
在英国，气动假肢助行器（PPAM）是用于小腿截肢（TTA）的最常用的早期助行器，它可以促进伤口愈合并为假肢适配做好残肢准备。目前尚未明确确定 PPAM 助行器使用的最佳指南以及这些因素如何影响康复里程碑的实现。
调查单侧 TTA 患者使用 PPAM 助行器与达到康复里程碑所需时间之间的关系。
回顾性病历分析。
对 2017-2018 年在一家英国国家医疗服务机构接受截肢康复治疗并安装假肢的单侧 TTA 患者的病历进行了审查。
共确定了 107 名患者（67.5%为男性；平均年龄 59.9 岁）。在住院物理治疗期间使用 PPAM 助行器与达到转诊、打石膏、交付假肢和出院日期的天数相关（r（105）=-0.345；-0.400；-0.423；0.546，均 P<0.05）。PPAM 助行器使用频率与达到打石膏（r（105）=-0.533，P<0.05）和交付（r（105）=-0.513，P<0.05）的时间相关。开始使用 PPAM 助行器的天数和使用频率与达到转诊、打石膏、交付和住院出院的天数相关。
使用 PPAM 助行器可缩短达到康复里程碑的时间。在康复期间早期且更频繁地使用 PPAM 助行器将减少假肢适配和交付的时间。
