Pousett B, Budzinski C, Labbé D, Miller W C
Barber Prosthetics Clinic, Vancouver, British Columbia, Canada.
Holy Family Hospital, Providence Health Care, Vancouver, British Columbia, Canada.
Can Prosthet Orthot J. 2021 Aug 16;4(1):36833. doi: 10.33137/cpoj.v4i1.36833. eCollection 2021.
The prevalence of lower-limb amputations (LLA) in older adults is increasing. Due to the substantial resources required for rehabilitation, there is growing interest in exploring prosthesis use as well as the factors that impact use for individuals with LLA.
To examine how older adults, those over 50 years old, with a new LLA use their prostheses following rehabilitation and to identify factors that increase or decrease prosthesis use after discharge from a rehabilitation hospital.
The StepWatch Activity Monitor, the Prosthetic Profile of the Amputee Questionnaire, and a semi-structured interview were used to measure prosthesis use and factors affecting use at 12 weeks post-discharge from a rehabilitation hospital. Descriptive statistics were calculated for the quantitative data and the qualitative interviews were analyzed using the International Classification of Functioning and Disability.
Two user profiles emerged from the 11 participants' use patterns. The Regular Users integrated their prosthesis into their lives, using it for various types of activities, while the Strategic Users wore their prosthesis to perform specific activities of daily and instrumental activities of daily living tasks. Body functions (e.g., pain), personal (e.g., feeling of independence), and environmental factors (e.g., home adaptations or social support) impacted prosthesis use.
The emergence of profiles suggests variability in how older adults with LLA use their prosthesis after rehabilitation. However, the factors affecting prosthesis use were similar between the profiles. Therefore, while it is important for rehabilitation teams to consider patients' individual needs when setting goals for prosthetic training, they must also consider common factors affecting prosthesis use.
老年人下肢截肢（LLA）的患病率正在上升。由于康复所需的大量资源，人们对探索假肢使用以及影响LLA患者使用假肢的因素的兴趣日益浓厚。
研究50岁以上新发生LLA的老年人在康复后如何使用假肢，并确定康复医院出院后增加或减少假肢使用的因素。
使用步数监测活动监测仪、截肢者问卷的假肢概况和半结构化访谈来测量康复医院出院后12周时的假肢使用情况和影响使用的因素。对定量数据进行描述性统计，并使用国际功能、残疾和健康分类对定性访谈进行分析。
从11名参与者的使用模式中出现了两种用户类型。常规使用者将假肢融入生活，用于各种活动，而策略性使用者佩戴假肢以进行特定的日常生活活动和工具性日常生活活动。身体功能（如疼痛）、个人因素（如独立感）和环境因素（如家庭改造或社会支持）影响假肢使用。
不同类型的出现表明LLA老年人康复后使用假肢的方式存在差异。然而，不同类型之间影响假肢使用的因素相似。因此，虽然康复团队在为假肢训练设定目标时考虑患者的个体需求很重要，但他们也必须考虑影响假肢使用的共同因素。
