Şahinoğlu Ertan, Bakırhan Serkan, Elibol Nuray, Ünver Bayram, Karatosun Vasfi
Mavi Physiotherapy, İzmir, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Ege University, İzmir, Turkey.
Br J Occup Ther. 2023 Nov;86(11):740-746. doi: 10.1177/03080226231176413. Epub 2023 May 22.
No study has been performed to compare patients' pre- and post-operative knee disability, functional status, and length of hospital stay after surgery between patients with and without using a walking aid.
One-hundred forty-five patients were enrolled and divided into four groups based on whether they used any walking aids before surgery: no walking aid, one cane, one elbow crutch, and two elbow crutches. The groups were compared for knee disability (Hospital for Special Surgery (HSS) knee score), functional status (Iowa Level of Assistance Scale (ILAS)), and length of hospital stay.
For the pre-operative HSS knee scores, no statistically significant differences were found between the groups ( > 0.05). For the pre-operative ILAS scores, the patients without using walking aids had better functional status than those using any walking aids ( 0.05). For the post-operative outcomes, no statistically significant differences were found between the groups in the HSS knee and the ILAS scores and length of hospital stay after surgery.
In this population, using any walking aids before surgery is related to worse pre-operative functional status but not to the pre-operative knee disability. Furthermore, it is not related to the short-term outcomes after surgery.
尚未有研究对使用和未使用助行器的患者术前和术后的膝关节功能障碍、功能状态及术后住院时间进行比较。
招募了145名患者，并根据他们术前是否使用助行器分为四组：未使用助行器、使用一根手杖、使用一根肘拐和使用两根肘拐。比较各组的膝关节功能障碍（特种外科医院（HSS）膝关节评分）、功能状态（爱荷华辅助水平量表（ILAS））及住院时间。
术前HSS膝关节评分在各组间无统计学显著差异（>0.05）。术前ILAS评分显示，未使用助行器的患者功能状态优于使用任何助行器的患者（<0.05）。术后结果方面，各组在HSS膝关节评分、ILAS评分及术后住院时间上无统计学显著差异（>0.05）。
在该人群中，术前使用任何助行器与较差的术前功能状态相关，但与术前膝关节功能障碍无关。此外，它与术后短期结果无关。
