Avaliação postural de sujeitos com amputação de membro inferior

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Scientia Medica Pub Date : 2019-05-09 DOI:10.15448/1980-6108.2019.1.33103
V. V. Leite, Lisiane Piazza Luza, Sara Maria Soffiatti Dias, Thamara Caviquioni, Ediane Roberge Zampirolo, Rudney da Silva
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Abstract

AIMS: To evaluate the posture of subjects with lower limb amputee.METHODS: Ten subjects participated in the study, males, with 38,2 ± 8,2 years, with unilateral lower limb amputation and prosthesis users. For the postural evaluation, the Postural Evaluation Software (SAPO) was used, and the images were evaluated according to the software protocol. Data were analyzed through descriptive and inferential statistics (independent t test), with a significance level of p ≤ 0,05.RESULTS: The main alterations observed were: rearfoot valgus enlargement, flexed ankle, head tilted to the right and trunk in flexion. When compared the posture according to time of amputation, was observed a statistically significant difference in the horizontal asymmetry of scapula in relation to T3 (p = 0,004), being that subjects with amputation time of up to six years presented the left scapula higher than the right one (-5,28 ± 8,16°) and those with more than six years of amputation had the right upper right scapula (19,42 ± 11°). In the comparison between amputation levels, there was a statistically significant difference in the ankle angle (p = 0,008), with subjects with amputation below the knee presenting greater ankle flexion (81,97 ± 1,72°) than those with amputation at the level of the knee and above this (87,30 ± 2,65°).CONCLUSIONS: The findings of the present study demonstrate that all the evaluated subjects presented some postural alteration, however, it cannot be affirmed that the postural asymmetry of these is due to the amputation.
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下肢截肢受试者的姿势评估
目的:评价下肢截肢者的体位。方法:参与研究的10例受试者,男性,年龄38(2±82,2岁,单侧下肢截肢和义肢使用者。体位评价采用姿势评价软件(postural evaluation Software, SAPO),按照软件方案对图像进行评价。数据分析采用描述性统计和推理统计(独立t检验),显著性水平p≤0.05。结果:观察到的主要改变是:后脚外翻扩大,踝关节屈曲,头部向右倾斜,躯干屈曲。根据截肢时间对体位进行比较,观察到肩胛骨水平不对称与T3的差异有统计学意义(p = 0.004),即截肢时间不超过6年的受试者左肩胛骨高于右肩胛骨(-5,28±8,16°),而截肢时间超过6年的受试者右肩胛骨上端(19,42±11°)。在截肢水平的比较中,踝关节角度的差异有统计学意义(p = 0,008),膝关节以下截肢者的踝关节屈曲度(81,97±1,72°)大于膝关节及以上截肢者(87,30±2,65°)。结论:本研究的结果表明,所有被评估的受试者都出现了一些姿势改变,但不能肯定这些姿势不对称是由于截肢造成的。
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来源期刊
Scientia Medica
Scientia Medica MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
20.00%
发文量
14
审稿时长
10 weeks
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