外翻鞋底对经胫骨义肢使用者功能和步态参数的影响

M. Sahoo, T. Behera, A. Suresh, S. Jayavant
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摘要

前言:肢体丧失后康复的最终目标是通过使用假肢获得最高水平的独立性和最有效的步态,并恢复到高水平的社会融合。下肢的丧失对一个人的行动能力和日常生活能力有严重的影响。这对她们的参与和融入社会产生了负面影响。目的:探讨经胫骨义肢使用者使用喇叭形外底后功能和步态参数的改善。结果:A组大鼠运动能力指数平均值为35.73,B组大鼠运动能力指数平均值为42.26。采用相关t检验对上述结果进行分析,发现p<0.001显著,两组之间存在显著性差异。结论:最终,虽然,没有替代的第一手经验与喇叭大底替代品。在装配试验和动态校准中花费的时间应该足以排除对截肢者完全不可接受的特定类型的喇叭形大底,并且可以在交付假体之前选择另一种类型的喇叭形大底。但是,只有在日复一日地佩戴假肢进行各种活动之后,佩戴者才能清楚地看到细微的差异。每次更换假体;截肢者和义肢医生应再次讨论最合适的喇叭形外底选择,并根据迄今为止的实际经验共同确定最佳行动方案。
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Efficacy of Flared out Sole in Functional and Gait Parameters in Trans-Tibial Prosthetic User
Introduction: The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration. The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society. Objective: To investigate the functional and gait parameters improved through flared outsole provided to the trans-tibial prosthetic user. Results: The mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p<0.001, as there is significant difference between the both Group. Conclusions: Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced; the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real-world experience to date.
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