首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Residual Limb Management for Persons With Transtibial Amputation: Comparison of Bandaging Technique and Residual Limb Sock
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Residual Limb Management for Persons With Transtibial Amputation: Comparison of Bandaging Technique and Residual Limb Sock

机译:胫骨截肢者的残肢管理:包扎技术和残肢袜子的比较

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摘要

Bandaging and elastic residual limb sock are two residual limb management methods for persons with transtibial amputation before prosthesis fitting. The study objective was to compare the effectiveness of the two techniques in terms of residual limb circumferential changes, shape, and firmness. A prospective two-group experimental design was used. Thirty-nine and 42 participants were randomly allocated to a bandaging group and residual limb sock group, respectively. Weekly residual limb circumferential measurement, rating scales on residual limb shape, and firmness were obtained during a 6-week time period. Repeated measure analysis of variance with the Cantonese version of Mini-Mental State Examination Scores and residual limb characteristics as covariates were used to investigate the differences in outcome measures within and between the groups. Significant residual limb circumferential reduction and firmness improvement were found in both groups (p < 0.05). Residual limb circumferential measurement and residual limb firmness were found to be significantly different between the groups (p < 0.05). Only the bandaging group showed significant improvement in residual limb shape (F (1, 38) = 1.00-5.5, p < 0.05). Significant associations with age and the Cantonese version of Mini-Mental State Examination Scores were detected on the outcome measures between the groups (p < 0.05). The study findings showed that both techniques were effective in residual limb management. The bandaging application was found to have more residual limb circumferential reduction and firmness improvement, but the effect may be limited by advanced age and poor mental function.
机译:包扎和弹性残余肢体袜是在进行假体装配前经胫截肢的患者的两种残余肢体处理方法。研究目的是比较两种技术在残余肢体周向变化,形状和牢固性方面的有效性。使用前瞻性两组实验设计。 39名和42名参与者分别随机分为绷带组和残肢袜组。在6周的时间内,每周进行一次残留肢体周向测量,残留肢体形状的评定量表和牢固度。重复测量方差分析,使用粤语版本的“迷你精神状态考试分数”和残余肢体特征作为协变量,以调查两组之间以及两组之间的结局指标差异。两组均观察到明显的残余肢体圆周减少和硬度改善(p <0.05)。两组之间的残余肢体周长测量和残余肢体紧实度显着不同(p <0.05)。仅包扎组显示出残肢形状的显着改善(F(1,38)= 1.00-5.5,p <0.05)。在各组之间的结局指标中检测到与年龄和粤语版的“迷你精神状态考试成绩”有显着相关性(p <0.05)。研究结果表明,这两种技术在残肢管理方面均有效。发现该绷带应用具有更多的残留肢体周向减少和坚固性改善,但是该效果可能受到老年和精神功能差的限制。

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