Patient perspectives of ankle-foot orthoses for walking ability in peripheral artery disease: A qualitative study.
Patient perspectives of ankle-foot orthoses for walking ability in peripheral artery disease: A qualitative study.
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DOI：
10.1016/j.jvn.2020.07.004
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Santasier AM
中科院分区：
文献类型：
--
作者：
Choma EA;Mays RJ;Mizner RL;Santasier AM
与外周动脉疾病（PAD）相关的小腿跛行导致行走能力受限和生活质量下降。踝足矫形器（AFO）已被用于减轻小腿疼痛，在社区为基础的步行锻炼，但鲜为人知的是，病人的观点，这种新的设备。这项定性研究的目的是确定AFO对使用它们的患者的个人影响。10名小腿跛行患者参加了一个半结构化的记录焦点小组，他们之前完成了为期12周的非结构化社区步行计划，并辅以AFO。在达到数据饱和后，对成绩单进行编码和分析，从焦点组中出现了两个主要主题：1）AFO对步行能力和生活质量的积极功能影响和2）自我选择的AFO使用模式。六个次主题包括：1）使用AFO后的积极步行变化，2）不使用AFO时的持续步行改善，3）积极的心理社会影响，4）AFO使用的最佳条件，5）使用AFO时的最佳步行表面，以及6）合并症的挑战。AFO在减少跛行症状，改善行走能力，提高有意义的日常和娱乐活动的参与方面具有影响力。本研究探讨小腿跛行患者的经验知识，将AFO描述为增强非结构化步行计划的有效工具。需要进一步的试验来优化设备设计和在不同步行环境中的有效性。
Calf claudication associated with peripheral artery disease (PAD) results in limited walking ability and diminished quality of life. Ankle-foot orthoses (AFO) have been used to mitigate calf pain during community-based walking exercise, yet little is known about patients’ perspectives of this novel device. The purpose of this qualitative study was to determine the personal impact AFO had on patients who used them. Ten patients with calf claudication who previously completed a 12-week unstructured community-based walking program supplemented by AFO participated in a semi-structured recorded focus group. After data saturation was achieved, transcripts were coded and analyzed, and two primary themes emerged from the focus groups: 1) positive functional impact of AFO on walking ability and quality of life and 2) self-selected AFO usage patterns. Six subthemes included: 1) positive ambulatory changes from using AFO, 2) sustained ambulatory improvements without AFO, 3) positive psychosocial impact, 4) optimal conditions for AFO usage, 5) optimal ambulatory surfaces when using AFO, and 6) challenges with comorbidities. The AFO were influential in decreasing claudication symptoms, improving walking capacity, and enhancing participation in meaningful daily and recreational activities. This study explores experiential knowledge of patients with calf claudication describing AFO as an effective tool to enhance unstructured walking programs. Further trials are needed to optimize device design and effectiveness in varying walking environments.
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影响因子：
3.5
作者：
Sharath, Sherene E.;Kougias, Panos;Barshes, Neal R.
通讯作者：
Barshes, Neal R.
DOI：
10.1177/1358863x09106836
发表时间：
2010-02
期刊：
Vascular medicine (London, England)
影响因子：
--
作者：
Gardner AW;Montgomery PS;Ritti-Dias RM;Forrester L
通讯作者：
Forrester L
影响因子：
1
作者：
Egberg, Louise;Andreassen, Sissel;Mattiasson, Anne-Cathrine
通讯作者：
Mattiasson, Anne-Cathrine
影响因子：
168.9
作者：
Fowkes, F. Gerald R.;Rudan, Diana;Criqui, Michael H.
通讯作者：
Criqui, Michael H.
影响因子：
3.5
作者：
Regensteiner, Judith G.;Hiatt, William R.;Hirsch, Alan T.
通讯作者：
Hirsch, Alan T.