Focusing research efforts on the unique needs of women prosthesis users.
Focusing research efforts on the unique needs of women prosthesis users.
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DOI：
10.1097/jpo.0000000000000353
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发表时间：
2021-01-08
期刊：
影响因子：
--
通讯作者：
Esposito ER
中科院分区：
文献类型：
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作者：
Major MJ;Hansen AH;Esposito ER
女性下肢丧失代表了一个相关的和不断增长的患者群体，具有独特的康复需求。越来越多的文献和最新的退伍军人事务部/国防部临床实践指南强调了这些需求。肢体缺失的女性对假肢的适合性、外观和她们可以使用的鞋子类型更不满意。目前缺乏假肢解决方案，以满足妇女穿不同种类鞋（包括高跟鞋）的愿望。选择穿各种各样的鞋子对服装和社区参与很重要。尽管存在这些公认的挑战，妇女在假肢研究方面仍然得不到充分的服务，这限制了指导康复过程的现有信息。这种叙述性的审查介绍了下肢假肢处方和妇女使用的考虑，以及目前的研究，以解决这些问题的例子。研究工作正在开始探索有助于为妇女提供假肢处方的因素，并设计创造性的假肢解决方案，以扩大现有鞋类选择的范围。仍然需要进行研究，以确定截肢妇女更喜欢使用的鞋类类型，以及假肢设计、鞋类和下肢截肢对妇女活动结果和社区参与的影响。通过有针对性的研究举措，科学家和临床医生可以响应妇女的具体需求，为假肢处方提供循证指南，并改善以患者为中心的肢体丧失后的护理。
Women with lower limb loss represent a relevant and growing patient cohort with unique rehabilitation needs. These needs are emphasized in a growing body of literature and the most recent Veteran Affairs/Department of Defense clinical practice guidelines. Women with limb loss experience greater dissatisfaction with prosthetic fit, appearance, and types of footwear they can use. There is a lack of prosthetics solutions to accommodate the desire of women to wear different footwear varieties, including high heels. The choice to wear a variety of footwear is important to attire and hence community participation. Despite these recognized challenges, women are still underserved in prosthetics research, which limits available information to guide the rehabilitation process. This narrative review describes considerations of lower limb prosthesis prescription and use by women, and examples of current research to address these topics. Research efforts are beginning to explore factors that contribute to prosthetics prescription for women, and design creative prosthetics solutions to expand the range of available footwear options. Research is still needed to characterize the types of footwear women with limb loss prefer to use, and the effects of prosthesis designs, footwear, and lower limb loss on women mobility outcomes and community participation. Through targeted research initiatives, scientists and clinicians can be responsive to the specific needs of women to provide evidence-based guidelines for prosthetics prescription and improve the patient-centered care after limb loss.