Age at first prosthetic fitting and later functional outcome in children and young adults with unilateral congenital below-elbow deficiency: A cross-sectional study
Age at first prosthetic fitting and later functional outcome in children and young adults with unilateral congenital below-elbow deficiency: A cross-sectional study
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DOI：
10.3109/03093640903584993
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发表时间：
2010-06-01
影响因子：
1.5
通讯作者：
van der Sluis, Corry K.
中科院分区：
文献类型：
--
作者：
Huizing, Karin;Reinders-Messelink, Heleen;van der Sluis, Corry K.
本研究的目的是评估一岁前安装假体是否与一岁后安装的儿童相比，单侧先天性肘下缺陷儿童的预后更好。招募了20名年龄在6-21岁之间的受试者（5名假肢使用者和15名非使用者）。采用儿童截肢假肢项目-假肢满意量表（CAPP-PSI）和假肢上肢功能指数（PUFI）评估患者对假肢的满意度和功能使用情况。录像被用来评估运动表现。一岁前的首次义肢安装与至少四年的义肢使用有关。初次装配时的年龄与义肢的满意度、义肢的功能使用或运动技能无关。发现了假体的易用性和假体的实用性之间的差异，以及活动能力和表现之间的差异。视频评估显示，6名受试者对某些任务的运动适应能力受损。总之，早期假体安装似乎对生命后期假体使用的影响有限。
The objective of this study was to evaluate whether prosthetic fitting before the age of one year is associated with better outcomes in children with unilateral congenital below-elbow deficiency compared to children fitted after the age of one. Twenty subjects aged 6-21 years were recruited (five prosthetic users and 15 non-users). The Child Amputee Prosthetics Project-Prosthesis Satisfactory Inventory (CAPP-PSI) and the Prosthetic Upper Extremity Functional Index (PUFI) were used to assess patient satisfaction and functional use of the prosthesis. Videotapes were used to assess motor performance. Initial prosthetic fitting before one year of age was related to use of a prosthesis for at least four years. Age at first fitting was not associated with satisfaction with the prosthesis, functional use of the prosthesis or motor skills. Discrepancies between ease of performance with prosthesis and usefulness of the prosthesis as well as between capacity and performance of activities were found. The video assessments showed impaired movement adaptation to some tasks in six subjects. In conclusion, early prosthetic fitting seems to have a limited impact on prosthesis use during later stages of life.