Socket versus bone-anchored trans-femoral prostheses:: Hip range of motion and sitting comfort
Socket versus bone-anchored trans-femoral prostheses:: Hip range of motion and sitting comfort
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DOI：
10.1080/03093640500238014
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发表时间：
2005-08-01
影响因子：
1.5
通讯作者：
Brånemark, R
中科院分区：
文献类型：
--
作者：
Hagberg, K;Häggström, E;Brånemark, R
这是第一项研究，报告髋关节活动范围（ROM）的积极假体使用者，当穿着和不穿经股骨接受腔假体，并与个人康复与骨整合骨锚定假体。此外，两组均报告了佩戴假体时的不适。研究组均接受非血管性截肢，并分为接受窝假体（S组）（n = 43，平均年龄51岁，74%男性）或骨锚假体（OI组）（n = 20，平均年龄46岁，75%男性）的患者。主动髋关节ROM测量与测角器，并记录自我报告的问题与不适时坐着。与不戴髋臼假体相比，戴髋臼假体时髋关节在所有方向上的运动均减少（P < 0.001），37%的受试者戴假体时髋关节屈曲度小于90 °。S组中44%（n = 19）的患者报告了坐姿不适，并且在髋关节屈曲运动小于90度的患者中更常见（P = 0.025）。在OI组中，没有测量到假体对髋关节活动的限制，没有受试者的屈曲度小于90度，5%（n = 1）的受试者报告了坐姿不适。这项研究表明，经股骨假体接受腔显着减少了髋关节的ROM，坐着时的不适是穿这种假体的人很常见。此外，该研究证实，使用骨锚定假体的个体在使用假体时没有髋关节活动受限，并且报告很少有坐姿不适的问题。
This is the first study to report on hip range of motion (ROM) among active prosthesis users, when wearing and not wearing a trans-femoral socket prosthesis and to compare with individuals rehabilitated with an osseointegrated bone-anchored prosthesis. In addition, discomfort when sitting with the prosthesis is reported in both groups. The study group all had a non-vascular amputation and were divided into those supplied with a socket prosthesis (S group) (n = 43, mean age 51 years, 74% men) or a bone-anchored prosthesis (OI group) (n = 20, mean age 46 years, 75% men). Active hip ROM was measured with a goniometer, and self-reported problems with discomfort when sitting were recorded. The hip motion decreased in all directions when wearing the socket prosthesis compared to without it (P < 0.001 for all directions), and 37% of the subjects had less than 90 degrees of hip flexion when wearing their prosthesis. Discomfort when sitting was reported among 44% (n = 19) in the S group and was more common among individuals with less than 90 degrees of hip flexion motion (P = 0.025). In the OI group, no restriction in hip motion was measured with the prosthesis, and no subject had less than 90 degrees of flexion and 5% (n = 1) reported discomfort when sitting. This study shows that a trans-femoral prosthetic socket significantly reduces the ROM of the hip and that discomfort when sitting is common among individuals wearing such prostheses. Further, the study confirms that individuals using a bone-anchored prosthesis have no restricted hip motion with the prosthesis and report very few problems with discomfort when sitting.