Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study.
Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study.
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DOI：
10.1186/s12984-022-01021-7
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发表时间：
2022-05-02
影响因子：
5.1
通讯作者：
Dickinson, Alex
中科院分区：
文献类型：
--
作者：
Diment, Laura;Nguon, RaksmeyMutta;Seng, Sovansereyrathna;Sit, Vannsnavy;Lors, Ply;Thor, Phearsa;Srors, Samedy;Kheng, Sisary;Granat, Malcolm;Donovan-Hall, Maggie;Worsley, Peter;Dickinson, Alex
关键词：
截肢后，许多人变得不那么活跃，感到孤独，失去独立性。了解与身体活动水平和参与度低相关的因素有助于确定关键干预措施，支持义肢使用者，使他们能够过上更积极、更融入社会的生活方式。这项纵向观察研究旨在评估身体活动、社区参与、假肢合身、舒适度和用户满意度之间的关系，使用活动测量法、3D扫描和问卷调查柬埔寨已建立的下肢假肢使用者队列。招募了20名参与者（5F:15M， 9例经股骨，11例经胫骨，24-60岁，截肢后3-43岁）。他们完成了一份调查问卷，包括他们在研究开始时和三到六个月后的人口统计、社区参与、假肢满意度和舒适度。在研究开始和结束时，对他们的假肢窝和残肢进行了3D扫描。加速度计被嵌入假体柄上的化妆品下，以收集十周的活动数据。参与者平均每天走4470步（743-7315步/天），并且在大多数醒着的时间里戴着假肢，平均13.4小时/天（4.5-17.6小时/天）。自我报告的活动量和磨损时间与这些加速度计数据相关（Spearman的rho rs分别= 0.59和0.71）。更活跃的参与者每天佩戴义肢的时间更长（Pearson r = 0.73），并且对牙槽配合度更满意（rs = 0.49）。残肢较长与较好的社区参与（rs = 0.56）和舒适（rs = 0.56）相关。自我报告的社区参与与一个人的活动水平（rs = 0.13）或他们的假肢舒适度（rs = 0.19）无关，活动对个人的重要性与他们参加活动的频率之间只有弱相关性（rs = 0.37）。一个简单的0-10的整体舒适度量表并没有提供足够的细节来了解所经历的不适的类型和严重程度。在这组截肢患者中，感知和测量的活动水平与眼窝满意度相关。样本量小意味着这些相关性应该谨慎解释，但它们表明了值得进一步研究的变量，以了解柬埔寨以及其他环境中假肢使用者社区参与和身体活动的障碍。
After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24–60 years old and 3–43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. Participants averaged 4470 steps/day (743–7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5–17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman’s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person’s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0–10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings.
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影响因子：
3.8
作者：
Bramley JL;Worsley PR;Bader DL;Everitt C;Darekar A;King L;Dickinson AS
通讯作者：
Dickinson AS
影响因子：
1.5
作者：
Gallagher, Pamela;O'Donovan, Mary-Ann;Desmond, Deirdre
通讯作者：
Desmond, Deirdre
影响因子：
0.6
作者：
Dickinson, Alexander S.;Donovan-Hall, Maggie K.;Worsley, Peter R.
通讯作者：
Worsley, Peter R.
DOI：
10.1097/phm.0b013e3181dd8cf1
发表时间：
2010-06-01
影响因子：
3
作者：
Gallagher, Pamela;Franchignoni, F.;MacLachlan, M.
通讯作者：
MacLachlan, M.
DOI：
10.3390/s140405845
发表时间：
2014-03-25
期刊：
Sensors (Basel, Switzerland)
影响因子：
--
作者：
Hordacre B;Barr C;Crotty M
通讯作者：
Crotty M