Variation in Results of Volume Measurements of Stumps of Lower-Limb Amputees: A Comparison of 4 Methods
Variation in Results of Volume Measurements of Stumps of Lower-Limb Amputees: A Comparison of 4 Methods
复制标题
DOI：
10.1016/j.apmr.2011.01.007
复制
发表时间：
2011-06-01
影响因子：
4.3
通讯作者：
Dijkstra, Pieter U.
中科院分区：
文献类型：
--
作者：
de Boer-Wilzing, Vera G.;Bolt, Arjen;Dijkstra, Pieter U.
de Boer-Wilzing VG, Bolt A, Geertzen JH, Emmelot CH, Baars EC, Dijkstra PU。下肢截肢者残肢体积测量结果的差异：4种方法的比较。中华医学杂志（英文版）；2011;32(2):941- 946。目的：分析水浸法、计算机辅助设计（CAD）光度法、CAD手扫法、周向法4种方法测量经胫截肢患者残肢体积的可靠性。设计：重复测量。环境：普通社区，门诊护理。参与者：胫骨截肢者（N=26；平均年龄+/- SD， 58.7 +/- 11.0y）。干预措施：对截肢患者残肢体积进行2次测量，每次测量2次。在每次会议中，残肢体积由2名观察员使用4种方法中的每一种进行测量。随机确定观察顺序和测量方法。主要结果测量：计算每种方法的可重复性系数，作为可靠性的衡量标准，以及方差成分，以估计测量条件对所测树桩体积的影响。结果：129mL CAD手扫法和158mL CAD光度法的重复性系数存在差异。误差方差占总方差的12%。方法对误差方差的贡献率为36%，方法-被截肢者和场合-被截肢者的相互作用对误差方差的贡献率均为25%。结论：CAD手持式扫描仪重复性系数最低，可靠性最好。4种方法测量的树桩体积存在显著差异。
de Boer-Wilzing VG, Bolt A, Geertzen JH, Emmelot CH, Baars EC, Dijkstra PU. Variation in results of volume measurements of stumps of lower-limb amputees: a comparison of 4 methods. Arch Phys Med Rehabil 2011;92:941-6.Objective: To analyze the reliability of 4 methods (water immersion, computer-aided design [CAD] photometric method, CAD hand scanner, and circumferential measurements) for stump volume measurement in transtibial amputees.Design: Repeated measurements.Setting: General community, ambulatory care.Participants: Transtibial amputees (N=26; mean age +/- SD, 58.7 +/- 11.0y).Interventions: Stump volume of patients with an amputation was measured on 2 occasions, each consisting of 2 sessions. In each session, stump volume was measured by 2 observers using each of the 4 methods. Sequence of observers and measurement methods was determined randomly.Main Outcome Measure: Repeatability coefficients, as a measure for reliability, for each method were calculated, as well as variance components to estimate the influence of measurement conditions on stump volumes measured.Results: Repeatability coefficients varied from 129mL CAD hand scanner to 158mL CAD photometric method. Error variance contributed 12% to the total variance. Methods contributed 36%, method-amputee and occasion-amputee interactions contributed both 25% to the error variance.Conclusions: Repeatability coefficient was lowest for the CAD hand scanner, which indicates the best reliability. Substantial differences existed in stump volumes measured between the 4 methods.