Mobility Analysis of AmpuTees (MAAT 7): Normative Mobility Values for Lower Limb Prosthesis Users of Varying Age, Etiology, and Amputation Level.
Mobility Analysis of AmpuTees (MAAT 7): Normative Mobility Values for Lower Limb Prosthesis Users of Varying Age, Etiology, and Amputation Level.
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截肢者的移动性分析（MAAT 7）：不同年龄，病因和截肢水平的下肢假体使用者的规范性移动价值。
DOI：
10.1097/phm.0000000000001925
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发表时间：
2022-09-01
影响因子：
3
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中科院分区：
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本研究的目的是建立基于年龄和截肢水平的主要病因的下肢截肢活动度的标准值。本研究是一项横断面观察性结局分析。共有11，995名下肢假肢使用者被纳入分析。参与者按病因分为四类：癌症、先天性、创伤和糖尿病/血管障碍。通过使用假肢用户移动性调查评估移动性。对于膝上截肢和膝下截肢，确定了四种病因在七个年龄组中的移动性。不同年龄组间差异有：膝上截肢：癌症（χ2（6）= 40.97，P < 0.001）、先天性（χ2（3）= 9.41，P = 0.024）、创伤（χ2（6）= 18.89，P = 0.004）、血管障碍（χ2（5）= 39.73，P < 0.001;膝下截肢：癌症（χ2（6）= 29.77，P < 0.001）、创伤（χ2（6）= 28.22，P < 0.001）、血管障碍（χ2（6）= 144.66，P < 0.001）。认识到截肢病因的差异，延长整个寿命的年龄，可以帮助目标设定过程的一部分，假肢康复。此外，完善的规范值提供了在临床实践中基准新的和创新的变化的能力。
The aim of the study was to establish normative values of lower limb amputation mobility across primary etiologies based on age and amputation level. This study is a cross-sectional observational analysis of outcomes. A total of 11,995 lower limb prosthesis users were included in the analysis. Participants were grouped by etiology into four categories: cancer, congenital, trauma, and diabetes/dysvascular. Mobility was assessed by using the Prosthetic Limb Users Survey of Mobility. Mobility across seven age groups for the four etiologies was established for both above-the-knee amputation and below-the-knee amputation. Differences were found between age groups for individuals: above-the-knee amputation: cancer (χ2 (6) = 40.97, P < 0.001), congenital (χ2 (3) = 9.41, P = 0.024), trauma (χ2 (6) = 18.89, P = 0.004), and dysvascular (χ2 (5) = 39.73, P < 0.001; below-the-knee amputation: cancer (χ2 (6) = 29.77, P < 0.001), trauma (χ2 (6) = 28.22, P < 0.001), and dysvascular (χ2 (6) = 144.66, P < 0.001). The awareness of differences across amputation etiologies extending across the lifespan of ages can assist the goal-setting process as part of prosthetic rehabilitation. In addition, refined normative values provide the ability to benchmark new and innovative changes in clinical practice.