Comparison of trauma and diabetes mellitus-induced transtibial amputees in terms of gait parameters and functional capacity.

Neşe Tosun, Fatih Erbahçeci
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Abstract

Background: The aim of this study was to compare gait parameters, balance, weight-bearing symmetry, functional capacity, functional mobility, prosthesis satisfaction, and quality of life between individuals with diabetes mellitus-induced and traumatic transtibial amputations (TTAs).

Methods: Ten individuals with traumatic transtibial amputation and 10 individuals with diabetes mellitus-induced transtibial amputation were included in the study. All participants in both the trauma and diabetes groups used a vacuum-assisted suction suspension system (VASS) and a carbon composite foot transtibial prosthesis. Gait analysis and weight-bearing symmetry were assessed using a computerized gait analysis system. Balance was evaluated with the Biodex Balance System (BBS), functional capacity with the Six-Minute Walk Test (6MWT), functional mobility with the Timed Up and Go Test (TUG) and the Stair Climbing Test (SCT), prosthesis satisfaction with the Trinity Amputation and Prosthesis Experience Scale (TAPES), and quality of life with the Short Form-36 (SF-36).

Results: When comparing the traumatic and diabetic groups, significant differences favoring the trauma group were found in the following parameters: stride length (SL) (p=0.004), amputated limb step length (ASL) (p=0.019), non-affected limb step length (NSL) (p=0.005), balance assessment parameters of general postural stability (p=0.000), anteroposterior (A-P) postural stability (p=0.000), mediolateral (M-L) postural stability (p=0.007), SCT performance (p=0.000), and the activity restriction subsection of TAPES (p=0.029). No significant differences were observed in gait velocity, cadence, step width, weight-bearing percentage of the amputated and non-affected limbs, TUG performance, SF-36 scores, or the psychosocial adjustment, prosthesis satisfaction, and daily use time subsections of the TAPES.

Conclusion: In this study, the use of a VASS prosthesis in both traumatic and diabetic amputees had a positive effect on out-comes in the diabetic group, resulting in comparable results to those of the traumatic group. The fact that diabetic amputees used their prostheses as frequently as traumatic amputees, remained active, and benefited from the choice of prosthesis and suspension system provides valuable insights for healthcare professionals as a facilitating factor in rehabilitation.

创伤与糖尿病所致跨胫截肢者步态参数和功能能力的比较。
背景:本研究的目的是比较糖尿病和外伤性胫骨截肢(TTAs)患者的步态参数、平衡、负重对称性、功能能力、功能活动性、假肢满意度和生活质量。方法:选取10例外伤性跨胫截肢患者和10例糖尿病性跨胫截肢患者作为研究对象。创伤组和糖尿病组的所有参与者都使用了真空辅助吸吸悬浮系统(VASS)和碳复合足经胫骨假体。使用计算机步态分析系统评估步态分析和负重对称性。使用Biodex平衡系统(BBS)评估平衡性,使用六分钟步行测试(6MWT)评估功能能力,使用定时起身和行走测试(TUG)和爬楼梯测试(SCT)评估功能活动性,使用三一截肢和假肢体验量表(TAPES)评估假肢满意度,使用SF-36评估生活质量。结果:创伤组与糖尿病组比较,创伤组在以下参数上有显著差异:步长(SL) (p=0.004)、截肢肢步长(ASL) (p=0.019)、未受影响肢步长(NSL) (p=0.005)、一般姿势稳定性(p=0.000)、前后位(A-P)姿势稳定性(p=0.000)、中外侧(M-L)姿势稳定性(p=0.007)、SCT表现(p=0.000)和活动限制部分(p=0.029)的平衡评估参数。在步态速度、节奏、步宽、截肢和未受影响肢体的负重百分比、TUG表现、SF-36评分、心理社会适应、假体满意度和日常使用磁带的时间分段方面,没有观察到显著差异。结论:在本研究中,在创伤性和糖尿病性截肢患者中使用VASS假体对糖尿病组的预后都有积极的影响,其结果与创伤性截肢组相当。糖尿病截肢者与创伤性截肢者一样频繁地使用义肢,保持活动,并受益于义肢和悬吊系统的选择,这一事实为医疗保健专业人员提供了宝贵的见解,作为促进康复的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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