下肢截肢患者跌倒风险管理的现状和新趋势。

IF 1.1 Q4 GERIATRICS & GERONTOLOGY
Current Geriatrics Reports Pub Date : 2020-09-01 Epub Date: 2020-07-29 DOI:10.1007/s13670-020-00328-4
Sheila Clemens, Charissa Doerger, Szu-Ping Lee
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引用次数: 4

摘要

综述的目的:与健康的老年人群相比,下肢截肢患者发生跌倒的风险增加。年龄增加和合并症数量增加的因素可能使已经增加的风险增加。本文的目的是强调与截肢者跌倒风险相关的最新研究,并为读者提供指导临床干预的证据。最近的发现:尽管对截肢者跌倒的研究越来越普遍,但关于导致跌倒风险增加的原因以及如何在这一人群中解决这一问题的证据仍然缺乏。最近有一些研究检查了治疗和假肢干预可以减轻截肢者跌倒的风险,但没有足够的证据来就这个话题达成共识。需要更多的研究来确定截肢者跌倒率增加的原因,以及发生跌倒后对截肢者的功能或心理可能造成的损害。总结:借鉴已知的老年人跌倒风险,并将这些信息与减轻截肢者跌倒的新方法和现有方法相结合,可以为临床医生提供机会,制定基于证据的方案,以解决下肢截肢患者的跌倒风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current and Emerging Trends in the Management of Fall Risk in People with Lower Limb Amputation.

Purpose of review: People living with lower limb amputation are at an increased risk of falling compared with the healthy geriatric population. Factors of increased age and increased number of comorbidities could compound the already increased risk. The purpose of this article is to highlight recent research associated with fall risk in amputees and provide the reader with evidence to help guide clinical interventions.

Recent findings: Though research on the topic of falls in people with amputation is becoming more common, there is still a dearth of evidence regarding what contributes to increased fall risk and how to address it in this population. There are recent studies that have examined therapy and prosthetic interventions that could mitigate fall risk in people with amputation, yet there is not enough evidence to develop a consensus on the topic. More research is required to determine what contributes to increased fall rates in people with amputation, and what detriments to an amputee's function or psyche may result after incurring a fall.

Summary: Borrowing from what is known about geriatric fall risk and combining the information with novel and existing approaches to fall mitigation in amputees can offer clinicians the opportunity to develop evidence-based programs to address fall risk in their patients with lower limb amputation.

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来源期刊
Current Geriatrics Reports
Current Geriatrics Reports Medicine-Geriatrics and Gerontology
CiteScore
2.20
自引率
0.00%
发文量
4
期刊介绍: This journal aims to offer in-depth review articles on the most recent innovative publications in geriatrics and gerontology. By providing clear, insightful contributions by international experts, the journal intends to serve clinicians and researchers involved in the diagnosis, management, treatment, prevention, and study of patients affected by age-related conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as the age-related change in cognitive function, the influence of genetics on neurodegenerative disorders, and traumatic brain injury and dementia. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board of more than 20 members reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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