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A Preliminary Comparison of Function and Outcome in Patients with Diabetic Dysvascular Disease

机译:糖尿病性血管疾病患者功能和结果的初步比较

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It has generally been assumed that physical functioning after lower extremity amputation is directly correlated with patient-perceived quality of life. Six dysvascular transtibial amputees (average age, 66 years) who were successful independent community ambulators with prostheses completed the Prosthetic Evaluation Questionnaire (PEQ), a validated self-reported quality of life instrument specifically designed for persons with a lower extremity amputation and participated in a Six-Minute Walk Test (SMWT), an accepted aerobic test for persons with medical disability. There was no statistical correlation between distance walked in the SMWT and the PEQ subscales "well-being," "sounds," "perceived response," "residual limb health," "appearance," "frustration," and "utility." There was a positive trend between the subscales "ambulation" (p <= .4977) and "social burden" (p <= .5310). Able-bodied persons frequently have the bias that patient-perceived quality of life in persons with disability is directly related to their ability to perform physical tasks. The results of this study suggest that rehabilitation efforts after transtibial amputation should not be directed simply at prosthetic fitting and independent walking. This study highlights the need to tailor rehabilitation efforts to specific needs of individual patients.
机译:一般认为,下肢截肢后的身体机能与患者感知的生活质量直接相关。成功的独立社区带假肢的步行者的六名经血管畸形的胫骨截肢者(平均年龄66岁)完成了《假肢评估问卷》(PEQ),这是一种经过验证的自我报告的生活质量工具,专门为下肢截肢患者设计,参加了六分钟步行测试(SMWT),一种针对医学残障人士的有氧测试。 SMWT的步行距离与PEQ分量表“幸福”,“声音”,“感知的反应”,“肢体残存状况”,“外观”,“沮丧”和“效用”之间没有统计相关性。在分量表“走动”(p <= .4977)和“社会负担”(p <= .5310)之间存在积极趋势。身体健全的人经常会有这样的偏见,即患者对残疾人的感知生活质量与他们执行身体任务的能力直接相关。这项研究的结果表明,经胫骨截肢后的康复工作不应仅针对假肢装配和独立行走。这项研究强调了需要根据个别患者的具体需求量身定制康复工作。

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