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首页> 外文OA文献 >Causes of locomotor disability and need for orthopaedic devices in a heavily mined Taliban-controlled province of Afghanistan: issues and challenges for public health managers.
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Causes of locomotor disability and need for orthopaedic devices in a heavily mined Taliban-controlled province of Afghanistan: issues and challenges for public health managers.

机译：在塔利班控制严重的阿富汗省，运动机能障碍的原因和矫形设备的需求：公共卫生管理人员面临的问题和挑战。

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We conducted a locomotor disability survey on a heavily mined Taliban-controlled province of Afghanistan to document the problem of locomotor disability and to assess the need for orthopaedic rehabilitation devices in a study population of 12065. Global prevalence of locomotor disability was 23/1000 (95% CI: 20-26). )War-related injuries were the leading cause of disability, affecting almost exclusively adult males. Leading causes of disability among women and children were medical and poliomyelitis. Devices most needed were lower limb ortheses (8.2 devices/1000 people; 95% CI: 5.9-10.4) and orthopaedic shoes (6.0/1000; 95% CI:4.1-8.0). The need for lower limb prostheses was less frequent (2.0/1000; 95% CI: 1.1-2.8). Most lower limb amputees (mainly victims of landmine injuries) were fitted with an artificial leg, while rehabilitation needs for other types of disability remained largely unmet. We estimated that it would take at least 3 years to provide enough orthopaedic shoes and 10 years for ortheses, whereas the need for lower limb prostheses could be met in less than 4 months. None of the 27 women with lower limb disability were equipped with an orthopaedic device, although this was the case for 31 of 89 men (35%). The problem of landmines should not divert attention from other causes of disability such as poliomyelitis or from other rehabilitation requirements. Immunization programmes and restoration of the public health infrastructure should be given high priority; rehabilitation services are largely insufficient and should be developed. Extreme gender difference in needs coverage is a matter of concern. Researching culturally sensitive strategies to tackle this problem should be a priority for donors and implementing agencies.
机译：我们对受塔利班控制的高度开采的阿富汗省进行了运动障碍调查，以记录运动障碍问题并评估12065研究人群中骨科康复器械的需求。全球运动障碍的患病率为23/1000（95 ％CI：20-26）。与战争有关的伤害是致残的主要原因，几乎只影响成年男性。妇女和儿童残疾的主要原因是医疗和小儿麻痹症。最需要的器械是下肢矫形器（8.2器械/ 1000人； 95％CI：5.9-10.4）和矫形鞋（6.0 / 1000； 95％CI：4.1-8.0）。下肢假肢的需求较少（2.0 / 1000； 95％CI：1.1-2.8）。大多数下肢截肢者（主要是地雷受伤的受害者）都装有假肢，而其他类型残疾的康复需求仍未得到满足。我们估计至少要花费3年才能提供足够的矫形鞋，而要花费10年的时间来进行矫正，而对下肢假体的需求可以在不到4个月的时间内得到满足。尽管有89名男性中的31名（35％）属于这种情况，但在27名下肢残疾的女性中，没有人配备骨科器械。地雷问题不应将注意力转移到其他造成残疾的原因上，例如小儿麻痹症或其他康复要求。应当高度重视免疫方案和公共卫生基础设施的恢复；康复服务在很大程度上是不足的，应予以发展。需求覆盖方面的极端性别差异是一个值得关注的问题。研究文化敏感的策略来解决这个问题应该是捐助者和执行机构的优先事项。

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