Title FUNKCIONALNI ISHODI REHABILITACIJE OSOBA S AMPUTACIJOM DONJIH UDOVA
Title (english) FUNCTIONAL OUTCOMES OF REHABILITATION OF PERSONS WITH LOWER LIMB AMPUTATION
Author Miro Dragović
Mentor Ksenija Baždarić (mentor)
Committee member Arijana Krišković (predsjednik povjerenstva)
Committee member Tanja Ćelić (član povjerenstva)
Committee member Ksenija Baždarić (član povjerenstva)
Granter University of Rijeka Faculty of Health Studies (Department of Physiotherapy) Rijeka
Defense date and country 2019-07-12, Croatia
Scientific / art field, discipline and subdiscipline SOCIAL SCIENCES Information and Communication Sciences Information Systems and Information Science
Abstract Cilj: Cilj rada je procijeniti uspješnost rehabilitacijskog procesa osoba s amputacijom donjih udova.
Metode i ispitanici: U istraživanju je sudjelovalo 60 ispitanika s unilateralnom amputacijom donjeg uda zaprimljenih u Klinički zavod za rehabilitaciju i ortopedska pomagala KBC Zagreb u periodu od siječnja do svibnja 2019. godine. Mobilnost je ispitana Testom predvidive pokretljivosti amputirane osobe bez proteze kojim se procjenjuju funkcionalne sposobnosti pojedinca, dodjeljujući im odgovarajuće K-razine. Po završetku rehabilitacijskog procesa ispitana je mobilnost inačicom Testa predvidive pokretljivosti amputirane osobe s protezom, vrijeme provedeno u protezi kroz dan izraženo u satima na dan (h/dan) te brzina hoda na 10 metara izražena u sekundama (s/10m). Ispitanici su ispunili upitnik Ljestvica doživljaja amputacije i iskustva s protezom, multidimenzionalni instrument procjene psihosocijalnih procesa uključenih u prilagodbu na amputaciju i protezu te specifičnih zahtjeva prilikom nošenja proteze.
Rezultati: Ispitanici s nižom razinom amputacije (potkoljena amputacija, N=33) imaju bolje funkcionalne sposobnosti (P=0,02) i veću brzinu hoda (P < 0,001) te bolju socijalnu prilagodbu (P = 0,04), značajno bolju prilagodbu na ograničenja (P = 0,005), imaju značajno veće funkcionalno zadovoljstvo (P < 0,001) te su prosječno nižom ocjenom ocijenili ograničenje svojih aktivnosti (P = 0,04). Utvrđena je pozitivna povezanost vremena provedenog u protezi i brzine hoda (rs > 0,7) te bolja prilagodba na ograničena (rs = -0,63) i ograničenja aktivnosti (rs = -0,75). Postoji statistički značajna povezanost psihosocijalne prilagodbe sa parametrima funkcionalne sposobnosti (P < 0,001; rs >= 0,6).
Zaključak: Starosna dob i viša razina amputacije negativno utječu na funkcionalne ishode rehabilitacije, psihosocijalnu prilagodbu te prilagodbu na amputaciju i protezu.
Abstract (english) Aim: The aim of this study is to assess the effectiveness of rehabilitation process of people with lower-limb amputees.
Methods and participants: The study included 60 participants with unilateral lower-limb amputation admitted from January to May 2019 to the Institute for Rehabilitation and Orthopaedic Devices of University Hospital Centre Zagreb. The mobility was assessed using the Amputee Mobility predictor without a prosthesis (AMPnoPRO) used for prediction of functional ability of persons by assigning the appropriate K-level. At the completion of the rehabilitation process, the AMPPRO test was used to assess the mobility, while the assessed time spent wearing a prosthesis during the day was expressed in hours per day (h/day) and walking speed was expressed in seconds (s/10 m). The participants have completed Trinity Amputation and Prosthesis Experience Scales Revised-TAPES-R questionnaire, a multidimensional instrument designed to examine the psychosocial processes involved in adjusting to amputation and a prosthesis.
Results: The participants with lower amputation level (transtibial amputation, N=33) have shown better functional abilities (P = 0,02) and greater walking speed (P < 0,001), as well as better social adjustment (P = 0,04), significantly better adjustment to limitation (P = 0,005), significantly greater functional satisfaction (P < 0,001) and they have, on average, assessed their activity restriction with lower grade (P = 0,04). A positive correlation between time spent wearing a prosthesis and walking speed (rs > 0,7) as well as better adjustment to limitations (rs= -0,63) and activity restriction (rs=-0,75) have been established. There is a statistically significant correlation between psychosocial adjustment and functional ability parameters (P < 0,001; rs >= 0,6).
Conclusion: Age and high level of amputation adversely affect the functional outcomes of rehabilitation, psychosocial adjustment and adjustment to amputation and prosthesis.
Keywords
amputacija
funkcionalni ishodi rehabilitacije
brzina hoda
prilagodba na protezu
Keywords (english)
Amputation
Prosthesis Fitting
Treatment ouutcome
Rehabilitation
Walking Speed
Language croatian
URN:NBN urn:nbn:hr:184:472301
Study programme Title: Graduate university study of Physiotherapy (Biomedicine and Healthcare; clinical medical sciences) Study programme type: university Study level: graduate Academic / professional title: magistar/magistra fizioterapije (magistar/magistra fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
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Created on 2020-09-30 13:41:07