Kritienu risku mazināšana rehabilitācijas periodā pacientiem pēc unilaterālas amputācijas: sistemātisks literatūras pārskats
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pilnīga pacienta atlabšana pēc amputācijas operācijas un drošība rehabilitācijas laikā ir viena no svarīgākajām aspektiem visā šajā procesā, kas palīdz pacientam atgūt darba spējas pēc iespējas tuvāk pirms amputācijas dzīvei. Kritieni ir viena no visvairāk piedzīvotajām traumām rehabilitācijas gaitā, it īpaši apakšējo ekstremitāšu amputācijas pacientiem, tāpēc ir svarīgi kritienu iespējamību samazināt vai pat novērst.
Šajā darbā ir ieskats par veidiem, ar kuru palīdzību varētu samazināt kritienu riskus rehabilitācijas laikā. Sistemātiskā pārskata veidā tiks aplūkoti pētījumi un zinātniskā literatūra, lai apkopotu un salīdzinātu biežak pieminētos kritienu risku mazināšanas veidus.
Mērķis: Izanalizēt pētījumus un identificēt, kādi ir biežāk pielietotie kritienu risku mazināšanas veidi rehabilitācijas periodā pacientiem ar unilaterālu trasfemorālu un transtibiālu amputāciju.
Pētījuma jautājums: Kā iespējams mazināt kritienu risku rehabilitācijas periodā pacientiem ar unilaterālu transfemorālu un trantibiālu amputāciju?
Uzdevumi:
1. Zinātnisko rakstu atlase izmantojot atslēgas vārdus un PRISMA Flow diagrammu.
2. Pētījumu analīze izmantojot PEDro skalu un iegūto rezultātu apkopošana.
3. Iegūto rezultātu datu analīze.
Secinājumi: Visbiežāk pieminētie kritienu risku mazināšanas veidi ir vingrošanas programmas. Vingrošanas un treniņu programmas ir efektīvas kritienu mazināšanai pacientiem ar apakšējās ektremitātes amputāciju. Ir vēlams veikt turpmākus un efektīvākus pētījumus saistībā ar kritienu risku mazināšanu pacientiem ar apakšējo ekstremitāšu amputācijām.
Pētījuma metodes: PRISMA Flow diagramma, PEDro skala, pētījumi meklēti Rīgas Stradiņa Universitātes pieejamās datubāzēs: SAGE publications, ClinicalKey, ScienceDirect, Cochrane Library un PubMed izmantojot šadus atslēgas vārdus: līdzsvars (balance), kritienu riski(fall risks/factors), kritienu risku mazināšana (fall risk reduction) apakšējās ekstremitātes amputācijas (lower limb amputation, transfemorālas/transtibiālas amputācijas (transfemoral/transtibial amputation).
A full patient recovery after an amputation surgery and safety during rehabilitation is one of the most important aspects in this whole process which helps the patient recover their ability to work again as close to pre-amputation life as possible. Falls are one of the most frequent traumas during rehabilitation notably by patients with lower limb amputations, that’s why it is important to reduce or even prevent the possibility of falls. In this work is an insight about a few measures which can help reduce falls during the rehabilitation process. Studies and scientific literature will be anilyzed to compile and compare the most common measures to reduce fall risks in a sistematic overview. Objective: To analyze research and identify the most commonly used ways to reduce the risk of falls during rehabilitation in patients with unilateral trasfemoral and transtibial amputation. Research question: How can the risk of falls during rehabilitation be reduced in patients with unilateral transfemoral and trantibial amputation? Tasks: 1. Find scientific articles using key words and PRISMA Flow diagram. 2. Analysis of research using PEDro scale and summary of obtained results. 3. Analysis of the obtained data. Conclusions: The most frequently mentioned ways to reduce the risk of falls are exercise programs. Exercise and training programs are effective in reducing falls in patients with lower extremity amputation. Further and more effective studies in conjuntion with reducing fall risks in patients with lower limb amputations is advised. Methods: PRISMA Flow diagram, PEDro scale, studies were searched in databases available at Riga Stradiņš University: SAGE publications, ClinicalKey, ScienceDirect, Cochrane Library and PubMed using the keywords: balance, fall risks/factors, fall risk reduction, lower limb amputations, transfemoral/transtibial amputation.
A full patient recovery after an amputation surgery and safety during rehabilitation is one of the most important aspects in this whole process which helps the patient recover their ability to work again as close to pre-amputation life as possible. Falls are one of the most frequent traumas during rehabilitation notably by patients with lower limb amputations, that’s why it is important to reduce or even prevent the possibility of falls. In this work is an insight about a few measures which can help reduce falls during the rehabilitation process. Studies and scientific literature will be anilyzed to compile and compare the most common measures to reduce fall risks in a sistematic overview. Objective: To analyze research and identify the most commonly used ways to reduce the risk of falls during rehabilitation in patients with unilateral trasfemoral and transtibial amputation. Research question: How can the risk of falls during rehabilitation be reduced in patients with unilateral transfemoral and trantibial amputation? Tasks: 1. Find scientific articles using key words and PRISMA Flow diagram. 2. Analysis of research using PEDro scale and summary of obtained results. 3. Analysis of the obtained data. Conclusions: The most frequently mentioned ways to reduce the risk of falls are exercise programs. Exercise and training programs are effective in reducing falls in patients with lower extremity amputation. Further and more effective studies in conjuntion with reducing fall risks in patients with lower limb amputations is advised. Methods: PRISMA Flow diagram, PEDro scale, studies were searched in databases available at Riga Stradiņš University: SAGE publications, ClinicalKey, ScienceDirect, Cochrane Library and PubMed using the keywords: balance, fall risks/factors, fall risk reduction, lower limb amputations, transfemoral/transtibial amputation.
Description
Ortozēšana - protezēšana
Orthotics and Prosthetics
Veselības aprūpe
Health Care
Orthotics and Prosthetics
Veselības aprūpe
Health Care
Keywords
Kritienu riski, kritienu risku mazināšana, līdzsvars, apakšējās ekstremitātes amputācija, transfemorāla amputācija, transtibiāla amputācija, Fall risks, fall factors, fall risk reduction, balance, lower limb amputation, transtibial amputation, transfemoral amputation