Современные аспекты процедуры выравнивания трансфеморальных и транстибиальных протезов

Современные аспекты процедуры выравнивания трансфеморальных и транстибиальных протезов

Автор: Карденас А.М., Урибе Ю., Андрисек Я., Эрнандес А.М., Плата-контрерас Х.А.

Журнал: Российский журнал биомеханики @journal-biomech

Статья в выпуске: 4 (98) т.26, 2022 года.

Бесплатный доступ

Выравнивание протеза играет важную роль в реабилитации людей с потерей нижней конечности. Целью данной работы был систематический обзор исследований по выравниванию протезов и выделение основных результатов, а также соображений по внедрению процедур выравнивания. В процессе обзора проводился поиск научных статей в базах данных Scopus , PubMed и IEEE . Для определения распространенности процедур выравнивания протезов с технической и алгоритмической точек зрения использовалась методология PRISMA (Предпочтительные пункты отчетности для систематических обзоров и мета-анализов). Были рассмотрены следующие данные из статей: популяционные экспериментальные характеристики, результаты измерений и метрик, параметры процедуры выравнивания и влияние выравнивания протезов на результаты реабилитации. Качество работ оценивалось с помощью тринадцати заранее разработанных критериев. Большинство исследований в выборке были оценены как низкокачественные на основании нашей формальной оценки. Исследования показали, что изменения момента реакции приёмной гильзы, силы реакции на опору, давления на приёмную гильзу со стороны конечности, пространственно-временных данных и комфорта пациента, как правило, зависят от приёмной гильзы, углов наклона стопы и движения стопы. При проведении исследований по выравниванию особое внимание уделялось способу передвижения, использованию обуви, времени аккомодации и количеству испытаний. В литературе представлена ограниченная информация об особенностях и результатах процедур выравнивания. Доказательства не отличаются высоким качеством и относятся в основном к людям с транстибиальной ампутацией.

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Процедура выравнивания протеза, эффективность ампутирования, параметры походки, компонент протеза

Короткий адрес: https://sciup.org/146282611

IDR: 146282611   |   DOI: 10.15593/RZhBiomeh/2022.4.05

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