Düşen ve düşmeyen transtibial protez kullanıcılarında karakteristik özelliklerin ve yaşam kalitesinin karşılaştırılması

Abstract

Amaç: Alt ekstremite protezi kullanıcılarında düşmeler ve düşmeye bağlı yaralanmalar yaygındır. Transtibial protez kullanıcılarında (TTPK) düşme nedenleri ve bunların sağlıkla ilişkili yaşam kalitesi üzerindeki etkisi net değildir. Bu çalışmada, düşen ve düşmeyen TTPK arasındaki karakteristik farklılıkları ve yaşam kalitesini karşılaştırmayı amaçladık. Yöntem: Çalışmaya 36 TTPK katıldı. Son bir yıl içinde en az bir kez düşen bireyler düşenler olarak sınıflandırıldı. Fonksiyonel seviye, İki Dakika Yürüme Testi, Süreli Kalk Yürü Testi ve Fonksiyonel Uzanma Testi ile değerlendirildi. Bulgular: Katılımcıların 16’sı (%44,44) düşen olarak belirlendi. Düşenlerin yaşı daha yüksekti ve Süreli Kalk Yürü Testi süreleri daha uzundu (p<0,05). Çalışma durumu, amputasyon nedeni, diyabet prevalansı ve yürüme yardımcısı kullanımı açısından düşenler ile düşmeyenler arasında anlamlı farklılıklar bulundu (p<0,05). Gruplar arasında yaşam kalitesi seviyeleri benzerdi (p>0,05). Sonuç: İleri yaş, azalmış fonksiyonel seviye, çalışmama durumu, vasküler nedenli amputasyon, diyabet varlığı ve yürüme yardımcısı kullanımı düşen transtibial protez kullanıcılarındaki karakteristik farklılıklardır

Keywords

• Amputasyon
• Protez
• Düşmeler
• Yaşam kalitesi

Comparison of characteristic features and quality of life in faller and non-faller transtibial prosthesis users

Abstract

Purpose: Falls and fall-related injuries are common among lower limb prosthesis users. However, the reasons of falls and their impact on health-related quality of life in transtibial prosthesis users (TTPU) remain unclear. We aimed to compare the characteristic differences and quality of life between faller and non-faller TTPU. Methods: Thirty-six TTPU participated in the study. Subjects who had fallen at least once in the past year were classified as fallers. Functional levels were assessed using the Two-Minute Walk Test, the Timed Up & Go Test, and the Functional Reach Test. Results: Sixteen (44.44%) participants were identified as fallers. Fallers had higher age and had longer TUG test durations compared to non-fallers (p<0.05). Differences in working status, reason for amputation, prevalence of diabetes, and walking aid use were significant between fallers and non-fallers (p<0.05). Quality of life levels were similar between the groups (p>0.05). Conclusion: Older age, decreased functional level, not working, having a vascular amputation, having diabetes, and using any walking aid were identified as the characteristic differences of faller transtibial prosthesis users.

Keywords

• Amputation
• Prosthesis
• Falls
• Quality of life

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