2019临床实践指南_单侧经股截肢术患者膝关节假体选择.pdfVIP

REVIEW ARTICLE/LITERATURE REVIEW Prosthetic Knee Selection for Individuals with Unilateral Transfemoral Amputation: A Clinical Practice Guideline Phillip M. Stevens, MEd, CPO, Shane R. Wurdeman, PhD, MSPO, CP ABSTRACT Introduction: This guideline was developed to present the evidence and provide clinical recommendations on prosthetic knee selection for unilateral amputation at the knee disarticulation or transfemoral level. D Methods: The guideline is based upon the best available evidence as it relates to prosthetic knee selection after unilateral knee o w n l o disarticulation or transfemoral amputation. Recommendations are drawn from systematic review, meta-analysis, and additional a d e d f r published practice guidelines. o m h t t Results: Recommendation 1. Fluid knee benefits and indications: Knees with hydraulic or pneumatic swing resistance are in- p s : / / j o u dicated for active walkers, permitting increased walking comfort, speed, and symmetry. r n a l s . l Recommendation 2. Microprocessor knee benefits: Compared with nonmicroprocessor knees: w w . c o m a) With respect to self-report indices and measures, microprocessor knees are indicated to reduce stumbles, falls, and associated / j p o j o frustrations as well as the cognitive demands of ambulation. u r n a l b b) With respect to self-report indices and measures, microprocessor knees are indicated to increase confidence while walking, y B h D M self-reported mobility, satisfaction, well-being, and quality of life. f 5 e P H