지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 109 - 116 (8page)
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초록· 키워드
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Objective To determine the factors affecting the amount of weight-bearing during gait training in the elderly patients who underwent internal fixation after femur or pelvic fractures and how well they performed the weight-bearing restriction as directed by the physiatrist. Methods In this retrospective chart review study, we measured the amount of weight-bearing on the affected side in 50 patients undergoing internal fixation surgery and rehabilitation after femur or pelvic fracture using a force plate. Patients receiving non-weight-bearing or partial weight-bearing education were considered to perform weight-bearing restriction well when the amount of weight-bearing was <50 lb. Furthermore, regression analysis was performed to determine the effects of postoperative complications, age, cognitive function, and pain on weightbearing restriction. Results Variables affecting the amount of weight-bearing were age (r=0.581, p<0.001), weight-bearing education type (r=0.671, p<0.001), manual muscle strength of hip flexion on the non-affected side (r=-0.296, p=0.037), hip abduction (r=-0.326, p=0.021), knee extension (r=-0.374, p=0.007), ankle plantar flexion (r=-0.374, p=0.008), right hand grip strength (r=-0.535, p<0.001), Korean version of Mini-Mental State Examination (r=-0.496, p<0.001), Clinical Dementia Rating (r=0.308, p=0.03), and pain visual analog scale scores (r=0.318, p=0.024). The significant predictor of the amount of weight-bearing among these variables was age (β=0.448, p=0.001). The weight-bearing restriction adherence rate was significantly lower, at 22%, for patients aged ≥65 years as compared to 73% for those <65 years. Conclusion Age was a major variable affecting the amount of weight-bearing. Compliance with weight-bearing restriction was significantly lower in patients aged ≥65 years than in patients <65 years.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Roberts KC / 2015 / Management of hip fractures in the elderly / J Am Acad Orthop Surg 23:131~137
이기행 / 2014 / Incidence and Risk Factors of Subsequent Hip Fractures in Korea: Multicenter Study / Journal of Korean Medical Science 29(7):992~994
김상림 / 2014 / Undertreatment of Osteoporosis Following Hip Fractures in Jeju Cohort Study / 대한골대사학회지 21(4):263~268
하용찬 / 2015 / Trend in Hip Fracture Incidence and Mortality in Korea: A Prospective Cohort Study from 2002 to 2011 / Journal of Korean Medical Science 30(4):483~488
박용근 / 2014 / Incidence, Morbidity and Mortality in Patients Older than 50 Years with Second Hip Fracture in a Jeju Cohort Study / Hip and Pelvis 26(4):250~255
이기행 / 2014 / Incidence and Risk Factors of Subsequent Hip Fractures in Korea: Multicenter Study / Journal of Korean Medical Science 29(7):992~994
김상림 / 2014 / Undertreatment of Osteoporosis Following Hip Fractures in Jeju Cohort Study / 대한골대사학회지 21(4):263~268
하용찬 / 2015 / Trend in Hip Fracture Incidence and Mortality in Korea: A Prospective Cohort Study from 2002 to 2011 / Journal of Korean Medical Science 30(4):483~488
박용근 / 2014 / Incidence, Morbidity and Mortality in Patients Older than 50 Years with Second Hip Fracture in a Jeju Cohort Study / Hip and Pelvis 26(4):250~255
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