Author/Editor		Vozel, Mateja; Burger, Helena
Title		Izboljšanje prehojene razdalje v šestih minutah pri pacientih po amputaciji spodnjega uda po odpustu z rehabilitacije
Translated title		Improvement in six-minute walking distance in patients after lower-limb amputation after discharge from rehabilitation
Type		članek
Vol. and No.		Letnik 19, št. 2
Publication year		2020
Volume		str. 10-15
ISSN		1580-9315 - Rehabilitacija
Language		slv
Abstract		Uvod: Prehojena razdalja v šestih minutah je pokazatelj submaksimalne aerobne zmogljivosti pacientov oziroma splošne telesne vzdržljivosti, ki odslikava raven telesne aktivnosti. Šestminutni test hoje uporabljamo tudi za oceno vzdržljivosti hoje pri osebah po amputaciji spodnjega uda. Namen raziskave je bil ugotoviti, ali osebe po amputaciji spodnjega uda napredujejo pri 6-minutnem testu hoje od zaključka rehabilitacije pa do prvega kontrolnega pregleda. Metode: Izvedli smo pregled medicinske dokumentacije pacientov po enostranski amputaciji spodnjega uda, ki so bili v obdobju od 1. januarja 2017 do 31. decembra 2017 na rehabilitaciji na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije - Soča v Ljubljani. Za vse paciente, ki so bili prvič v programu bolnišnične rehabilitacije, smo analizirali podatke o izidih 6-minutnega testa hoje ob odpustu in ob prvi kontroli po odpustu. Rezultati: V raziskavo je bilo vključenih 35 pacientov, ki so bili ob odpustu povprečno stari 64 let (SO 17 let). Sedem pacientov je bilo v rehabilitacijo vključenih po transfemoralni in 28 pacientov po transtibialni amputaciji. Prehojena razdalja v šestih minutah se je po opravljenem programu rehabilitacije, ki je trajal od 66 dni do 307 dni, izboljšala povprečno za 59 metrov (SO 100 m; razpon 20 % 980 m; p = 0,001). Povezanosti med prehojeno razdaljo in časom med obema testiranjima nismo ugotovili (r = -0,28; p = 0,105). Ugotovili smo, da je bilo z višjo starostjo izboljšanje prehojene razdalje manjše (r = -0,50; p = 0,018). Zaključek: Ugotovili, smo da se je prehojena razdalja v šestih minutah po odpustu z rehabilitacije do prve kontrole povečala. Nadaljnje raziskave bi morale vključiti večji vzorec pacientov, hkrati pa bi morali spremljati več dejavnikov, ki lahko pomembno vplivajo na izide 6-minutnega testa hoje.Background: The walking distance in six minutes is a good indicator of the submaximal functional capacity of patients, reflecting the level of daily physical activity. The six-minute walk test is also used to assess endurance of gait in subjects after lower-limb amputation. The purpose of the study was to determine to what extent patients after lower-limb amputation improved at six-minute walk test in the period after discharge from inpatient rehabilitation until the first follow-up examination. Methods: We examined the medical documentation of patients with unilateral lower-limb amputation who were hospitalised at the University Rehabilitation Institute, Republic of Slovenia, in the period from 1 January 2017 to 31 December 2017. We collected the data on six-minute walk test performed at discharge and at the first follow-up examination after rehabilitation. Results: The study included 35 subjects, with average age of 64 years (SD 17 years). Seven of them had transfemoral and 28 had transtibial amputation. The distance, walked in six minutes, improved after rehabilitation, which lasted from 66 to 307 days, by an average of 59 m (SD 100 m, range 20 % 980 m, p = 0.001). The time between the two tests was not statistically significantly associated with improvement of the walked distance (r = -0.28, p = 0.105). With increasing age, the improvement in the walked distance decreased (r = -0.50, p = 0.018). Conclusions: We found that the walked distance in six minutes increased in the time after discharge from rehabilitation. Further research should include a larger sample of patients. We should also analyze several other factors that might significantly influence the outcome results of the six-minute walk test.
Descriptors		Amputation Gait rehabilitation
Keywords		amputacija hoja 6-minutni test hoje spodnji ud premičnost proteza amputation walking six-minute walk test lower limb mobility prosthesis