Author/Editor		Erjavec, Tanja; Prešern-Štrukelj, Metka
Title		Rehabilitacija bolnikov z amputacijo spodnjih udov in najpogostejšimi spremljajočimi obolenji
Translated title		Rehabilitation of patients with lower extremity amputation and comorbidity
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 42, št. Suppl 2
Publication year		2003
Volume		str. 81-8
Language		slo
Abstract		This paper describes the rehabilitation outcome in patients with lower extremity amputation necessitated by peripheral artery disease who also have coronary and cerebrovascular comorbidity. The only rehabilitation goal in amputee patients is to walk with the prosthesis, which is quite a strenuous activity. This depends of the level of amputation and comorbidity. Amputee patients with coronary heart disease are those most at risk of experiencing further cardiovascular ischemic events. The rehabilitation of patients with a dual disability involving hemiplegia and lower extremity amputation is very difficult and has yielded the lowest success rates. The outcome of rehabilitation depends of the patient's cooperation, degree of neurological deficit and level of lower extremity amputation. In one-side amputee patients with insufficient arterial circulation in the other lower extremity, our effort is oriented towards a quick diagnosis and revascularization of the other leg.
Summary		V prispevku je opisan izid rehabilitacijske obravnave bolnikov po amputaciji spodnjih udov kot posledice prizadetosti perifernega arterijskega žilja ob sočasni prizadetosti koronarnega in možganskega žilja. Hoja s protezo, ki je končni in včasih celo edini cilj bolnikov z amputacijo spodnjega uda, je energetsko zahtevnejša od običajne hoje. Zahtevnost je odvisna od ravni amputacije spodnjega uda in spremljajočih obolenj. Največje tveganje za srčno-žilne zaplete med treningom hoje imajo bolniki z amputacijo in pridruženo koronarno boleznijo, zato je pri njih indicirano predhodno obremenitveno testiranje. Najzahtevnejša in najmanj uspešna je rehabilitacija bolnikov z dvojno prizadetostjo - amputacijo spodnjega uda in stanjem po cerebrovaskularnem inzultu s prizadetostjo polovice telesa. Uspešnost izida tovrstne rehabilitacijske obravnave je odvisna predvsem od bolnikovega sodelovanja, stopnje nevrološke prizadetosti in ravni amputacije spodnjega uda. Pri bolnikih z enostransko amputacijo spodnjega uda je pogosto bolj ali manj prizadeta tudi prekrvitev preostalega spodnjega uda, tako da so naša prizadevanja pogosto usmerjena v hitro diagnostiko stanja prekrvitve le-tega in napotitev na ustrezno zdravljenje.
Descriptors		AMPUTATION LEG PERIPHERAL VASCULAR DISEASES ARTERIAL OCCLUSIVE DISEASES CORONARY DISEASE CEREBROVASCULAR DISORDERS ENERGY METABOLISM