Author/Editor		Burger, Helena; Matjačić, Zlatko
Title		Vadba ravnotežja pri osebah po trans-tibialni amputaciji: pilotna študija
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 2, št. 1-2
Publication year		2003
Volume		str. 56-9
Language		slo
Abstract		Falls and fear of falling are significant health problems arising from impaired balancing abilities that accompany people with lower limb amputation during unassisted transfer maneuvers and ambulation. It is žmportant to develop and evaluate efficient therapeutic interventions aimed at improving balancing and coordination skills. A group of fourteen persons after trans-tibial amputation, fitted with below-knee prosthesis, were included in a balance-training program, consisting of app. 20 minutes of balance training per day for five consecutive days on BalanceReTrainer - a novel balance-training, fall-safe mechanical apparatus. Before and after the training period three outcome measures were taken: duration of standing only on the prosthetic leg, timed up&go test and 10-m walk. Each measurement was repeated for three times and the mean value was used in the subsequent calculation of mean values and standard deviations for the group. Before training the group was able to stand on the prosthetic leg for 2.98 +- 2.75 s, they needed 6.15 +- 1.9 s for accomplishing timed up & go test and they needed 5.51 +- 1.5 s to cover the distance of 10 m. After the treatment period the values were 4.3 +- 4.5 s, 5.4 +- 1.5 s and 4.5 +- 0.9 s, respectively. The results indicate improved performance in all three measured tasks, thereby indicating that the applied treatment program improves balancing and ambulation abilities in people after trans-tibial amputation.
Summary		Padci in strah pred padci med hojo in premeščanjem so pomemben zdravstveni problem pri osebah po amputaciji spodnjega uda. S primernim programom terapije moremo izboljšati ravnotežje in koordinacijo. Nujno je tudi preverjati uspešnost programa. V študijo smo vključili 14 oseb po trans-tibialni amputaciji, ki so obvladali hojo s protezo. Pet zaporednih dni so po 20 minut na "BalanceReTrainer "'- ju vadili ravnotežje. Uspešnost vadbe smo pred začetkom in po petih dneh vadbe ugotavljali s tremi testi: stojo na protezi, test 10 metrov hoje ter test vstani - pojdi. Vsak test smo trikrat ponovili ter izračunali povprečje za posameznika. Iz teh povprečij smo nato izračunali povprečje skupine. Pred vadbo so osebe na protezi stale 2,98 +- 2,75 s, prehodile 10 metrov v 6,15 +- 1,9 s in potrebovale za test vstani - pojdi 5,51 +- 1,5 s. Po vadbi so na protezi stale 4,3 +- 4,5 s, 10 metrov prehodile v 5,4 +- 1,5 s in test vstani - pojdi opravile v 4,5 +- 0,9 s. Rezultati nakazujejo izboljšanje pri vseh treh testih, iz česar lahko predvidevamo, da je vadba z '"BalanceReTrainer"- jem izboljšala njihovo ravnotežje in hitrost hoje.
Descriptors		AMPUTEES AMPUTATION LEG INJURIES EQUILIBRIUM ARTIFICIAL LIMBS BIOMEDICAL ENGINEERING