A Case of a CLTI Patient who was Able to Acquire Prosthesis Walking Using a Saddle-type Body Weight-supported Walker
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- Masashi Mori
- Department of Rehabilitation , Morinomiya Hospital
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- Yuichi Hiramatu
- Neurorehabilitation Research Institute, Morinomiya Hospital
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- Reiko Fujiwara
- Department of Cardiology, Morinomiya Hospital
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- Masashi Fukunaga
- Department of Cardiology, Morinomiya Hospital
Bibliographic Information
- Other Title
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- サドル付き免荷式歩行器を用いて義足歩行を獲得した包括的高度慢性下肢虚血(CLTI)患者の1症例
Abstract
<p> We report a patient with chronic limb-threatening ischemia based on diabetes mellitus who was able to acquire prosthesis walking using a saddle-type body weight-supported walker(SBWSW)following left below-knee amputation. The aim of this case report was to verify the utility of the SBWSW. The patient was a 67-year-old female. Dry gangrene extended from all left toes to the rearfoot, which necessitated left lower leg below-knee amputation. The level of activities of daily living(ADL)at admission indicated that moderate to maximum caregiving were necessary(Barthel index: 30). From preoperation until the provisional prosthesis was completed, she practiced standing and walking using the SBWSW. In addition, she actively practiced walking with a crutch, and training for ADL. At the time of discharge, the patient was able to wear a prosthesis and walk independently with a cane(0.76 m/s)for up to 600 m. The SBWSW assists in strengthening the muscles of the lower limb on the unaffected side and allows patients with disuse syndrome and difficulty walking before surgery to increase their walking endurance with a low load and high frequency. Our findings suggest that the SBWSW is useful in gait training.</p>
Journal
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- Journal of Japanese Society for Foot Care and Podiatric Medicine
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Journal of Japanese Society for Foot Care and Podiatric Medicine 4 (1), 53-59, 2023-01-31
Japanese Society for Foot Care and Podiatric Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390576424448331648
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- ISSN
- 24354783
- 24354775
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed