396 KB20 KB200820252017Brezovar, DarinkaBurgar, MatejBurger, HelenaKrižnar, Agataštevilka:1letnik:16str. 25-29ISSN:1580-9315COBISSID_HOST:2333801URN:URN:NBN:SI:doc-HRZ883SMslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)amputacijaamputationavtomobile drivingprosthesesProstheses and ImplantsprotezarehabilitacijaRehabilitationupper limbvocational rehabilitationvožnja avtomobilazgornji udProteze za osebe po amputaciji obeh zgornjih udov| Prostheses for persons after bilateral upper limb amputation|Introduction: Upper limb amputations are much less frequent than lower limb amputations. Their exact number is not known because the majority of countries do not have a registry of amputees. The number of bilateral upper limb amputations is also unknown. The consensus in the literature is that bilateral upper limb amputees need prostheses. The higher is the amputation level, the fewer are the options for socket provision. There are passive and active prostheses available. The passive ones mainly serve aesthetic purpose, even though they are often helful in various activities. The aim of our study was to establish which types of prostheses are used by persons after bilateral upper limb amputation in Slovenia, and which activities do they use them for. Methods: We examined the medical records of all the persons after bilateral upper limb amputation who visited our outpatient clinic for rehabilitation of persons after upper limb amputation and hand prosthetics at least during the the years 2010 % 2015. Results: During the studied five years, seven persons with bilateral amputation had visited our outpatient clinic; they were aged from 16 to 53 years. The reason for amputation was injury in all the cases. Everyone received prostheses except one blind person. After fitting the first prosthesis and completed rehabilitation, they were using the prostheses for one to 12 hours per day. Everyone received sockets for personal hygiene and feeding. Five persons were referred to the outpatient clinic for drivers with special needs. Conclusion: Like elsewhere, there are very few people with bilateral upper limb amputation in Slovenia. For their rehabilitation to be successful, they should all have the opportunity to be fitted with a myoelectric prosthesis, which means that provision of a myoelectric prosthesis for persons after bilateral upper limb amputation should be guaranteed by the compulsory health insuranceUvod: Amputacije zgornjih udov so veliko redkejše od amputacij spodnjih udov. Natančnega števila ne poznamo, ker v večini držav nimamo registra oseb po amputaciji uda. Prav tako ne poznamo števila oseb po amputaciji obeh zgornjih udov. Pri osebah po amputaciji obeh zgornjih udov v literaturi prevladuje mnenje strokovnjakov, da osebe potrebujejo protezo. Z višanjem ravni amputacije se zmanjšuje možnost oskrbe z nastavki. Na voljo imamo pasivne ali aktivne proteze. Pasivne so večinoma namenjene povrnitvi videza, čeprav si lahko osebe z njimi pomagajo tudi pri številnih opravilih. Namen naše naloge je bil pregledati, katere vrste protez uporabljajo osebe po amputaciji obeh zgornjih udov v Sloveniji in za katere aktivnosti jih uporabljajo. Metode: Pregledali smo medicinsko dokumentacijo vseh oseb po amputaciji obeh zgornjih udov, ki so v letih 2010 % 2015 vsaj enkrat obiskale našo ambulanto za rehabilitacijo oseb po amputaciji zgornjega uda in ročno protetiko. Rezultati: V obravnavanih petih letih je našo ambulanto obiskalo sedem oseb z amputacijo obeh zgornjih udov, starih od 16 do 53 let. Pri vseh je bila vzrok amputacije poškodba. Vsi razen ene osebe, ki je bila slepa, so dobili proteze. Po prvi namestitvi protez in zaključeni rehabilitaciji so proteze uporabljali od ene ure do 12 ur dnevno. Vse osebe so dobile nastavke za osebno higieno in hranjenje. Pet oseb je bilo napotenih v ambulanto za voznike s posebnimi potrebami. Zaključek: Oseb po amputaciji obeh zgornjih udov je tudi v Sloveniji malo. Za uspešno rehabilitacijo bi morali vsi imeti možnost oskrbe z električnimi protezami oziroma bi morala biti oskrba z električnimi protezami za osebe po amputaciji obeh zgornjih udov pravica iz obveznega zdravstvenega zavarovanjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča