背景:旅行对所有年龄和能力的人的福祉的好处是众所周知的,尽管到目前为止,有假肢的旅行者被排除在外。肢体丧失,由于外伤,血管疾病,癌症,或者感染需要假体来美容和功能性。失去肢体的改变生活的事件和接受改变的身体形象的相当大的心理调整影响康复和自我管理以及参与社会活动,比如运动和旅行。旅行的挑战不仅在于将在家中遇到的实际障碍转移到另一个地方;熟悉的应对策略可能需要意想不到的调整。在提供了有关肢体缺失和假肢的背景信息之后,本文的目的是回顾有关假肢旅行者的健康建议的文献。
方法:使用围绕旅行和假肢的关键词组合的变化,搜索了所有主要数据库的同行评审文献。相关期刊进行了单独搜索,和选定的作者和大学部门联系。没有获得基于证据的结果。然后搜索转向灰色文献,包括相关组织的文件,专业机构,政府网站,制造商,航空公司,假肢/物理治疗诊所,体育组织接近截肢者,包括退伍军人和运动员,直接。
结果:为有假肢的人整理的旅行建议清单涉及(1)旅行准备,(2)包装(特别是考虑到假体的机械和/或电气要求),(3)乘飞机旅行是最覆盖的旅行方式,(4)机场导航和机场安全,在等待循证指南的同时,旅行健康从业者可以使用。
结论:这是第一篇关于任何领域的假肢旅行的论文,包括旅行药。因此,旅行保健医生没有为这个被忽视的人群提供高质量护理所需的循证指南。临床实践的初步建议,提供必要的教育更新建议,并提供了迫切需要的研究建议,以证据代替当前的提示和提示,以使拥有假肢的旅行者不再“四肢”。
BACKGROUND: The benefits of travel for the wellbeing of people of all ages and abilities are well known, though travellers with prostheses have so far been excluded. Limb loss, due to trauma, vascular disease, cancer, or infections requires a prosthesis for cosmesis and functionality. The life-changing event of losing a limb and the considerable psychological adjustment to accept an altered body image influence rehabilitation and self-management as well as the participation in social activities, such as sport and travel. The challenge of travel lies not only in transferring practical impediments encountered at home to another location; familiar coping strategies may require unexpected adjustments. After presenting background information on limb loss and prostheses, the purpose of this paper was to review literature on health advice for travellers with prosthetic limbs.
METHODS: All major data bases were searched for peer-reviewed literature using a variation of keyword combinations around travel and prosthetics. Relevant journals were searched individually, and selected authors and university departments contacted. No evidence-based results were obtained. The search then moved to grey literature including documents from relevant organisations, professional bodies, government websites, manufacturers, airlines, prosthetic/physiotherapy clinics, sport organisations to approaching amputees, including veterans and athletes, directly.
RESULTS: The list of collated travel advice for people with artificial limbs relates to (1) trip preparation, (2) packing (especially considering the mechanical and/or electrical requirements of the prosthesis), (3) travelling by plane as the most covered mode of travel, and (4) navigating airports and airport security, which may be used by travel health practitioners while awaiting evidence-based guidelines.
CONCLUSIONS: This is the first paper on travel with a prosthetic limb in any field, including travel medicine. Therefore, travel health practitioners have no evidence-based guidelines at their disposal required for high-quality care for this neglected population. Preliminary recommendations for clinical practice, advice for required updates in education, and suggestions for urgently needed research are provided to replace current hints and tips with evidence so that travellers with prostheses are no longer \'out on a limb\'.