BS ISO 8548-5-2003 Prosthetics and orthotics - Limb deficiencies - Description of the clinical condition of the person who has had an amputation《修复术和矫形学 肢缺陷 实施切除手术的病人的临床状况.pdf

1、BRITISH STANDARD BS ISO 8548-5:2003 Prosthetics and orthotics Limb deficiencies Part 5: Description of the clinical condition of the person who has had an amputation ICS 11.040.40 BS ISO 8548-5:2003 This British Standard was published under the authority of the Standards Policy and Strategy Committe

2、e on 8 October 2003 BSI 8 October 2003 ISBN 0 580 42723 4 National foreword This British Standard reproduces verbatim ISO 8548-5:2003 and implements it as the UK national standard. The UK participation in its preparation was entrusted to Technical Committee CH/168, Prosthetics and orthotics, which h

3、as the responsibility to: A list of organizations represented on this committee can be obtained on request to its secretary. Cross-references The British Standards which implement international publications referred to in this document may be found in the BSI Catalogue under the section entitled “In

4、ternational Standards Correspondence Index”, or by using the “Search” facility of the BSI Electronic Catalogue or of British Standards Online. This publication does not purport to include all the necessary provisions of a contract. Users are responsible for its correct application. Compliance with a

5、 British Standard does not of itself confer immunity from legal obligations. aid enquirers to understand the text; present to the responsible international/European committee any enquiries on the interpretation, or proposals for change, and keep the UK interests informed; monitor related internation

6、al and European developments and promulgate them in the UK. Summary of pages This document comprises a front cover, an inside front cover, the ISO title page, pages ii to iv, pages 1 and 2, an inside back cover and a back cover. The BSI copyright notice displayed in this document indicates when the

7、document was last issued. Amendments issued since publication Amd. No. Date Comments Reference number ISO 8548-5:2003(E) OSI 3002INTERNATIONAL STANDARD ISO 8548-5 First edition 2003-07-15 Prosthetics and orthotics Limb deficiencies Part 5: Description of the clinical condition of the person who has

8、had an amputation Prothses et orthses Malformations des membres Partie 5: Description des conditions cliniques dune personne ayant subi une amputation BSISO85485:2003IS-8458 O5:(3002E) DPlcsid Fremia ihTs PDF file mya ctnoian emdebt dedyfepcaes. In ccacnadrow eitA hebods licnesilop gnic,y tihs file

9、mirp eb yatnde iv roweb detu slahl ton ide ebtlnu deess teh typfecaes wihce era hml era deddebicsnede ti dna onstlalde t noeh comuptfrep reromign tide ehtin.g In wodlnidaot gnihs fil,e trapise atpecc tiereht nser ehnopsiiblity fo nto ifnriigngn Aebods licnesilop gnic.y ehT ISO tneClar Secrteirata ca

10、ceptl on siibality in this .aera Ai ebods a tedarmfo kra Aebod SystemI snctaropro.de teDials fo teh sfotwcudorp erats sut deo crtaee tihs PDF file cna f ebi dnuon tlareneG eh Ifnler oatit evt oeh file; tP ehDc-Frtaeino marapterew stpo ereimizde fro irptni.gn Evyre cera neeb sah takne tsne oeru taht

11、teh file is siutlbae fosu re yb ISO memdob rebeis. In tlnu ehikletneve y ttah lborp aem lertait gno it is f,dnuo plsaee ifnrom ttneC ehlar Secterirata ta teh serddaig sleb nevwo. ISO 3002 All irthgs erse.devr lnUeto sswrehise specified, on trap fo this lbupictaion maeb y cudorperro de tuilizi den yn

12、a form ro na ybm ynae,s lecetrinoc ro mceinahcla, incliduntohp gcoiypodna gn micrfoilm, wittuoh repmissii now nritign from ietI rehSa Ot tsserdda eh ebolw or ISOs memreb i ydobn the cnuotfo yr ttseuqer ehe.r ISO cirypothg fofice saCe tsopale 65 eneG 1121-HC 02 av leT. 4 + 10 947 22 1 11 xaF0 947 22

13、14 + 9 74 E-mial coirypthgis.o gro We bwww.is.o groii ISO 3002 Allr ihgtsser edevrBSISO85485:2003IS-8458 O5:(3002E) I SO 3002 All irhgts seredevr iiiForeword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work

14、of preparing International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-government

15、al, in liaison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization. International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2. The mai

16、n task of technical committees is to prepare International Standards. Draft International Standards adopted by the technical committees are circulated to the member bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote. Att

17、ention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. ISO shall not be held responsible for identifying any or all such patent rights. ISO 8548-5 was prepared by Technical Committee ISO/TC 168, Prosthetics and orthotics. ISO 8548 consists

18、of the following parts, under the general title Prosthetics and orthotics Limb deficiencies: Part 1: Method of describing limb deficiencies present at birth Part 2: Method of describing lower limb amputation stumps Part 3: Method of describing upper limb amputation stumps Part 4: Description of caus

19、al conditions leading to amputation Part 5: Description of the clinical condition of the person who has had an amputation BSISO85485:2003IS-8458 O5:(3002E) iv I SO 3002 All irhgts seredevrIntroduction The rehabilitation of the person who has had an amputation depends not only on the surgery performe

20、d but also on the causes and pathological condition for which amputation was performed, and on other clinical conditions and attributes of the person. The various members of the clinic teams in different countries develop their own nomenclature to record this information. Hence there is a need for a

21、n international system to allow comparisons of clinical practice. The system is designed to meet the needs of the members of the clinic team in assessing the person and evaluating treatment. Such a system allows the description of the person to be recorded in a way that can easily be incorporated in

22、 reports and be used for analysis. It would also be of value to epidemiologists and government health officials. This part of ISO 8548 defines the minimum information to be described. BSISO85485:2003INTENRATIONAL TSANDADR IS-8458 O5:(3002E)I SO 3002 All irhgts seredevr 1Prosthetics and orthotics Lim

23、b deficiencies Part 5: Description of the clinical condition of the person who has had an amputation 1 Scope This part of ISO 8548 establishes a method of describing those attributes of a person who has had an amputation which may affect their rehabilitation. 2 Normative references The following ref

24、erenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. ISO 8548-1:1989, Prosthetics and orthotics Limb deficiencies Part

25、1: Method of describing limb deficiencies present at birth ISO 8548-2:1993, Prosthetics and orthotics Limb deficiencies Part 2: Method of describing lower limb amputation stumps ISO 8548-3:1993, Prosthetics and orthotics Limb deficiencies Part 3: Method of describing upper limb amputation stumps ISO

26、 8548-4:1998, Prosthetics and orthotics Limb deficiencies Part 4: Description of causal conditions leading to amputation ISO 8549-1:1989, Prosthetics and orthotics Vocabulary Part 1: General terms for external limb prostheses and external orthoses ISO 8549-2:1989, Prosthetics and orthotics Vocabular

27、y Part 2: Terms relating to external limb prostheses and wearers of these prostheses 3 Terms and definitions For the purposes of this document, the terms and definitions given in ISO 8548-1, ISO 8548-2, ISO 8548-3, ISO 8548-4, ISO 8549-1, and ISO 8549-2 apply. 4 Description of the person who has had

28、 an amputation 4.1 General NOTE The general condition of the person has an important bearing on the rehabilitation achieved irrespective of the condition of the stump or the prosthesis if fitted. The description should include the information listed in 4.2 to 4.5. BSISO85485:2003IS-8458 O5:(3002E) 2

29、 I SO 3002 All irhgts seredevr4.2 Personal factors State the persons age, gender, height and body mass. Describe, where relevant, the persons social and physical environment, vocational and recreational activities. Describe any significant and relevant medical history, including the usage of tobacco

30、. Describe any limitation of the functions of the lower limb(s), upper limb(s) or the trunk which existed prior to the amputation, and which may affect the outcome of rehabilitation. 4.3 Condition of the musculoskeletal system 4.3.1 Condition of the amputation stump(s) Describe the condition of the

31、amputation stump(s), using the method specified in ISO 8548-2 or ISO 8548-3 as appropriate, and state the laterality of the amputation(s). 4.3.2 Condition of the remaining limbs Describe any abnormality of the remaining limbs, using the appropriate descriptors as specified in ISO 8548-2 or ISO 8548-

32、3. 4.4 General clinical condition Disorders of any of the following may affect the rehabilitation of the person who has had an amputation: a) the cardiovascular system; b) the respiratory system; c) the neurological system; d) the special senses; e) the nutritional status; f) the cognitive state; g)

33、 the mental and psychological status; h) other systems. State whether there is a significant disorder of any of these, and if the effect on the persons performance is moderate or severe, and note any current treatment. 4.5 Motivation and perceived needs NOTE The motivation and perceived needs of the

34、 person have a marked effect upon their rehabilitation. They are interdependent and are influenced by the persons clinical condition, personality and physical, social and cultural environment. Motivation is difficult to describe but both poorly motivated and highly motivated individuals can be recog

35、nized by clinicians. State the clinical impression of the persons motivation and their perceived needs. BSISO85485:2003blankBS ISO 8548-5:2003 BSI 389 Chiswick High Road London W4 4AL BSI British Standards Institution BSI is the independent national body responsible for preparing British Standards.

36、It presents the UK view on standards in Europe and at the international level. It is incorporated by Royal Charter. Revisions British Standards are updated by amendment or revision. Users of British Standards should make sure that they possess the latest amendments or editions. It is the constant ai

37、m of BSI to improve the quality of our products and services. We would be grateful if anyone finding an inaccuracy or ambiguity while using this British Standard would inform the Secretary of the technical committee responsible, the identity of which can be found on the inside front cover. Tel: +44

38、(0)20 8996 9000. Fax: +44 (0)20 8996 7400. BSI offers members an individual updating service called PLUS which ensures that subscribers automatically receive the latest editions of standards. Buying standards Orders for all BSI, international and foreign standards publications should be addressed to

39、 Customer Services. Tel: +44 (0)20 8996 9001. Fax: +44 (0)20 8996 7001. Email: ordersbsi-. Standards are also available from the BSI website at http:/www.bsi-. In response to orders for international standards, it is BSI policy to supply the BSI implementation of those that have been published as Br

40、itish Standards, unless otherwise requested. Information on standards BSI provides a wide range of information on national, European and international standards through its Library and its Technical Help to Exporters Service. Various BSI electronic information services are also available which give

41、details on all its products and services. Contact the Information Centre. Tel: +44 (0)20 8996 7111. Fax: +44 (0)20 8996 7048. Email: infobsi-. Subscribing members of BSI are kept up to date with standards developments and receive substantial discounts on the purchase price of standards. For details

42、of these and other benefits contact Membership Administration. Tel: +44 (0)20 8996 7002. Fax: +44 (0)20 8996 7001. Email: membershipbsi-. Information regarding online access to British Standards via British Standards Online can be found at http:/www.bsi- Further information about BSI is available on

43、 the BSI website at http:/www.bsi-. Copyright Copyright subsists in all BSI publications. BSI also holds the copyright, in the UK, of the publications of the international standardization bodies. Except as permitted under the Copyright, Designs and Patents Act 1988 no extract may be reproduced, stor

44、ed in a retrieval system or transmitted in any form or by any means electronic, photocopying, recording or otherwise without prior written permission from BSI. This does not preclude the free use, in the course of implementing the standard, of necessary details such as symbols, and size, type or grade designations. If these details are to be used for any other purpose than implementation then the prior written permission of BSI must be obtained. Details and advice can be obtained from the Copyright & Licensing Manager. Tel: +44 (0)20 8996 7070. Fax: +44 (0)20 8996 7553. Email: copyrightbsi-.