截瘫步行器的仿生效果  

Bionic effect of reciprocating gait orthosis

作　　者：陈文远[1] 

机构地区：[1]海南省人民医院康复医学部康复医学科,海南省海口市570102

出　　处：《中国组织工程研究与临床康复》2011年第30期5650-5652,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:截瘫步行器的临床应用,使截瘫患者重建步行功能成为可能,但截瘫步行器只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远。目的:对目前几种截瘫步行器的结构特点、作用机制及仿生效果进行归纳、分析。方法:应用计算机检索1990-01/2008-12PubMed数据库及万方数据库有关截瘫步行器的特点、仿生效果及临床应用方面的相关文献,英文检索词"reciprocation gait orthosis,walkabout,bionice",中文检索词"截瘫步行器,仿生"。检索文献量总计32篇。结果与结论:目前无动力截瘫步行器运用较广泛,但对截瘫患者来说,通常只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远。运用最广的往复式截瘫步行器和互动截瘫步行器这两种截瘫步行器仿生效果较差,步态严重失真,体能消耗大,而由外部能源补充能耗的步行器则可以克服无动力步行器的不足,随着人工智能技术在机器人和许多工业领域得到了广泛应用,它的发展可为患者提供性能优良,安全可靠,更具有仿生性的截瘫步行器产品。BACKGROUND：Reciprocating gait orthosis makes the paraplegia patients walking,but reciprocating gait orthosis can only perform walking rehabilitation training and simple walking,which was far from real walking function compensation. OBJECTIVE：To summarize and analyze construction features,action mechanism and bionic effect of reciprocating gait orthosis. METHODS：We retrieved PubMed Database and Wanfang Database for articles concerning features,bionic effect and clinical application of reciprocating gait orthosis published from January 1990 to December 2008. The were ＂reciprocation gait orthosis,walkabout,bionice＂. A total of 32 articles were researched. RESULTS AND CONCLUSION：At present,unpowered reciprocating gait orthosis has been extensively utilized,but it can only perform walking rehabilitation training and simple walking,which was far from real walking function compensation for paraplegia patients. The bionic effects of reciprocation gait orthosis and walkabout were poor;gait lacked fidelity;physical ability was greatly consumed. However,the gait orthosis that requires outer energy for supplement can overcome the disadvantage of unpowered gait orthosis. With the wide usage of artificial intellectual technology in robot and many industry fields,its development can provide gait orthosis that has good function,safety,reliability,and bionics.

关 键 词：截瘫步行器 仿生 临床应用 康复训练 行走 

分 类 号：R318[医药卫生—生物医学工程]