脊髓损伤康复中的支撑-驱动生物力学问题  

Supporting-driving biomechanics in rehabilitation of spinal cord injury

作　　者：牛文鑫[1] 单绵佳 齐燕[2] 解海霞 NIU Wen-xin;SHAN Mian-jia;QI Yan;XIE Hai-xia(The Clinical Research Center of Intelligent Rehabilitation,Tongji University,Shanghai 201619,China;Dept.of Spinal Cord Injury Rehabilitation,Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center),School of Medicine,Tongji University,Shanghai 201619,China;Dept.of Social Work,Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center),School of Medicine,Tongji University,Shanghai 201619,China)

机构地区：[1]同济大学智能康复临床研究中心,上海201619 [2]同济大学附属养志康复医院脊髓损伤康复科,上海201619 [3]同济大学附属养志康复医院社会工作部,上海201619

出　　处：《同济大学学报（医学版）》2021年第5期581-588,共8页Journal of Tongji University(Medical Science)

基　　金：国家重点研发计划(2021YFE0204500);上海市卫健委中医药传承和科技创新项目(ZYKC2019032)。

摘　　要：脊髓损伤是一种具有较高发病率和致残率的神经系统疾病。损伤导致患者日常活动的支撑-驱动模式改变,从而使得上肢与臀部的受力模式发生变化。生物力学因素导致一系列的并发症,如肩痛和压疮等,给脊髓损伤患者的康复增加了难度。有必要建立脊髓损伤患者活动的支撑-驱动理论,分析并发症的发生的生物力学机制,为脊髓损伤患者的康复研究提供新的角度,并为新型智能康复设备和辅具的开发提供依据。Spinal cord injury(SCI)is a serious nervous system injury with high rate of morbidity and disability.The injury causes changes in the supporting-driving mode of the patient s daily activities,and alters the loading pattern of the upper limbs and buttocks.Biomechanical factors lead to a series of complications,such as shoulder pain and pressure ulcers,which increase the difficulty of rehabilitation of SCI patients.It is necessary to establish a supporting-driving theory for the activities of SCI patients to analyze the biomechanics of those complications.The supporting-driving theory provides a new perspective for the rehabilitation research of SCI patients and a basis for the development of new intelligent rehabilitation equipments and assistive devices.

关 键 词：脊髓损伤 支撑 驱动 压疮 肩痛 

分 类 号：R49[医药卫生—康复医学] R681.5[医药卫生—临床医学]