脑瘫儿童抓握辅具设计与应用  

Design and Application of Grasping Assistive Device for Children with Cerebral Palsy

作　　者：蒋一凡 陈颖 刘欣杰 林睿瑄 江冰 曾奕 JIANG Yi-fan;CHEN Ying;LIU Xin-jie(Fujian university of traditional Chinese medicine,Fuzhou,Fujian 350122)

机构地区：[1]福建中医药大学康复医学院,福建福州350122 [2]福建中医药大学附属第二人民医院

出　　处：《中国伤残医学》2023年第3期17-20,29,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：福建省社会实践一流本科课程《环境改造与辅助技术》建设项目,福建省教育教学改革研究项目(FBJG20200010)。

摘　　要：目的:设计一款新型的抓握辅具,以帮助脑瘫儿童在日常生活中获得所需的抓握技巧。方法:根据手的生理解剖特点,结合磁铁异性相吸的原理,设计了一款拥有代偿和治疗功能的抓握辅具并将本设计应用于临床个案中。运用作业治疗的实践模式与框架,评估分析个案存在的上肢功能障碍,在实施治疗方案时适当使用本抓握辅具。结果:设计的抓握辅具可以帮助患儿实现抗重力抓握以及辅助抓握的功能,在日常生活活动、工作/学习、休闲娱乐领域上的表现均有不同程度的提高。结论:使用本抓握辅具能较好地处理功能状况与作业表现之间的差距问题。在未来,本抓握辅具或也可推广应用于其他存在抓握功能障碍的人群中。Objective:Design a new grasping assistive device to help the child with cerebral palsy to acquire the grip skills needed in daily life.Methods:Based on the physiological anatomy of the hand,the author designed a grasping assistive device with compensatory and therapeutic functions using the properties of the magnets and applied this design to a clinical case.Using an occupational therapy practice model and framework,the upper extremity dysfunction of the case was assessed and analyzed,in the meantime the grasping assistive were used appropriately in the implementation of the treatment program.Results:The grasping aids are designed to help the child achieve a gravity-resistant grip as well as assisted grip,with varying degrees of improvement in activities of daily living,work/study,and leisure areas.Conclusion:the gap between functional status and occupational performances were well addressed by using the grasping assistive.In the future,the grasping assistive may be extended to other people with grasp dysfunctions.

关 键 词：肌力下降 肌张力异常 异常抓握模式 脑性瘫痪 辅助器具 

分 类 号：R496[医药卫生—康复医学]