新型互动式截瘫行走器在改善截瘫患者独立生活能力中的作用(英文)  

Effect of the new reciprocating gait orthosis (Walkabout orthosis) in improving paraplegic patients' independent living ability

作　　者：武继祥[1] 周贤丽[1] 刘宏亮[1] 尹清[1] 丛林[1] 冯莉[1] 黄祥玉[1] 吴宗耀[1] 

机构地区：[1]解放军第三军医大学西南医院康复科,重庆市400038

出　　处：《中国临床康复》2003年第17期2469-2470,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的脊髓损伤使患者丧失站立和行走功能,为此装配新型互动式截瘫行走器(WO),以提高患者站立和步行的能力。方法解放军第三军医大学西南医院康复科收治的脊髓损伤患者6例,男4例,女2例,年龄21～36岁,平均27.6岁。按ASIA的损伤分级标准均为完全性损伤,A级。对患者进行运动功能训练;根据患者肢体情况配制特定的行走器:双下肢取石膏阴型后,制作带关节的髋膝踝足矫形器,再装配互动式铰链装置,再进行康复治疗和步态训练。结果康复治疗后,患者Barthel指数由治疗前的(26±8)提高到治疗后的(47±7)(t=4.62,P<0.01);运动平面积分由治疗前的(32±10)提高到治疗后的(37±6)(t=0.34,P>0.1);感觉平面积分由治疗前的(54±12)提高到治疗后的(61±12)(t=1.05,P>0.1)。WO使患者站立和步行能力提高,达到治疗性步行及家庭性步行作用。结论康复治疗可以有效地改善患者的独立生活能力。Aim Patient with spine injury often losses walking and standing ability.Rehabilitatin treatment was carried out and new reciprocating gait orthosis(WO)was used to increase patient's standing and walking ability.Methods 6 patients treated in department of rehabilitation,Southwest hospital,third military university were investigated with 4 males and 2 females aged 21- 36 years(mean:27.6).According to ASIA injury grade,all cases were complete injury,grade A.Exercises of motor function was performed;Specially made walkabout orthosis was assembled:following negative plaster cast of both lower limbs,hip knee foot orthosis with joints was made,reciprocating hinge apparatus was assembled and rehabilitation treatment and gait training were carried out.Results After treatment,patient's Barthel index was increased from(26± 8)before treatment to (47± 7) after treatment(t=4.62,P< 0.01);movement plan from (32± 10),before treatment to (37± 6),after treatment(t=0.34,P >0.1);Sensory plan from(54± 12),before treatment to (61± 12),after treatment(t=1.05,P >0.1).WO increased patient's standing and walking ability and remedial walking and family walking were achieved.Conclusion Rehabilitation treatment can effectively improve patients' independent living ability.

关 键 词：互动式截瘫行走器 截瘫 独立生活能力 站立 步行 

分 类 号：R682.22[医药卫生—骨科学]