《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (02): 117-119.

• 专题 • 上一篇    下一篇

往复式步行矫形器对改善脊髓损伤患者步行能力及日常生活活动能力的作用

石芝喜1;唐丹1;欧阳庆军2;王俊1;刘四文1   

  1. 1. 广州工伤康复医院，广东广州市 510970;2. 长沙民政职业技术学院康复医学系，湖南长沙市 410004
  • 收稿日期:2008-03-25 修回日期:2008-08-29 出版日期:2009-02-01 发布日期:2009-02-01

Effect of Reciprocating Gait Orthosis on Walking Ability and Activities of Daily Living of Patients with C6～T6 Spinal Cord Injury

SHI Zhi-xi, TANG Dan, OUYANG Qing-jun, et al   

  1. Guangzhou Industrial Injuries Rehabilitation Hospital, Guangzhou 510970, Guangdong, China
  • Received:2008-03-25 Revised:2008-08-29 Published:2009-02-01 Online:2009-02-01

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摘要： 目的 观察往复式步行矫形器对C6～T6节段脊髓损伤（SCI）患者步行能力及日常生活活动（ADL）能力的影响。方法 对20例SCI患者（按ASIA标准损伤程度均为A-B型，损伤节段C6～T6）在装配步行矫形器前进行强化康复治疗（包括肌力、心肺功能、转移、ADL、膀胱功能等），矫形器装配后配合步态步行训练。训练前后采用改良Barthel指数（MBI）和功能独立性评测（FIM）进行评定，并测定行走距离（包括6 min步行评测和10 m步行时间评测）。结果 装配往复式步行矫形器后，患者的ADL能力提高（P＜0.05），10 m步行时间（99.21±75.24）s，6 min步行距离（41.71±29.38）m，其中6例达到室内治疗性步行，14例达到室内实用性步行。结论 往复式步行矫形器配合系统康复治疗对改善C6～T6节段SCI患者步行及ADL能力有一定效果。

关键词: 往复式步行矫形器, 脊髓损伤, 步行, 日常生活活动

Abstract: Objective To observe the effect of reciprocating gait orthosis on walking ability and activities of daily living (ADL) of patients with C6～T6 spinal cord injury (SCI).Methods 20 cases with C6～T6 SCI and according with type A and type B of ASIA standard received rehabilitation therapy, including training of muscle power, cardiopulmonary function, transferring mobility, ADL, bladder function, etc., before assembling the reciprocating gait orthosis, and additional gait training after fixing orthosis. The timed walking function assessment (6-min walking test and timed 10 meters walking test), gait analysis, Modified Barthel Index (MBI) and Functional Independence Measure (FMI) were used to assess pre- and post-training.Results The ADL ability of all cases improved obviously after equipping reciprocating ambulation orthosis, the walking ability also improved (P＜0.05). The mean timed 10 meters was 99.21±75.24 s, mean 6-min walk test was 41.71±29.38 m. From all patients, 14 cases achieved practicability walking ability, 6 cases achieved domestic walking ability.Conclusion The reciprocating gait orthosis combined with comprehensive rehabilitation therapy has effect on walking ability and ADL of patients with C6～T6 SCI.

Key words: reciprocating gait orthosis, spinal cord injury, walking, activities of daily living