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題 名 | Functional Performances for Paraplegia with Three Different Types of Walking Orthoses: A Case Report=下肢癱瘓患者穿著三種不同型態行走輔具之功能表現 |
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作 者 | 王淳厚; 施啟明; 賴郁芬; 祝旭東; 何浩然; 黃邦榮; 董莉貞; 何啟中; 畢柳鶯; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 23:2 1998.04[民87.04] |
頁 次 | 頁148-157 |
分類號 | 418.996 |
關鍵詞 | 下肢癱瘓; 裝具; 交替性步態; Paraplegia; Orthosis; Reciprocal gait; |
語 文 | 英文(English) |
中文摘要 | 大部分的下肢痠瘓患者常以輪椅為他們的代步工具,但受到環境的限制 卻是相當大的,因為環境並沒有針對他們的需求而改善。在本研究申,介紹新型 的行走輔助系統給下肢擁瘓患者及復健團隊。我們從此次臨床經驗申學會如何製 作、修改行走輔具、及訓練患者的經驗。IRGO是一種體膝足踝裝貝(HKAFO), 它是利用控制髓關節及身體伸展來輔助對側之體關節彎曲。它包含兩側膝踝足裝 具(KAFC幻和兩邊外側饋關節,連接到一個硬式胸腰椎裝其上。而 WalkaboutOrthosis(WO)包含兩側膝踝足裝具(KAFOs),由一個內側單軸體關節連接 在一起,位於會陰部下方,可以很簡單將饋關節從裝具上拆卸下來。 我們針對一位胸髓第I2節以下完全損傷的脊髓損傷患者。穿著IRGO,WC及傳統 的膝踝足裝具接受物理冶療訓練後。來進行臨床測試,獲得下列結果。(1)在平 坦路面上行走之速度(IRGO二0.39m/sec,W0二0.14m/sec,andKAFOs=0.14m/s芭: (2)步 長(IRGO=58.82 cm/step,WO=24.82 cm/step,and KAFOs=18.63 cm/step)(3)步頻 (IRGO=39.96 steps/min,WO=33.17 steps/min,and KAFOs=45.61 steps/min)(4)生理耗能 指數 (IRGO=1.36 beats/m,WO=3.28 beats/m,and KAFOs=4.47 beats/ml在功能性評估 項目上:(1)此患者可以在輪椅上自行穿脫三種裝具,穿著裝具時也可以自行從輪 椅上站立起來及坐回輪椅上,而在平坦路面上行走也不需任何幫助。(2)上下斜 坡時:IRGO為在旁督看輔助,WO and KAFOs為輕微輔助。(3)上下樓梯部 份:IRGO,WO,及KAFOs均為在旁督看輔助。(4)上下三公分高的台階:IRGO為在旁 督看輔助;WO和KAFOs需要中等程度的輔助。 簡單而言,IRGO可以使患者有較快及較獨立的步態,WO可以提供一個較穩定的 站姿和較簡便自行穿脫的優點。而這兩種行走輔具均可提供比傳統膝踝足裝具, 較節省能量消耗的交替性步態。(中華物療誌1998;23(2):148-157) |
英文摘要 | Most paraplegic patients used their wheelchairs as a transportation toot, but largely confined byenvironment that didn't adapt for them. In this study, we introduced the new walking system to the para-plegia and the rehabilitation team workers in Taiwan. We obtained the clinical experience how to manu-facture, modify and fitting the orthoses during training sessions. Isocentric Reciprocal Gait Orthosis(IRGO) is a hip-knee-ankle-foot orthosis (HKAFO) which controls hip extension while assisting recipro-cal hip flexion. It comprises laterally placed hip joints that conned bilateral knee-ankle-foot orthoses(KAFOs) to a thoracolumbar corset. Walkabout Orthosis (WO) consists of two KAFOs joined by a singleaxis hip joint called the Walkabout Unit. The hip joint is positioned between the medial uprights of theKAFOs, under the perineum, and is designed for easy removal from the KAFOs. We performed clinical tests of the new IRGO and WO in a paraplegic patient with T12 motorcomplete lesion. The resuits were as follows. (1) Walking speed on a level surface: IRGO=0.39 m/sec,W0=0.14 m/sec, and KAFOs=0.14 m/sec. (2) Step length: IRGO=58.82 cm/step, W0=24.82 cm/step,and KAFOs=18.63 cm/step. (3) Cadence: IRGO=39.96 steps/min, W0=33.l7 steps/min, and KAFOs=45.61 steps/min. (4) PCI: IRGO=1.36 beats/m, W0=3.28 beats/m, and KAFOs=4.47 beats/m. In the functional assessment tasks, the results included the following. (1) He could independentlyperform donning and doffing the orthosis, changing positions from sitting to standing and from stand-ing lo sitting, and walking on a level surface with all three type orthoses. (2) Walking up and down theramps: IRGO = stand-by assistance, WO and KAFOs = minimal assistance. (3) Getting up and down thestairs: IRGO, WO, and KAFOs were stand-by assistance. (4) Up and down the curb of 3.0 cm heightIRGO was stand-by assistance; WO and KAFOs were moderate assistance. In summary, the IRGO performed a quicker and more independent gait, white the WO achieved amore stable standing and easy don-doff by himself than conventional KAFOs. Furthermore both of themwalked with less energy consumption than conventional KAFOs. (JPTA ROC 1998;23(2):148-157) |
本系統中英文摘要資訊取自各篇刊載內容。