比较C-Leg(R)与机械控制假肢膝关节对膝上截肢者步行功能、活动参与及自我感知的影响.pdfVIP

第 9 届北京国际康复论坛 The 9th Beijing International Forum on Rehabilitation with mechanical controlled knee, in that both prostheses have functional deficits such as missing active knee extension and propulsion force at toe off. In addition, the dynamic damp control and stumble recovery function of C-Leg® can contribute to balance capability and reduce falling risk. Thanks to the real-time measurement of the sensor system and dynamic adjustment of microprocessor-based hydraulic system, C-Leg® allows safer and more efficient stairs/hills/ uneven road negotiation. All those superiority of C-Leg® lead to users to be more satisfied than mechanical controlled knee. However, the impact of different prosthetic knees on TFAs ‘ activities level is not clear currently due to the lack of universal and efficient measurement of evaluating the activity level of amputees, thus additional research needs to be done to explore the possible evaluating tools. And how different prosthetic knees affect trans-femoral amputees energy consumption is also controversial. Future researches to explore the the energy expenditure among different prosthetic knees should take walking speed, amputation origin, terrain condition and so on into consideration. Conclusion:In comparison with mechanically controlled knee, C-leg can improve the general gait of amputees, but can not alter their obvious asymmetric gait pattern. C-leg can also improve the balance capability and reduce falling risk. Those superiority of C-Leg® lead users to be more satisfied than mechanical controlled knee. Future researches are necessary to investigate how different prosthesis knees affect the activity level and energy consumption of TFAs. Key words: C-Leg®; transfemoral amputees, mechanical controlled knee ， walking function ， activityparticipation, perception. 前言 自 20 世纪四五十年代以来，临床上最早使用的假肢膝关节多为带锁定器的膝关节(简称 固定膝) 、可