膝踝足矫形器对完全性脊髓损伤患者的康复作用.PDFVIP

doi:10.3969/j.issn.1003-6350.2013.10.0614 ·论 著· 膝踝足矫形器对完全性脊髓损伤患者的康复作用 林志伟，练振坚，符 俏 （海南省人民医院康复医学科，海南 海口 570102) 【摘要】 目的 探讨膝踝足矫形器（KAFO ）对完全性脊髓损伤患者的康复作用。方法 L 及以下脊髓损伤 1 患者17例，其中男性11例，女性6 例；损伤节段：L 损伤9 例，L 损伤5 例，L 损伤3 例；年龄19~42岁，平均34.7 1 2 3 岁。在装配膝踝足矫形器前需进行多项康复治疗，包括肌肉力量、心肺功能、轮椅转移、日常活动能力（ADL) 、膀 胱训练等，装配矫形器后加强步态训练；分别于矫形器装配前及出院前进行限时的步行功能检查(包括6 min 步 行评测和10 m步行时间评测) 、步态分析及改良Barthel 指数(MBI)作为指标进行评定。结果 17例患者在不使 用矫形器的情况下均不能独立行走，矫形器装配及训练后10 m步行时间平均(76.35±32.45) s ，6 min 步行距离平 均为(67.48±24.35) m ，平均步长37.9 cm。结论 步行矫形器配合系统的康复治疗对改善完全性脊髓损伤患者步 行能力及日常活动能力效果理想。 【关键词】 矫形器；脊髓损伤；康复 【中图分类号】 R744 【文献标识码】A 【文章编号】 1003—6350（2013 ）10—1465—03 Effect of knee ankle foot orthosis in the rehabilitation of patients with complete spinal cord injury. LINZhi-wei, LIANZhen-jian,FUQiao.DepartmentofRehabilitationMedicine,HainanProvincialPeoplesHospital,Haikou570102, Hainan,CHINA 【Abstract 】 Objective To investigate effect of knee ankle foot orthosis (KAFO) in the rehabilitation of pa- tients with complete spinal cord injury. Methods Seventeen patients (11 males and 6 females) with spinal cord inju- ry of L1 or under L1 were enrolled in the study, aged from 19 to 42 years old (34.7 in average), of which 9 cases were L1 level, 5 cases were L2 level, 3 cases were L3 level. Several rehabilitation therapies were needed before assembly of KAFO, including muscle strength, cardiopulmonary function, wheelchair transfer, the activities daily living (ADL), bladder training.