脊髓损伤患者辅助器械行走的影响课件.pptxVIP

The influence of walking with an orthosis on bone mineral densityby determination of the absolute values of the loads appliedon the limb;Abstract Spinal cord injury is damage to the spinal cord that results in loss of mobility and sensation below the level of injury. Most patients use various types of orthoses to stand and walk. It has been claimed that walking and standing with orthosis reduces bone osteoporosis, improves joint range of motion and decreases muscle spasm. Unfortunately, there are discrepancies regarding the clinical effects of walking and standing on bone mineral density. ;The aim of this research was to find the absolute values of the loads transmitted by body and orthosis in walking with use of an orthosis. 5 normal subjects were recruited to stand and walk with a new design of reciprocal gait orthosis. The loads transmitted through the orthosis and anatomy was measured by use of strain gauge and motion analysis systems.;结果：通过解剖结构得到的数据比矫形器得到的数据更有意义。此外，该矫形器和身体的力和力矩模式彼此完全不同。在配戴矫形器行走的过程中，携带矫形器行走能够影响骨密度是由于大部分的载荷通过解剖结构进行综合的传递。 ;Introduction;It may be a result of trauma (especially motor vehicle accident), penetrating injuries, or disease. As a result of this type of disability most SCI individuals rely on a wheelchair for their mobility. They can transport themselves from one place to another using a manual wheelchair with the speed and energy expenditure which is similar to normal subjects [5, 6].;Although, wheelchair use provides mobility to those patients, it is not without problems. The main problems are the restriction to mobility from architectural features in the landscape, and a number of health issues due to prolonged sitting. Decubitus ulcers, osteoporosis, joint deformities,especially hip joint adduction contracture can result from prolonged wheelchair use [7]. SCI individuals often undergo various rehabilitation programmes for walking and exercises. It is claimed that walking is a good exercise for paraplegics in order to maintain good h