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截瘫患者装配行走器后的训练与日常生活活动能力分析
引用本文:赵正全,黄杰,陆敏,陈向东,苏强.截瘫患者装配行走器后的训练与日常生活活动能力分析[J].中华物理医学杂志,2003,25(3):172-173.
作者姓名:赵正全  黄杰  陆敏  陈向东  苏强
作者单位:华中科技大学同济医学院附属同济医院康复医学科,华中科技大学同济医学院附属同济医院康复医学科,华中科技大学同济医学院附属同济医院康复医学科,德国OTTOBOCK假肢矫形器工业(中国)有限公司,德国OTTOBOCK假肢矫形器工业(中国)有限公司 430030武汉,430030武汉,430030武汉
摘    要:目的 观察截瘫患者装配互动式行走器 (Walkabout)后行走训练的意义及日常生活活动能力的改变。方法 为 6例脊髓完全性损伤后截瘫患者配戴行走器后 ,逐步进行站立平衡训练、行走训练、助行架及拐杖训练 ;训练前、后应用Barthel指数评定日常生活活动 (ADL)能力 ,并进行分析。结果  6例患者基本达到功能性步态 ,训练后ADL能力明显提高 ,训练前、后比较 ,差异有显著性 (P <0 .0 5 )。结论 截瘫患者装配行走器后的训练十分必要 ,它可使患者恢复较有实际意义的行走功能 ,并可提高患者的ADL能力

关 键 词:截瘫  行走器  训练  日常生活活动
修稿时间:2002年10月29

Training of paraplegic patients fitted with Walkabout improves their performance of activities of daily living
ZHAO Zheng quan ,HUANG Jie,LU Ming,CHEN Xiang dong,SU Qiang.Training of paraplegic patients fitted with Walkabout improves their performance of activities of daily living[J].Chinese Journal of Physical Medicine and Rehabilitation,2003,25(3):172-173.
Authors:ZHAO Zheng quan  HUANG Jie  LU Ming  CHEN Xiang dong  SU Qiang
Institution:ZHAO Zheng quan *,HUANG Jie,LU Ming,CHEN Xiang dong,SU Qiang. *Department of Rehabilitation Medicine,Tongji Hospital,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective To explore the techniques for training of standing and walking of paraplegic patients fitted with Walkabout and observe their changes in performance of activities of daily living (ADL). Methods Six paraplegic patients were fitted with Walkabout and the standing balance as well as gait training was implemented. A comparison of the patients' performance of ADL before and after the training was conducted. Results After training, one patients achieved therapeutic walking, five functional walking. All the patients obtained significant improvement in functional movement and ADL ( P <0.05). Conclusion Fitting the paraplegic patients with Walkabout followed by appropriate training can significantly improve their performance in ADL.
Keywords:Paraplegic  Walkabout  Activities of daily living  
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