| 眭益辰,李鹤.截瘫步行矫形器对腰段不完全性脊髓损伤患者步行能力、平衡能力和下肢肌力的影响[J].中国康复,2025,40(9):572-576 |
| 截瘫步行矫形器对腰段不完全性脊髓损伤患者步行能力、平衡能力和下肢肌力的影响 |
| Effect of paraplegic walking orthosis on walking ability, balance ability and lower limb muscle strength in patients with incomplete lumbar L1-L2 spinal cord injury |
| |
| DOI：10.3870/zgkf.2025.09.011 |
| 中文关键词: 截瘫步行矫形器 脊髓损伤 步行能力 平衡能力 下肢肌力 |
| 英文关键词: paraplegic walking orthosis spinal cord injury walking ability balance ability lower limb muscle strength |
| 基金项目: |
|
| 摘要点击次数: 454 |
| 全文下载次数: 262 |
| 中文摘要: |
| 目的：探讨截瘫步行矫形器对腰L1～L2段不完全性脊髓损伤患者步行能力、平衡能力和下肢肌力的影响。方法：选取2021年1月～2024年1月于本院收治的96例腰L1～L2段不完全性脊髓损伤患者，随机数字法分为观察组和对照组48例。2组患者均进行常规肌肉力量、关节活动度、站立、平衡等康复训练6个月后装配矫形器接受步行训练，对照组予以膝踝足矫形器（KAFO），观察组予以截瘫步行矫形器（WO），步行训练均持续干预12周。观察2组患者步行能力、平衡能力和下肢肌力的变化，并进行治疗满意度评价。结果：2组步态参数（步长、步速、步频）、6min步行距离、Berg平衡功能量表评分及股四头肌、胫前肌肌力干预后6周及12周时，均较干预前呈逐渐提高趋势（P<0.01），且观察组上述指标干预后6周及12周时均高于对照组（P<0.01）；2组10m步行时间干预后6周及12周时较干预前呈逐渐缩短趋势（P<0.01），且观察组干预后6周及12周时短于对照组（P<0.01）。干预结束后，2组脊髓损伤分级分布组间和组内比较均无统计学差异；观察组治疗总满意度高于对照组（P<0.05）。结论：KAFO与WO辅助脊髓损伤致截瘫患者康复训练均可有效提高腰L1~L2段不完全性脊髓损伤患者的步行能力、平衡能力和下肢肌力，而相较于KAFO，WO的效果可能更具优势。 |
| 英文摘要: |
| Objective: To explore the effects of paraplegic walking orthosis (WO) on walking ability, balance ability and lower limb muscle strength in patients with incomplete lumbar L1-L2 spinal cord injury. Methods: A total of 96 patients with spinal cord injury admitted to the hospital were enrolled between January 2021 and January 2024. According to the random number table method, the patients were divided into observation group (n=48) and control group (n=48). On the basis of routine rehabilitation training (muscle strength, range of motion, standing, balance) for 6 months, control group was given knee-ankle-foot-orthosis (KAFO), and observation group was given WO for 12 weeks of training. The changes of walking ability, balance ability and lower limb muscle strength in the two groups were observed. Patients were invited to evaluate the treatment satisfaction. Results: At 6th and 12th week after intervention, gait parameters (step length, leg speed, stride frequency) were increased in both groups, and those at 12th week after intervention were higher than those at 6th week after intervention (all P<0.001). At 6th and 12th weeks after intervention, the above gait parameters in observation group were higher than those in control group (all P<0.01). At 6th and 12th week after intervention, 10m walking time was shortened in both groups, and that at 12th week after intervention was shorter than that at 6th week after intervention (all P<0.01). At 6th and 12th week after intervention, 6min walking distance was increased in both groups, and that at 12th week after intervention was longer than that at 6th week after intervention (all P<0.01). At 6th and 12th week after intervention, 10m walking time in observation group was shorter than that in control group, and 6min walking dista-nce was farther than that in control group (all P<0.01). At 6th and 12th week after intervention, scores of Berg balance function scale were increased in both groups, and those at 12th week after intervention were higher than those at 6th week after intervention (all P<0.001). At 6th and 12th week after intervention, scores of Berg balance function scale in observation group were higher than those in control group (all P<0.001). At 6th and 12th week after intervention, muscle strength of quadriceps and tibialis anterior was increased in both groups, and that at 12th week after intervention was greater than that at 6th week after intervention (all P<0.001). At 6th and 12th week after intervention, muscle strength of quadriceps and tibialis anterior in observation group was greater than that in control group (all P<0.01). After intervention, there was no significant difference in the grading distribution of spinal cord injury between the two groups and within the same group. The total satisfaction of observation group was greater than that of control group (P<0.05). Conclusion：Rehabilitation training with KAFO and WO can effectively improve walking ability, balance ability and lower limb muscle strength in patients with paraplegia induced by incomplete lumbar spinal cord injury of L1-L2 segment. Compared with KAFO, WO may have more advantages. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
