文章摘要
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].中华物理医学与康复杂志,2003,(3):.-
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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
  
DOI:
中文关键词: 截瘫  行走器  日常生活活动
英文关键词: Paraplegic  Walkabout  Activities of daily living
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作者单位
赵正全,黄杰,陆敏,陈向东,苏强 430030武汉华中科技大学同济医学院附属同济医院康复医学科(赵正全、黄杰、陆敏)德国OTTO BOCK假肢矫形器工业(中国)有限公司(陈向东、苏强) 
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中文摘要:
      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<0.05)。 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。
英文摘要:
      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). MethodsSix 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. ResultsAfter training, one patients achieved therapeutic walking, five functional walking. All the patients obtained significant improvement in functional movement and ADL (P<0.05). ConclusionFitting the paraplegic patients with Walkabout followed by appropriate training can significantly improve their performance in ADL.
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