坐骨承重矫形器的制作与应用

Making and application of an ischial weight bearing orthosis

目的探索坐骨承重矫形器有效的制作技术和在康复训练中的应用方法。方法根据每个患肢的情况专门定制一件具有免负荷功能的坐骨承重矫形器，通过适应性训练及站立行走训练，观察装配前、后的站立行走功能情况。结果患者装配坐骨承重矫形器后，其站立与行走能力比装配前明显提高，差异均有统计学意义，站立时间比装配前明显延长（P〈0．01），行走距离比装配前明显增加（P〈0．01）。结论坐骨承重矫形器对患者站立行走功能的恢复有显著作用，而主动的站立和行走能增强患者的综合功能。

Objective To facilitate standing and walking after rehabilitation training by designing and using individualized ischial weight bearing orthosis for patients with various conditions of the lower limbs. Methods An orthosis with ischial support was ordered and tailored according to the condition of the patient＇s affected lower limb. Adaptive standing and walking training were administered daily. The functional recovery after the assembly of the orthosis was observed. Results The patients＇ standing and walking ability improved significantly after the training with the ischial weight bearing orthosis. The standing time was significantly longer than without the orthosis, and the walking distance was notably increased. Conclusion An ischial weight bearing orthosis has a significant effect on the recovery of standing and walking capability.