往复式步行矫形器对胸1脊髓损伤患者康复疗效的影响

Influences of Reciprocating Gait Orthosis on Rehabilitation Effect of Patients with T1 Spinal Cord and Injury

目的:观察装配往复式步行矫形器对胸1(T1)脊髓损伤(SC)I患者康复疗效的影响。方法:18例T1SCI后截瘫患者在配戴步行矫形器前进行强化康复治疗,矫形器配戴后配合步行等综合康复训练。配戴矫形器前和后2个月用改良Barthel指数(MB)I和功能独立性评测(FIM)进行评定,并测定6min步行距离和10m步行时间,再进行比较分析。结果:配戴往复式步行矫形器后综合康复训练2个月后和装配前相比,患者的ADL能力提高(P<0.05),10m步行时间(90.11±67.14)s,6min步行距离(56.71±28.28)m,并且18例患者均达到室内实用性步行。结论:配戴往复式步行矫形器配合系统康复治疗对T1节段SCI患者步行能力及ADL有较好的康复效果,值得临床推广。

Objective： to observe the influences of reciprocating gait orthosis on rehabilitation effect of patients with T1 spinal cord injury （SCI） .Methods： 18 cases with T1 SCI received rehabilitation therapy. Before assembling the reciprocating gait orthosis, and additional gait training after fixing orthosis.Modified Barthel Index （MBI） and Functional Independence Measure （FMI） were used to assess pre and post two- months training, and 6-min walking test and timed 10 meters walking test were used to assess. Results： The ADL ability of all eases improved obviously after equipping reciprocating ambulation orthosis, and the walking ability was also improved （P〈 0.05） .The mean timed 10 meters was （90.11±67.14） s, mean of 6- min walk test was （56.71±28.28） m, and 18 cases achieved domestic walking ability. Conclusion： the reciprocating gait orthosis combined with comprehensive rehabilitation therapy has better effect on walking ability and ADL of patients with T1 SCI, deserving the clinical expansion.