Clinical experience with a new hip-knee-ankle-foot orthotic system using a medial single hip joint for paraplegic standing and walking.
Clinical experience with a new hip-knee-ankle-foot orthotic system using a medial single hip joint for paraplegic standing and walking.
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使用内侧单髋关节进行截瘫站立和行走的新型髋膝踝足矫形系统的临床经验。
DOI：
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发表时间：
1996
影响因子：
3
通讯作者：
N. Chino
中科院分区：
文献类型：
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作者：
E. Saitoh;T. Suzuki;S. Sonoda;J. Fujitani;Y. Tomita;N. Chino
Walkabout是一种新型的髋-膝-踝-足矫形器（HKAFO），由S。1992年的麦凯。与其他HKAFO系统相比，髋关节部分结构紧凑，可拆卸，因此具有独特的真实的优点：易于穿戴和脱下设备，与轮椅兼容，美观。我们临床上测试了五个病人，截瘫，因为脊髓损伤，使用MSH-KAFO系统。所有患者均为男性，年龄26-36岁。其功能水平为L-1（2例），T-10（2例）和T-5（1例）。所有患者均能在第一次佩戴支具后立即无拐杖稳定站立并进行双杠行走。经过几个小时的拐杖行走练习，所有人都可以用洛夫斯特兰德拐杖独立行走。在随访时间点（平均7.1个月），他们的步行速度范围为10至37.5（平均19.9）m/min。在四种情况下，我们测量了摄氧量，以预测能量消耗。在舒适行走时，预测能量消耗为1.31至3.89（平均2.75）MET。与文献资料相比，这些似乎与正常行走水平相同，低于KAFOs行走水平。我们的研究结果表明，MSH-KAFO是一种非常方便的截瘫患者站立和行走装置，并与轮椅使用兼容。
The Walkabout is a new hip-knee-ankle-foot orthotic (HKAFO) system with a medial single hip joint (MSH-KAFO) invented by S. McKay in 1992. Compared with other HKAFO systems, the hip joint part is compact and removable, so it has distinguishable, real merits: ease in donning and doffing the device, compatibility with a wheelchair, and cosmesis. We clinically tested five patients, paraplegic because of spinal cord injury, using the MSH-KAFO system. All were males, aged 26-36 yr old. Their functional levels were L-1 (2 cases), T-10 (2 cases), and T-5 (1 case). All patients could stand stably without crutches and walk in parallel bars immediately the first time they wore the braces. After a few hours of crutch-walking exercises, all could walk independently with Lofstrand crutches. Their walking velocities ranged from 10 to 37.5 (mean, 19.9) m/min at the follow-up points (mean, 7.1 mo). With four cases, we measured oxygen uptake for predictions of energy consumption. At comfortable walking, predicted energy consumptions were from 1.31 to 3.89 (mean, 2.75) METs. Compared with the data in literature, these seemed to be at the same level with normal walking and lower than the KAFOs walking level. Our results suggest that MSH-KAFO is a very convenient standing and walking device for paraplegics and is compatible with wheelchair use.