The development of Medial hip joint system for reconstruction of paraplegic locomotion

重建截瘫运动的内侧髋关节系统的研制

基本信息

批准号：
12832063
负责人：
SAITOH Eiichi
金额：
$ 1.73万
依托单位：
Fujita Health University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12832063/
关键词：
paraplegia medial single hip joint rehabilitation locomotion orthosis Knee-Ankle-Foot Orthosis 対麻痺歩行

项目摘要

We have been developing the orthotic system called the medial system for reconstruction of paraplegic standing and walking. This system consists of a medial single hip joint (MSH) and bilateral knee-ankle-foot orthoses (KAFO) and overcomes the orthotic demerits of bulkiness and tightness in daily using. 1. For further refinement of our developing modified MSH (Primewalk^R), we added hinge mechanism to the joint permitting internal and external rotation ranging of 10 degrees. With this mechanism patients seemed to turn more easily than without it. 2. Standing up under KAFOs, bilateral knees must be locked with extension position. But it is very difficult task for patients. So we developed the MSH-KAFO with the assistive device for extension of knee standing up from the flexure position. The device is made with coiled spring which strength is 0.56kg m. The patient (Th10, Frankel A) could become to stand up from wheel chair in parallel bars or with walker using this system. 3. To clarify the effect of MSH-KAFO according to impairment level, we investigated 24 cases who have exercised standing and walking with MSH-KAFO. Patients with cervical spinal injury could stand and walk with assist of one physical therapist at rehabilitation room. Patients with thoracic spinal injury could walk with walker or Lofstrand crutches by themselves or minimum assist of one physical therapist. For incomplete paraplegics of various impairment levels, standing and walking exercise with MSH-KAFO was effective from early stage of rehabilitation and practical walking.

我们一直在开发称为内侧系统的矫形系统，用于重建截瘫的站立和步行。该系统由内侧单髋关节（MSH）和双侧膝盖骨骼矫形器（KAFO）组成，并克服了日常使用时宽度和紧密度的矫形器。 1。为了进一步改进我们正在发展的修改后的MSH（PrimeWalk^r），我们将铰链机理添加到允许内部和外部旋转范围10度的关节中。使用这种机制，患者似乎比没有它更容易变化。 2。站在Kafos下，双边膝盖必须锁定为延伸位置。但这对患者来说是非常艰巨的任务。因此，我们使用辅助设备开发了MSH-KAFO，以扩展膝盖从弯曲位置伸出来。该设备是用卷曲的弹簧制成的，强度为0.56千克m。患者（TH10，Frankel A）可能会在平行条或使用此系统的Walker中从轮椅上站起来。 3。为了根据减值水平阐明MSH-KAFO的效果，我们调查了24例与MSH-KAFO行使站立和行走的病例。颈椎损伤的患者可以在康复室的一名物理治疗师的协助下站立和行走。胸椎损伤的患者可能会与Walker或Lofstrand Crutches一起行走，或者一名物理治疗师的最低辅助。对于各种障碍水平的不完整的截瘫患者，MSH-KAFO的站立和步行锻炼从康复和实际步行的早期阶段有效。