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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.

我们一直在开发一种矫正系统叫做内侧系统用来重建瘫痪患者的站立和行走能力。该系统由内侧单髋关节（MSH）和双侧膝-踝-足矫形器（KAFO）组成，克服了矫形器在日常使用中笨重和紧绷的缺点。1. 为了进一步改进我们正在开发的改良MSH (Primewalk^R)，我们在关节上增加了铰链机构，允许10度的内部和外部旋转。有了这个机制，病人似乎比没有这个机制更容易翻身。2. 在KAFOs下站立时，双膝必须锁定伸展位置。但这对病人来说是一项非常困难的任务。因此，我们开发了MSH-KAFO，并配有辅助装置，用于膝关节从屈曲位置站起。该装置由强度为0.56kg m的螺旋弹簧制成。使用该系统，患者（Th10, Frankel A）可以通过双杠或助行器从轮椅上站起来。3. 为了明确MSH-KAFO对不同损伤程度的影响，我们调查了24例使用MSH-KAFO进行站立和行走锻炼的患者。颈椎损伤患者可以在康复室物理治疗师的帮助下站立和行走。胸椎损伤患者可自行使用助行器或洛夫斯特兰德拐杖行走，也可在少量物理治疗师的帮助下行走。对于不同损伤程度的不完全性截瘫患者，MSH-KAFO站立和步行锻炼从早期康复和实际行走开始是有效的。