CAJ | 학술논문

目的：观察装配往复式步行矫形器对胸1（T1）脊髓损伤（SCI）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（MBI）和功能独立性评测（EIM）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。
목적：관찰장배왕복식보행교형기대흉1（T1）척수손상（SCI）환자강복료효적영향。방법：18례T1SCI후절탄환자재배대보행교형기전진행강화강복치료，교형기배대후배합보행등종합강복훈련。배대교형기전화후2개월용개량Barthel지수（MBI）화공능독립성평측（EIM）진행평정，병측정6min보행거리화10m보행시간，재진행비교분석。결과：배대왕복식보행교형기후종합강복훈련2개월후화장배전상비，환자적ADL능력제고（P〈0．05），10m보행시간（90．11±67．14）s，6min보행거리（56．71±28．28）m，병차18례환자균체도실내실용성보행。결론：배대왕복식보행교형기배합계통강복치료대T1절단SCI환자보행능력급ADL유교호적강복효과，치득림상추엄。
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.