CAJ | 학술논문

目的探讨上肢截肢患者的常规康复治疗、残肢肌电信号训练程序以及装配肌电假肢的方法 ,并观察其效果.方法对20例截肢患者(22个残肢)进行常规康复治疗,包括肌力训练、肌肉收缩控制训练和残肢并发症的处理.采用德国Otto Bock公司提供的肌电信号检测和训练软件系统进行肌电信号训练(分为基础肌电信号训练和视觉反馈训练两个阶段),并装配肌电假肢.观察患者的治疗效果.结果 20例截肢患者22个残肢肌肉无明显萎缩,肌力好,关节活动范围无明显受限,患者能较好地控制残肢肌肉收缩.装配肌电假肢20例(20个),所有残肢均能有意识地引出肌电信号,控制假肢的手指打开、闭合以及腕关节的旋转或肘关节的屈伸.结论残肢常规康复治疗和肌电信号训练对装配肌电假肢,实现有意识地控制假肢功能极为重要.
목적 탐토상지절지환자적상규강복치료、잔지기전신호훈련정서이급장배기전가지적방법 ,병관찰기효과.방법 대20례절지환자(22개잔지)진행상규강복치료,포괄기력훈련、기육수축공제훈련화잔지병발증적처리.채용덕국Otto Bock공사제공적기전신호검측화훈련연건계통진행기전신호훈련(분위기출기전신호훈련화시각반궤훈련량개계단),병장배기전가지.관찰환자적치료효과.결과 20례절지환자22개잔지기육무명현위축,기력호,관절활동범위무명현수한,환자능교호지공제잔지기육수축.장배기전가지20례(20개),소유잔지균능유의식지인출기전신호,공제가지적수지타개、폐합이급완관절적선전혹주관절적굴신.결론 잔지상규강복치료화기전신호훈련대장배기전가지,실현유의식지공제가지공능겁위중요.
Objective To evaluate the effect of prosthetic rehabilitation and analyze the exercise training program with myoelectric signal for upper limb stumps.Methods Twenty canes with 22 upper limb stumps were treated with exercise for strength training,muscle contraction and control training and the complication of stump were managed.The myoelectrlc signal of upper limb stumps were detected and the stumps were trained with electronic biofeedback software system,including basic signal of biofeedback training and visual biofeedback training.Then the myoelectric prostheses were assembled.Results After prosthetic rehabilitation and myoelectfic signal training,there Wan no significant atrophy of muscle of stumps,muscle strength and range of motion of these twenty limb stumps increased.The amputees could control muscle contraction and grasp,pinch,wrist rotation,elbow extension or flexion consciously.Twenty myoelectrie prostheses were assembled.Conclusion The prosthetic rehabilitation and myoelectric signal training of limb stump is important for assembling myoelectric prosthesis.