统一假肢高空悬挂系统对最低摇摆脚空隙的影响
H Gholizadeh1, E D Lemaire1,2, J Nantel3
1Centre for Rehabilitation Research and Development, Ottawa Hospital Research Institute, Ottawa, Canada.
Canadian prosthetics & orthotics journal
|August 24, 2023
概括
联合悬浮系统改善了跨腿截肢患者的脚清除. 然而,活性真空悬浮剂与不活性真空悬浮剂的差异并不显著,以防止旅行.
科学领域:
- 生物力学 生物力学
- 假肢和整形手术
- 康复工程 康复工程 康复工程
背景情况:
- 截肢的个体面临更高的倒风险,因为动阶段脚清除率降低.
- 有效的假肢悬浮系统可以增强残余肢体的附着,从而有可能改善脚的清除.
- 关于Unity悬挂系统对脚脚的清除影响的研究有限.
研究的目的:
- 调查Unit悬浮系统对跨腿截肢患者的脚清除的影响.
- 为了比较 Unity 悬挂系统与主动 (ON) 和非主动 (OFF) 真空设置的性能.
- 在各种模拟行走条件下评估脚清除.
主要方法:
- 十二名截肢的人被安装了Unity悬挂系统.
- 参与者走在一个虚拟现实环境中,设置了主动和非主动真空设置.
- 收集了最小的脚清除和动力学数据,并与完整的肢体和有能力的对照进行了比较.
主要成果:
- 假肢侧面的最低摆动脚清除度和膝盖屈曲度大于完整侧面和对照.
- 与对照人群相比,假肢侧的部曲减少了.
- 在活跃和非活跃真空设置之间,或者在不同的行走条件中,除了侧坡之外,最小的摇脚清除没有显著差异.
结论:
- 联合悬挂系统可以提高脚的空隙,但主动真空并没有显示出相对于非主动真空的显著优势.
- 截肢者和有能力者都在侧坡上表现出脚的空隙减少,增加了跌倒的风险.
- 需要进一步的研究,以优化对不同地形的假体悬浮.
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