整个身体的角动量受骨的肢体使用和截肢水平在行走过程中的影响
Brecca M M Gaffney1, Peter B Thomsen-Freitas2, Grace M Georgiou3
1Department of Mechanical Engineering, University of Colorado Denver, Denver, CO, United States; Department of Bioengineering, University of Colorado Anschutz Medical Campus, Aurora, CO, United States; Eastern Colorado VA Geriatric Research Education and Clinical Center, Aurora, CO, United States; Univerisity of Colorado Bone-Anchored Limb Research Group, Aurora, CO, United States.
与插座假肢相比,骨四肢 (BALs) 改善了动态平衡,降低了跌倒风险. 然而,在使用BALs时,转截肢者比穿截肢者表现出更大的平衡挑战.
科学领域:
- 生物力学 生物力学
- 假肢手术 假肢手术是一门专业.
- 康复工程 康复工程
背景情况:
- 骨肢体 (BALs) 在移动性和静态平衡方面比套套假肢具有优势.
- 与BAL使用有关的动态平衡变化尚未得到充分理解,特别是关于截肢水平.
研究的目的:
- 研究BAL使用是否与插座假肢相比改善动态平衡.
- 为了确定与BALs在动态平衡的改善是否在骨和骨截肢之间有所不同.
主要方法:
- 使用BALs对32名单侧截肢患者 (19名腿,13名腿) 的回顾性分析.
- 在BAL植入之前 (插座假肢) 和12个月后,在走路时捕捉全身运动.
- 使用ANOVA进行全身角动量 (WBAM) 和峰值外部需求动量的比较.
主要成果:
- 与插座假肢相比,BAL在腿截肢患者中使用了减少的正面和横平面WBAM.
- 穿越骨截肢者表现出更大的额头平面WBAM,而不是带有BAL和套套假肢的穿越骨截肢者.
- 转截肢患者的额头平面WBAM增加与更大的峰值外部需求时刻相关.
结论:
- 在行走过程中,BAL可以增强动态稳定性,相比于插座假肢,这可能会降低跌倒风险.
- 腿骨外截肢者可能会因为更大的额头平面WBAM而损害平衡控制和更高的跌倒风险.
- 截肢水平显著影响使用BAL的动态平衡结果.
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