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[微处理器控制的C-Leg外骨骼假肢膝关节的生物力学与评估]

[Biomechanics and evaluation of the microprocessor-controlled C-Leg exoprosthesis knee joint].

作者信息

Stinus H

机构信息

Orthopädische Gemeinschaftspraxis Dr. H. von Wilmsdorff.

出版信息

Z Orthop Ihre Grenzgeb. 2000 May-Jun;138(3):278-82. doi: 10.1055/s-2000-10149.

DOI:10.1055/s-2000-10149
PMID:10929622
Abstract

QUESTION

Also in the field of technical orthopedics, electronics and computer technology are being is used more and more often. This paper describes a microprocessor-controlled prosthetic knee joint with swing phase control and stance phase stability, the so-called C-Leg. The function of this electronic knee joint is explained. Prosthetic treatment using the C-Leg is compared with traditional prosthetic knee joints.

METHOD

15 patients using the C-Leg have been observed over periods of 6 to 14 months. The treating prosthetists have given an assessment regarding the function and the improvements in comparison with the previously fitted knee joints. The patients, too, were asked to compare function and comfort of the new prosthetic fitting with the previous one.

RESULTS

Both, prosthetists and patients marked this new type of microprocessor-controlled knee joint in nearly all points with "very good" and described a clear improvement to the previous, purely mechanical prosthetic fitting.

CONCLUSIONS

Obviously, this new technology seems to be a milestone in prosthetic knee joint fitting, in order to clearly improve the prosthetic fitting of transfemoral amputees and thus their quality of life, especially of people who have several disabilities.

摘要

问题

在技术骨科领域,电子和计算机技术的应用也越来越频繁。本文描述了一种具有摆动期控制和站立期稳定性的微处理器控制的假膝,即所谓的C型腿。对这种电子膝关节的功能进行了解释。将使用C型腿的假肢治疗与传统假膝进行了比较。

方法

对15名使用C型腿的患者进行了6至14个月的观察。治疗假肢师对其功能以及与先前安装的膝关节相比的改善情况进行了评估。患者也被要求比较新假肢与先前假肢的功能和舒适度。

结果

假肢师和患者在几乎所有方面都将这种新型微处理器控制的膝关节评为“非常好”,并表示与先前的纯机械假肢相比有明显改善。

结论

显然,这项新技术似乎是假膝安装领域的一个里程碑,以便显著改善大腿截肢者的假肢安装情况,从而提高他们的生活质量,尤其是对有多种残疾的人。

相似文献

1
[Biomechanics and evaluation of the microprocessor-controlled C-Leg exoprosthesis knee joint].[微处理器控制的C-Leg外骨骼假肢膝关节的生物力学与评估]
Z Orthop Ihre Grenzgeb. 2000 May-Jun;138(3):278-82. doi: 10.1055/s-2000-10149.
2
Kinematics in the terminal swing phase of unilateral transfemoral amputees: microprocessor-controlled versus swing-phase control prosthetic knees.单侧股骨截肢患者终末摆动期的运动学:微处理器控制与摆动期控制假肢膝关节。
Arch Phys Med Rehabil. 2010 Jun;91(6):919-25. doi: 10.1016/j.apmr.2010.01.025.
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Gait and balance of transfemoral amputees using passive mechanical and microprocessor-controlled prosthetic knees.使用被动机械和微处理器控制的假肢膝关节的经股骨截肢者的步态和平衡。
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Arch Phys Med Rehabil. 2007 Feb;88(2):207-17. doi: 10.1016/j.apmr.2006.10.030.
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Arch Phys Med Rehabil. 2012 Mar;93(3):541-9. doi: 10.1016/j.apmr.2011.10.017.
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Impact of a stance phase microprocessor-controlled knee prosthesis on level walking in lower functioning individuals with a transfemoral amputation.站立期微处理器控制的膝关节假体对低位功能的经股骨截肢患者平地行走的影响。
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Assessment of transfemoral amputees using a passive microprocessor-controlled knee versus an active powered microprocessor-controlled knee for level walking.使用被动式微处理器控制膝关节与主动动力式微处理器控制膝关节对经股截肢者进行平地行走评估。
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Re: Gait and balance of transfemoral amputees using passive mechanical and microprocessor controlled prosthetic knees by Kaufman et al. [Gait and Posture 20 (2007) 489-493].回复:考夫曼等人所著的《使用被动机械和微处理器控制的假肢膝关节的经股骨截肢者的步态与平衡》[《步态与姿势》20(2007)489 - 493] 。
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Impact of stance phase microprocessor-controlled knee prosthesis on ramp negotiation and community walking function in K2 level transfemoral amputees.站立期微处理器控制的膝关节假体对K2级经股骨截肢者斜坡行走及社区行走功能的影响。
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引用本文的文献

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Once-per-step control of ankle-foot prosthesis push-off work reduces effort associated with balance during walking.对踝足假肢蹬离动作进行逐步控制可减少行走过程中与平衡相关的用力。
J Neuroeng Rehabil. 2015 May 1;12:43. doi: 10.1186/s12984-015-0027-3.
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Measures and procedures utilized to determine the added value of microprocessor-controlled prosthetic knee joints: a systematic review.
用于确定微处理器控制的假肢膝关节附加值的测量和程序:系统评价。
BMC Musculoskelet Disord. 2013 Nov 27;14:333. doi: 10.1186/1471-2474-14-333.
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