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佩戴三种不同假肢脚的膝下截肢者的步态分析与能量消耗

Gait analysis and energy consumption of below-knee amputees wearing three different prosthetic feet.

作者信息

Huang G F, Chou Y L, Su F C

机构信息

Department of Institute of Biomedical Engineering, National Cheng Kung University 1 Ta-Hsueh Road, 70148, Tainan, Taiwan, ROC.

出版信息

Gait Posture. 2000 Oct;12(2):162-8. doi: 10.1016/s0966-6362(00)00069-2.

DOI:10.1016/s0966-6362(00)00069-2
PMID:10998614
Abstract

This study scientifically measures the dynamic gait characteristics and energy consumption of 16 male below-knee amputees, eight vascular and eight traumatic, while wearing solid ankle cushion heel (SACH), single axis and multiple axis prosthetic feet via six-camera motion analysis, metabolic measurement cart and heavy-duty treadmill. Subjective results are additionally determined via questionnaire after testing. Motion analysis showed statistically significant differences at P<0.05 between the SACH, single axis and multiple axis foot in the velocity, cadence, stride length and single limb stance. Significant differences were found in energy consumption between the traumatic and vascular groups, and significant changes in walking under different speeds and different inclines. Results provide quantitative and qualitative information about the dynamic performance of the various feet, which can be helpful in prescribing the optimal prosthetic foot for individual amputees.

摘要

本研究通过六台摄像机运动分析、代谢测量推车和重型跑步机,科学测量了16名男性膝下截肢者(8名血管性截肢者和8名外伤性截肢者)在穿戴实心踝垫足跟(SACH)假脚、单轴假脚和多轴假脚时的动态步态特征和能量消耗。测试后还通过问卷调查确定主观结果。运动分析显示,SACH假脚、单轴假脚和多轴假脚在速度、步频、步幅和单腿支撑方面存在统计学上的显著差异(P<0.05)。外伤性截肢组和血管性截肢组在能量消耗方面存在显著差异,且在不同速度和不同坡度下行走时也有显著变化。研究结果提供了关于各种假脚动态性能的定量和定性信息,有助于为个体截肢者开具最佳的假脚处方。

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引用本文的文献

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Energetic consequences of using a prosthesis with adaptive ankle motion during slope walking in persons with a transtibial amputation.在胫骨截肢患者的斜坡行走过程中使用具有适应性踝关节运动的假肢的能量学后果。
Prosthet Orthot Int. 2014 Feb;38(1):5-11. doi: 10.1177/0309364613481489. Epub 2013 Mar 22.
2
Comparison of Rectified and Unrectified Sockets for Transtibial Amputees.经矫正与未经矫正的小腿截肢者接受腔的比较
J Prosthet Orthot. 2008;18(1):1-7. doi: 10.1097/00008526-200601000-00002.
3
Prescription of prosthetic ankle-foot mechanisms after lower limb amputation.
下肢截肢后假肢踝足装置的处方
Cochrane Database Syst Rev. 2004;2004(1):CD003978. doi: 10.1002/14651858.CD003978.pub2.