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截瘫患者行走时的能量消耗:长期使用支具的影响。

Energy expenditure of ambulation in paraplegics: effects of long term use of bracing.

作者信息

Chantraine A, Crielaard J M, Onkelinx A, Pirnay F

出版信息

Paraplegia. 1984 Jun;22(3):173-81. doi: 10.1038/sc.1984.31.

DOI:10.1038/sc.1984.31
PMID:6462741
Abstract

Energy metabolism data were collected in a series of seven male paraplegic patients with complete spinal cord lesions (T9 to L1). Among these four had just been rehabilitated and three had been using their bilateral long leg braces for more than 4 years. A group of five healthy volunteers was used as a control. All the subjects ambulated on a treadmill between parallel bars and in a second trial they ambulated on the floor using forearm crutches. Mean O2 consumption was 1.46 ml O2/kg/m for the unaccustomed paraplegics who had never used long-leg braces before, 0.61 for paraplegics used to walking with braces, and 0.83 for the healthy subjects walking between parallel bars with a swing-through gait. The second trial (on the floor), showed a mean O2 consumption of 0.73 ml O2/kg/m for the paraplegic brace-user with a high heart rate (156/min). This mean O2 consumption was much lower than the values of the paraplegic non-user and slightly higher than the normal subjects.

摘要

收集了7名男性完全性脊髓损伤(T9至L1)截瘫患者的能量代谢数据。其中4名患者刚完成康复治疗,3名患者使用双侧长腿支具已超过4年。选取5名健康志愿者作为对照组。所有受试者先在双杠间的跑步机上行走,第二次试验时使用前臂拐杖在地面行走。从未使用过长腿支具的不习惯行走的截瘫患者平均耗氧量为1.46 ml O2/kg/m,习惯使用支具行走的截瘫患者为0.61,健康受试者在双杠间采用摆动通过步态行走时为0.83。第二次试验(在地面行走)显示,心率较高(156次/分钟)的使用支具的截瘫患者平均耗氧量为0.73 ml O2/kg/m。该平均耗氧量远低于未使用支具的截瘫患者的值,略高于正常受试者。

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