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截瘫动态矫形器的新概念:负重控制(WBC)矫形器。

A new concept of dynamic orthosis for paraplegia: the weight bearing control (WBC) orthosis.

作者信息

Yano H, Kaneko S, Nakazawa K, Yamamoto S I, Bettoh A

机构信息

Institute of National Rehabilitation Center for the Disabled, Tokotrozawa, Saitama, Japan.

出版信息

Prosthet Orthot Int. 1997 Dec;21(3):222-8. doi: 10.3109/03093649709164560.

DOI:10.3109/03093649709164560
PMID:9453097
Abstract

A new concept of device, termed the weight-bearing control (WBC) orthosis, has been designed with three major needs in mind; a rigid frame that supports the user's body weight, a special hip joint device that reciprocally propels each leg forward, a gas powered foot device that varies the sole thickness of the device for foot/floor clearance, and control system of the orthosis. A paraplegic (T7 level complete paraplegia, sensory evoked potential silent, response to electro-stimulation on the cortical area of the brain also silent) who has tested this WBC orthosis has been able to walk without fatigue at a high speed for a greater distance than before. In walking tests of this WBC orthosis, he achieved a maximum walking speed of 34.1 m/min for a distance of 10 metres. The walking distance reached 521 m with an average walking speed of 21.2 m/min without rest on one small tank of CO2 liquid gas, measuring 10 cm in length and 3 cm in diameter.

摘要

一种名为负重控制(WBC)矫形器的新设备概念,是在考虑三个主要需求的情况下设计出来的:一个支撑使用者体重的刚性框架、一个能交替推动每条腿向前的特殊髋关节装置、一个用于改变装置鞋底厚度以实现足部与地面间隙的气动足部装置,以及该矫形器的控制系统。一名患有截瘫(T7级完全性截瘫,感觉诱发电位无反应,大脑皮层区域对电刺激也无反应)的患者对这种WBC矫形器进行了测试,他能够高速行走且不感到疲劳,行走距离比以前更远。在这种WBC矫形器的行走测试中,他在10米的距离内达到了34.1米/分钟的最大行走速度。使用一小罐长度为10厘米、直径为3厘米的二氧化碳液化气,在不休息的情况下,行走距离达到了521米,平均行走速度为21.2米/分钟。

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