中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5650-5652.doi: 10.3969/j.issn.1673-8225.2011.30.034

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

截瘫步行器的仿生效果

陈文远   

  1. 海南省人民医院康复医学部康复医学科,海南省海口市  570102
  • 收稿日期:2011-02-05 修回日期:2011-05-20 出版日期:2011-07-23 发布日期:2011-07-23
  • 作者简介:陈文远,男,海南省海口市人,汉族,1998年海南医学院毕业,主治医师,主要从事临床康复医学的研究。 cwy1883@yahoo.com.cn

Bionic effect of reciprocating gait orthosis

Chen Wen-yuan   

  1. Department of Rehabilitation Medicine, Rehabilitation Medicine Services, Hainan Provincial People’s Hospital, Haikou  570102, Hainan Province, China
  • Received:2011-02-05 Revised:2011-05-20 Online:2011-07-23 Published:2011-07-23
  • About author:Chen Wen-yuan, Attending physician, Department of Rehabilitation Medicine, Rehabilitation Medicine Services, Hainan Provincial People’s Hospital, Haikou 570102, Hainan Province, China cwy1883@yahoo.com.cn

摘要:

背景:截瘫步行器的临床应用,使截瘫患者重建步行功能成为可能,但截瘫步行器只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远。
目的:对目前几种截瘫步行器的结构特点、作用机制及仿生效果进行归纳、分析。
方法:应用计算机检索1990-01/2008-12 PubMed数据库及万方数据库有关截瘫步行器的特点、仿生效果及临床应用方面的相关文献,英文检索词“reciprocation gait orthosis,walkabout,bionice”,中文检索词“截瘫步行器,仿生”。检索文献量总计32篇。
结果与结论:目前无动力截瘫步行器运用较广泛,但对截瘫患者来说,通常只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远。运用最广的往复式截瘫步行器和互动截瘫步行器这两种截瘫步行器仿生效果较差,步态严重失真,体能消耗大,而由外部能源补充能耗的步行器则可以克服无动力步行器的不足,随着人工智能技术在机器人和许多工业领域得到了广泛应用,它的发展可为患者提供性能优良,安全可靠,更具有仿生性的截瘫步行器产品。

关键词: 截瘫步行器, 仿生, 临床应用, 康复训练, 行走

Abstract:

BACKGROUND: Reciprocating gait orthosis makes the paraplegia patients walking, but reciprocating gait orthosis can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation.
OBJECTIVE: To summarize and analyze construction features, action mechanism and bionic effect of reciprocating gait orthosis.
METHODS: We retrieved PubMed Database and Wanfang Database for articles concerning features, bionic effect and clinical application of reciprocating gait orthosis published from January 1990 to December 2008. The key words were “reciprocation gait orthosis, walkabout, bionice”. A total of 32 articles were researched.
RESULTS AND CONCLUSION: At present, unpowered reciprocating gait orthosis has been extensively utilized, but it can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation for paraplegia patients. The bionic effects of reciprocation gait orthosis and walkabout were poor; gait lacked fidelity; physical ability was greatly consumed. However, the gait orthosis that requires outer energy for supplement can overcome the disadvantage of unpowered gait orthosis. With the wide usage of artificial intellectual technology in robot and many industry fields, its development can provide gait orthosis that has good function, safety, reliability, and bionics.

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