The effects of alternative gait orthosis on walking ability, activity of daily living and quality of life in patients with thoracolumbar spinal cord injury
TANG Dan, LIU Si-wen,DENG Xiao-qian,LIAO Lin-rong,YANG Zheng-hui, YANG Xin-hua，HUANG Guo-zhi
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (2) : 224-227.
The effects of alternative gait orthosis on walking ability, activity of daily living and quality of life in patients with thoracolumbar spinal cord injury
Objective To investigate the effects on walking ability, activity of daily living (ADL) and quality of life (QOL) after fitting the alternative gait orthosis (AGO) in thoracolumbar spinal cord injury (SCI) patients. Methods 60 patients with complete SCI were randomly divided into an AGO group (30 subjects) and a control group (30 subjects). All patients received a standard rehabilitation training (including muscle strength training, balance training, transferring training, wheelchair using and ADL training). Patients in the AGO group received an additional 8 weeks of standing and walking training. Outcome measurement including the walking ability, ADL and QOL assessment were taken before rehabilitation training, before fitting orthosis and after fitting respectively. Results After 4 months of treatment, AGO group patients can use the orthosis to walk; average 10 m walking time was 87.27 s, average 6 min walking distance was 46.35 m; ADL ability in the treatment group was significantly improved when compared with the control group (P<0.01); the improvement in physiological and psychological aspects of QOL score was statistically significant (P<0.05). Conclusion The using of AGO can improve the walking ability, ADL ability and QOL for patients with the thoracolumbar SCI, implicating that AGO should be widely applied in the future.
Thoracolumbar spinal cord injury / Alternative gait orthosis / Walking ability / Quality of life
[1] Kraus LF, Silberman TA , McArthur DL. Epidemiology of spinal cord injury// Benzel EC, Cahill DW, McCormack P ed. Principles of spine surgery [M]. New York: McGraw Hill, 1996: 41-58.
[2] Shingu H ,Ohama M, Ikata T, et al . A nationwide epidemiological survey of spinal cord injures in Japan from January 1990 to December 1992 [J]. Paraplegia, 1995, 33 (4): 183-188.
[3] Douglas R, Larson PF, D'Ambrosia R, et al. The LSU reciprocation-gait orthosis [J]. Orthopedics, 1983, 6(7):834-839.
[4] Esquenazi A, Talaty M, Packel A, et al. The ReWalk powered exoskeleton to restore ambulatory function to individuals with thoracic-level motor-complete spinal cord injury[J]. Am J Phys Med Rehabil, 2012, 91(11): 911-921.
[5] Menon N, Gupta A, Khanna M, et al. Ambulation following spinal cord injury and its correlates [J]. Ann Indian Acad Neurol, 2015, 18(2):167-170.
[6] 唐丹, 裴国献, 刘浩, 等. 往复式截瘫步行器及其在脊髓损伤患者中的应用[J]. 中国脊柱脊髓杂志, 2010, 20(1):75-77.
[7] Dumont RJ, Verma S, Okonkwo DO, et al. Acute spinal cord injury, part II: contemporary pharmacotherapy[J].Clin Neuropharmacol, 2001, 24(5):265-279.
[8] Karimi MT, Fatoye F. Evaluation of the performance of paraplegic subjects during walking with a new design of reciprocal gait orthosis [J]. Disabil Rehabil Assist Technol, 2016;, 11(1):72-79.
[9] Ahmadi Bani M, Arazpour M, Farahmand F, et al. The efficiency of mechanical orthoses in affecting parameters associated with daily living in spinal cord injury patients: a literature review[J]. Disabil Rehabil Assist Technol,2015,10(3):183-190.
[10] Hirokawa S , Grimm M , Thanh L ,et al. Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and eletric stimulation of the thigh muscles [J]. Arch Phys Med &Rehabil ,1990,71(9):687-694.
[11] Jeffries EC, Hoffman SM, de Leon R et al. Energy expenditure and heart rate responses to increased loading in individuals with motor complete spinal cord injury performing body weight-supported exercises[J]. Arch Phys Med Rehabil, 2015, 96(8):1467-1473.
[12] Cameron AP, Rodriguez GM, Schomer KG. Systematic review of urological follow up after spinal cord injury[J]. J Urol, 2012, 187(2): 391-397.
/
| 〈 |
|
〉 |
