[1]刘国辉△.中国老年偏瘫患者应用骨科矫形器康复治疗的专家共识[J].中国中医骨伤科杂志,2020,28(01):82-85.
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中国老年偏瘫患者应用骨科矫形器康复治疗的专家共识()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年01期
页码:
82-85
栏目:
专家共识
出版日期:
2020-01-15

文章信息/Info

文章编号:
1005-0205(2020)01-0082-04
作者:
刘国辉1△
1华中科技大学同济医学院附属协和医院骨科(武汉,430022)
关键词:
老年 偏瘫 骨科矫形器 康复 专家共识
分类号:
R67
文献标志码:
A
摘要:
编者按:“健康老龄化”是积极主动应对老龄社会挑战的重大需求,也是实现“健康中国”2030战略目标的必经之路。本共识受中华人民共和国科学技术部国家重点研发计划“主动健康和老龄化科技应对”(2018YFC2001500,2018YFC2001502)资助,关注我国老年偏瘫患者应用骨科矫形器康复治疗的特点,结合最新研究进展,对老年偏瘫患者的临床诊疗、康复策略抉择以及个性化医疗技术等方面进行分析,提出了一套适合我国国情的诊治和康复方案,以期改善患者预后,提高患者生活质量。

参考文献/References:

[1] 中国老年保健医学研究会老龄健康服务与标准化分会,《中国老年保健医学》杂志编辑委员会,北京小汤山康复医院.中国高龄脑卒中患者康复治疗技术专家共识[J].中国老年保健医学,2019,17(1):3-16.
[2] SCHWÖRER S,BECKER F,FELLER C,et al.Epigenetic stress responses induce muscle stem-cell ageing by Hoxa9 developmental signals[J].Nature,2016,540(7633):428-432.
[3] 夏维波,付勤,王鸥,等.肌少症治疗进展与趋势[J].中华骨质硫松和骨矿盐疾病杂志,2016,9(3):251-256.
[4] 解旭东,张菲.脑卒中后骨折的研究进展[J].医学综述,2010,16(17):2650-2651.
[5] 唐佩福.髋部骨折的治疗现状及展望[J].中华创伤骨科杂志,2019,21(9): 743-744.
[6] 邓希兰,乔彦生. 脑卒中与继发性骨质疏松[J]. 中外医学研究,2012,10(2):154-155.
[7] DARYABOR A,ARAZPOUR M,AMINIAN G.Effect of different designs of ankle-foot orthoses on gait in patients with stroke: a systematic review[J].Gait Posture,2018,62:268-279.
[8] 李辉,史岩,傅建明,等.腕手矫形器对早期脑卒中患者上肢及手功能的影响[J].中华物理医学与康复杂志,2019,41(2):148-149.
[9] FARMANI F,MOHSENI-BANDPEI M A,BAHRAMIZADEH M,et al.The influence of rocker bar ankle foot orthosis on gait in patients with chronic hemiplegia[J].J Stroke Cerebrovasc Dis,2016,25(8):2078-2082.
[10] GLOGER M,OBINATA G,GENDA E,et al.Active lower limb orthosis with one degree of freedom for people with paraplegia[J].IEEE Int Conf Rehabil Robot,2017:258-263.
[11] TYSON S F,KENT R M.Effects of an ankle-foot orthosis on balance and walking after stroke: a systematic review and pooled meta-analysis[J].Arch Phys Med Rehabil,2013,94(7):1377-1385.
[12] DE PAULA G V,DA SILVA T R,DE SOUZA J T,et al.Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke:study protocol for a randomized controlled clinical trial[J].Medicine(Baltimore),2019,98(39):e17317.
[13] 辛玉甫,荣姗姗,尤爱民,等.脑卒中偏瘫临床应用的支具材料:种类及其生物相容性[J].中国组织工程研究,2015,19(30):4887-4891.
[14] 刘维红,刘涛.电针配合腕手矫形器对卒中后软瘫期手功能恢复的影响[J].内蒙古中医药,2014,33(9):70-71.
[15] 黄锦文.手上肢复康支架的设计与应用[J].中国康复医学杂志,2011,26(2): 102-106.
[16] 易金花,李继才,胡鑫.轻型化外骨骼手功能训练器结构设计及实现[J].中国生物医学工程学报,2014,33(5):630-634.
[17] BLACK L,GAEBLER-SPIRA D.Nonsurgical treatment options for upper limb spasticity[J].Hand Clin,2018,34(4):455-464.
[18] ANDRINGA A S,VAN DE PORT I G,MEIJER J W.Tolerance and effectiveness of a new dynamic hand-wrist orthosis in chronic stroke patients[J].NeuroRehabilitation,2013,33(2):225-231.
[19] ANDRINGA A,VAN DE PORT I,MEIJER J W.Long-term use of a static hand-wrist orthosis in chronic stroke patients: a pilot study[J].Stroke Res Treat,2013:546093.
[20] 褚丽丽,邢艳丽,孙德娟.应用伸肘位矫形器治疗脑卒中后上肢痉挛状态的临床观察[J].针灸临床杂志,2011,27(4):18-20.
[21] DE ARAúJO R C,JUNIOR F L,ROCHA D N,et al.Effects of intensive arm training with an electromechanical orthosis in chronic stroke patients: a preliminary study[J].Arch Phys Med Rehabil,2011,92(11):1746-1753.
[22] CEMPINI M,GIOVACCHINI F,VITIELLO N,et al.NEUROExos:a powered elbow orthosis for post-stroke early neurorehabilitation[J].Conf Proc IEEE Eng Med Biol Soc,2013:342-345.
[23] NAM Y G,LEE J W,PARK J W,et al.Effects of electromechanical exoskeleton-assisted gait training on walking ability of stroke patients:a randomized controlled trial[J].Arch Phys Med Rehabil,2019,100(1):26-31.
[24] POURHOSSEINGHOLI E,FARAHMAND B,BAGHERI A,et al.Efficacy of different techniques of AFO construction for hemiplegia patients:a systematic review[J].Med J Islam Repub Iran,2019,33:50-56.
[25] FARMANI F,MOHSENI BANDPEI M A,BAHRAMIZADEH M,et al.The effect of different shoes on functional mobility and energy expenditure in post-stroke hemiplegic patients using ankle-foot orthosis[J].Prosthet Orthot Int,2016,40(5):591-597.
[26] YEUNG L F,OCKENFELD C,PANG M K,et al.Randomized controlled trial of robot-assisted gait training with dorsiflexion assistance on chronic stroke patients wearing ankle-foot-orthosis[J].J Neuroeng Rehabil,2018,15(1):51-57.
[27] DARYABOR A,ARAZPOUR M,AMINIAN G.Effect of different designs of ankle-foot orthoses on gait in patients with stroke: a systematic review[J]. Gait Posture,2018,62:268-279.
[28] NIKAMP C,BUURKE J,SCHAAKE L,et al.Effect of long-term use of ankle-foot orthoses on tibialis anterior muscle electromyography in patients with sub-acute stroke:a randomized controlled trial[J].J Rehabil Med,2019,51(1):11-17.
[29] WONG C K,BISHOP L,STEIN J.A wearable robotic knee orthosis for gait training: a case-series of hemiparetic stroke survivors[J].Prosthet Orhot Int,2012,36(1):113-120.
[30] 王建晖.膝控制矫形器对老年脑卒中后下肢功能障碍患者康复疗效观察[J].中国医学工程,2015,23(9):100-101.
[31] 高峰,弥振钢,李强,等.E-mag电磁控制膝关节矫形器在截瘫患者中的应用[J].中国康复,2013,28(4):270-271.
[32] 黄肖群,肖文武,崔显超,等.矫形器在脑卒中患者中的临床应用及研究进 展[J].中华物理医学与康复杂志,2017,39(6):475-477.
[33] WOJCIECHOWSKI E,CHANG AY,BALASSONE D,et al.Feasibility of designing,manufacturing and delivering 3D printed ankle-foot orthoses: a systematic review[J].J Foot Ankle Res,2019,12:11-16.

备注/Memo

备注/Memo:
基金项目:国家科技部重点研发计划资助项目 (2018YFC2001500,2018YFC2001502) 国家卫计委重大疾病科技行动防治计划资助项目 (ZX-01-018,ZX-01-C2016153) 国家自然科学基金资助项目(81772345) 通信作者 E-mail:Liuguohui@medmail.com.cn(收稿日期:2019-10-13)
更新日期/Last Update: 2020-01-15