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使用新型混合辅助肢体对一名因腓总神经麻痹导致足下垂的患者进行踝关节背屈训练:病例报告

Ankle dorsiflexion training with a newly developed Hybrid Assistive Limb for a patient with foot drop caused by common peroneal nerve palsy: a case report.

作者信息

Matsuda Daisuke, Kubota Shigeki, Akinaga Yohei, Yasunaga Yoshihiro, Sankai Yoshiyuki, Yamazaki Masashi

机构信息

Kyushu Medical Sports Vocational School, Japan.

Kitakyushu Robocare Center, Japan.

出版信息

J Phys Ther Sci. 2022 May;34(5):410-415. doi: 10.1589/jpts.34.410. Epub 2022 May 1.

Abstract

[Purpose] An ankle disorder (foot drop) caused by common peroneal nerve palsy or cerebrovascular accident (stroke) interferes with patients' ability to walk and hinders in activities of daily living. A new robotic ankle, the Hybrid Assistive Limb, has been developed for the treatment of foot drop caused by common peroneal nerve palsy or sequelae of stroke. The purpose in this study was to report and examine the efficacy and feasibility of a case who was treated with voluntary ankle dorsiflexion training with the ankle Hybrid Assistive Limb. [Participant and Method] A 60-year-old man with foot drop due to peroneal nerve palsy that occurred without a contributory cause was treated via ankle dorsiflexion training with the use of a new robotic ankle, the "Ankle Hybrid Assistive Limb". [Results] Following total ankle rehabilitation training with the Ankle Hybrid Assistive Limb, improvements in ankle dorsiflexor strength, gait, and sensory function of the lower leg and foot were observed. [Conclusion] The newly developed ankle Hybrid Assistive Limb could be an effective training tool for foot drop caused by common peroneal nerve palsy.

摘要

[目的] 由腓总神经麻痹或脑血管意外(中风)引起的踝关节疾病(足下垂)会干扰患者的行走能力,并妨碍日常生活活动。一种新型机器人踝关节——混合辅助肢体(Hybrid Assistive Limb)已被开发用于治疗由腓总神经麻痹或中风后遗症引起的足下垂。本研究的目的是报告并检验一名接受踝关节混合辅助肢体自愿性背屈训练治疗的患者的疗效和可行性。[参与者与方法] 一名60岁男性,因无明显诱因出现腓总神经麻痹导致足下垂,通过使用新型机器人踝关节“踝关节混合辅助肢体”进行背屈训练进行治疗。[结果] 在使用踝关节混合辅助肢体进行全踝关节康复训练后,观察到踝关节背屈肌力量、步态以及小腿和足部感觉功能有所改善。[结论] 新开发的踝关节混合辅助肢体可能是治疗腓总神经麻痹引起的足下垂的有效训练工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f5c/9057677/8276851caade/jpts-34-410-g001.jpg

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