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苏彩霞,牙根侯,伍 琦,沈 旭,王 翔,丁 慧,马中杰,王倩倩,王 彤.健康人不同体位下承重状况的分析[J].中国康复医学杂志,2012,27(8):724~727
健康人不同体位下承重状况的分析    点此下载全文
苏彩霞  牙根侯  伍 琦  沈 旭  王 翔  丁 慧  马中杰  王倩倩  王 彤
江苏盛泽医院康复医学科,盛泽,215228
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DOI:
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摘要:
      摘要 目的:观察健康人在不同体位下的承重大小,为指导骨关节疾患和瘫痪患者早期康复下肢负重提供依据。 方法:选取健康成人31例,其中男13例,女18例。分别采用意大利产平衡功能检测仪的压力感受器,观察受检者在八种不同体位(分别为A、B、C、D、E、F、G、H)下的下肢最小和最大承重量;采用普通重量秤观察受检者从斜床0°—90°(每10°测量负重值)变化过程中和身体不同固定方式(无固定、胸、腰、膝及全固定)下的下肢负重量。 结果:受检者在平衡仪上八种不同体位下所承受的人体重量最小和最大百分比分别为:A:100%—100%;B:62%—75%;C:13%—18%;D:18%—26%;E:24%—36%;F:74%—84%;G:29%—43%;H:21%—24%;受检者在斜床上从卧位到直立位(0°—90°)的变化中,每增加10°下肢承重量相应增加,增加的幅度在60°以后逐渐缩小;斜床在倾斜30°、60°、90°时,受检者在无固定状态下肢的承重量分别为身体重量的30%、72%、95%;受检者在斜床上几种不同的固定方式影响下肢的承重。 结论:不同体位的下肢支撑会影响下肢的承重量;随着人体身体倾斜角度的逐渐增大,下肢承重量逐渐增加。
关键词:静态平衡  负重量  平衡检测与训练仪  直立床
Analysis of healthy individuals’load-bearing amounts at different positions    Download Fulltext
Department of Rehabilitation Medicine, Shengze Hospital of Jiangsu Province, 215228
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Abstract:
      Abstract Objective: To provide a basic lower limbs load-bearing amounts for patients with osteoarthrosis and paralysis at early rehabilitation by observing healthy individuals load-bearing amounts at different positions. Method: Thirty-one healthy adults were recruited, including 13 males and 18 females. All the subjects accepted the Italian balance of baroreceptor function detector test. The subjects' lower limbs minimum and maximum load-bearing amounts in eight different positions (A, B, C, D, E, F, G, H) were observed. With normal weight scales, the subjects' lower limbs loadings were measured on tilt table, in 0°—90° range every 10° measured once, and were also measured in different body fixed ways (no fixed, chest fixed, waist fixed, knees fixed and all fixed). Result: Subjects in eight different positions had different load-bearing amounts, the minimum and maximum percentages of load bearing body weight were: A: 100%—100%; B: 62%—75%; C: 13%—18%; D: 18%—26%; E: 24%—36%; F: 74%—84%; G: 29%—43%; H: 21%—24%. During subjects were set on the tilt table from supine to upright (0°—90°), for each additional 10°, the lower limbs load-bearing amounts increased correspondently. During tilted>60°, load-bearing amounts increase rate became smaller. During the tilt table tilted at 30°, 60° and 90°, the subjects' lower limbs load-bearing amounts at no-body fixed way were 30%, 72% and 95% of the body weight respectively; the lower limbs load-bearing amount changed, along with the subjects' different positions on the tilt table. Conclusion: The lower limbs supporting on different positions will affect the lower limbs load-bearing amount; With the tilt angle of human body gradually increase, the lower limbs load-bearing increase.
Keywords:static balance  load-bearing amount  static balance test and training equipment  vertical bed
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