摘要目的 探讨应用改进型往复式步行矫形器(ARGO)对完全性脊髓损伤患者步行能力的影响.方法 对12例T4～L1节段完全性脊髓损伤患者安装ARGO,安装前、后对患者进行系统的综合康复训练,训练后对患者进行限时的步行功能检查和评价,日常生活活动能力应用改良Barthel指数(MBI)及功能独立性评分法(FIM)进行综合评定.结果 患者经过安装ARGO训练后,步行能力明显改善,其MBI、FIM评分明显增加.结论 ARGO能帮助T4以下完全性脊髓损伤患者改善步行能力,提高日常生活质量.

abstractsObjective To explore the value of an advanced reciprocating gait orthosis (ARGO) combined with comprehensive rehabilitation treatment in rehabliltating complete spinal cord injury (SCI) patients. Methods Twelve patients with complete SCI at the T4~L2 level were fitted with an ARGO. Before and after fitting the ARGO,comprehensive rehabilitative excecises were conducted. After training, ambulation was evaluated, and competence in the activities of daily living was evaluated using the Barthel index and Functional Independence Measure. Results The patients' ambulation improved markedly after fitting the ARGO and training. Barthel index and FIM scres improved significantly. All 12 patients achieved therapeutic or functional ambulation. Conclusion With the aid of an ARGO, patients suffering from complete SCI below the T4 level can achieve functional walking and improve their quality of life.