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首页> 外文期刊>Physiotherapy theory and practice >The effect of crutches, an orthosis TheraTogs, and no walking aids on the recovery of gait in a patient with delayed healing post hip fracture: A case report
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The effect of crutches, an orthosis TheraTogs, and no walking aids on the recovery of gait in a patient with delayed healing post hip fracture: A case report

机译：拐杖，矫形器TheraTogs和无助行器对髋部骨折术后延迟愈合的患者步态恢复的影响：一例报告

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Accelerated rehabilitation following hip fracture and joint replacement, including early unrestricted weight-bearing and muscle strengthening, has gained importance in hastening functional recovery and hospital discharge. The influence of walking aids on these parameters is sparsely investigated. In this case report, we document the effect of walking with crutches; an orthotic garment and strapping system, TheraTogs; and no walking aids over 3-4-week periods on walking speed, trunk sway, and muscle activity measured with electromyography (EMG). The patient was a 49-year-old female showing delayed healing following a conservatively treated avulsion fracture of the greater trochanter 12 weeks previously with a 14-year history of total hip arthroplasty. EMG analysis showed muscle activity increased with TheraTogs and decreased with crutches compared with walking with no aids. Walking speed improved at a faster rate in the TheraTogs phase than in the crutches phase and reduced in no-walking-aids phase. Mean speed (SD) for each phase was: crutches 1.11 (0.08) m/s, TheraTogs 1.35 (0.11) m/s, and no-aids 1.19 (0.14) m/s. Trunk sway increased in the crutch and no-aids phases, and became more stable in the TheraTogs phase. In this patient, function and recovery rate of all measured parameters increased more in the TheraTogs phase than the crutches or no-aids phase. This may be because muscle activity was facilitated enabling active support of recovering structures.
机译：髋部骨折和关节置换后的加速康复，包括早期不受限制的负重和肌肉增强，在加快功能恢复和出院方面已变得越来越重要。稀疏研究了助行器对这些参数的影响。在本案例报告中，我们记录了拐杖走路的效果;矫形服装和捆扎系统TheraTogs;并且在3到4周内没有任何助行器，可通过肌电图（EMG）测量步行速度，躯干摇摆和肌肉活动。该患者是一位49岁的女性，在12周前接受保守治疗的大转子股骨撕脱性骨折后，愈合缓慢，具有14年的全髋关节置换术史。肌电图分析显示，与无助步相比，TheraTogs的肌肉活动增加，而拐杖则减少。 TheraTogs阶段的步行速度比拐杖阶段的步行速度更快，而no-walking aids阶段的步行速度则下降。每个阶段的平均速度（SD）为：拐杖1.11（0.08）m / s，TheraTogs 1.35（0.11）m / s，无助力1.19（0.14）m / s。在拐杖和无助救阶段，躯干摇摆增加，在TheraTogs阶段变得更稳定。在该患者中，TheraTogs阶段的所有测量参数的功能和恢复率比拐杖或无辅助阶段的增加更多。这可能是因为促进了肌肉活动，从而能够积极支持恢复结构。

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