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牛文鑫,单绵佳,齐燕,等.脊髓损伤康复中的支撑-驱动生物力学问题[J].同济大学学报（医学版）,2021,42(5):581-588. [点击复制]
NIU Wen-xin,SHAN Mian-jia,QI Yan2,et al.Supporting-driving biomechanics in rehabilitation of spinal cord injury[J].同济大学学报（医学版）,2021,42(5):581-588. [点击复制]

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脊髓损伤康复中的支撑-驱动生物力学问题
牛文鑫,单绵佳,齐燕,解海霞
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(同济大学智能康复临床研究中心，上海201619;同济大学附属养志康复医院脊髓损伤康复科，上海201619;同济大学附属养志康复医院社会工作部，上海201619)

摘要:

脊髓损伤是一种具有较高发病率和致残率的神经系统疾病。损伤导致患者日常活动的支撑-驱动模式改变，从而使得上肢与臀部的受力模式发生变化。生物力学因素导致一系列的并发症，如肩痛和压疮等，给脊髓损伤患者的康复增加了难度。有必要建立脊髓损伤患者活动的支撑-驱动理论，分析并发症的发生的生物力学机制，为脊髓损伤患者的康复研究提供新的角度，并为新型智能康复设备和辅具的开发提供依据。

关键词: 脊髓损伤支撑驱动压疮肩痛

DOI：10.12289/j.issn.1008-0392.21319

投稿时间：2021-07-25

基金项目:国家重点研发计划（2021YFE0204500）；上海市卫健委中医药传承和科技创新项目（ZYKC2019032）

Supporting-driving biomechanics in rehabilitation of spinal cord injury

NIU Wen-xin,SHAN Mian-jia,QI Yan2,XIE Hai-xia

(The Clinical Research Center of Intelligent Rehabilitation, Tongji University, Shanghai 201619, China;Dept. of Spinal Cord Injury Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, China;Dept. of Social Work, Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, China)

Abstract:

Spinal cord injury(SCI) is a serious nervous system injury with high rate of morbidity and disability. The injury causes changes in the supporting-driving mode of the patients daily activities, and alters the loading pattern of the upper limbs and buttocks. Biomechanical factors lead to a series of complications, such as shoulder pain and pressure ulcers, which increase the difficulty of rehabilitation of SCI patients. It is necessary to establish a supporting-driving theory for the activities of SCI patients to analyze the biomechanics of those complications. The supporting-driving theory provides a new perspective for the rehabilitation research of SCI patients and a basis for the development of new intelligent rehabilitation equipments and assistive devices.

Key words: spinal cord injury support drive pressure ulcer shoulder pain