| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4072605 | Journal of Orthopaedics, Trauma and Rehabilitation | 2012 | 4 Pages |
Spinal cord injury (SCI) patients use two transportation systems that include orthosis and wheelchair. It was claimed that standing and walking bring some benefits for SCI patients, such as decreasing bone osteoporosis, preventing pressure sores, and improving various physiological functions. The main question posted here is as follows: Is there enough evidence to support the effect of walking with orthosis on the health status of the patients with SCI? A review of the relevant literature was carried out in Bioengineering Unit of Strathclyde University. The benefits of orthoses were evaluated. Evidence reported in the literature regarding the effectiveness of orthoses for improving the health condition of SCI patients is conflicting. The benefits that were mentioned in various research studies regarding using the orthosis include decreasing bone osteoporosis, preventing joint deformity, improving bowl and bladder function, improving digestive system function, decreasing muscle spasm, improving independent living, improving respiratory and cardiovascular systems function. Improvement of independence living and physiological health of the patients are the only two benefits that are supported by strong evidence. Unfortunately, conflicting results in the literature have led to criticism of most hypotheses based on theoretical grounds, with the effects of using orthoses on the health status remaining a matter of considerable debate.
中文摘要介紹脊髓受創的患者能使用兩種運送系统包括支架和輪椅。有聲稱站立和走動能帶給患者一些益處，如減少骨質疏鬆症，防禦壓瘡及改善多樣生理功能。最重要問題是有沒有足夠的証據支持用支架走路對患者的健康狀況有幫助呢？方法英國格拉斯哥的斯傑克萊大學的生物工程學系做了一個相關文獻的統合分析回顧，對支架的益處作出評估結果文獻証據顯示脊髓受創的患者使用支架助行對改善健康的效用是矛盾的。有些研究提出的益處如減少骨質疏鬆症，防禦關節攣縮，改善腸道和膀胱功能，促進消化系統功能，減少肌肉痙攣，改善獨立生活的能力，並呼吸和心血管功能等。其中只有改善獨立生活的能力和生理健康這兩方面上有強烈証據支持。結論不幸地，這些在文獻上矛盾的結論被批判為基於理論層面而作的假設而己，使用支架對能幫助患者的健康狀況仍然有極大的爭議
