簡易輪椅改裝作步行訓練：病例經驗

Wheelchair Modification for Ambulation Training: Case Experience

劉耀宗(Yiu-Chung Lau) ； 梁秋萍(Chau-Peng Leong) ； 王邦元(Pong-Yuen Wong) ； 黃美涓(May-Kuen Wong) ； 吳良青(Liang-Chieng Wu)

《中華民國復健醫學會雜誌》 19期 (1991/12) Pp. 135-138

摘要

步行訓練是每個脊髓受傷病人所希望能達到的目標。但是並非所有脊髓受傷病人都能步行，部份運動功能障礙較嚴重者仍以輪椅活動為主。因此，輪椅是殘障病患常用及常備的位移輔助用具，經過簡單的改裝亦可兼作步行訓練器。則既可增加輪椅的功用，亦可節省購買另一種步行輔助器的費用。
本研究將一輛標準型輪椅，經過簡單的改裝，在椅背推手處加裝前臂手杖並附有輪子，在後輪加裝煞車器，即可變成步行訓練器。並試用於一位第五節頸髓不完全傷害，導致四肢部份麻痺的32歲男性病人，發現比市面出售的帶輪步行輔助器walkerette在步行訓練時穩定度更佳。經常規復健訓練，及用改裝輪椅作步行訓練，病人在數星期後，可改為使用walkerette步行。此改裝簡易而實用，值得推廣。

關鍵字

輪椅改裝 ； 步行訓練

並列摘要

Wheelchair is a common ambulatatory device for handicapped person. After simple modification, it could be used as a kind of ambulation training aid. It the study, a standard wheelchair was modified by adding a pair of axillary crutches on the back and brakers on the rear wheel. It was used by a 32 years old male patient with C5 incomplete spinal cord injury in Frankel class C. as ambulation training device 10month after injury. After a period of home program for ambulation training, he could walk with walkeratter.
This modificatory wheelchair as a case experience is very simple in design, and very convienient for application, suitable for those patients who do not have enough muscle power for ambulation training with ordinary axillary crutches.