各種常用頸椎支架功能之評詁

Functional Evaluation of the Cervical Orthosis

黃美涓(May-Kuen Wong) ； 張春琴(Choon-Khim Chong) ； 衛優遊(Yau-Yau Wai)

《中華民國復健醫學會雜誌》 16期 (1988/12) Pp. 73-82

摘要

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.
The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation were also checked.
The finding in this study indicate that the Halo vest provides the best control in all motions except extension, and the sequentially as Somi brace and 4 poster brace (p＞0.05). Cervical collars (soft or rigid type) were less effective in cervical restriction (p＞0.05). No cervical orthoses could provide enough immobilization in neck extension (p＞0.1) or intersegmental motion of each vertebrae.
By comparision with the result of Johnson, the authors believe that the cervical orthoses made in Taiwan are able to provide good cervical restriction as the import devices do, although they are somehow a little bite rough in appearance.

並列摘要

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.
The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation were also checked.
The finding in this study indicate that the Halo vest provides the best control in all motions except extension, and the sequentially as Somi brace and 4 poster brace (p＞0.05). Cervical collars (soft or rigid type) were less effective in cervical restriction (p＞0.05). No cervical orthoses could provide enough immobilization in neck extension (p＞0.1) or intersegmental motion of each vertebrae.
By comparision with the result of Johnson, the authors believe that the cervical orthoses made in Taiwan are able to provide good cervical restriction as the import devices do, although they are somehow a little bite rough in appearance.

並列關鍵字

cervical orthosis ； cervical brace ； Somi brace Halo vest