下肢截肢残端肌肉萎缩的生物力学研究进展
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Advances of residual limb muscle atrophy in biomechanics research
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    摘要:

    下肢截肢后残端的肌肉萎缩现象一直是困扰截肢患者临床康复和运动能力恢复的重要因素。了解其发生发展机理将对截肢手术、训练恢复方式和假肢设计的改进等具有重要意义,这也是目前假肢康复领域非常关注的问题之一。为此,本文围绕肌肉萎缩研究手段和模型、残端力学特征、微观病理特征、以及预防策略等方面,对近年来这一领域的研究进行了综述。残端特殊的生理和力学环境对于肌细胞生长以及肌肉蛋白合成分解代谢动态平衡的影响还有待深入研究和完善,导致残端肌肉萎缩的根本原因还有待进一步证实。

    Abstract:

    Muscle atrophy of the stumps after lower limb amputation has always been a crucial factor resulted in inefficient clinical rehabilitation and athletic recovery for the amputated patients. Therefore, understanding the initiating and developing mechanism of muscle atrophy is very important for the improvement of amputation,restoration training and prosthetic design,which is also widely concerned in the prosthetic rehabilitation field. This paper will review the advances of residual limb muscle atrophy researches on the approaches and models,the mechanical properties of the residual limb,the micro pathologic characteristics as well as the prevention strategies of muscle atrophy in recent years. It can be concluded that further researches are needed to study the special physiologic and mechanical environment in residual limb, which affected the growth of muscle cells as well as the dynamic balance of the muscle protein synthesis and decomposition before completely understanding the mechanism of residual limb muscle atrophy and definitely clarifying its real cause.

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但建波,蒋文涛,刘展,樊瑜波.下肢截肢残端肌肉萎缩的生物力学研究进展[J].医用生物力学,2011,26(6):580-584

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  • 收稿日期:2011-01-09
  • 最后修改日期:2011-04-01
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