How to carry out rehabilitation training for hip prosthesis?

Because of the high level of amputation, the hip dissection prosthesis requires many components to be controlled, so its function and gait training process is more complicated in the lower limb prosthesis. From the perspective of the entire functional training process, we can divide it into two stages: balance training and gait training.

1. Balance training is mainly used in the period of waiting for the production of the prosthesis after the cavity model is made. The training method has three parts: 1. Standing on both sides at the same time bearing weight (using the sit bones on the amputation side to bear the weight on the frame), to ensure the level of the pelvis, and the trunk can be alternately leaning forward and backward under the state of ensuring a stable standing still; 2. Stand alone with the healthy limbs. While ensuring that the healthy limbs can stand upright, twist the pelvis horizontally. Do not relax when standing. Look at the mirror to observe whether the pelvis is level; 3. The amputation side bears the weight alone, which can be omitted. Lower the height of the frame, and allow the amputee to bear the weight independently through the ischium after flexing the healthy limb. After ensuring a stable upright position, the healthy limb can alternately do stepping and retreating movements. After the prosthesis is assembled, there is also a balance training process before the gait training. The method is similar to that described above, except that the weight-bearing platform is replaced with a prosthetic. 2. Gait training is a functional training performed after the hip discontinued prosthesis user can master the body balance. The training steps are as follows: 1. Gravity movement during the support period: use the prosthesis as the supporting leg, and the healthy limb alternately performs stepping and retreat movements. This training action can help the prosthetic user master the way the center of gravity moves when the prosthesis is in the support period;

 2. The swing period Movement of the center of gravity: With the healthy limb as the supporting leg, the side of the prosthesis alternately performs stepping and retreating movements. This kind of training movement can help the prosthetic user to grasp the movement of the center of gravity of the prosthesis during the swing period, and the stepping action allows the user to master the swing of the prosthesis Control the rhythm;

3. Gait coordination training: Prosthetic and healthy limbs alternately move forward, and achieve a certain degree of coordination;

4. Obstacle terrain training: such as slopes, stairs and other common daily environment adaptability training. The above process is divided into two parts: dancing bar and throwing bar. dancing bar refers to training under the condition of holding the balance bar or other auxiliary tools by hand, and throwing bar refers to training without relying on the balance bar or other auxiliary tools. The gait training process in the assembly of the prosthesis is relatively boring, but the prosthetic user must take it seriously. Once the bad gait is formed, it is difficult to correct it, so systematic professional training is the basis for ensuring a good gait in the future.

SHIJIAZHUAN AOSUO O&P