标准解读

GB/T 44425-2024《假肢装配康复训练规程》这一国家标准旨在为假肢装配及后续的康复训练提供一套系统化、规范化的指导原则和操作流程，确保假肢使用者能够安全有效地恢复功能，提高生活质量。以下是该标准的主要内容概览：

  1. 范围：本标准明确了适用对象，即适用于因各种原因导致肢体缺失并选择使用假肢进行功能重建的个体，规定了从假肢选型、定制装配到康复训练的全过程要求。

  2. 术语和定义：详细界定了与假肢装配及康复训练相关的专业术语，如“残肢”、“接受腔”、“对线”等，以确保在实施过程中各方沟通的一致性和准确性。

  3. 基本要求：概述了假肢装配与康复训练的基本原则，包括安全性、个性化适配、循序渐进的训练方法及综合评估机制。

  4. 假肢选型与评估：规定了根据患者残肢条件、生活方式、职业需求等因素进行假肢类型选择的过程，以及装配前对患者进行全面评估的方法和标准。

  5. 假肢装配技术要求：

    • 接受腔设计与制作：强调个性化的接受腔制作，确保舒适度与功能性。
    • 对线调整：规定了对线的重要性及其具体调整方法，以达到最优化的步态和运动功能。
    • 质量检验：明确了装配完成后假肢的功能性、稳定性和耐用性的检验标准。

  6. 康复训练程序：

    • 初始适应训练：介绍初期如何帮助患者适应假肢，包括穿戴、脱卸及基础站立平衡训练。
    • 步态训练：分阶段规划步态训练内容，从室内平地行走逐步过渡到复杂环境下的行走能力培养。
    • 功能性活动训练：涵盖日常生活技能、职业相关技能及休闲活动的专项训练，促进全面康复。
    • 心理支持与教育：强调在整个康复过程中对患者心理状态的关注与支持，提供必要的心理健康教育和辅导。

  7. 跟踪服务与效果评估：要求建立长期跟踪服务机制，定期评估假肢使用效果及患者康复进展，及时调整治疗方案。

  8. 记录与文档管理：规范了从初次评估到康复结束全过程中所有相关数据和文件的记录、存储与管理要求，确保信息的完整性和可追溯性。


如需获取更多详尽信息，请直接参考下方经官方授权发布的权威标准文档。

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文档简介

ICS11.180

CCSC45

中华人民共和国国家标准

GB/T44425—2024

假肢装配康复训练规程

Codeofpracticeforprosthesesfittingrehabilitationtraining

2024⁃08⁃23发布2024⁃12⁃01实施

国家市场监督管理总局

国家标准化管理委员会发布

GB/T44425—2024

目次

前言··························································································································Ⅲ

1范围·······················································································································1

2规范性引用文件········································································································1

3术语和定义··············································································································1

4一般要求·················································································································1

4.1康复训练场所·····································································································1

4.2康复训练设施设备·······························································································2

4.3康复训练人员·····································································································2

5装配假肢前康复训练··································································································2

5.1训练流程···········································································································2

5.2检查及初期评估··································································································3

5.3制定装配假肢前康复训练计划················································································3

5.4残肢定型···········································································································3

5.5理疗·················································································································4

5.6装配上肢假肢前功能训练······················································································4

5.7装配下肢假肢前功能训练······················································································5

5.8装配假肢前心理疏导····························································································7

5.9装配假肢前康复训练末期评估················································································7

6装配假肢后康复训练··································································································8

6.1训练流程···········································································································8

6.2适配评估···········································································································8

6.3制定装配假肢后康复训练计划················································································8

6.4装配上肢假肢后功能训练······················································································9

6.5装配下肢假肢后功能训练·····················································································10

6.6装配假肢后心理疏导···························································································11

6.7装配假肢后康复训练末期评估···············································································12

7服务评估及监督······································································································12

7.1评估类型··········································································································12

7.2评估内容··········································································································12

7.3评估方法··········································································································12

7.4监督················································································································12

附录A（资料性）初期评估表························································································13

附录B（资料性）关节活动度检查与评估表······································································14

Ⅰ

GB/T44425—2024

附录C（资料性）装配假肢前康复训练计划与评估表··························································16

附录D（资料性）装配假肢前康复训练记录表···································································17

附录E（资料性）残肢绷带缠绕·····················································································20

附录F（资料性）装配假肢前肢残者功能训练···································································22

附录G（资料性）装配假肢后适配评估表·········································································26

附录H（资料性）装配假肢后康复训练计划与评估量表·······················································29

附录I（资料性）装配假肢后康复训练记录表····································································31

附录J（资料性）装配下肢假肢后康复功能训练·································································33

参考文献····················································································································36

Ⅱ

GB/T44425—2024

前言

本文件按照GB/T1.1—2020《标准化工作导则第1部分：标准化文件的结构和起草规则》的规

定起草。

请注意本文件的某些内容可能涉及专利。本文件的发布机构不承担识别专利的责任。

本文件由中华人民共和国民政部提出。

本文件由全国残疾人康复和专用设备标准化技术委员会（SAC/TC148）归口。

本文件起草单位：河南省民政综合服务中心、中国康复辅助器具协会、河南省标准化和质量研究

院、国家康复辅具研究中心、厦门至诚标准化服务有限公司、河南省民政厅、中国康复研究中心、四川省

八一康复中心（四川省康复医院）、河南省残疾人康复服务中心（河南康复中心医院）、北京精博现代假

肢矫形器技术有限公司、河南助康康复技术有限公司、德林义肢矫型康复器材（深圳）有限公司、河南郑

奥康复辅助器具有限公司、河南翔宇医疗设备股份有限公司、奥索（上海）商贸有限公司、贵州安的好假

肢矫形器有限公司。

本文件主要起草人：王磊、孟雁舟、张彩琴、张鹏程、郭敬东、张晓玉、杨德慧、赵立伟、郭廷良、

刘夕东、王文选、金凤臣、王林、李锐、蔡鸿星、程鹏强、常洁、刘柳军、姚文林、李晓堂、张飏、谭春梅、

董智千、杨小晶、鄂婉婷、鄂岁选。

Ⅲ

GB/T44425—2024

假肢装配康复训练规程

1范围

本文件规定了假肢装配康复训练的一般要求、装配假肢前康复训练、装配假肢后康复训练、服务评

估及监督。

本文件适用于机构中假肢装配的康复训练。

2规范性引用文件

下列文件中的内容通过文中的规范性引用而构成本文件必不可少的条款。其中，注日期的引用文

件，仅该日期对应的版本适用于本文件；不注日期的引用文件，其最新版本（包括所有的修改单）适用于

本文件。

GB/T15721.1假

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