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在香港高齡化社會中，行動能力不僅是生理表現，更關乎長者的獨立生活、社交參與和心理健康。然而，隨著年齡增長，關節退化、肌肉萎縮、中風後遺症、骨質疏鬆與視力下降等問題，使許多長者行走困難、平衡減弱，跌倒風險顯著增加。根據衞生署統計，65歲以上長者中約三成在一年內曾跌倒，其中一半以上導致骨折或住院。許多人因害怕跌倒而減少活動，形成「活動減少 → 肌肉萎縮 → 更易跌倒」的惡性循環，最終喪失自理能力。 輪椅與助行用品（手杖、四腳拐、助行架等）不是無能的象徵，而是科學照護的智慧工具。它們能提供物理支撐、降低跌倒風險，並讓長者勇於外出、參與家庭聚會、就醫或散步，維持社交互動，預防孤獨與抑鬱。 為什麼長者需要輔具？ 肌肉萎縮與肌少症：65歲後肌肉流失加快，助行器可降低跌倒風險。 關節退化與疼痛：膝關節炎常使步行成負擔，助行器可分擔體重、減輕疼痛。 中風及神經疾病後遺症：四腳拐或助行架提供穩定支撐，是復健過渡工具。 跌倒恐懼症：穩固輔具提供心理安全感，鼓勵活動。 心肺功能下降：輪椅幫助節省體力，仍可參與日常生活與社交。 輔具類型與選擇建議 手杖 適用：輕度平衡問題或單側下肢無力者 類型：單腳手杖、四腳拐 使用要點：手柄與手腕齊平，握於患側對側手，承重15–20% 助行架 適用：中度至重度平衡障礙 類型：標準助行架、前輪助行架、四輪Rollator（附座椅、剎車、置物籃） 優勢：可承重50%以上，隨時休息 注意：掌握剎車，避免滑行失控 輪椅 適用：嚴重行走困難或心肺功能低下者 類型：自走型、護理型、電動輪椅 調整重點：座寬、座深、靠背高度、腳踏板角度 特殊輔具 防褥瘡坐墊、安全帶、可拆扶手與腳踏、大輪胎設計適合戶外 選擇與使用指導 評估行走能力與距離 […]
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