(康复医学)运动疗法

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腰背肌的牵伸、膝后肌及跟腱的牵伸、运动前预备活动
Stretching — Stretching and flexibility exercises should include every major joint (hip, back, shoulder, knee, upper trunk, neck). It is best not to stretch "cold" muscles, so engage in a few minutes of low intensity aerobic exercise first. Movement into a stretch should be slow, and the stretch itself should be held for approximately 10 to 30 seconds. Do not bounce while beginning or performing a stretch.
motor relearning program, MRP 运动再学习
Constraint-induced movement therapy,CIMT强制性使用 运动疗法
运动疗法
exercise
关节活动技术 被动活动(passive activity):手法、
器械 CPM、牵引
助力运动(assistive exercise):器械 练习、悬吊练习、滑轮练习
主动运动(active exercise):体操 注意:全范围、各方向
运动疗法
kinesiotherapy exercise
软组织牵伸技术stretching 拉长挛缩或缩短软组织的治疗方法。
增加伸展wk.baidu.com、降低肌张力、增加关节活动范围 手法牵伸 自我牵伸 器械辅助下牵伸
要点: 时间、放松 临床应用:颈腰痛、外伤后
渐进抗阻训练
10RM ½, ¾, 全量 渐进抗阻、减退抗阻
运动疗法
kinesiotherapy exercise
增强肌力训练原则 1.阻力原则 2.超常负荷原则 3.训练次数宜多 4.至疲劳但不过度疲劳
注意事项
肌群muscle groups 1.心血管反应 2.选择适当的训练方法 3.阻力施加及调整 4.掌握好运动量
Each exercise should be performed several times. Stretch and yoga classes are also a good way to remain flexible. The stretch should not cause pain, but only mild discomfort.
formation(形成)和发展
Kinesiotherapy is defined as the application of scientifically based exercise principles adapted to enhance the strength, endurance, and mobility of individuals with functional limitations or those requiring extended physical conditioning.
运动疗法
kinesiotherapy exercise
2.肌力训练技术 方法: 肌肉收缩方式----等长isometric 、等张isotonic
是否施加阻力-----抗阻(resistive training)
等张(concentric/eccentric) 等长isometric 等速(isokinetic exercise) ------非抗阻
肌力大小选择方法 0-1级:神经肌肉电刺激 1-2级:助力运动 3级:主动运动 4级:主动,抗阻
Resistance training
Resistance training can be done with weights, machines, or exercise bands. It should be performed at least twice a week with at least 48 hours of rest between sessions. Resistance training is commonly described in terms of "sets" of "repetitions."
Neurodevelopmental Approaches (1940-70s)
Sensorimotor Approach (Rood, 1940s) Movement Therapy Approach
运动疗法
Kinesiotherapy
P106
运动疗法kinesitherapy /exercise
effects作用: to prevent and improve the disable or handicap
预防和治疗功能障碍 1.提高中枢神经系统和植物神经系统的调节
(regulate)能力 2.提高代谢(metabolism)能力,改善心肺功能 3.维持和恢复运动器官的shape和function 4.促进compensation mechanism(代偿机制)的
运 动 治疗therapeutic exercise
运动治疗技术:
关节活动技术 joint motion 软组织牵伸技术 stretching 肌力训练技术 muscle power training
Neurodevelopment treatment,NDT 神经发育疗法 Rood、Bobath、 Brunnstrom、 PNF。
神经发育疗法
Neurodevelopment
treatment,NDT
治疗原则:
以神经系统作为治疗重点对象,将 神经发育学、神经生理学的基本原理和法 则应用到脑损伤后肢体运动障碍的康复治 疗中。
典型代表:
Bobath技术、 Brunnstrom技术、 Rood 技术、Kabat-Knott-Voss(PNF)技术
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