醫(yī)學(xué)精品課件神經(jīng)肌肉力量的測(cè)試、評(píng)定

1、Neuromuscular strength assessment and training神經(jīng)肌肉力量的測(cè)試、評(píng)定Dr. Oliver Kieffer , PhD 奧利弗基弗 博士OrthoTrain Rehabilitation Center, Berlin, Germany德國(guó)柏林OrthoTrain康復(fù)中心院長(zhǎng)Soreha China CEO 玖瑞德康復(fù)技術(shù)（北京）有限公司 總裁 2021/7/16 星期五1Muscular decrease after immobilization and bedrest固定和臥床后肌肉力量的下降Wearing a cast after operat

2、ions lead to a decrease of muscle strength of 20% and more within 2 weeks. The decrease of strength works 4 times faster than the rebuild of muscular strength. 在手術(shù)后的2周內(nèi)導(dǎo)致肌肉力量下降20%或以上。肌肉力量下降的速度比重建的速度快4倍 Research studies show that 1 week bedrest reduce the muscular mass by 13%. 4 weeks immobilization

3、result in a strength decrease of 30-50%. Mainly the type I fibers decrease in the first period of immobilization. 。研究結(jié)果表明，1周的臥床休息使肌肉重量降低13%。4周的固定導(dǎo)致力量下降30-50%。在制動(dòng)的第一階段大部分減少的是1型肌纖維。2021/7/16 星期五2Assessment診斷、測(cè)試Assignment評(píng)價(jià)、計(jì)劃Intervention干預(yù)、治療Evaluation再測(cè)試、評(píng)估ICF - The Rehab circleICF-康復(fù)治療周期2021/7/16 星期

4、五3Assessment測(cè)試、診斷Medical examination醫(yī)學(xué)檢查PT AssessmentPT 檢查Functional work specific Assessment功能檢查Generic questionnaires一般問(wèn)卷Indication Specific questionnaires適應(yīng)癥的特殊問(wèn)卷Pain rating疼痛指數(shù)Neuromuscular testing神經(jīng)肌肉測(cè)試Psychological testsAttendanceConcentration心理測(cè)試2021/7/16 星期五4MTT neuromuscular assessmentMTT神經(jīng)

5、肌肉診斷Questions:問(wèn)題Pain? 疼痛？Flexibility? 柔韌性？Strength? 力量？Ratios 比率Dysbalances 失衡Strength in particular positions 特定姿勢(shì)的力量Bilateral comparison 雙側(cè)比較Strength endurance? 力量耐力？EMG activity? 肌電活動(dòng)性？2021/7/16 星期五5MTT assessment 診斷2021/7/16 星期五6Flexibility柔韌性 Muscle function testing 肌肉功能測(cè)試Lower extremities 下肢Ca

6、lf testing 小腿后群測(cè)試Stretching test: 拉伸測(cè)試Dorsal extension in 背伸full knee extension (m. gastrocnemius and mm.soleus) 完全伸膝（腓腸肌和比目魚(yú)?。?0 knee flexion (mm.soleus) 90屈膝（比目魚(yú)肌）2021/7/16 星期五7Flexibility Muscle function testing 柔韌性肌肉功能測(cè)試Lower extremities 下肢 Result: 結(jié)果Knee flexion 90 + 屈膝大于90 Knee 80-90flexionO 屈

7、膝80-90之間Knee flexion KeyPalmarTip 68報(bào)告的選擇 Report Options2021/7/16 星期五69Assessment診斷、測(cè)試Assignment評(píng)價(jià)、計(jì)劃Intervention干預(yù)、治療Evaluation再測(cè)試、評(píng)估ICF - The Rehab circleICF-康復(fù)治療周期2021/7/16 星期五70Assignment分析、計(jì)劃 Treatment planning 治療計(jì)劃 Definition of treatment goals 確定治療目標(biāo) Multidisciplinary treatment program 全方位綜合治

8、療方案AssessmentAssignmentInterventionEvaluation2021/7/16 星期五71Intervention干預(yù)、治療Multidisciplinary treatment program多學(xué)科綜合治療方案 AssessmentAssignmentInterventionEvaluation2021/7/16 星期五72Strength training on medical strength machines應(yīng)用醫(yī)用力量訓(xùn)練器械進(jìn)行力量訓(xùn)練Leg Press closed kinetic chain 下肢蹬踏訓(xùn)練（閉鏈）Inner and outer hip and leg muscles (Ab-Addu