biodex-步態(tài)gaittrainer3-conceptcnali p現(xiàn)代康復發(fā)展趨勢

Modern

Rehabilitation現(xiàn)代康復發(fā)展趨勢Active

主動訓練multi

disciplinal

多學科綜合治療inter

disciplinal

學科間交流合作evidence

based

循證醫(yī)學科技高大山Eibo

SchwittersHead

of

Education

Department部PT,

Manual

ThePT師，手

療師Soreha

Expert

Team

Member團隊成員Clinical

Training

Instructor臨床培訓講師a

AGCertified

Clinical

Training

Instructor

fora

公司認證臨床培訓導師科技Contents

內(nèi)容Rehabilitation

–

development

trend康復醫(yī)學－發(fā)展趨勢Multidisciplinary

Teamwork

Treatment多學科綜合治療－團隊合作ICF國際功能、殘疾和健康分類Rehab

Phase

Model康復階段模型Objective

Testing

and

Results客觀測試和結果From

PT

to

MTT從PT到MTTChallenges

in

Competition競爭中的Soreha

Education

and

Training

Service教育和培訓服務Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Traditional傳統(tǒng)康復Presence現(xiàn)代康復“l(fā)ong”

rehab

time康復時間長longtime

hospitalstay

(2-4

months)住院時間長（2-4個月）a

patientisnever“alone”患者總是有人陪伴longbedrest長期臥床休息passive

treatment治療“short”

rehab

time康復時間短short

time

hospital

stay(3-6

weeks)住院時間短（3-6周）a

patient

shouldbe“alone”患者應該獨自訓練early

rehabilitation早期康復訓練active

and

passive

treatment主動和

治療相結合Experience經(jīng)驗豐富Activation積極活動、主動鍛煉doctors

andthe sareafraid醫(yī)生和治療師缺乏經(jīng)驗no

activation缺乏主動活動和鍛煉Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Active

Rehabilitation

Concepts

主動康復理念Traditional傳統(tǒng)康復Presence現(xiàn)代康復Medication

藥物

Bedrest

臥床休息

Physical

Therapy物理治療

TCM

中醫(yī)治療

Passive

methods療法Medication

藥物

Physiotherapy

PT治療&Physical

Therapy

物理治療

Active

exercises

主動鍛煉Medical

Training

Therapy

(MTT)醫(yī)學訓練療法TCM

中醫(yī)治療Information

康復知識講座Psychological

support

心理輔導Work

conditioning

工作模擬Work

hardening

工作強化Changein

treatment

strategies

fromtraditional

to

modern

activeRehabilitation傳統(tǒng)

治療到現(xiàn)代主動康復的趨勢轉(zhuǎn)變Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技MTT

The醫(yī)學訓練療療師Rehab

Doctor康復醫(yī)生Physiothe物理康復治療師TCM

中醫(yī)治療師PatientChange

in

Rehabilitation

TreatmentFrom

monodisciplinary

to

multidisciplinary

treatment由單一學科治療轉(zhuǎn)為全方位綜合治療→Teamwork

treatment

團隊協(xié)作／綜合治療Contents科技“then

and

now”Multi-disciplinal

TeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceFunctionalPhysiotherapy功能PT療法OccupationalTherapy

作業(yè)療法

Speech-,Cognitive-,Swallow

Therapy言語、認知、吞咽療法Care護理Medical

TrainingTherapy

醫(yī)學訓練療法Interdisciplinary

Treatment

多學科綜合治療TCM中醫(yī)療法Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceMuscle

Strength肌肉力量Range

ofmotion關節(jié)活動范圍Coordination協(xié)調(diào)性PT物理治療TCM中醫(yī)治療Multi-

and

inter

disciplinary

teamworkCare護理

&Physical

therapy理療Function:ADL–job功能：日常生活-工作Comprehensive

Combination

of

passive

and

active

exercises綜合康復治療方案：結合

治療和主動訓練Proprioception

本體感覺Strength

&Coordination肌肉力量&協(xié)調(diào)性Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Multidisciplinary

rehabilitation

concept多學科綜合康復理念ACTIVEREHABILITATION主動康復治療MTT醫(yī)學訓練療法PhysiotherapyPT（體療）PhysicalTherapy理療FunctionalTraining

(ADL)功能訓練OccupationalTherapyOT（作業(yè)療法）TCM中醫(yī)Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceICF

Rehabilitation

ConceptICF康復理念健康狀況（殘疾或疾?。┥鐣⑴c（受約束）身體功能和結構（損傷）運動（受限）綜合因素環(huán)境因素個人因素Contents“then

and

now”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技PhysiotherapyPT治療（體療）PhysicalTherapy理療TCM中醫(yī)治療Medical

trainingtherapy(MTT)醫(yī)學訓練療法PhaseModelofRehabilitation康復的階段Local

strength

endurance

training局部力量耐力訓練Reintegration

of

neuromuscular

controlling恢復神經(jīng)肌肉控制Re-building

of

muscular

strength肌肉力量重建Reactive

training

(Con-Ecc)反應訓練（向心-離心）Acceleration

wound

healing

促進傷口愈合Automobilisation

(passiv

–

active)自主關節(jié)活動（

-主動）Improvement

range

of

motion提高關節(jié)活動范圍Work-specific

trainingADL

Specialization專項工作能力的訓練ADL專項訓練Active

training主動康復訓練Treatment

goal

訓練目標科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServicePhase

model

of

rehabilitation康復的階段Acceleration

wound

healing1

促進傷口愈合Automobilisation

(passiv

–

active)自主關節(jié)活動（

-主動）PhysiotherapyPT治療Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Phase

model

of

rehabilitation康復的階段Local

strength

endurance

training局部力量和耐力訓練Reintegration

of

neuromuscular

controlling恢復神經(jīng)肌肉控制Improvement

range

of

motion提高關節(jié)活動范圍PhysiotherapyPT治療2科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServicePhase

model

of

rehabilitation康復的階段strengthRe-building

of

muscular肌肉力量重建Medical

trainingtherapy(MTT)醫(yī)學訓練療法3Contents“thenandnow”Multi-disciplinalTeamwork科技ICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServicePhase

model

of

rehabilitation康復的階段Task-specific

trainingSpecialization專項任務訓練Medical

trainingtherapy(MTT)醫(yī)學訓練療法5Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceHowcan

rovideobjective

resultsshowing

thesuccess

and

progressionof

rehabilitation?如何通過客觀的測量結果來顯示證明康復進展和康復效果Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技?The

Quality

of

Treatmentcan

only

be

as

good

as

theExamination

it

is

based

on.““療效取決于測試質(zhì)量”Johnson

and

Thompson,

1996Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceTesting

and

Therapy/Training

must

beACTIVE測試和訓練必須要通過主動方式進行Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

Model科技Objective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceAdaption

principle:pensation適應原則：超量恢復Too

early:刺激太早negative

training

effect消極的訓練效果Toolate:

刺激太晚no

training

effect,keep

the

base

level沒有訓練效果，保持基礎水平On

time

timing:適時刺激the

pensationeffect

獲得超量恢復的效果How

to

know,

when

to

adapt

the

stimulus?如何知道何時給予刺激？=Assessment

&

Evaluation!評估&再評估Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceSimple

Screening

modes

–problems:簡單測試法的問題Semi

–objective–reliable

–valid不完全的（缺乏）–客觀性–可靠性–有效性Results

depend

on who

does

the

test受測試人的影響很大No沒有ation

and

reporting的結果和報告→Not

evidence

based

不能用于循證醫(yī)學（醫(yī)療科研）Assessment

of

muscular

strength:肌肉力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Electromyography(EMG)

肌電圖Multijoint

Systems

多關節(jié)力量測試系統(tǒng)

Isometric

Testing

等長測試

Isokinetic

testing

等速測試→Objective–reliable-valid

methods

客觀-可靠-有效的方法→evidence

based

assessment

用于循證醫(yī)學（醫(yī)學科研）Assessment

of

muscular

strength:肌肉力量測試Professional

Assessment

modes專業(yè)測試評估模式Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Assessment

of

muscular

strength:肌肉力量測試Professional

Assessment

modes專業(yè)測試評估模式Lumbar

backtesting

腰背力量測試Isometric

Testing

等長測試Multijoint

Systems

多關節(jié)力量測試系統(tǒng)

Isometric

Testing

等長測試

Isokinetic

testing

等速測試

Isotonic

testing

等張測試→Objective–reliable-valid

methods

客觀-可靠-有效的方法→evidence

based

assessment

用于循證醫(yī)學（醫(yī)學科研）Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceObjective

–

reliable-

valid

→

evidence

based

assessment客觀-可靠-有效→循證醫(yī)學認可的測試Isometric

testing

等長測試static

test

靜態(tài)測試one

position

testing

單一位置的測試multiple

position

testing

多位置的測試Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceObjective

–

reliable-

valid→

evidence

based

assessment客觀-可靠-有效→循證醫(yī)學認可的測試Isokinetic

testing

等速測試dynamic

test

動態(tài)測試neuromuscular

test

神經(jīng)肌肉測試full

range

of

motion

testing

全關節(jié)活動范圍測試Strength

will

be

tested

throughout

the

whole

ROM在整個關節(jié)活動范圍內(nèi)進行力量測試。Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceObjective

–

reliable-

valid→

evidence

based

assessment客觀-可靠-有效→循證醫(yī)學認可的測試Reproducable

positioning可重復的位置固定Standardized

testing

procedure標準化的測試過程?ation－數(shù)據(jù)文件Reporting

報告Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetition→Transfer

intointervention

program

可轉(zhuǎn)化為治療方案Education

Service科技DynamometerMeasurement

strain

gauge動力頭-測力計Positioning

chair固定位置座椅Firmware–

Software固件-ControllerPC電腦控制Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Data ysis

數(shù)據(jù)分析Quality:

Curve

shape定性：曲線形狀ty:

Measurement

parameters定量：測試參數(shù)Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Healthy健康人，,

office

worker職員,

athleteHealthy健康人，運動員Muscular

balance肌肉均衡Data ysis

數(shù)據(jù)分析Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技ACL

reconstruction–

10

weeks

post

surgery前 韌帶重建術-術后10周Dysbalance

不均衡Dataysis

數(shù)據(jù)分析Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Isokinetic

evaluation

等速評價Pa la

fracture,

40

monthspost

surgery髕骨骨折，術后40個月Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Measurement

parameter

測試參數(shù)Torque

力矩Work

功Power

功率Endurance

耐力e

values結果分析Differences

left–right

左右不同的對比Comparison

normative

values

與標準值的對比Ratios

agonist–antagonist

拮抗肌的對比Functional

impairment–

Isokinetic

limitation功能的

-等速測試的限制Isokinetic

evaluation

等速評價Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Strength

assessment

with

Multi

Joint

System通過多關節(jié)等速力量測試系統(tǒng)進行力量測試科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceStrength

assessment

Lumbar

spine腰背力量測試Measurement

parameter測試參數(shù)Force

力Work

功e values

結果分析Comparison

normative

values與標準值的對比Ratios

agonist

–

antagonist主動?。卓辜〉膶Ρ菴ontents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceMeasurement

parameter測試參數(shù)Force

力Work

功e values

結果分析Comparison

normative

values與標準值的對比Ratios

agonist

–

antagonist主動?。卓辜〉膶Ρ萐trength

assessment

Lumbar

spine腰背力量測試科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceStrength

assessment

Lumbar

spine標準的頸腰背痛測試和評估系統(tǒng)具有標準頸部和腰部肌肉力量大小及比例數(shù)據(jù)庫系統(tǒng)可根據(jù)患者的 情況提供頸腰部肌肉力量的正常參考值根據(jù)

自動生成測試報告，并與標準值比較，評價--

TergumedContents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技功有MCUlti

Cervical

Unit

–

the

mosteffectivecomplete

system

for

the

assessmentd

rehabilitation

of

patients

sufferingfrom

cervical

spine

problems能頸椎康復工作站－頸椎病患者效和全面的康復評估及訓練系統(tǒng)Strength

assessment

Cervical

spine量測試科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceFemale

Driver

with

neckpain

有頸部疼痛的女駕駛員(11yrs

after

auto

accident)后11年Elite

Female

RaceDriver優(yōu)秀的女

手Strength

assessment

Cervical

spine頸椎力量測試Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceGeneralWeakness一般虛弱Weaknessduring

walking行走時虛弱Spasticity,Contractures痙攣，攣縮L-FORCE力量L-WALK步態(tài)L-STIFF痙攣L-ROM活動范圍Assessment

tools

測試評估工具Contents“thenandnow”Multi-disciplinalTeamworkICF科技Rehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

ServiceFrom

PTtoMTT從PT手

療到MTT運動康復Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

Phase

ModelObjective

TestingFrom

PT

to

MTTChallenges

inCompetitionEducation

Service科技Rehab

Phase

ModelFrom

PT

toMTT

training從PT手 療到MTT運動康復訓練3-1Muscle

strength

training肌肉力量訓練

Endurance

training耐力訓練

Coordination

training協(xié)調(diào)性訓練Work

specific

training工作專項訓練

Functional

training功能性訓練Gait

Training步態(tài)訓練1-1Manual

therapy

手法

Mobilizationtechniques關節(jié)松解術

Traction

牽引

TCM

中醫(yī)治療

Active

exercises主動運動Gait

School

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ModelObjective

TestingFrom

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ModelObjective

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ModelObjective

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Phase

ModelObjective

TestingFrom

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專業(yè)Contents“thenandnow”Multi-disciplinalTeamworkICFRehab

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ModelObjective

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ModelObjective

TestingFrom

PT

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ServicePositioning

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ModelObjective

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PT

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ModelObjective

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Phase

ModelObjective

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功能區(qū)域劃分Privacy

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ModelObjective

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PT

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ModelObjective

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ModelObjective

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ModelObjective

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