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oflowerlimbpathologiesFunctionalAnatomyPathologiesInjuries病理學(xué),PTMTTTreatmentandTraining治療和科高大EiboDirectorofEducation SorehaExpertTeamCertifiedClinicalTrainingInstructor a科TableofPTMTT
SomeimportantfactsFunctionalAnatomyofHip,KneeandPathologies,Injuries,DiseasesGeneralRehabilitationConsiderationsAssessmentandExamination 科MTT科SomeimportantfactsPTTreatmentMTT
The(Central)GaitPa0erns中心步態(tài)Ini$alcontact(IC初始著地Loadingresponse負(fù)重反應(yīng)HipExtension伸髖KneeExtensionSensorya?erentinput感覺沖動(外周)科Someimportantfacts
Ini$alcontactPTMTT科
SomeimportantfactsLoadingresponse&sensory(a?erent)負(fù)重反應(yīng)&
PTMTT科
Someimportant
AtTerminalStancetheHipJointshouldachieveanExtensionof10–15oMTT
科MTT科SomeimportantfactsPTMTT
Mostimportantm.glutaeusmediusm.glutaeus=carryingweightofpelvicduringstance=科Someimportantfacts
iPadAnimationsIPADPTTreatmentMTT
HipProIIIAnimationsKneeProIIIAnimationsAnkleProIIIAnimations科Anatomy
第一楔骨oscuneiformeI第二楔骨oscuneiformeII第三楔骨oscuneiformeIIIPTTreatmentMTT
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osos科
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科
Inspec9on檢instandingposi$onandin PTMTT科MTT
Inspec9on檢instandingposi$onandin科
AnatomyMTT
anteriorcar$lagesurfaceofiswiderthantheposteriorpart科MTT
Anatomy遠(yuǎn)端脛-腓關(guān)節(jié)間歇在足背伸時變Fullwideningonlypossiblewithmuscularnotbypassivemeasures(joint只有在肌肉主動活動的情況下才能達(dá)到完全的開, 情況下不可以(關(guān)節(jié)松解)科PTMTT
Final(or:counter-)rotationinknee=externalrotationoffemuragainstinternalrotationoftibiainfullkneeTightenedACLandcollateralligamentsformorestability定科MTT
ACLstretchinflexion屈膝時ACL=stabilizingthekneejoint,kee femurandtibia“together”.科
ACLstressinanteriortranslationof=ACLsavingtibiaanteriorPTMTT科MTT
=stabilizingthekneejointagainsthyperextension;relaxedin穩(wěn)定膝關(guān)節(jié)對抗過伸;在膝時放科PTMTT科SomePathologies
MTT科SomePathologies
DistalFibulafracture(WeberB)withandavulsionofanterior腓骨遠(yuǎn)端骨折(WeberB)PTMTT科
SomePathologies
PTMTT
科SomePathologies
here:ACL/PCLiPad- PTMTT科SomePathologies ACLMTT科SomePathologiesMTT
Arthroscopickneesurgeryhere:meniscusandACL科SomePathologies Painwhenclimbingstairsanteriorknee MTT科SomePathologiesTotalTotalKneeReplacementMTT科SomePathologies
PTMTT科SomePathologiesMTT
Femur asepticnecrosis科SomePathologies
HipJointPTMTT
normal,科
SomePathologies
HipJoint
iPadPTMTT科SomePathologiesPTTreatmentMTT
Femurfracturescollumfracturetrochanterfracturefemurshankfracture123科SomePathologies MTT科SomePathologiesPTMTT
iPad科PTTreatmentMTT科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTherapyTCM中醫(yī)治療Passive科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive科ActiveRehabilitationPTTreatmentMTT
傳統(tǒng)Medication藥物Bedrest臥床休息PhysicalTCM中醫(yī)治療Passive療科ActiveRehabilitation 現(xiàn)代PTTreatmentMTT
Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
Basic
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
Manual Orthopedic
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
Vojta療法/Bobath療Neurologicfield神經(jīng)
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
FunctionalGeriatricfield
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
Exercisesin
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMPsychologicalsupportFango泥療(Fango泥)WorkconditioningWorkhardening科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主(MTTTCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主MedicalTraining(MTT)醫(yī)學(xué)訓(xùn)練療法TCM中醫(yī)治療Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCM中醫(yī)治Information康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening科ActiveRehabilitationPTTreatmentMTT
現(xiàn)代Medication藥物PhysiotherapyPT治療&PhysicalTherapy物理治療Activeexercises主動鍛煉MedicalTrainingTherapy(MTT)醫(yī)學(xué)訓(xùn)練療法TCMInformation康復(fù)知識講座Psychologicalsupport心理指導(dǎo)Workconditioning工作模擬Workhardening工作強化科ActiveRehabilitationPTMTT
WhyActive為什么要進行主動康科ActiveRehabilitationPTTreatmentMTT
Importancyofac9veneuromuscularInjuriesand 損傷和手Injuredarea損傷部BasicmotorcapabilitiesCoordina$on協(xié)調(diào)性Endurance耐力Speed速Complexmotorprograms復(fù)雜運動控科PTTreatmentMTT
ModernRehabilitationmustActive主動MultidisciplinalInterdisciplinal科
HowtoestablishPTMTT科
ChangeinRehabilitationFrommonodisciplinarytomultidisciplinary由單一學(xué)科治療轉(zhuǎn)為全方位綜合治Teamworktreatment綜合治
Rehab康復(fù)醫(yī)
MTT醫(yī)學(xué)訓(xùn)練 療
PTMTT
物理治療
TCM中醫(yī)治科Multidisciplinaryrehabilitation多學(xué)科綜合康復(fù)理
醫(yī)學(xué)訓(xùn)練療PTTreatmentMTT
作業(yè)治
主動康復(fù)治Training
科InterdisciplinaryTreatment多學(xué)科綜合治
Care護
PTMTT
Therapy作Swallow
MedicalTherapy醫(yī)學(xué)訓(xùn)練療科Multi-andinterdisciplinaryComprehensiveCombinationofpassiveandactive
Proprioception
Rangeof
MusclePTTreatmentMTT
Physical
ADLjob
Strength&科
Internationalclassificationoffunction,disabilityand國際功(ICFWHO
健康狀(殘疾或疾病PTMTT
身體功能和結(jié)(損傷
運(受限綜合因
社會參(受約束
環(huán)境因 個人因科ICFTheRehab 康復(fù)治
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評估、再測
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康復(fù)的階therapy(MTT)PTMTT
ReintegrationofneuromuscularAccelerationwound Automobilisation(passiv– Improvementrangeofmotion科
Phasemodelof
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PTTreatmentMTT
Localstrengthendurance2局部力量和耐力訓(xùn)2恢復(fù)神經(jīng)肌肉控Improvementrangeof提高活動范 科
Phasemodelof
診斷、測
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Medicaltrainingtherapy(MTT)PTTreatmentMTT科
Phasemodelof
診斷、測制定康PTTreatmentMTT
4 Medicaltrainingtherapy(MTT)4科
Phasemodelof55
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專項任務(wù)訓(xùn)
Medicaltrainingtherapy(MTT)PTTreatmentMTT科PTMTT科PTMTT
Anamnesis fortordisorder:pain臨床癥狀:疼痛情Casehistory:病例歷史:發(fā)病機Progressionof fortfrombeginningtocurrentstatus病情從發(fā)病到impactonacticityand對日常活動的socialdevelopment–worksituation–對社會活動的generalhealth整體健康狀family史科PTMTT
LeglengthPelvislevelGreaterTrochanterKneeAnkle科
Inspec9oninstandingposi$oninrest
MTT
~科Passivemo9on 活動
anterioranklejointChopardLine
PTMTT
科
toeMTT
Jointplay關(guān)節(jié)活動科
IJointplaytests關(guān)節(jié)活動MTT
CuneiformeIIIvsVS足舟骨/科
2Jointplaytests關(guān)節(jié)活動MTT
CuneiformeIIvscuneiforme科
3Jointplaytests關(guān)節(jié)活動檢MTT
CuneiformeIIvscuneiforme科
4Jointplay關(guān)節(jié)活動PTMTT
Navicularevs科
5
Jointplay關(guān)節(jié)活動檢MTT
Talusvs科6
Jointplay關(guān)節(jié)活動檢PTMTT
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7Jointplay關(guān)節(jié)活動檢MTT
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8
Jointplay關(guān)節(jié)活動檢PTMTT
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Jointplay 關(guān)節(jié)活動檢MTT
Crusventraldorsal科
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Translatoricjointplayandmobility關(guān)節(jié)平移和活動度MTT
科
Translatoricjointplayandmobility關(guān)節(jié)平移和活動度PTMTT
科 Translatoricjointplayandmobility關(guān)節(jié)平移和活動度MTT
科 Translatoricjointplayandmobility關(guān)節(jié)平移和活動度MTT
科
Translatoricjointplayandmobility關(guān)節(jié)平移和活動度PTMTT
Di?erent科
Translatoricjointplayandmobility關(guān)節(jié)平移和活動度MTT
Compressionacrossthemetatarsal科PTMTT
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ExaminationKneePainloca9on疼痛的定
Flex$on屈
Choose選擇另一個動PTMTT
ofPa 遠(yuǎn)端滑動髕Posteriorgliding科
Examina$onof larjointExamina$on$biofemoral檢查股脛關(guān)
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選擇另一個動 關(guān)
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$biofemoral檢查股脛關(guān)Examina$onof larjoint科
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Resultsexamples)檢查結(jié)
treatment治療stretching,decreasemuscle科
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mIliopsoas髂(flexorofPTMTT
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科
ExaminationKneejointplay關(guān)節(jié)活
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stabilization固定科
ExaminationKneejointplay關(guān)節(jié)活 la髕PTTreatmentMTT
科
traction,ExaminationKnee
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Resultsexamples)結(jié)果
bracesupport, ,科ExaminationKnee
jointplay關(guān)節(jié)活動anteriordrawertesttestat90°flexion,在屈曲90°測試movetibiaforwardandbackwardnormal:noorminimalforwarddrawingoftibia
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hypermobile~1cmor過松-1cm科
bracesupport, bandage,ExaminationKnee
jointplay關(guān)節(jié)活anteriordrawertest前抽MTT科
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cranialjointResultsexamples)結(jié)果
caudaljoint遠(yuǎn)端科ExaminationKnee
menisctest半月板B?hler/Kr?mertest,=McMurrayflex/extinfullROMwithadductionorabductionPTMTT
pain(menisc疼痛(半月板影響
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menisctest半月板AppleyPTMTT
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pain(menisc疼痛(半月板影響科
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pain(menisc疼痛(半月板影響科
correctingaxis糾正軸線surgery手
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strenghtpowerworkendurance
科 ysis步態(tài)PTMTT科 ysis步態(tài)PTMTT科 ysis步態(tài)PTMTT科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖關(guān)PT
疼痛
疼痛
MTT
ERosilium髂骨科
Chooseanother選擇其他動ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖
PTMTT
IR:osilium
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Chooseanother選擇其他動
Examhip檢查髖關(guān)PTMTT
Provokingpainright誘發(fā):右側(cè)軸疼
Osilium髂骨尾
疼痛
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖PT
疼痛前短
Osilium髂骨顱
MTT
decreasingpainright右側(cè)軸疼痛減
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖關(guān)
疼痛
PTMTT
Pain屈曲誘發(fā)疼
Extensionofosilium髂骨
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖PT
?ec$onpain
疼痛前短
?ec$onof
MTT
曲疼痛減
骨屈
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖關(guān)PT
Provoking背伸誘發(fā)疼
?ec$onof
疼痛
MTT
Choose選擇其他動科ExaminationHip
HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Choose選擇其他動
Examhip檢查髖PTMTT
疼痛前短
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HIP髖關(guān)Painloca9on疼痛位置 Lumbarpain?髖部?骶髂關(guān)節(jié)?腰椎Chooseanother選擇其他動
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testright測試右
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康復(fù)進科PTMTT
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TestingandTherapy/Trainingmustbe測試和訓(xùn)練必須要通過主動方式進科
Adaption適應(yīng)原則PTMTT
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Assessmentofmuscular肌肉力量ProfessionalAssessment專業(yè)測試
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evidence客觀-可靠-有效循證醫(yī)學(xué)認(rèn)可的Isometrictesting等長statictest靜態(tài)測onepositiontesting單一位置的測multiplepositiontesting多位置的科StrengthassessmentwithMultiJoint通過多關(guān)節(jié)等速力量測試系統(tǒng)進行力PTMTT
evidence客觀-可靠-有效循證醫(yī)學(xué)認(rèn)可的Isokinetictesting等速測dynamictest動態(tài)測neuromusculartest神經(jīng)肌肉測fullrangeofmotiontesting全關(guān)節(jié)活動范圍測Strengthwillbetestedthroughoutthewhole在整個關(guān)節(jié)科
StrengthassessmentwithMultiJoint通過多關(guān)節(jié)等速力量測試系統(tǒng)進行力evidence客觀-可靠-有效循證醫(yī)學(xué)認(rèn)ReprodualeStandardized
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GaitTrainingExamplewalkingwithcrutchesWalkingupstairswith2crutches帶MTT科
GaitTrainingExamplewalkingwithcrutchesWalkingupstairswith1handonhandrailMTT科
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GaitTrainingExamplewalkingwithcrutchesWalkingdownstairswith1handonhandrail單MTT科MTT科
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NeuromusculartrainingcoordinationproprioceptionMTT科
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