醫(yī)院培訓(xùn)課件：《卡倫中心的康復(fù)治療》

RehabilitationattheCAREN卡倫中心的康復(fù)治療

BaYidepartmentsLiljaSiemelink&CARENteamPhysical身體的Visual視覺的Cognitive認(rèn)知的Locomotion&BalanceControl

運(yùn)動和平衡控制Individual個人Environment環(huán)境Task任務(wù)CARENComputerAssistedRehabilitationEnvironment

計算機(jī)輔助康復(fù)系統(tǒng)ComputerAssistedRehabilitationENvironment

CARENSurroundsound

system&VisualProjection環(huán)繞立體聲音響和環(huán)形屏幕Motion-Capturesystem運(yùn)動捕捉系統(tǒng)Dual-beltTreadmillWithforceplates帶測力功能的雙跑帶6DOFMotionPlatform6個自由度的運(yùn)動平臺MotionCapture

運(yùn)動捕捉系統(tǒng)Movement&Directfeedback

運(yùn)動及直接反饋系統(tǒng)CARENknowsexactmovementpatient

卡倫系統(tǒng)能精確地知道患者的動作Becauseofthemarkersonthebody

借助身體上的標(biāo)識點CARENgivesreal-timefeedbacktopatient

卡倫系統(tǒng)能向患者提供實時反饋Fastmotorlearningforpatient患者能快速地學(xué)習(xí)Real-time

實時Real-time

實時Treatment=Measurement&Training治療=評估&訓(xùn)練Measurement評估Knowexactimprovement

準(zhǔn)確地知道患者進(jìn)步的情況Measurebeginperformance

測量患者開始時的狀況Measureendperformance

測量患者結(jié)束時的狀況Comparebegin&end

將開始時的狀況和結(jié)束時的狀況進(jìn)行對比Objectivedata!

得到客觀的數(shù)據(jù)WhyisCARENusefulfortreatment?為何卡倫系統(tǒng)治療效果好？Treatment=Measurement&Training治療=評估&訓(xùn)練Training訓(xùn)練Fastlearning

患者快速地學(xué)習(xí)Real-timefeedbacksystem

實時反饋系統(tǒng)Safeenvironment->daremore

安全的環(huán)境->患者更敢于嘗試Challengingenvironment->prepareforrealworld

有挑戰(zhàn)的環(huán)境->為現(xiàn)實環(huán)境做準(zhǔn)備Trainatlevelofthepatient

根據(jù)患者來選擇合適的訓(xùn)練難度Motivation&fun!

富有主動性和趣味性WhyisCARENusefulfortreatment?為何卡倫系統(tǒng)治療效果好？Levelofpatient

患者康復(fù)分級坐立平衡站立平衡跨步平衡行走及功能性步態(tài)康復(fù)WhichpatientsaresuitableforCAREN?

什么樣的病人適合在卡倫訓(xùn)練？

Neurologicalconditions神經(jīng)系統(tǒng)疾病Musculoskeletalconditions骨科疾病Stroke(CVA)中風(fēng)Parkinson’sDisease(PD)帕金森癥MultipleSclerosis(MS)多發(fā)性硬化CerebralParese(CP)腦癱IncompleteSpinalCordInjury

非完全性的脊髓損傷(mild)TraumaticBrainInjury

(輕度)腦外傷Amputees截肢TotalHip/Kneedisplacement

全髖/膝關(guān)節(jié)置換Osteoarthritis骨關(guān)節(jié)炎Lowerextremityfractures

下肢骨折Rheumatoidarthritis

風(fēng)濕性關(guān)節(jié)炎Frailtyofelderly老年虛弱患者

PatientswithBalance,Gaitandcognitiveproblems有平衡、步態(tài)和認(rèn)知問題的病人WhatcanCARENimproveforthispatient?

卡倫系統(tǒng)能為患者提升什么？

階段1階段2階段3階段4坐立平衡站立平衡跨步平衡行走及功能性步態(tài)康復(fù)ImprovepatientonCAREN

借助卡倫系統(tǒng)提高患者Phase1SitArmfunction

手臂功能訓(xùn)練Trunkstability

軀干穩(wěn)定性訓(xùn)練Phase2StandStandingbalance

站立平衡訓(xùn)練Weightshifting

重心轉(zhuǎn)移訓(xùn)練WeightDistribution

重力分布訓(xùn)練Phase3SteppingLeglifting

抬腿訓(xùn)練Stepping

跨步訓(xùn)練Steppingwithdualtasks雙重任務(wù)下跨步訓(xùn)練Steppingbalance跨步平衡訓(xùn)練Phase4GaitWalkingspeed行走速度訓(xùn)練Walkingdistance行走距離訓(xùn)練Jointangles關(guān)節(jié)角度訓(xùn)練Gaitadaptability步態(tài)調(diào)節(jié)訓(xùn)練階段1階段2階段2階段2坐立站立跨步行走HowcanCARENmeasurethisimprovement?

卡倫系統(tǒng)如何衡量這些進(jìn)步？

Withassessmentapplications借助評估程序Goal改善目標(biāo)Armfunction

手臂功能Trunkstability

軀干穩(wěn)定性Standingbalance

站立平衡WeightShifting

重心轉(zhuǎn)移Stepheight抬腿高度Onelegstance跨步距離SteppingBalance跨步平衡Assessment評估FunctionalReach

前伸功能LimitsofStability

穩(wěn)定范圍PosturalStability(EP,EC,tandem,oneleg)

多姿勢下的穩(wěn)定性(開眼,閉眼,一腳前一腳后,單腿)Data數(shù)據(jù)Reachdistanceincm前伸的距離(厘米)Limitsofstabilityincmorcm^2

穩(wěn)定區(qū)域的面積(平方厘米)COPvelocity

(重心的速度)HowcanCARENmeasurethisimprovement?

卡倫系統(tǒng)是如何衡量這些進(jìn)步的？

Goal改善目標(biāo)Walkingspeed

行走速度Increasesteplength

增加步長Walkingendurance

步行耐力Gaitadaptability

步態(tài)的調(diào)整能力Functionalgait功能性步態(tài)Assessment評估Gaitanalysis步態(tài)分析-6minutewalktest6分鐘行走測試Stepevaluation

跨步評估