常用康复治疗技术操作规范.doc

第八节 步行评估........................................................................................................................26
一、步行能力........................................................ 二......................................................................26
二、步态分析........................26
第九节 心血管评估....................................................................................................................28
一、心率.............................................................28
二、血压......................................................................................................................................29
三、心电分级运动实验.......................................................................30
四、简易运动实验技术..............................................................................................................31
第十节 呼吸评估........................................................................................................................32
一通气功能..............................................................................................................................32
二、代谢当量..............................................................................................................................34
三、心肺联合运动实验...................34
第十一节 疼痛评估....................................................................................................................35
一、压力测痛法.....................................................................3
二、视觉模拟评分法..................................................................................................................36
三、疼痛问卷...............................................................................................................37
附录..............................................................................................................................................38
附表1-2-1 上肢关节活动范畴测量....................................................................................... ..38
附表1-2-2 下肢关节活动范畴测量... ..38
附表1-2-3 脊柱关节活动范畴测量...................................................................................... ...39
附表1-3-1 上肢肌肉徒手肌力检查............................................................................... ..40
附表1-3-2 下肢肌肉徒手肌力检查......................................................................................... 52
附表1-3-3 躯干肌肉徒手肌力检查......................................................................................... 59
二章 运动治疗...................................................... .63
第一节 关节活动范畴训练........................................................................................................63
一、被动关节活动范畴训练..............................................................................................63
二、积极-助力关节活动训练.....................................................................................................64
三、积极运动..............................................................................................................................65
第二节 关节松动技术........................66
一、上肢......................................................................................................................................66
二、下肢..............................................................68
三、脊柱......................................................................................................................................68
第三节 牵伸技术..........................................................................69
一、上肢......................................................................................................................................69
二、下肢........................................................................................................70
三、躯干......................................................................................................................................70
第四节 肌力训练....................................................................................................................71
一、徒手肌力训练......................................................................................................................71
二、等长肌力训练......................................................................................................................72
三、等张肌力训练........................72
四、等速肌力训练......................................................................................................................73
第五节 步行训练................................................................74
一、步行前训练..........................................................................................................................74
二、步行训练75
第六节 呼吸训练.........................................................................................76
一、腹式呼吸训练......................................................................................................................76
二、抗阻呼气训练......................................................................................................................77
三、深呼吸训练..........................................................................................................................78
四、局部呼吸训练......................................................................................................................78
五、排痰训练....................................79
六、呼吸肌训练..........................................................................................................................79
第七节 平衡与协调训练..............................................................80
一、无器械平衡训练..................................................................................................................80
二、简易设备平衡训练..............................................................................................................81

三、仪器平衡训练......................................................................................................................82
四、协调训练..............................................................................................................................82
第八节 有氧训练.........................83
一、器械有氧训练......................................................................................................................83
二、无器械有氧训练84
第九节 神经发育疗法................................................84
一、Brunnstrom技术..................................................................................................................84
二、Bobath技术..........................................................................................86
三、PNF技术..............................................................................................................................88
第十节 运动再学习....................................................................................................................92
一、上肢功能训练......................................................................................................................93
二、口面部功能训练..................................................................................................................94
三、卧位到床边坐起及坐位平衡训练.........................94
四、站起与坐下训练..................................................................................................................95
五、站立平衡训练....................................................................................................96
六、行走训练..............................................................................................................................97
第十一节 医疗体操....................................................................................................................97
一、偏瘫.........98
二、颈椎病................................................................................................................................100
三、腰椎间盘突出症........................101
四、肩周炎................................................................................................................................102
五、膝关节骨关节炎............................................................103
六、脊柱侧凸............................................................................................................................104
第十二节 牵引治疗...................................................................................................105
一、腰椎牵引............................................................................................................................105
二、颈椎牵引............................................................................................................................106
三章 物理因子治疗.107
第一节 电疗法..........................................................................................................................108
一、直流电疗法.........................................108
二、直流电药物离子导入疗法................................................................................................109
三、低频电疗法............................................................................................... 110
四、中频电疗法........................................................................................................................ 111
五、高频电疗法........................................................................................................................ 111
第二节 光疗法.......................................................................................................................... 116
一、红外线疗法........................................................................................................................ 116
二、紫外线疗法............................ 116
三、激光疗法............................................................................................................................ 118
第三节 磁疗法........................................................... 119
一、静磁场疗法........................................................................................................................ 119
二、动磁场疗法........................................................................................... 120
第四节 超声波疗法...................................................................................................................120
一、超声波疗法........................................................................................................................ 120
二、超声药物透入疗法............................................................................................................ 122
第五节 冷疗法...........................................................................................................................122
一、冷疗法....................................... 122
二、冷冻疗法........................................................................................................................... .123
第六节 热疗法..............................................................124
一、石蜡疗法............................................................................................................................124
二、湿热袋敷疗法............................................................................................125
三、泥疗法................................................................................................................................126
第七节 压力疗法......................................................................................................................126
一、正负压疗法........................................................................................................................126
二、负压疗法............................................................................................................................127
三、正压顺序循环疗法.........................128
第八节 肌电生物反馈疗法......................................................................................................129
第二篇作业治疗...................................................................................... ........ ............ .........131
一章 作业评估..........................................................................................................................131
第一节 作业体现层次..............................................................................................................131
一、作业需求............................................................................................................................131
二、平常生活活动....................................................................................................................132
三、工作..................................133
四、生存质量............................................................................................................................135
第二节 作业构成层次....................................................