MTD平衡系统的临床应用new

www.mtd-systems.de,1,www.mtd-systems.de,2,mtd-BalanceTHE MULTIFUNCTIONAL PLATFORM FOR MEDICINE & SPORTS多功能康复评估训练平台医学*运动,Erich Neumann,www.mtd-systems.de,3,technical description技术特征,2 force sensors2个压力传感器 measuringrange测量范围 0-5000N balance frame with handrail 带扶手的平衡架 external hardware硬件 software compatible to all computers running Windows 软件可与任何计算机运行系统兼容 PC-Unit with monitor and printer 电脑带显视器和打印机,www.mtd-systems.de,4,features of the mtd-balance mtd-balancede 的特征,Objective diagnosis 目标诊断Optimal training 最佳训练Reliable documentation 准确记录,www.mtd-systems.de,5,the objective diagnosis目标诊断,e. g. to stand up起立 standing站立 one leg stand单腿站立 knee bends 屈膝 jumping 跳跃,balance 平衡 symmetry对称 coordination协调 speediness 速度 force 力量,Determination 检测,measurement of basic functions基本功能诊断,www.mtd-systems.de,6,balance when standing- clearly more weight placed on the left leg.站立时的平衡功能清晰的显示左腿的力量分配,after 9 weeks of therapy- improved symmetry9周治疗之后-对称性提高,www.mtd-systems.de,7,to stand up from a chair before surgery手术之前从椅子上站起来- clearly more weight placed on the right leg.清晰的显示右腿的力量分配,to stand up from a chair after surgery (9 weeks) and therapy手术之后从椅子上站立起来（9周的治疗 ）- well symmetry很好的对称性,www.mtd-systems.de,8,slow knee bend before surgery手术之前缓慢的屈膝- clearly more weight placed on the right leg. 清晰的显示左腿的力量分配,Slow knee bend after surgery (9 weeks) and training手术之后缓慢的屈膝（9周的治疗和训练）- well symmetry很好的对称性,www.mtd-systems.de,9,bend & straighten knees(2 angles) before surgery手术之前屈和伸直膝（两个角度） - clearly more weight placed on the right leg.清晰的显示右腿的力量分配,bend & straighten knees(2 angles) after surgery 手术之后屈和伸直膝（两个角度） (9 weeks) and rehabilitation9周的治疗和康复- improved symmetry对称性提高,www.mtd-systems.de,10,recording complex movements by means of test training通过测试训练的方法记录复杂的运动,cognitive abilities认知能力 reactions 反应 anticipation 预料,Determination 检测,Objective measurement目标性诊断,www.mtd-systems.de,11,features of the mtd-balance特性,Objective diagnosis 目标诊断Optimal training 最佳训练Reliable documentation 准确记录,www.mtd-systems.de,12,the optimal training最佳训练,force力量 balance平衡 coordination 协调性 reaction反应,training on all motoric abilities训练肌肉运动能力,anticipation预料 speediness速度 motoric relearning 运动再学习,www.mtd-systems.de,13,Bibliographic references:参考书目:Motor Learning an Performance 运动学习行为Richard Schmidt, Craig Wrisberg3rd Edition, 2004Feedback反馈Dr. Gabriele Wulf/wulf/feedback.html,the Physiofeedback-Systems extreme effectiveness in motoric relearning is based on well-established, comprehensive, readily available principles of motoric science well-known the world over. (Focus: feedback and motor learning) 本物理生物反馈系统在肌肉运动再学习上的特别有效的作用是基于众所周知，广泛和易于应用的肌肉运动科学的原则。（中心：反馈和运动再学习）,www.mtd-systems.de,14,points form the cornerstone of effective motoric learning and/or relearning运动学习与再学习作用基础关键点,the type of exercise训练类型 task-oriented rather than requirement-oriented, variable, action-related, easy-to-understand任务导向优于需求导向，可变的，行为相关的，易于理解 variability of exercise dosage 训练强度改变 the exercise must be tailored to the individual and must be manageable by him训练必须根据个人来设计，由自己来掌握 quality of feedback 反馈的性质 appropriate timing, frequency, accuracy, comprehensibility适当的时间，频率，精度，理解性 motivation of the trainee and the trainer受训者和施训者的动力 frequency of repetition重复的频率 variability is more important than quantity改变比数量更重要,www.mtd-systems.de,15,balance training / status after stroke平衡训练/中风后的状态,the type of exercise训练类型 functional movements功能运动 ADL-tasks like balance, to stand up, knee bends, weight shifting etc. ADL训练，比如平衡，站立，屈膝， 重量分布改变等- easy-to-understand易于理解 the movement task is not mediated verbally, but shown in a graphical form and is therefore comprehensible to everyone运动任务不是口头的方式，而是以图形的形式，因此对每个人来说易于理解。,www.mtd-systems.de,16,balance training / status after stroke平衡训练/中风后的状态,the degree of difficulty of each exercise can be adapted exactly to the current ability level of the patient in two ways.每个训练的难度可以在两天之内根据病人当前的能力准确的对应.1. the starting position开始状态 :from simple exercises, such as sitting on a chair, to difficult balancing exercises such as standing on one leg on the wobble board.从简单的训练，比如坐到椅子上，到困难的训练，比如单腿站立和站在摇晃的木板上。,2. the software软件: from constant, even load to very fast, irregular change of load. Therefore the training can be done by any patient.从不变的负荷到非常快，变化无规律的负荷，因此可以由任何病人来训练。,variability of exercise dosage改变训练强度,www.mtd-systems.de,17,身体动能训练,运动能力和反应敏捷性的训练,www.mtd-systems.de,18,记忆力训练 音律训练,接球训练 训练间歇,www.mtd-systems.de,19,force training / status after fracture of the neck of the femur力量训练/股骨颈骨折之后的状态,feedback 反馈realtime simultaneous实时-同步the patient sees the effect of the movement directly from the graphics without any time delay病人可以直接从图形上看到运动的结果，而没有时间延误。Comprehensible易于理解e.g. through the movement of the crosses, the basket, the play bar通过运动的十字形，篮子和游戏棒。,www.mtd-systems.de,20,force training / status after fracture of the neck of the femur力量训练/股骨颈骨折之后的状态,Motivation动力All participants can also recognize the smallest therapeutic advances by themselves.所有的参与者都可以自己认识到最小的治疗进步。During training - from the achieved score shown on the display.在训练中，达到的分数会出现在显示器上。During measurement - by comparison of the measurement curves.在诊断中，诊断曲线的对照,In this way, a high level of motivation can be ensured even over a longer period of time。通过这种方式，即使经过长时间，患者可保持高度的治疗信心.,www.mtd-systems.de,21,load training / status after ankle joint distortion负荷训练/踝关节扭伤之后的状态,intensity and duration of the training训练中的强度和时间the motivation of the patient and the duration of the exercise are important for the sucsess of the training.病人的动力和训练的时间对于训练的成功很重要。,www.mtd-systems.de,22,features of the mtd-balance,Objective diagnosis 目标诊断Optimal training 最佳训练Reliable documentation 准确记录,www.mtd-systems.de,23,reliable documentation准确记录,print-out of measurement curves打印出诊断曲线图,www.mtd-systems.de,24,reliable documentation准确记录,Print-out of the complete documentation of the training sessions打印出完整的训练记录,www.mtd-systems.de,25,最新诊断功能,最新的软件新加以下18项动作的诊断与分析功能：坐式平衡 站起与坐下习惯性站立 站立平衡站