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Modern
Rehabilitation现代康复发展趋势Active
主动训练multi
disciplinal
多学科综合治疗inter
disciplinal
学科间交流合作evidence
based
循证医学科技高大山Eibo
SchwittersHead
of
Education
Department部PT,
Manual
ThePT师,手
疗师Soreha
Expert
Team
Member团队成员Clinical
Training
Instructor临床培训讲师a
AGCertified
Clinical
Training
Instructor
fora
公司认证临床培训导师科技Contents
内容Rehabilitation
–
development
trend康复医学-发展趋势Multidisciplinary
Teamwork
Treatment多学科综合治疗-团队合作ICF国际功能、残疾和健康分类Rehab
Phase
Model康复阶段模型Objective
Testing
and
Results客观测试和结果From
PT
to
MTT从PT到MTTChallenges
in
Competition竞争中的Soreha
Education
and
Training
Service教育和培训服务Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Traditional传统康复Presence现代康复“long”
rehab
time康复时间长longtime
hospitalstay
(2-4
months)住院时间长(2-4个月)a
patientisnever“alone”患者总是有人陪伴longbedrest长期卧床休息passive
treatment治疗“short”
rehab
time康复时间短short
time
hospital
stay(3-6
weeks)住院时间短(3-6周)a
patient
shouldbe“alone”患者应该独自训练early
rehabilitation早期康复训练active
and
passive
treatment主动和
治疗相结合Experience经验丰富Activation积极活动、主动锻炼doctors
andthe sareafraid医生和治疗师缺乏经验no
activation缺乏主动活动和锻炼Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Active
Rehabilitation
Concepts
主动康复理念Traditional传统康复Presence现代康复Medication
药物
Bedrest
卧床休息
Physical
Therapy物理治疗
TCM
中医治疗
Passive
methods疗法Medication
药物
Physiotherapy
PT治疗&Physical
Therapy
物理治疗
Active
exercises
主动锻炼Medical
Training
Therapy
(MTT)医学训练疗法TCM
中医治疗Information
康复知识讲座Psychological
support
心理辅导Work
conditioning
工作模拟Work
hardening
工作强化Changein
treatment
strategies
fromtraditional
to
modern
activeRehabilitation传统
治疗到现代主动康复的趋势转变Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技MTT
The医学训练疗疗师Rehab
Doctor康复医生Physiothe物理康复治疗师TCM
中医治疗师PatientChange
in
Rehabilitation
TreatmentFrom
monodisciplinary
to
multidisciplinary
treatment由单一学科治疗转为全方位综合治疗→Teamwork
treatment
团队协作/综合治疗Contents科技“then
and
now”Multi-disciplinal
TeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceFunctionalPhysiotherapy功能PT疗法OccupationalTherapy
作业疗法
Speech-,Cognitive-,Swallow
Therapy言语、认知、吞咽疗法Care护理Medical
TrainingTherapy
医学训练疗法Interdisciplinary
Treatment
多学科综合治疗TCM中医疗法Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceMuscle
Strength肌肉力量Range
ofmotion关节活动范围Coordination协调性PT物理治疗TCM中医治疗Multi-
and
inter
disciplinary
teamworkCare护理
&Physical
therapy理疗Function:ADL–job功能:日常生活-工作Comprehensive
Combination
of
passive
and
active
exercises综合康复治疗方案:结合
治疗和主动训练Proprioception
本体感觉Strength
&Coordination肌肉力量&协调性Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Multidisciplinary
rehabilitation
concept多学科综合康复理念ACTIVEREHABILITATION主动康复治疗MTT医学训练疗法PhysiotherapyPT(体疗)PhysicalTherapy理疗FunctionalTraining
(ADL)功能训练OccupationalTherapyOT(作业疗法)TCM中医Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceICF
Rehabilitation
ConceptICF康复理念健康状况(残疾或疾病)社会参与(受约束)身体功能和结构(损伤)运动(受限)综合因素环境因素个人因素Contents“then
and
now”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技PhysiotherapyPT治疗(体疗)PhysicalTherapy理疗TCM中医治疗Medical
trainingtherapy(MTT)医学训练疗法PhaseModelofRehabilitation康复的阶段Local
strength
endurance
training局部力量耐力训练Reintegration
of
neuromuscular
controlling恢复神经肌肉控制Re-building
of
muscular
strength肌肉力量重建Reactive
training
(Con-Ecc)反应训练(向心-离心)Acceleration
wound
healing
促进伤口愈合Automobilisation
(passiv
–
active)自主关节活动(
-主动)Improvement
range
of
motion提高关节活动范围Work-specific
trainingADL
Specialization专项工作能力的训练ADL专项训练Active
training主动康复训练Treatment
goal
训练目标科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServicePhase
model
of
rehabilitation康复的阶段Acceleration
wound
healing1
促进伤口愈合Automobilisation
(passiv
–
active)自主关节活动(
-主动)PhysiotherapyPT治疗Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Phase
model
of
rehabilitation康复的阶段Local
strength
endurance
training局部力量和耐力训练Reintegration
of
neuromuscular
controlling恢复神经肌肉控制Improvement
range
of
motion提高关节活动范围PhysiotherapyPT治疗2科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServicePhase
model
of
rehabilitation康复的阶段strengthRe-building
of
muscular肌肉力量重建Medical
trainingtherapy(MTT)医学训练疗法3Contents“thenandnow”Multi-disciplinalTeamwork科技ICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServicePhase
model
of
rehabilitation康复的阶段Task-specific
trainingSpecialization专项任务训练Medical
trainingtherapy(MTT)医学训练疗法5Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceHowcan
rovideobjective
resultsshowing
thesuccess
and
progressionof
rehabilitation?如何通过客观的测量结果来显示证明康复进展和康复效果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.““疗效取决于测试质量”Johnson
and
Thompson,
1996Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceTesting
and
Therapy/Training
must
beACTIVE测试和训练必须要通过主动方式进行Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
Model科技Objective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceAdaption
principle:pensation适应原则:超量恢复Too
early:刺激太早negative
training
effect消极的训练效果Toolate:
刺激太晚no
training
effect,keep
the
base
level没有训练效果,保持基础水平On
time
timing:适时刺激the
pensationeffect
获得超量恢复的效果How
to
know,
when
to
adapt
the
stimulus?如何知道何时给予刺激?=Assessment
&
Evaluation!评估&再评估Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceSimple
Screening
modes
–problems:简单测试法的问题Semi
–objective–reliable
–valid不完全的(缺乏)–客观性–可靠性–有效性Results
depend
on who
does
the
test受测试人的影响很大No没有ation
and
reporting的结果和报告→Not
evidence
based
不能用于循证医学(医疗科研)Assessment
of
muscular
strength:肌肉力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Electromyography(EMG)
肌电图Multijoint
Systems
多关节力量测试系统
Isometric
Testing
等长测试
Isokinetic
testing
等速测试→Objective–reliable-valid
methods
客观-可靠-有效的方法→evidence
based
assessment
用于循证医学(医学科研)Assessment
of
muscular
strength:肌肉力量测试Professional
Assessment
modes专业测试评估模式Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Assessment
of
muscular
strength:肌肉力量测试Professional
Assessment
modes专业测试评估模式Lumbar
backtesting
腰背力量测试Isometric
Testing
等长测试Multijoint
Systems
多关节力量测试系统
Isometric
Testing
等长测试
Isokinetic
testing
等速测试
Isotonic
testing
等张测试→Objective–reliable-valid
methods
客观-可靠-有效的方法→evidence
based
assessment
用于循证医学(医学科研)Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceObjective
–
reliable-
valid
→
evidence
based
assessment客观-可靠-有效→循证医学认可的测试Isometric
testing
等长测试static
test
静态测试one
position
testing
单一位置的测试multiple
position
testing
多位置的测试Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceObjective
–
reliable-
valid→
evidence
based
assessment客观-可靠-有效→循证医学认可的测试Isokinetic
testing
等速测试dynamic
test
动态测试neuromuscular
test
神经肌肉测试full
range
of
motion
testing
全关节活动范围测试Strength
will
be
tested
throughout
the
whole
ROM在整个关节活动范围内进行力量测试。Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceObjective
–
reliable-
valid→
evidence
based
assessment客观-可靠-有效→循证医学认可的测试Reproducable
positioning可重复的位置固定Standardized
testing
procedure标准化的测试过程➢ation-数据文件Reporting
报告Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetition→Transfer
intointervention
program
可转化为治疗方案Education
Service科技DynamometerMeasurement
strain
gauge动力头-测力计Positioning
chair固定位置座椅Firmware–
Software固件-ControllerPC电脑控制Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Data ysis
数据分析Quality:
Curve
shape定性:曲线形状ty:
Measurement
parameters定量:测试参数Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Healthy健康人,,
office
worker职员,
athleteHealthy健康人,运动员Muscular
balance肌肉均衡Data ysis
数据分析Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技ACL
reconstruction–
10
weeks
post
surgery前 韧带重建术-术后10周Dysbalance
不均衡Dataysis
数据分析Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Isokinetic
evaluation
等速评价Pa la
fracture,
40
monthspost
surgery髌骨骨折,术后40个月Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Measurement
parameter
测试参数Torque
力矩Work
功Power
功率Endurance
耐力e
values结果分析Differences
left–right
左右不同的对比Comparison
normative
values
与标准值的对比Ratios
agonist–antagonist
拮抗肌的对比Functional
impairment–
Isokinetic
limitation功能的
-等速测试的限制Isokinetic
evaluation
等速评价Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Strength
assessment
with
Multi
Joint
System通过多关节等速力量测试系统进行力量测试科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceStrength
assessment
Lumbar
spine腰背力量测试Measurement
parameter测试参数Force
力Work
功e values
结果分析Comparison
normative
values与标准值的对比Ratios
agonist
–
antagonist主动肌/拮抗肌的对比Contents科技“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceMeasurement
parameter测试参数Force
力Work
功e values
结果分析Comparison
normative
values与标准值的对比Ratios
agonist
–
antagonist主动肌/拮抗肌的对比Strength
assessment
Lumbar
spine腰背力量测试科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceStrength
assessment
Lumbar
spine标准的颈腰背痛测试和评估系统具有标准颈部和腰部肌肉力量大小及比例数据库系统可根据患者的 情况提供颈腰部肌肉力量的正常参考值根据
自动生成测试报告,并与标准值比较,评价--
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能颈椎康复工作站-颈椎病患者效和全面的康复评估及训练系统Strength
assessment
Cervical
spine量测试科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceFemale
Driver
with
neckpain
有颈部疼痛的女驾驶员(11yrs
after
auto
accident)后11年Elite
Female
RaceDriver优秀的女
手Strength
assessment
Cervical
spine颈椎力量测试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一般虚弱Weaknessduring
walking行走时虚弱Spasticity,Contractures痉挛,挛缩L-FORCE力量L-WALK步态L-STIFF痉挛L-ROM活动范围Assessment
tools
测试评估工具Contents“thenandnow”Multi-disciplinalTeamworkICF科技Rehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceFrom
PTtoMTT从PT手
疗到MTT运动康复Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Rehab
Phase
ModelFrom
PT
toMTT
training从PT手 疗到MTT运动康复训练3-1Muscle
strength
training肌肉力量训练
Endurance
training耐力训练
Coordination
training协调性训练Work
specific
training工作专项训练
Functional
training功能性训练Gait
Training步态训练1-1Manual
therapy
手法
Mobilizationtechniques关节松解术
Traction
牵引
TCM
中医治疗
Active
exercises主动运动Gait
School
步态训练Stabilisation稳定性
Stretching拉伸Proprioception本体感觉
Coordination协调性Core
stabilization稳定Gaitschool/Training步态训练Contents“thenandnow”Multi-disciplinalTeamworkICFObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Inter
teamcommunication团队间交流科技Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
ServiceFrom
PTtoMTTtrainingContents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技ClinicalExamination(results,
findings)临床检查(结果,发现)PT
Examination(results,
findings)PT检查(结果,发现)MTTExamination/Testing
(results,
findings)MTT测试(结果,发现)MTT
TrainingMTT训练From
PT
toMTT
training从PT手 疗到MTT运动康复训练Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技From
PT
toMTT
?从PT手
疗到MTT运动康复?Needsand
Challenges
ofclinical
MTT
application临床MTT医学训练疗法应用的需求和Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Positioning
in
the
marketof
Rehabilitation康复市场定位A
lookat
Germany德国概况Rehabilitation
=competition康
复
=
竞
争Need
for
uniqueness
独特需求Concept
康复理念Decoration
of
Rehab
Dept康复部门的设计装修Equipment
康复设备Staff
专业Contents“thenandnow”Multi-disciplinalTeamworkICFRehab
Phase
ModelObjective
TestingFrom
PT
to
MTTChallenges
inCompetitionEducation
Service科技Positioning
in
the
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