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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

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