文稿biodex步態(tài)gait trainer301神經(jīng)科neuro basics

Motor

MotorlearningAspectsofprac+calapplica+onAspectsofsorehaMotorMotorAspectsClinicalidealidealorienta+onto‘sneedsandsorehaMotorAspectsof

aproblem-‐solvingapproachtotheassessmentandtreatmentofindividualswithdisturbancesoffunc+on,movementandposturalcontrolduetoalesionof centralnervoussystem(IBITA1996) 的評(píng)估和治療aclinicalreasoningprocess,ratherthanaseriestreatmentsorsorehaMotorAspectsNormalmovementisalways：coordinatedadapted?uentsorehaMotor

Motorsolvinga(motor)taskinin c+onwithenvironment與外precondi+onsformotor(re)learning:awareness,AspectsofsorehaMotor

Motorneuro s-city;formf sfunc-thebrain‘sabilitytolearn,toadapt,tointenses+mula+onandadequatecontexts+mulatebraintoproducemoreneurotransmiSersinac+vatedareas 刺激和適當(dāng)?shù)牡沫h(huán)境刺激大腦產(chǎn)生的神AspectsofsorehaMotorAspectsMotorchangesonmolecular,biochemical,electrophysiologicalandstructurallevels在分子學(xué)，生物化學(xué)，電生理學(xué)和結(jié)onalllevelsofCNSPNSandmuscularstructuresprecondi+onsimultaneousinputofsensoryinforma+on&modula+ngtransmiSers(informa+onaboutmo+va+on&awarenessatsynapse先決條件：感覺信息和調(diào)節(jié)遞質(zhì)在sorehaMotorAspectsMotorLearningrepe++on:notalwaysexactthesamebutvaria+on:totransfera(re)learnedac+vitytocomparablebutslightlydi?erentsitua+ons→toregainfunc+onnotonlyinclinicaltrainingsitua+onbutalsoinpa+ent’severydaylifespeci?c:mustbetask-‐directed,notjusttrainingabodyfunc+onsorehaMotorAspects

MotorLearningprocesswithdi?erentphases:repe++on&+mearera+otraining/rest+me:performancebene?tsfromearlylearningphase:quickimprovmentsverytask-‐speci?c,independentofperfomancelevel早期學(xué)習(xí)階段：進(jìn)步快，increasingnumberofrepe++onsleadstoslowerimprovments–consolida+onprocessescantake (furtherimprovementofataskwithoutfurthertraining)增加 的訓(xùn)練不加強(qiáng)但是會(huì)得到更好地效果sorehaMotorAspectsof

MotorLearningpassivemovementsarenotase?ec+veasini+atedbythe repe++onofataskasanen+ty讓患者任務(wù)的重復(fù)次數(shù)實(shí)realis+candsuppor+veenvironment環(huán)境要現(xiàn)實(shí)和具有支sorehaMotorAspectsprac-calAspectsofprac-calapplica-TreatmentPrinciplesforNeurologicPa-sorehaMotorAspectsprac-cal原技soreha

Prac-calApplica-CmpCmptConceptMotor

c+onbetweenpa+entand24hmanagement24

Aspectsofprac-calsorehaCmptPrac-calApplica-onCmptMotorMotorAspectsprac- pa+ent’s(physicalandcogni+ve)combina+onofbothmethodsispossibletoachievedi?erentpartsofagoalBUTconsidermotorlearning sorehaeduca+onCmptMotorAspectsofprac-cal

Prac-calApplica-on實(shí)際應(yīng)Facilita-on/Modi?ca+onof易化/environment:heightoftreatmenttable,qualityofchair,basicposi+onofthepa+ent,hands-‐on/環(huán)境：治療床高度，座椅質(zhì)量，患 ，親task:verbalinstruc+on,al+onofpunctum ,di?erentkindsofmuscleindividual:control,dual-‐task/max.sorehaCmptMotorAspectsofprac-cal

Prac-calApplica-on實(shí)際應(yīng)ysisofmovementanddemandingac+vity:atleastmentalpar+cipa+on;mustbedemandingsorehaCmptMotorAspectsofprac-cal

Prac-calApplica-on實(shí)際應(yīng)Principle watchoutforcompensatorystrategies!re?ec+ve:evalua+on e/processbypa+ent/thenningofmovement:bythepa+ent;partoffeed-sorehaCmptMotor

Prac-calApplica-on實(shí)際應(yīng)Principleintegra+onofpostural結(jié) 控eAspectsofprac-calsorehaCmptPrac-calApplica-CmptMotorAspectsprac-

repe++onandvaria+onac+veandself-‐determined:pa+entshoulddevelopstrategyforac+vity(needs+me,partoffeed-自身能動(dòng)性：患者應(yīng)當(dāng)自身發(fā)展主動(dòng)參與的方法（exercisingmotorfunc+onsatwhichmusculo-‐sceletalcondi+on(biomechanicalaspects)isconsideredandin socanbeop+mized把握運(yùn)動(dòng)功能 點(diǎn)（生物力學(xué)），達(dá)到治療效

sorehaCmptPrac-calApplica-onCmptMotorMotorAspectsprac-（治療師）親手治療vs言語指導(dǎo)（非親手治療sorehaCmptMotorAspectsofprac-cal

Prac-calApplica-on實(shí)際Techniquemobilisa+on,manualtherapy松解術(shù)， stretchingstrengtheningmentalrehearsaltransfer,beddingMTTsorehaMotor

Prac-calApplica-on實(shí)際應(yīng)Treatmentposturalcontrol/trunk symmetrical/asymmetricalpaSerns對(duì)稱/decreaseofmaincompensatorystrategiestrainingatupperperformanceAspectsofprac-calsorehaMotor

Berta?Ifthepa+entesbeSer-‐changethetreatment,ifthepa