神经康复工作坊幻灯.pptxVIP

2014 年鄂港两地神经康复学会年会Neuro-rehabilitation Workshop 神经康复工作坊Approaches in Motor Retraining of Paretic Upper Lower Limbs of Patient after Stroke 偏瘫手脚运动功能的复康方法10-12 Oct 2014 Wuhan中国湖北武汉 Ester Y L HO 2014  1 Approaches复康方法 Robotic therapy 机器人训练 Brain stimulation脑刺激 Somatosensory stimulation体感刺激 Constraint therapy 限制治疗 Mirror therapy镜子反映治疗 Partial weight support training减负重训练 Virtual reality虚拟现实训练 …… Ester Y L HO 2014 2 2014 年鄂港两地神经康复学会年会 Neuro-rehabilitation Workshop 神经康复工作坊 12 Oct 2014 Wuhan 武汉 Respiratory Care for Stroke Patients胸肺护理与中风 Ester Y L HO 2014 3 Focus of Family家属的疑问 Life Death 能生存吗? Consciousness 能清醒吗? Movement 能活动吗? Temporary or Permanent 何时会恢复? Eating 可以进食吗? Ester Y L HO 2014 4 Multi-function Involvement多功能受损 Limb mms 四肢肌力 Trunk mms 中心肌力 Sensation 触觉 Perception 感观 Cognition 认知 Speech 语言 Swallowing 吞咽 Respiratory function 胸肺功能 Ester Y L HO 2014 5 Respiratory Care after Stroke胸肺护理与中风 Subtle but significant 易忽略,但重要. Little action but high impact 小行动,大改变. Ester Y L HO 2014 6 Risk Factors风险因素 ↑Mortality Risk Delay Rehab 增加死亡率,阻碍复康进度 Ester Y L HO 2014 7 Breathing Mechanism呼吸机转 Image Source Page: /content/biology/biology-ii/respiration/breathing-mechanism.php Expiration 呼气 Inspiration 吸气 胸廓向下,向内移. 横隔模放松,向上移. 胸廓压力增大,肺空气往外排出. 胸廓向上,向外移. 横隔模收缩,向下移. 胸廓压力减少,空气往肺吸入. Ester Y L HO 2014 8 Respiratory mm呼吸肌 /chemistry/2086/Chap23/The%20Respiratory%20System%20Part%202.htm 肋骨,胸骨上移 横隔膜收缩 斜角肌 小胸肌 前鋸肌 外肋间肌 内肋间肌 胸锁乳突肌 橫隔膜 腹直肌,内外腹斜肌,腹横肌 吸气 呼气 Ester Y L HO 2014 9 Lung volume肺容量 http://kspark.kaist.ac.kr/BodyFat/Body%20Fat%20from%20Underwater%20Weighing.htm Ester Y L HO 2014 10 Restrictive pattern限制性模式 Pulmonary gas exchange is usually well maintained until mm strength falls to 30%. 当气体传送能力减低,气体透析能力仍足够应付身体所需(特别是在静止休息的时候) Ester Y L HO 2014 11 Atelectasis Pneumonia肺扩张不全及肺炎 Atelectasis 肺扩张不全 Obstruction of bronchiolesairless alveoli reduced lung compliance 肺组织因分秘物堆积,阻塞呼吸道,使肺组织无法完全扩张. s/s dyspnea , tachycardia, cough, fever, decreased chest wall