肌肉骨骼物理的治疗评定的原则.pdf

肌肉骨骼物理治疗评定的原则肌肉骨骼物理治疗评定的原则 Principles of Musculoskeletal Physiotherapy Assessment 第一部分:主观检查和客观检查 Part I: Subjective Objective Examination Dr. Grace Szeto Contributions by Dr Ella Yeung Department of Rehabilitation Sciences The Hong Kong Polytechnic University Kunming, July 2009 Peripheral Joints – subjective examination 完整的肌肉骨骼评定完整的肌肉骨骼评定 Total musculoskeletal assessment ? 病史 Patient history ? 观察 Observation ? 运动检查（主动和被动）Examination of movements (active and passive) ? 附属运动（关节摆弄） Accessory movements (joint play) ? 肌力检查 Muscle tests ? 特殊检查 Special tests ? 神经系统检查 Neurological examination ? 触诊 Palpation ? 诊断性检查结果（影像学、血检等） Diagnostic test results (imaging, blood test etc) Peripheral Joints – subjective examination 资料收集资料收集 Data Gathering Data Gathering 资料分析资料分析 Data Analysis Data Analysis 确定问题确定问题 Problem Identification Problem Identification Physiotherapy Process Physiotherapy Physiotherapy Process Physiotherapy 目标目标 Aims Objectives Aims Objectives 物理治疗计划物理治疗计划 治疗方法 评估 Physiotherapy 治疗方法 评估 Physiotherapy Intervention Evaluation Plan Intervention Evaluation 物理治疗过程 物理治疗过程 Plan Peripheral Jo