康复评定 英语 留学生课程.ppt

REHABILITATIONASSESSMENT;Contents;To find the problems;To set treatment goals;Assess treatment effects; Physical examination and rehabilitation measurement have something in common but not the same. Purpose Times Ways;;;Objectives of Measurement;Levels should be measured;Development of ICIDH;Application of ICIDH;Application of ICIDH;;Introduction;Introduction;Clinical Evaluation Sequence;category of measurment;Ratio Scales;Inerval Scales;Ordinal Scales;Norminal Scales;Quantitative and Qualitative Scales;;Procedures;When to measure;Initial stage（first measurement);Middle stage(repeatedmeasurements);Terminal stage （final）;Follow-up;specific;Physical function;Data collection;Evaluation; Rules of S.O.A.P are widely use all over the world: S( subjective data)：main complaint and symptom of the patients; O( objective data)：objective symptom and functional behavior of the patients A( assessment)：analyze and classify the above-mentioned materials; P( plan)：set a treatment plan. ;;;;Manual muscle test(MMT);Manual Muscle Testing (MMT);Muscle Grades;Muscle Grades;Important points on manual muscle testing;;;;Attention during the MMT 1.Correct posture , limb position and necessary settlement. 2.Make sure the patients understand the request and purpose of movement, so that avoiding the fake movement or compensation. 3.While the muscle strength reach the level 4, resistance is provided to the distal area of the limb. ; 4.Keep avoiding the MMT after long time exercises or meals. 5.The position which is measured should be exposed to the therapists or doctors. 6.Remember to compare with the contralateral limb. ;Muscle test Measure by equipments 1.General equipment test Gripping test Pinching test Dorsal muscle test ;Muscle tone(Modified Ashworth Scale);;Range of motion(ROM);Range of Motion(ROM);Measuring Tools;;How to measure the ROM of upper limbs /lower limbs/trunk? ;;ROM Measurement;;Shoulder flexion (180°) Supine with arms at sides- lift over head Stationary arm