关节功能锻炼机PPT.ppt

关节功能锻炼机（CPM）continous passive motion 1 cpm简史 2 cpm临床作用 3 适应症 ★ 4 使用方法及操作流程 ★ 6 疗效评定 【学习目录】 7 护理 ★ 5 停机指征 【教学目标】 了解CPM的简史及临床作用 掌握CPM的适应症、使用方法及操作流程 熟悉CPM的停机指征、疗效评定 掌握CPM的护理 一、CPM简介 In 1845, French surgeon A. Bonnet was the first to recognize the significance of motion in treating joint illnesses: “Functional activity should only be temporarily repressed. The intermediate stage is to partially exercise the function.” 一、CPM简介 The Swedish doctor Gustav Zander introduced the “medico-mechanical therapy“ in 1865. In 1904 the Swiss doctor Charles Scholder developed the “arthromotor“, the predecessor to today‘s motion supports. 韧带愈合 软骨愈合 肌腱愈合 皮瓣愈合 临床作用 CPM的临床作用 二、CPM临床作用 Enhanced nutrition and metabolic activity 促进营养供给和代谢水平 Accelerated healing of articular tissues 加速关节组织的愈合 Regeneration of cartilage 重建软骨面 2.1 对软骨愈合 二、CPM临床作用 Restoration of the tendon’s gliding surface 重建肌腱表面 Greater mean breaking strength of the tendon 增强肌腱力量 Synovial diffusion may enhance intrinsic healing 滑液的扩散增强康复 Prevention of adhesion formation 制止粘连的产生 2.2 对肌腱愈合 二、CPM临床作用 Maintenance of collagen matrix organization 维持胶原蛋白组织 Normalized collagen concentration 提高胶原蛋白排列整齐 Maintenance and increased strength 维持和增强强度 2.3 对韧带愈合 二、CPM临床作用 临床作用 Decrease Scar formation 减少疤痕形成 No disruption of the incision No disruption of the graft (after 7th day) Motion gained should never be lost Improved elasticity 改良弹性 CPM is effective in maintaining and restoring ROM 有效维持和恢复关节活动度 Edema reduction减少水肿 CPM doesn’t cause pain in excess of routine therapy 日常治疗中CPM不会导致疼痛 二、CPM临床作用 2.4 对皮瓣愈合 Maintain and Increase of ROM 维持和增强关节活动度 Decrease pain, swelling, stiffness 减少疼痛、肿胀和僵硬 Increase rate of recovery 增加痊愈的比例 Shorten hospital stay 减少住院时间 二、CPM临床作用 三、适应症 下至关节内或关节附近骨折的内固定术后 下肢关节松解术或滑膜切除术后 下肢肌腱损伤康复和肌腱重建术后 下肢持续牵引日久关节活动受限者 脑血管意外后遗症及截瘫康复期 三、适应症 History and mechanism of injury and repair are vitally important 损伤和修复的历史至关重要 How, where and when ? 如何，哪里什么时候？ Vascular status 血管状况 Neurologic