[临床医学]CPM应用.pptVIP

CPM 理论和应用 Objectives Objectives Objectives Objectives Objectives Objectives Objectives Present the history of CPM CPM 的历史 Explain the clinical and physiological benefits of CPM 临床治疗应用的解释 Indications contraindications of CPM 临床适应症禁忌症 Traditional therapy vs. CPM 传统理论和CPM理论的比较 Demonstrate types and clinical cases of CPM CPM的示范 Definition定义 ??Passive joint motion is defined as any motion that is “produced by an external source”? 被动关节定义:由外力作用引起的运动 Traditional teaching post trauma or surgery:创伤或手术的传统教育 Enforced强制限制 Uninterrupted不间断 Prolonged长期的 Effects of Immobilization 制动的影响 Inhibit the circulation of Synovial Fluid 制约滑液的循环 Starve joint cartilage of Nutrients 阻止关节软骨面的营养供给 Promote the development of Adhesions 促进粘连的发展 Neuromuscular Degeneration 肌肉神经退化 20th Century Research 20世纪的研究 1919 Willem Preservation of septic joints by drainage and immediate motion 1970 Salter Healing effects of CPM on rabbit joint cartilage 1973 Kleinert Early Passive Motion following tendon repair 1982 Gelberman Effects on CPM on tendon healing 动物实验研究 Used rabbits　用家兔 Full thickness defects　 全层软骨损伤 Intra-articular fractures 　关节内骨折 Acute Septic arthritis　 急性化脓性关节炎 Partial thickness tendon laceration 部分肌腱损伤 Benefits of CPM to healing cartilageCPM对软骨愈合的好处 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 动物实验研究 Rabbits with full thickness cartilage defects divided into three groups: 兔子全层软骨损伤分三组（Ｉ，ＩＩ，ＩＩＩ）： Immobilization with cast 石膏固定组 Intermittent Active Motion (Cage activity) 间歇性主动运动组 CPM regimen：Treatment initiated immediately post operatively ＣＰＭ组：术后马上治疗 Benefits of CPM to Healing Tendons CPM对肌腱愈合的好处 Restoration of the tendon’s gliding surface 重建肌腱表面 Greater mean breaking strength of the tendon Synovial diffusion may enhance i