运动疗法kinesiother.pptVIP

KINESIOTHERAPYTHERAPEUTIC EXERCISE Rehabilitation Department Renmin Hospital of Wuhan University武汉大学人民医院康复科 （二）共同运动 1．上肢屈曲共同运动 2．上肢伸展共同运动 3．下肢屈肌共同运动 4．下肢伸肌共同运动 九.运动再学习疗法motor relearning program MRP强调早期练习，反复练习，练习越多，功能重组越有效，而缺少练习可致继发性神经萎缩或形成不正常的神经突触。 MRP由七部分组成：上肢功能，口面部功能，仰卧到床边坐起，坐起平衡，站起与坐下，站立平衡，步行 十.运动治疗处方 对准备接受或参加运动疗法的患者，通常由专科医生进行必要的临床检查和功能评定后，根据所获得的资料和患者的健康状况，年龄，性别，平时对运动的爱好及对运动的耐受能力，为患者选择一定的运动项目，规定适宜的运动量并注明在运动疗法中的注意事项。 １.运动治疗项目type 　耐力性endurance:跑步步行游泳 　力量性strength 　放松性relex 　矫正性:脊柱畸形,内脏下垂 Endurance Exercises Or Cardiopulmonary Endurance ExercisesThese exercises use large muscle groups, and are continuous and rhythmic, providing low intensity and high repetition, to improve overall cardiopulmonary fitness. They can be divided into aerobic and anaerobic endurance exercises. 2.运动治疗量 （１）运动强度intensity 　心率HR，最高心率maximal heart rate，靶心率或适宜心率target heart rate,submaximal heart rate MHR=210-AGE THR=180(170)-AGE SHR=195-AGE MHR达到标准：运动中出现不适症状， ST段下移，运动负荷增加而BP下降１０mmHg，HR已到该年龄的MHR 运动强度intensity 　 机体耗氧量oxygen consumption 最大耗氧量VO2max 强度大小：大约７０％， 中等５０％－６０% 　小约４０％ 代谢当量metabolic equivalent (MET), 亦称梅脱 　1MET=3.5ml/kg.min 运动强度 主观感觉法 （３）单次运动时间duration 　Aerobic endurance exercises Combination of cardiopulmonary endurance exercise with strengthening ? Should consist of a warm-up period, a training period and a cool-down period: Warm-up 5 to 10 minutes Training period—20 to 30 minutes at 40%–60% (low intensity), 60%–70% (moderate intensity), or 70%–85% (heavy intensity) of their VO2 max Cool-down period 5 to 10 minutes THR时间长于１０ MIN Guidelines Guidelines for the quantity and quality of aerobic exercise programs for healthy adults as proposed by the American College of Sports Medicine Mode—any exercise that uses large muscle groups, continuous and rhythmic in nature. Examples: running, swimming, walking, stair climbing. Frequency—3–5 days/week Duration—20–60 minutes Intensity—60%–90% HR max 50%–8