关节松动术课件_4.pptVIP

* * * * * * * * * * 1.Neutralizes pressure in joint without actual surface separation 2.Separates articulating surfaces, taking up slack or eliminating play within joint capsule Used initially to determine joint sensitivity 3. Involves stretching of soft tissue surrounding joint Increase mobility in hypomobile joint * * * * * * * * * * * * * * * * * * * * * * * * * Spin is the rotation of the movable joint surface on the fixed adjacent surface Essentially the same point on each surface remains in contact with each other. Examples of this type of movement would be a top 陀螺spinning on a table.If the top remains perfectly upright, the top spins in one place. Examples in the body would be any pure (relatively speaking) rotational movement such as the humerus rotating medially and laterally in the glenoid fossa, or the head of the radius spinning on the capitulum of the humerus. * * the knee joint motion demonstrates clearly that all three types of arthrokinematic motion are necessary to obtain full knee flexion and extension. In this motion during weight-bearing, the femoral condyles roll on the tibial condyles. Because of the large range of flexion and extension permitted at the knee, the femur would roll off the tibia if the femoral condyles did not also glide posteriorly on the tibia. Because the medial and lateral femoral condyles are different sizes, and the medial and lateral aspects of the knee joint move at different speeds, there must be spin (medial rotation) of the femur on the tibia during the last 15 degrees of knee extension. * * * * * * * * * * * * * sustained translatory joint play technique （持续平移性关节内活动技术） 牵张技术使关节面之间产生分离或滑动 增加关节内活动（Joint play） 用于减轻疼痛和增加关节活动度 常与振动技术联合使用 分级： Kaltenborn Traction Grading Kaltenborn Traction Grading Grade I (loosen) 消除压力，关节面没有分离 镇痛 Grade II (tighten or take up slack) 分离关节面，拉紧关节囊 用于判断关节对治疗的敏感度，常用于关节松动治疗的开始阶段 Grade III (stretch) 牵伸关节周围的软组织 增加关节活动度 Graded oscillation technique - Maitland 神经生理学原理 振动手法为核心（生理运附属运动） 分