Total_Knee全膝置换Biodex平衡训练.doc

Balance System SD Total Knee Reconstruction The balance progressions to follow are based on the protocols developed and provided by the Cincinnati Sports Medicine Center. The actual protocols can be viewed at this link: HYPERLINK /csm/ /csm/ All phases are broken down into training and testing possibilities related to these protocols and potential stances utilized.  Phase II (3 to 4 weeks) Activities Weight Shifting / Static Bilateral Standing / Dynamic Single Leg Standing / Static Use the % Weight Bearing training screens to perform static medial / lateral weight shifting (1), anterior posterior weight shifting and to re-establish center of balance (2) (1) (2) Use Weight Shift training screens to emphasize lateral shifting over the affected leg to prepare for full weight bearing ambulation. (1) Bilateral Standing / Dynamic Frequency: 3x/day, 5 min. Use the Postural Stability training screens in dynamic mode to establish postural stability on a moveable surface (1) and to have the patient control dynamic movement away from their center of balance (2) (1) (2) Use the Maze Control training screen to challenge the patient to control dynamic movement away from their center of balance (1) Use the Random Control training screen to facilitate control of movement around the patients center of balance which are dictated by the machine(1) . Positions and Conditions Use bilateral standing / holding on / dynamic mode for Postural Stability, Maze control and Random Control (1). Progress to bilateral standing / no holding / dynamic mode for Postural Stability, Maze control and Random Control (2). (2) Single Leg Standing / Static Frequency: 1-2X / Day, 5 min. Use Percent Weight Bearing training screens for single leg activities in static mode to facilitate center of balance on the affected leg medial / laterally (1), anterior / posteriorly and in combined planes (2) (1) (2) Use Postural Stability training screens for single leg activity in s