CPM应用讲解的资料.pptxVIP

CPM应用讲解的资料第1页/共70页 Objectives 一、CPM 简介二、临床治疗应用的解释三、如何正确的使用CPM四、各关节活动度基本介绍五、CPM的产品介绍六、CPM的市场分析 七、KAM简介第2页/共70页 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.”Bonnet: Traité de Therapeutique des Maladies articulaires. Paris 1853CPM：Continuous Passive Motion 持续被动运动仪一、CPM 简介1.1 CPM 历史第3页/共70页 In 1904 the Swiss doctor Charles Scholder developed the “arthromotor“, the predecessor to today‘s motion supports.The Swedish doctor Gustav Zander introduced the “medico-mechanical therapy“ iot a New Idea第4页/共70页 1980年，KINETEC施乐辉CPM开始大规模生产，经历30年不断地发展和改进，已经成为唯一能够提供全身六大关节的CPM厂家，技术和品质皆为业内典范。1.2 施乐辉CPM第5页/共70页 二、临床治疗应用的解释 Enforced强制限制Uninterrupted不间断Prolonged长期的传统康复理念Immobilization 固定2.1 CPM康复新观念：早期介入第6页/共70页 传统康复理念的缺点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 第7页/共70页 康复新观念：早期介入1919 Willem Preservation of septic joints by drainage and immediate motion1970 Salter Healing effects of CPM on rabbit joint cartilage1973 Kleinert Early Passive Motion following tendon repair 1982 Gelberman Effects on CPM on tendon healing第8页/共70页 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部分肌腱损伤第9页/共70页 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 operativelyＣＰＭ组：术后马上治疗第10页/共70页 动物实验研究第11页/共70页 2.2.1 CPM对软骨愈合的好处 Enhanced nutrition an