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神经肌肉反馈重建(Neurac)技术在慢性颈痛中的应用课件

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神经 肌肉 反馈 重建 Neurac 技术 慢性 中的 应用 课件
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As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 神经肌肉反馈重建 Neurac 技术在慢性颈痛中的应用 福建省第二人民医院 国家级颈椎病重点专病 林汉凌 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 脊柱稳定性的概念 承受内在及外在负荷的情况下 组成脊柱的各 个部分之间的相对位移保持在正常生理范围内 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 脊柱稳定性的三亚系模型 被动子系统 主动子系统 控制子系统 Panjabi 1992 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 人类进化发展史 猿人400万年 现代社会50年 农业社会1万年现代人100万年工业社会3百年 基因改变了吗 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester v Local muscles 头长肌 颈长肌 头后大直肌 头后小直肌 头上斜肌 头下斜肌 多裂肌 Global muscles 胸锁乳突肌 斜角肌 颈夹肌 最长肌 髂肋肌 斜方肌 肩胛提肌 主动子系统 核心肌群 Core mucles As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 局部稳定肌与整体稳定肌比较 位于深层 紧贴关节 型纤维含量大 耐力活动时激活 收缩与关节活动方向无关 募集较差 可以被抑制 位于浅层 型纤维含量大 爆发性活动时激活 收缩与关节活动方向有关 优先募集 Local mucle Global mucle As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Muscle stability Global stabilizer Local stabilizer Stability demand As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 本体感觉本体感觉 通过肌肉校正全身的平衡 稳通过肌肉校正全身的平衡 稳 定局部的关节定局部的关节 来源于机械感受器 肌肉 肌腱 韧带 关节囊 皮肤 视觉视觉 前庭器官前庭器官 控制子系统 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Patients with chronic neck pain have diminished neuromuscular control in the neck compared with those without chronic neck pain 慢性颈痛患者颈部神经肌 肉控制能力较无慢性颈痛者下降 Loudon 1997 Taylor 1988 McPartland 1997 Revel 1991 Glencross 1981 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Pain 一 局部稳定肌失活 Deep stabilizing neck musculature tonic As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Alternativ program for stability in the cervical spine Global muskulatur phasic 二 神经肌肉控制模式异常 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 慢性颈痛病理发展假说 局部稳定肌失活肌肉势能下降 异常运动模式形成 应力分布不均 化学刺激 微损伤 结构性改变 椎间盘退变突出 关节突增生 韧带增生肥厚 椎管狭窄等 各种原因 颈部肌肉的 神经控制模式异常 疼痛 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Patients with chronic neck pain and diminished neuromuscular control can improve this by undertaking a neuromuscular exercise program 慢性颈痛患者可以通过神经肌肉控制训练计划增强 其神经肌肉控制能力 Revel 1994 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neuromuscular Activation 神经肌肉反馈重建技术 Neurac As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 定义 借助于Redcord 系统 通过高水平的神经肌 肉刺激 恢复肌肉功能的技术体系 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac method Aim to activate signal to the local muscles so that CNS can go back to its original program for cervical stability Neruac技术目标 Deep stabilizing neck musculature tonic As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 技术要点 闭链运动 强调多关节的协同 更接近于功能性 康复 静态训练 激活局部稳定肌 重复性训练 重建神经肌肉控制模式 不稳定支持面 最大限度激活 没有疼痛 减少不良信号输入 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 一 激活局部稳定肌 Deep stabilizing neck musculature tonic As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 尤其适用于颈腰椎 注意调整脊柱前凸 记录患者感觉疲劳或停止的时间 患者无法坚持或疼痛时停止 正常人可持续120秒 重复治疗 1 不断增加持续的时间 2 无痛 3 动作完成正确 持续治疗5 10分钟后 进行再测试 与先前的功能测试作对比 长时间低负荷的运动 Holding time As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neutral Zone 1 脊柱运动节段在中性区范围内被动子系统张力无改变 2 在中性区维持脊柱稳定的是主动子系统 尤其是局部 稳定肌 Neutral zone Elastic zone 椎体负荷 位移关系曲线椎体活动度的球碗模型 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 仰卧颈椎中性区摆放 起始位 动作 要领 患者颈部肌肉放松 术者用拇指轻压患者胸锁乳 突肌内侧 嘱患者顺势将颈部下沉2mm左右 维持此位 置 计算患者开始疲劳的时间与无法支持的时间 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 俯卧颈椎中性区摆放 起始位 动作 要领 患者颈部肌肉放松 术者用食指轻置于患者胸锁乳 突肌内侧稍用力 嘱患者顺势将颈部上抬2mm左右 维持 此位置 计算患者开始疲劳的时间与无法支持的时间 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Global muskulatur phasic 二 重建神经肌肉控制模式 如何重建 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 低重复 4 5次 较高负荷运动 Repetition 每组4 5次动作 组间休息30秒 每两组都尽量加大负荷 如果可能 尽量重复训练 1 负荷可以不断增加 2 无痛 3 动作完成正确 持续治疗5 10分钟后 进行再测试 与先前的弱链接测试与功能 测试作对比 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 后缩 起始位 动作 要领 患者须在保持颈椎中性区的前提下进行此动作 4 次为一组 组间休息15 30秒 每两组难度渐进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 后伸 起始位 动作 要领 患者须在完成后缩的动作的前提下进行此动作 4 次为一组 组间休息15 30秒 每两组难度渐进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 侧屈 起始位 动作 要领 患者须在完成后缩的动作的前提下进行此动作 4 次为一组 组间休息15 30秒 每两组难度渐进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 旋转 起始位 动作 要领 患者须在完成后缩的动作的前提下进行此动作 4 次为一组 组间休息15 30秒 每两组难度渐进 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 其他相关技术 斜方肌牵伸 要点 正中位牵伸上斜方肌 头转向对侧牵伸上斜方肌背侧 头转向同侧牵伸上斜方肌前侧及前斜角肌 上举上臂 助手控制上举的上臂 牵伸肩胛提肌 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 其他相关技术 关节活动度训练 侧屈 旋转 屈伸 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 其他相关技术 关节松动术 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 临床应用 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 慢性颈痛病理发展假说 局部稳定肌失活肌肉势能下降 异常运动模式形成 应力分布不均 化学刺激 微损伤 结构性改变 椎间盘退变突出 关节突增生 韧带增生肥厚 椎管狭窄等 各种原因 颈部肌肉的 神经控制模式异常 疼痛 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 诊疗思路 病史 影像 功能测试 结构问题 推拿 牵引 关节松动术 手术等 化学问题 针灸 拔罐 理疗 外用药 推拿等 力学问题 问题得问题得 到改善到改善 是 NeuracNeurac As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac治疗思路 NeuracNeurac 患者患者 脊柱脊柱 相关相关 弱链接测弱链接测 试阳性 试阳性 Neurac 治疗 否 是 HoldingHolding timetime 测试阳性 测试阳性 是 Holdingtime 训练 再测试改善 是 是 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 考虑这些够了吗 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 如何提高肩胛骨的稳定性 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Manuel muscletesting Lear LJ Gross MT An electromyographical analysis of the scapular stabilizing synergists during a push up progression JOSPT 1998 3 146 157 前锯肌激活训练 俯卧撑 Maximal Voluntary Isometric Contraction As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 俯卧撑 前锯肌 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Neurac 技术术之 仰卧肩部外展 中下斜方肌 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 考虑这些够了吗 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester Kinetic Chain 动力链 人体的各个部分联在一起 组成一个类似于链条联接的系统 在这个系统中 一个环节 即身体的一部分产生的能量或力 能够 被有效地传至下一个环节 这种运动能量 力的传递 就是动力链 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 浅层背侧 线 足趾底部 足部筋膜屈趾 短肌 跟骨 腓腸肌 股骨突 股二头肌 坐骨结节 骶结节韧带 骶骨 竖脊肌 枕骨粗隆 颅骨筋膜 前侧眉骨上缘 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 浅层前侧 线 足趾背侧 前侧肌群 胫骨粗隆 髌骨韧带 髌骨 股四头肌 髂前上棘 耻骨粗隆 腹直肌 第五肋骨 胸骨肌 胸骨上缘 胸锁乳突肌 乳突 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 侧面线 第一 五跖骨 腓骨肌 腓骨头 腓骨韧带 胫骨外髁 髂胫束 外展肌 阔筋膜张肌 臀大肌 髂骨脊 侧面腹斜肌 肋骨 肋间肌 第一 二肋骨 头夹肌 胸锁乳突肌 乳突 枕骨粗隆 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 骨盆移位导致脊柱的改变 正常 右侧移位 卧位 右侧移位 站位 继发性改变 水蛇腰 As an intern who has just entered kindergarten the following plans have been drawn up for the new semester As an intern who has just entered kindergarten the following plans have been drawn up for the new semester 联系方式 林汉凌 电话 13950415741 E mail linhanling QQ 53270885 NAME
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本文标题:神经肌肉反馈重建(Neurac)技术在慢性颈痛中的应用课件
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