Harmful effects (increase of spasticity (2) leading joint contracture when extremity was placed with flexion (3)balance disturbance (4)worsing contracture
Harmful effects： (1)increase of spasticity (2)leading joint contracture when extremity was placed with flexion (3)balance disturbance。 (4)worsing contracture
COMPENSATORY ACTION asymmetr ic action di screase of body weight transfer, abi lity of stability, keep ing the ba lance ability and motion ability 图2-21患足着地导致下肢 图2-22患侧支撑相踝关节跖屈 图2-31下肢关节位置觉异常的表现 伸肌张力增高 内翻造成重心转移困难
COMPENSATORY ACTION asymmetric action\discrease of body weight transfer,ability of stability,keeping the balance ability and motion ability
SYNERGY MOVEMENTS 1.extensor synergy pattern (1)upper limbs (scapula: uplift and dropback @shoulder joint: adduction, internal rotation elbow joint: extention; ④ rearm: pronation; @wrist joint: extention 图43上肢伸肌协同运动模式 ⑥ fingers: flexion、 adduction (2)lower limbs ① hip joint: extention、 adduction、 internal rotation; @knee joint: extention ankle joint: flexion and varus (toe: flexion and adduction
SYNERGY MOVEMENTS: 1.extensor synergy pattern (1)upper limbs ①scapula：uplift and dropback ②shoulder joint：adduction,internal rotation； elbow joint：extention； ④forearm：pronation ； ⑤wrist joint： extention ⑥fingers: flexion、adduction (2)lower limbs ①hip joint：extention、adduction、internal rotation； ②knee joint：extention ⑧ankle joint： flexion and varus ④toe： flexion and adduction
initial stage evaluation To find the severity and cause of disability, to work out the exercise programme middle stage evaluation Adjust the rehabilitation plans 三、 terminal stage evaluation To take prescription for return to society and home and further rehabilitation plans
一、initial stage evaluation To find the severity and cause of disability, to work out the exercise programme 二、 middle stage evaluation Adjust the rehabilitation plans 三、terminal stage evaluation To take prescription for return to society and home and further rehabilitation plans
physical function assessment: Column function, upper and lower extremity joint function spasticity, flaccid, gait analysis, balance coordinaion, primitive reflex. prosthesis, Orthosis ADL
一、physical function assessment： Column function, upper and lower extremity, joint function spasticity, flaccid, gait analysis, balance, coordinaion, primitive reflex, prosthesis,Orthosis ADL