关节松动术PPT.pptx
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关节松动术PPT.pptx
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,JointStructure-FunctionandMechanics关节结构功能和力学,SPECIALTHANKSTO:
BryanHeiderscheit,PhD,PTPhysicalTherapyProgramDepartmentofOrthopedicsandRehabilitationUWSchoolofMedicineandPublicHealth,PlanesandAxes面和轴,AxesAanteroposterior前后轴Bmediolateral中侧轴Clongitudinal纵轴,C,A,B,3,Planestransverse横断面sagittal矢状面frontal额状面1,2,material:
dense,irregularconnectivetissuemotion:
negligiblefunction:
bindsbonesasfunctionalunit;forcedispersionamphiarthroses(nonsynovial-cartilagenous)material:
hyalinecartilageorfibrocartilagemotion:
minimaltomoderatefunction:
providecombinationofrelativelyrestrainedmovementandshockabsorption,JointClassifications关节分类,NON-SYNOVIAL非滑液关节,Synarthroses不动关节,Amphiarthroses微动关节,Sutures颅缝,Gomphoses嵌合,Syndesmoses韧带联合,Synchondroses软骨结合,Symphyses联合,motion:
extensivefunction:
primarypivotpointsformovement,JointClassifications,FEATURES:
特点jointcavity关节腔articularcartilage关节软骨jointcapsule关节囊synovialfluid关节液,Uniaxial单轴关节,Biaxial双轴关节,Triaxial三轴关节,SYNOVIAL滑液关节“Diarthroses”可以动,Diarthrosis可动关节synovialuniaxial/uniplanar滑液-单轴/单平面,Fig2-2and2-3.Neumann(2002).Mosby.,Hinge屈戌关节,Pivot车轴关节,Diarthrosis,Fig2-8and2-9.Neumann(2002).Mosby.,synovialbiaxial/biplanar滑液-双轴/双平面Condyloid髁状关节,Saddle鞍状关节,Fig2-4.Neumann(2002).Mosby.,Ellipsoid椭圆关节,Diarthrosissynovialtriaxial/triplanar三轴/三平面,ball-and-socket球窝关节,Fig2-5.Neumann(2002).Mosby.,Diarthrosis,synovialtranslatory/multiplanar移动/多维的Planar平面,Fig2-6.Neumann(2002).Mosby.,ClosedPackedPosition紧密的位置,maximumcongruency最大的接触increasedtissuetension组织张力增加nodistraction没有分离,FromLevangieandNorkin(2001).FADavis,LoosePackedPositionresting松散的位置(休息位),minimumcongruency最小的接触minimumtissuetension最小的组织张力maximumdistraction最大分离,FromLevangieandNorkin(2001).FADavis,Osteokinematics骨运动学,movementofbones骨之间的运动physiologicalmotion生理运动AROM主动关节活动度,Arthrokinematics关节运动学,movementofjointsurfaces关节面运动accessorymotion附属运动,Roll滚动,Glide滑动,Spin旋转,Arthrokinematics关节运动学,Fig1-8.Neumann(2002).Mosby.,Arthrokinematics关节运动学,Fig1-8.Neumann(2002).Mosby.,Arthrokinematics关节运动学,FromLevangieandNorkin(2001).FADavis,Flexion屈曲,Extension伸展,Arthrokinematics关节运动学,Fig1-10.Neumann(2002).Mosby.,Spin旋转,Arthrokinematics关节运动学,Fig1-11.Neumann(2002).Mosby.,Arthrokinematics关节运动学,Distal-on-proximalProximal-on-distal,Fig1-6.Neumann(2002).Mosby.,PERIPHERALJOINTS(AppendicularSkeleton),周围关节(四肢骨骼)JointPlayAssessmentJointMobilization关节松动,SHOULDERCOMPLEX肩关节复合体,JointPlayAssessmentJointMobilization,SHOULDERGHjoint盂肱关节,LOOSEPACK休息位55abduction30hor.adduction肩外展55水平内收30,SHOULDERGHJointJPAs盂肱关节,Anterior(ventral)Glide(externalrotation)向前方(腹部)滑动,改善外旋PosteriorGlide(internalrotation)向后方滑动,改善内旋InferiorGlide(abduction/armelevation)向足侧滑动,改善外展Distraction(tojointsurface)(“everything”)关节牵引(分离),垂直治疗面,改善各方向ROMLong-axisdistraction(abduction/armelevation)长轴牵引,改善外展,SHOULDERSCjoint胸锁关节,OsteokinematicMotions运动特点,SHOULDERSCJointJPA胸锁关节,protraction),AnteriorGlide(向前滑动改善前伸PosteriorGlide(retraction)向后滑动改善回缩,SHOULDERSCJointJPA胸锁关节,SuperiorGlide(depression)向头侧滑动下压活动度InferiorGlide(elevation)向足侧上举,SHOULDERACJointJPA肩锁关节,SHOULDERACJointJPA肩锁关节,LPP=Armrestingbysideinnormalposition休息位AnteriorGlide向前滑动PosteriorGlide向后滑动,SHOULDERSTJoint(thorax)肩胛胸壁关节,LPP=armrestingatside休息位InferiorGlide(armposteriorreach)向下滑动,改善后伸LateralGlide(armelevation)横向滑动,改善上举UpwardRotation(armelevation)上旋,上举,ELBOW-FOREARMCOMPLEX肘-前臂复合体,JointPlayAssessmentJointMobilization,ELBOWMOTIONS肘运动,ELBOWHUJoint(hinge)肱尺关节,LPP=70flexionand10supination休息位=肘屈曲70前臂旋后10Distraction分离牵引Glide滑动,hinge),ELBOWHRJoint(2肱桡关节,LLP=Fullextensionandfullsupination休息位,flexion)extension),Anteriorglideoftheradialhead(Posteriorglideoftheradialhead(桡骨头的前后滑动(掌侧背侧)Distractionofradialhead(influencesallmotions)Compression(90挤压和分离,ELBOWProximalRUJoint近端桡尺关节,LPP=75flexionand35supination休息位=肘屈曲75前臂旋前35Anteriorglide向前滑动(supination)改善旋后Posteriorglide向后滑动(pronation)改善旋前,WRIST-HANDCOMPLEX腕-手复合体,JointPlayAssessmentJointMobilization,WRIST腕关节,LPP=Neutralwithslightulnardeviation休息位=中立位稍尺偏VentralglideforExtension腹侧滑动伸展DorsalglideforFlexion背侧滑动屈曲,WRIST腕关节,Radialglideforulnardeviation桡侧滑动尺偏Ulnarglideforradialdeviation尺侧滑动桡偏Distraction分离,CARPOMETACARPALJOINTS腕掌关节,CARPOMETACARPALJOINTS腕掌关节,LPP=midwayposition中立位Ulnar(medial)glideofthemetacarpalonthecapitulum(flexion)掌骨在头状骨上尺侧滑动屈曲Radiallateralglideofthemetacarpalonthecapitulumextension)掌骨的桡侧滑动伸展,CARPOMETACARPALJOINTS腕掌关节,Dorsal(posterior)glideofthemetacarpalonthecapitulum(aBd)背侧滑动外展Ventral(anterior)glideofthemetacarpalonthecapitulum(aDd)腹侧滑动内收Distractionofthemetacarpalonthecapitulum(influencesallmotions分离所有,MCPJoints掌指关节,LPP=Slightflexion休息位=轻度屈曲,Ventral(anterior)glideofthephalanxonthemetacarpal(flexion)指骨相对掌骨的腹侧滑动屈曲Dorsal(posterior)glideofthephalanxonthemetacarpal(extension)背侧滑动伸展,LPP=Slightflexion,MCPJoints掌指关节,Ulnar(medial)glideofthephalanxon
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