关节松动术概述.ppt

关节松动术Joint mobilization;Content;概念;在我国推拿又称按摩，在西方治疗技术中推拿与按摩是两个完全不同的概念。西方的按摩术（massage)是指作用于皮肤、皮下组织、肌肉、肌腱、韧带等软组织的手法操作，常用来治疗软组织损伤。 西方推拿术（manipulation)是指作用于脊柱及四肢关节的一种快速、小范围的手法操作，多在关节活动的终末端乘病人不注意突然发力，常用于治疗脊柱小关节紊乱、椎间盘突出、四肢关节脱位后的复位等。;关节的生理运动;关节的附属运动;正常的关节活动末端感觉;异常的关节活动末端感觉;卵形和蝶形关节面;摆动;滚动;A;A;A;D;滑动;A;A;A;A;Knee:Roll / No Glide;Knee:Roll / No Glide;Knee:Roll / No Glide;Knee:Roll / No Glide;Knee:Roll / Glide;concave;concave;Glenohumeral:盂肱关节Roll / Glide;Glenohumeral:Roll / Glide;Glenohumeral:Roll / Glide;Glenohumeral:Roll / Glide;Glenohumeral:Roll / Glide;Glenohumeral:Roll / No Glide;Glenohumeral:Roll / No Glide;Glenohumeral:Roll / No Glide;Glenohumeral:Roll / No Glide;凹凸定律;旋转;挤压;分离和牵拉;Hip:Distraction;Hip:Distraction;Hip:Traction;Hip:Traction;治疗平面;关节松动术的治疗作用;Effects of Joint Mobilization;关节松动术实施步骤;;Position patient in a relaxed, distracted, supported position so the joint capsule is lax (loose(open)-packed position). Close-packed position is one in which there is maximal contact of the articulating surfaces. Stabilize proximal bone Position joint in open (loose packed) position Apply treatment force close to the joint line as possible (decrease lever) Use treatment plane;Open Pack Positions;;关节松动术手法分级;Grades of Vigorgraded oscillation techniques;;Grades of Movement in a Normal and a Restricted Joint ;临床应用原则;持续转移性关节内活动技术;临床应用原则;两种技术的选择;治疗的开始及进展;;;适应症;;禁忌症;Pondering Thoughts;关节松动术的操作程序;;治疗记录