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1、,强直性脊柱炎功能锻炼,1,t课件,04,03,01,02,功能锻炼的概念,功能锻炼的意义,功能锻炼的注意事项,功能锻炼的方法,CONTENTS,目录,2,t课件,功 能 锻 炼 的 概 念,又称练功疗法，通过肢体的运动来预防和治疗某些损伤性疾病，促进肢体功能恢复,3,t课件,功 能 锻 炼 的 意 义,改变认知、态度，促进疾病恢复,4,t课件,功能锻炼的意义,改变患者认知、态度，调动主观能动性。,功能锻炼对青年AS患者非常重要。,健康教育对疾病恢复有积极作用，功能锻炼属于健康教育的一种。,保持关节、肢体运动功能，提高生存质量。,5,t课件,功 能 锻 炼 的 注 意 事 项,贵在坚持、循序渐
2、进,6,t课件,保持积极乐观的态度及持之以恒的精神,循序渐进、持之以恒,可自行掌握，以不感到疲累为宜,最大幅度的活动受累关节，锻炼后疼痛不超过2小时,7,t课件,功 能 锻 炼 的 方 法,因病制宜、遵循个体化原则，掌握轻重缓急,8,t课件,1,2,3,4,枕墙距：,足跟着地，臀、背靠墙，双腿伸直、双眼平视，测枕骨结节与墙水平距离，正常值为0.评估下颈段、上胸段屈曲情况。功能锻炼选择：颈椎活动体操、颈椎旋转、贴墙上伸运动。,Schober实验,患者站直，在两髂后上棘之间做一连线，然后沿脊柱中线再在其下5厘米和其上10厘米各做一标记，患者保持双膝伸直尽可能向前弯，测量两标记之间展长的距离。伸展小
3、于4.5厘米，提示腰椎活动度下降。功能锻炼选择：椅上练习1、转体运动,胸廓活动度,直立，用软尺测第四肋间隙（妇女乳房下缘）的深呼吸和深吸气胸围差，不小于2.5CM为正常。肋骨和胸椎受累。功能锻炼选择：深呼吸运动、椅上练习2、胸廓运动。,踝间距,患者仰卧位，双膝伸直，双足紧绷伸直，要求患者尽可能的分腿，测量双踝间的距离，小于110CM为异常，髋关节受累。功能锻炼选择：椅上练习3和4.,5,因强直性脊柱炎以侵犯中轴关节为主，因此，针对脊柱的功能锻炼应贯彻始终：地板锻炼1、2、3、4.,9,t课件,.规范治疗要牢记，功能锻炼需坚持，注意休息防劳累，饮食合理控体重；站立姿势要准确，保持挺胸和收腹；坐时
4、背部需挺直，两眼平视正前方；平卧低枕硬板床，肌群训练需坚持；日常细节记心上，积极乐观促康复。,健 康 教 育 口 诀,10,t课件,11,t课件,Click here to enter your text.Click here to enter your text.Click here to enter your text.Click here to enter your text.Click here to enter your text.Click here to enter your text.Click here to enter your text.Click here to ent
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