MTD平衡系統(tǒng)的臨床應(yīng)用-new

1www.mtd-systems.demtd-Balance

THEMULTIFUNCTIONALPLATFORMFOR

MEDICINE&SPORTS

多功能康復(fù)評(píng)估訓(xùn)練平臺(tái)

醫(yī)學(xué)*運(yùn)動(dòng)ErichNeumann2www.mtd-systems.detechnicaldescription

技術(shù)特征

2forcesensors2個(gè)壓力傳感器

measuringrange測(cè)量范圍0-5000N

balanceframe

with

handrail

帶扶手的平衡架external

hardware硬件

softwarecompatibletoall

computersrunningWindows

軟件可與任何計(jì)算機(jī)運(yùn)行系統(tǒng)兼容PC-Unitwithmonitorand

printer電腦帶顯視器和打印機(jī)3www.mtd-systems.defeaturesofthemtd-balance

mtd-balancede的特征Objectivediagnosis

目標(biāo)診斷Optimaltraining

最佳訓(xùn)練Reliabledocumentation

準(zhǔn)確記錄4www.mtd-systems.detheobjective

diagnosis目標(biāo)診斷e.g.

tostandup起立

standing站立onelegstand單腿站立

kneebends屈膝

jumping跳躍

balance平衡

symmetry對(duì)稱(chēng)

coordination協(xié)調(diào)

speediness速度

force力量Determination檢測(cè)measurementofbasicfunctions基本功能診斷5www.mtd-systems.debalancewhenstanding

-clearlymoreweight

placedonthe

left

leg.

站立時(shí)的平衡功能—清晰的顯示左腿的力量分配after9weeksoftherapy

-improved

symmetry

9周治療之后-對(duì)稱(chēng)性提高6www.mtd-systems.detostandupfromachair

beforesurgery

手術(shù)之前從椅子上站起來(lái)-

clearlymoreweight

placedontherightleg.清晰的顯示右腿的力量分配tostandupfromachair

aftersurgery(9weeks)andtherapy

手術(shù)之后從椅子上站立起來(lái)（9周的治療）-wellsymmetry很好的對(duì)稱(chēng)性7www.mtd-systems.deslowkneebendbeforesurgery手術(shù)之前緩慢的屈膝

-clearlymoreweight

placedontherightleg.

清晰的顯示左腿的力量分配Slowkneebendafter

surgery(9weeks)andtraining手術(shù)之后緩慢的屈膝（9周的治療和訓(xùn)練）

-wellsymmetry很好的對(duì)稱(chēng)性8www.mtd-systems.debend&straighten

knees

(2angles)beforesurgery手術(shù)之前屈和伸直膝（兩個(gè)角度）

-clearlymoreweight

placedontherightleg.清晰的顯示右腿的力量分配bend&straightenknees

(2angles)aftersurgery

手術(shù)之后屈和伸直膝（兩個(gè)角度）

(9weeks)andrehabilitation9周的治療和康復(fù)

-improvedsymmetry對(duì)稱(chēng)性提高9www.mtd-systems.derecordingcomplexmovementsbymeansoftesttraining

通過(guò)測(cè)試訓(xùn)練的方法記錄復(fù)雜的運(yùn)動(dòng)cognitiveabilities認(rèn)知能力

reactions反應(yīng)

anticipation預(yù)料Determination檢測(cè)Objective

measurement目標(biāo)性診斷10www.mtd-systems.defeaturesofthemtd-balance特性O(shè)bjectivediagnosis

目標(biāo)診斷Optimaltraining

最佳訓(xùn)練Reliabledocumentation

準(zhǔn)確記錄11www.mtd-systems.detheoptimaltraining最佳訓(xùn)練

force力量

balance平衡

coordination協(xié)調(diào)性

reaction反應(yīng)trainingonallmotoric

abilities訓(xùn)練肌肉運(yùn)動(dòng)能力

anticipation預(yù)料

speediness速度motoricrelearning運(yùn)動(dòng)再學(xué)習(xí)

12www.mtd-systems.deBibliographic

references:參考書(shū)目:Motor

Learning

anPerformance運(yùn)動(dòng)學(xué)習(xí)行為RichardSchmidt,CraigWrisberg3rdEdition,2004

Feedback反饋Dr.GabrieleWulfhttp://kinesiology.unlv.edu/wulf/feedback.html

thePhysiofeedback-System‘sextremeeffectivenessinmotoricrelearningisbasedonwell-established,comprehensive,readilyavailableprinciplesofmotoricsciencewell-knowntheworldover.

(Focus:feedbackandmotorlearning)

本物理生物反饋系統(tǒng)在肌肉運(yùn)動(dòng)再學(xué)習(xí)上的特別有效的作用是基于眾所周知，廣泛和易于應(yīng)用的肌肉運(yùn)動(dòng)科學(xué)的原則。

（中心：反饋和運(yùn)動(dòng)再學(xué)習(xí)）13www.mtd-systems.depointsformthecornerstoneofeffectivemotoriclearningand/orrelearning

運(yùn)動(dòng)學(xué)習(xí)與再學(xué)習(xí)作用基礎(chǔ)關(guān)鍵點(diǎn)

thetypeofexercise訓(xùn)練類(lèi)型

task-orientedratherthanrequirement-oriented,variable,action-related,easy-to-understand任務(wù)導(dǎo)向優(yōu)于需求導(dǎo)向，可變的，行為相關(guān)的，易于理解

variabilityofexercisedosage訓(xùn)練強(qiáng)度改變

theexercisemustbetailoredtotheindividualandmustbemanageablebyhim訓(xùn)練必須根據(jù)個(gè)人來(lái)設(shè)計(jì)，由自己來(lái)掌握

qualityoffeedback反饋的性質(zhì)

appropriatetiming,frequency,accuracy,comprehensibility適當(dāng)?shù)臅r(shí)間，頻率，精度，理解性

motivationofthetraineeandthetrainer受訓(xùn)者和施訓(xùn)者的動(dòng)力

frequencyofrepetition重復(fù)的頻率

variabilityismoreimportantthanquantity改變比數(shù)量更重要14www.mtd-systems.debalancetraining/statusafter

stroke

平衡訓(xùn)練/中風(fēng)后的狀態(tài)

thetypeofexercise訓(xùn)練類(lèi)型

functionalmovements功能運(yùn)動(dòng)ADL-taskslikebalance,tostandup,kneebends,weightshiftingetc.ADL訓(xùn)練，比如平衡，站立，屈膝，重量分布改變等-

easy-to-understand易于理解

themovementtaskisnotmediatedverbally,butshowninagraphical

formandisthereforecomprehensibleto

everyone運(yùn)動(dòng)任務(wù)不是口頭的方式，而是以圖形的形式，因此對(duì)每個(gè)人來(lái)說(shuō)易于理解。15www.mtd-systems.debalancetraining/statusafterstroke

平衡訓(xùn)練/中風(fēng)后的狀態(tài)thedegreeofdifficultyofeachexercisecanbeadaptedexactlytothecurrentabilitylevelofthepatientintwoways.每個(gè)訓(xùn)練的難度可以在兩天之內(nèi)根據(jù)病人當(dāng)前的能力準(zhǔn)確的對(duì)應(yīng).1.thestartingposition開(kāi)始狀態(tài):fromsimpleexercises,suchassittingonachair,todifficultbalancingexercisessuchasstandingononelegonthewobbleboard.從簡(jiǎn)單的訓(xùn)練，比如坐到椅子上，到困難的訓(xùn)練，比如單腿站立和站在搖晃的木板上。2.the

software軟件:

fromconstant,evenloadtoveryfast,irregularchangeofload.Thereforethetrainingcanbedonebyanypatient.從不變的負(fù)荷到非?？欤兓療o(wú)規(guī)律的負(fù)荷，因此可以由任何病人來(lái)訓(xùn)練。variabilityofexercisedosage改變訓(xùn)練強(qiáng)度16www.mtd-systems.de身體動(dòng)能訓(xùn)練運(yùn)動(dòng)能力和反應(yīng)敏捷性的訓(xùn)練17www.mtd-systems.de

記憶力訓(xùn)練音律訓(xùn)練

接球訓(xùn)練訓(xùn)練間歇18www.mtd-systems.deforcetraining/statusafterfractureoftheneckofthefemur力量訓(xùn)練/股骨頸骨折之后的狀態(tài)feedback反饋realtime

–simultaneous實(shí)時(shí)-同步thepatient

seestheeffectofthemovementdirectlyfromthegraphicswithoutanytimedelay病人可以直接從圖形上看到運(yùn)動(dòng)的結(jié)果，而沒(méi)有時(shí)間延誤。Comprehensible易于理解e.g.throughthemovementofthecrosses,thebasket,theplaybar通過(guò)運(yùn)動(dòng)的十字形，籃子和游戲棒。19www.mtd-systems.deforcetraining/statusafterfractureoftheneckofthefemur力量訓(xùn)練/股骨頸骨折之后的狀態(tài)Motivation動(dòng)力Allparticipantscanalsorecognizethesmallesttherapeuticadvancesbythemselves.所有的參與者都可以自己認(rèn)識(shí)到最小的治療進(jìn)步。Duringtraining-fromtheachievedscoreshownonthedisplay.在訓(xùn)練中，達(dá)到的分?jǐn)?shù)會(huì)出現(xiàn)在顯示器上。Duringmeasurement-bycomparisonofthemeasurementcurves.在診斷中，診斷曲線(xiàn)的對(duì)照Inthisway,ahighlevelofmotivationcanbeensuredevenoveralongerperiodoftime。通過(guò)這種方式，即使經(jīng)過(guò)長(zhǎng)時(shí)間，患者可保持高度的治療信心.20www.mtd-systems.deloadtraining/statusafteranklejointdistortion

負(fù)荷訓(xùn)練/踝關(guān)節(jié)扭傷之后的狀態(tài)intensityanddurationofthetraining訓(xùn)練中的強(qiáng)度和時(shí)間the

motivationofthe

patientandthe

durationofthe

exercise

are

importantfor

the

sucsessofthe

training.病人的動(dòng)力和訓(xùn)練的時(shí)間對(duì)于訓(xùn)練的成功很重要。21www.mtd-systems.defeaturesofthemtd-balanceObjectivediagnosis

目標(biāo)診斷Optimaltraining

最佳訓(xùn)練Reliabledocumentation

準(zhǔn)確記錄22www.mtd-systems.dereliabledocumentation

準(zhǔn)確記錄print-outofmeasurementcurves打印出診斷曲線(xiàn)圖23www.mtd-systems.dereliable

documentation

準(zhǔn)確記錄Print-outofthe

complete

documentationofthe

training

sessions打印出完整的訓(xùn)練記錄24www.mtd-systems.de最新診斷功能最新的軟件新加以下18項(xiàng)動(dòng)作的診斷與分析功能：坐式平衡站起與坐下習(xí)慣性站立站立平衡站立時(shí)重量轉(zhuǎn)變緩慢彎膝關(guān)節(jié)3個(gè)角度彎膝關(guān)節(jié)蹲坐腳尖跳躍(不離開(kāi)地)腳尖跳躍(離開(kāi)地)蹲坐跳躍運(yùn)動(dòng)跳躍向一側(cè)傾斜上身向