整脊疗法Right in the Middle
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作者： Patricia M.Davies 著
出 版 社： Oversea Publishing House
出版时间： 1993-1-1字数：版次： 1页数： 277印刷时间： 1993/01/01开本： 16开印次： 1纸张： 胶版纸I S B N ： 9789624300222包装： 精装内容简介
This book is a must for everyone involved in the rehabilitation ofstroke patients. Certainly all those already familiar with Pat Davies'best selling guide to the treatment of adult hemiplegia STEPS TOFOLLOW will want to learn more about the treatment advancespresented here. The new book focuses on a subject that has beenalmost completely ignored until now in the rehabilitation of hemiplegicn patients: selective trunk activity. The author once again shares hervast experience in treating patients with hemiplegia and points to theimpressive results that can be achieved when specific therapy toretrain and regain selective trunk activity is integrated into thetreatment program. The key to successful treatment lies in regainingadaptive stabilisation of the trunk, and the ability to move parts of itinisolation. The book explains how the loss of trunk control causesdifficulties with breathing, speaking, balance and walking, as well asfunctional use of the arm and hand. Activities to improve theseabilities are described. Clear concise instructions, illustrated by awealth of photographs of patients in action will help doctors,physiotherapists and occupational therapists to observe, analyse andovercome the problems caused by inadequate trunk control.
目录
Imtroduction
Part Ⅰ Theoretical Antecedents
1 The Normal Trunk - Evolutionary and AnatomicalConsiderations
1.1 The Vertebral Column
1.1.1 Movements of the Vertebral Column
1.1.2 Movements of the Rib Cage
1.2 Conclusion
2 Aspects of Trunk Control
2.1 The Bridge
2.2 The Tentacle
2.3 The Bridge-Tentacle
2.3.1Muscular Control of the Trunk
2.3.2 Anatomical Considerations
2.3.2.1 Extension
2.3.2.2 Shoulder Girdle
2.3.2.3 Abdominal Muscles
2.3.2.4 Respiration
2.4 Types of Muscle Action
2.5 Conclusion
3 Problems Associated with the Loss of Selective TrunkActivity in Hemiplegia
3.1 Possible Reasons for the Bilateral Loss of AbdominalMuscle Activity and Tone
3.2 Loss of Selective Activity
3.2.1 Muscles of the Trunk
3.2.2 Muscles of the Trunk and Limbs Acting Simultaneously
3.3 Inability to Move in Normal Patterns
3.4 The Most Commonly Observed Problems Seen in Relation to Normal Motor Development
3.4.1 Difficulties with Breathing and Speaking
3.4.1.1 Distorted Configuration of the Rib Cage
3.4.2 Difficulties Observed in Lying
3.4.3 Difficulties in Moving Between Lying and Sitting
3.4.4 Difficulties in Sitting
3.4.5 Difficulties in Standing Up from Sitting
3.4.6 Difficulties in Standing
3.4.7 Some Difficulties Observed in Walking
3.4.7.1 The Stance Phase
3.4.7.2 The Swing Phase
3.4.7.3 Slow and Effortful Walking with the Stride Width Increased
3.4.7.4 Associated Reactions in the Arm
3.4.8 Difficulties in Moving the Arm
3.5 Conclusion
Part Ⅱ Therapeutic Activities
4 Activities in Lying
4.1 Facilitating Breathing
4.1.1 Moving the Chest Passively
4.1.2 Assisting Expiration
4.1.3 Facilitating Diaphragmatic Breathing
4.2 Flexion/Rotation of the Upper Trunk
4.2.1 Assisting Passive Movement
4.2.2 Facilitating Active Movement
4.3 Retraining Active Protraction of the Scapula with Activation of the Oblique Abdominal Muscles
4.3.1 Lifting the Elbows into the Air
4.4 Rolling to Prone
4.4.1 Rolling Towards the Hemiplegic Side
4.4.2 Rolling Towards the Sound Side
4.5 Flexion/Rotation of the Lower Trunk
4.6 Activating the Oblique Abdominal Muscles in Crook Lying
4.7 Position of the Arms
4.8 Bridging, a Useful Activity for Regaining Selective Extension of the Hip Together with Abdominal Muscle Activity
……
5 Moving Between Lying and Siting
6 Activities in Sitting
7 Standing Up from Sitting
8 Activities in Standing
9 Ball Activities
10 Walking
References
Subject Index
