醫(yī)學(xué)康復(fù)學(xué)課件：03 物理治療

1、Foreign called 3M treatment: movement therapy、physical modality therapy、manipulation therapy. P98Chapter 4 Section 1 physical therapyThe first part movement therapy will be taught by teacher Wu.P 102First of all, let me tell you the physical therapy in common, and then respectively tell about all ki

2、nds of physical therapy.II Physical factor therapyNatural : Sunlight, hot spring, air, water, climateArtificial : Electric therapy, light therapy, ultrasound therapy, magnetic therapy, conduction heat therapy, cold therapy, water therapy, biofeedback therapyPhysical factor1.Eliminate inflammation(No

3、ninfectious inflammation)2.Ease the pain3.kill germs4.Calm, hypnotic（催眠）5.Stimulate nerve and muscle tissue6.Relieve spasmThe common curative effect of physical therapy （1）7.Loosen adhesions, soften scar8.Promote wound healing9.Accelerate callus（疤痕） formation10.Regulate immune function11.Desensitiza

4、tion（脫敏） and anticancer effectThe common curative effect of physical therapy （2）PainInflammationDamageAdhesion and scarFunctional disorderindications1.Systemic severe disease (bleeding tendency, malignant tumor, high fever, disturbance of consciousness, pregnancy)2.Some physical therapy specific con

5、traindications（ Metallic foreign things in the body ， Implanted cardiac pacemaker （起搏器），skin damage, inflammation, purulent inflammation)ContraindicationsMethod for treating diseases by using electric power. P102According to the current frequency they are divided into ：direct current therapy, low fr

6、equency electric therapy (0-1000Hz), intermediate frequency electric therapy (1-100kHz), high frequency electric therapy (100kHz-300GHz)（I）electrotherapyFrequency 100000Hz electromagnetic oscillation current P106Features: no excitatory effect on nerve muscle Heat is produced in the treatment.Electro

7、de can leave skin during treatment No electrolysis（無電解）There are internal heat generation and non-thermal effect（內(nèi)生熱和非熱效應(yīng)）Divided into: (short wavelength of 100 to 10 meters) ultrashort wave (wavelength 10 to 1 meters), microwave (1 meters to 1 mm)High frequency electric therapyWarm effect: improve

8、blood circulation, ease painNon thermal effect: anti inflammation, promote the regeneration of nerve tissue, and promote the growth Clinical application: inflammation, especially acute or subacute inflammation, painultrashort wavep108Microwave : wavelength 1m-1mm, frequency 300-300000Mhz. Including,

9、 decimeter centimeter and millimeter wave（分米波厘米波和毫米波）microwave therapyp109Light is a part of the electromagnetic spectrum.According to the wavelengths are divided into infrared, visible and ultraviolet light.（II）Light therapyinfrared therapy: Curative effect is mainly thermal effect p109 Anti-inflam

10、matory, analgesic, relieve spasm, improve blood circulation, reduce the swellingultraviolet therapy：The treatment effect is photochemical effect p110Anti-inflammatory, analgesic and anti rickets（佝僂?。? promote tissue regeneration, sterilization, desensitizationThe two light therapy needs to protect t

11、he eyes of the patient and the operator.laser therapy P111Therapeutic effect: Low intensity laser to prevent blood circulation, inhibit pain, enhance immunity, accelerate tissue repair. High intensity laser makes the protein denaturation and coagulation（變性和凝固）, tissue hemostasis（止血, cutting and sepa

12、ration.Clinical application: tissue inflammation, arthritis, neuritisLaser therapy needs to protect the eyes of the patient and operator.The sound which frequency is greater than 20kHz is ultrasonic. The method of using ultrasound to treat the disease is called ultrasound therapy. P112The therapeuti

13、c effect of ultrasound:Mechanical vibration, thermal effect, chemical reaction, reflectionAntispasmodic, analgesic, edema absorption, decomposition of adhesion, promote nerve repair, fracture healingClinical application: soft tissue injury, adhesion, osteoarthritisNote: eye and genital area careful

14、with ultrasonic therapy（ III ）ultrasonic therapy P 113(1) classification: constant magnetic field, alternating magnetic field, pulsating magnetic field, pulse magnetic field(2) Effect: analgesic, anti-inflammatory, detumescence, sedation, blood pressure, promoting bone growth.(3) Dose: low dose 0.1T

15、. Medium dose 0.1T-0.3T High dose 0.3T（IV）magnetotherapyp116Treatment temperature is more than 0 degree it is cold therapy Treatment temperature is less than 0 degree it iscryotherapyTherapeutic effect: swelling, bleeding, painClinical application : Acute soft tissue injury 24 hours and acute phase

16、of osteoarthritis(VI) Cold therapywater cure Paraffin therapy（石蠟療法）Biological feedbackothersP120（I）Western joint mobilization technique（II）Traditional manual therapyIII Manipulation therapyjoint mobilization P1201. Concept2. Skill level is divided into 4 levels3. The therapeutic effect is to relieve pain, increase the activity of the joint, and increase the feedback of the body.4. Clinical application: this treatment is suitable for the joint dysfunction caused by mechanical factors.（I）Western joint mobilization techniqueMassage P1211 types of massage: Manual massage, Instrument massag