一、目的
1.維持或增加關節最大的活動度
2.維持和增加肌肉力量
3.促進血液循環
4.預防畸型
二、適用狀況
1.長期臥床或固定不動患者
2.局部使用石膏,夾板,或牽引,而使特定部位不能活動者
3.手腳之運動神經麻痹,致手腳無法活動者
4.神經肌肉疾患--如巴金森氏症,重肌無力患者
5.關節疼痛而自我限制患部活動之病患
6.知覺障礙患者
三、方法
礙於無法圖形表示,故省略
四、注意事項
1.做之前向病患說明做運動的重要性,使病患能配合
2.先用溫水浴或肢體熱敷,使肌肉鬆弛
3.為病患安排他認為最舒適的位置
4.從身體遠端指(趾)關節開始漸至身體近端關節。
若執行被動關節活動則操作者需支托患者的關節處
5.以關節為單位做完一個關節,再做下一個
6.所有的動作,必須要溫和,不可太快或太慢,避免疼痛
7.運動時間長短,以不致過度疲勞為原則,剛開始不可超過十分鐘,以後按進步情形,隨時做調整
8.每個關節活動2-5次,每天執行1-2回
9.健側與患側同時運動,每次運動完後應讓病人有片刻休息
10.運動時,若病患表示不舒服時應停止運動.如盜汗
11.隨時注意運動後的反應和效果
12.肌肉痙攣或阻力存在時宜緩慢進行,至肌肉放鬆為止
五、執行:
1.病患意識清醒:
作前予解釋:1>你需做什麼?
2>為什麼要做?
3>病患應如何配合
2.病患意識不清醒:
1>先評估主要照顧者的學習能力,接受程度,意願強度.....
2>實際教導並要求執行回示教:
以最簡單易記方法來教導,解說.如:每個關節的各項屈曲伸展,照顧者可先動動自己的各項關節來熟悉每個關節可做的各項運動what makes husbands cheat
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