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全關節運動

發佈日期:2014-01-09
發佈單位:華揚醫院-行政部
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
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