《医学康复学课件：14 腰间盘突出症的康复》由会员分享，可在线阅读，更多相关《医学康复学课件：14 腰间盘突出症的康复（21页珍藏版）》请在金锄头文库上搜索。
1、The rehabilitation of lumbar disc herniationSection1summary相关解剖图相关解剖图n nThere are five lumbar intervertebral disc, There are five lumbar intervertebral disc, There are five lumbar intervertebral disc, There are five lumbar intervertebral disc, that is, L1-2, L2-3, L3-4, L4-5, L5-S1that is, L1-2, L2-
2、3, L3-4, L4-5, L5-S1that is, L1-2, L2-3, L3-4, L4-5, L5-S1that is, L1-2, L2-3, L3-4, L4-5, L5-S1Section2Rehabilitationevaluation(I）symptomsAcute episode of low back pain with or without pain or numbness on one side or both sides of the lower limb.The causes can be, for example, moving heavy objects
3、or have trauma（II）Patientsigns1scoliosis脊柱侧凸2Lumbartenderness.3Thestraightleg-raisingtestandstrengthentestpositive（II）、）、Diagnostic points1. symptoms2.Patientsigns（III）Imagingexamination1x-ray（1）Scoliosis（2）Vertebralbodyupperandloweredgerecess（3）Discspacenarrowing2CT（1）Thecentraltypeorlateraltypeofl
4、umbardischerniation（2）Nerverootorspinalcordcompressionperformance3MRInsection3、RehabilitationtherapyBasic principles of Basic principles of rehabilitation therapy rehabilitation therapy ：nBasicprinciples:toremovethecauseofdisease,controlsymptoms,preventionofrecurrence.（I） bed rest for 1 weeks, espec
5、ially during acute episode.Bedrestcaneffectivelyreducethediscedemaandoppression（II) ) Lumbar traction Lumbar tractionnDivided into rapid traction, slow traction, three-dimensional tractionnSlow traction is the most commonly used, 1 times a day, every time last 20 minutes, 20 times for a course of tr
6、eatment. Starting traction weight about 35%-40% of weight, can be increased to the weight of 55%-65%.（III）Physical therapy: mainly electric therapy (low, medium and high), infrared therapy, etc.The main function is to eliminate the local muscle inflammation, relieve muscle spasm, so as to achieve th
7、e effect of analgesia and reduce the role of the disc pressure（IV）Percutaneousnerveblockorblockingtherapy（V）massage（VI）Westernmanualtreatment:themainMaitlandtechniqueandMccannbasetechnology.(VII)Surgicaltreatmentmaybeconsideredinpatientswithseveredischerniationorinvalidconservativetreatment.（VII）reh
8、abilitation trainingPosturecorrection:sitorstandatthe correct position.maintainthesamepositionforhalfanhourwemustdosomeactivitiesofthewaist.trynottobendovertime,especiallytoavoidbendingtomoveheavy.Back muscle training methodRight and wrong of daily work habitsn n(1)(1)Thecorrectpositiontopickupheavy
9、things:Bendyourkneesbendhipsdowntopickuptheobject.(2)Awrongpositiontopickuptheweight:Dontbendknees,bendovertopickuptheobject.n nCorrect handling of heavy Correct handling of heavy weights : The weight and body weights : The weight and body load falling between two feet, load falling between two feet
10、, it is best to keep the spine it is best to keep the spine straight, two hands holding straight, two hands holding the same weight object.the same weight object.n nError handling heavy load Error handling heavy load position:Takeposition:Take the weight in the weight in front of you while you are f
11、ront of you while you are walking. Forward leaning. With walking. Forward leaning. With one hang taking the heavy load one hang taking the heavy load causing the imbalance.causing the imbalance.n n（5 5）The right bearing object positionn n（6 6）Error handling posturen n n n(7)(7)(7)(7) The correct sitting posturen n(8)(8)(8)(8) The wrong sitting posture
