(完整word版)脊髓损伤康复的基础知识(word文档良心出品).pdf

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1、脊髓损伤康复的基础知识1、脊髓损伤的概念？（原因、造成后果）脊髓损伤是指由各种原因（车祸、高空坠落、运动损伤、意外暴力损伤、炎症、肿瘤等）引起的脊髓结构、功能的损害，造成损伤平面以下出现运动障碍、感觉障碍和自主神经功能障碍。2、脊髓损伤的分类？（按病因、程度、部位、平面四个方面分类）1)按病因分为：外伤性脊髓损伤和非外伤性脊髓损伤2)按程度分为：完全性脊髓损伤和不完全性脊髓损伤3)按部位分为：中央束综合征、半切综合征、前束综合征、后束综合征、脊髓圆锥综合征、马尾综合征、脊髓震荡4)按平面分类：截瘫（胸段以下脊髓损伤造成躯干以及双下肢瘫痪而未累及双上肢）、四肢瘫（颈段脊髓损伤造成四肢运动感觉障碍

2、）3、ASIA 分级的具体内容？级别临床表现A 完全性损伤骶段（S4S5）无任何感觉或运动功能B 不完全损伤损伤平面以下包括骶段有感觉但无运动功能C 不完全损伤损伤平面以下存在运动功能大部分关键肌肌力以下 3 级以下D 不完全损伤损伤平面以下存在运动功能，大部分关键肌肌力 3 级或以上E 正常感觉和运动功能正常,可能有痉挛状态4、脊髓完全性损伤和不完全性损伤的区别？完全性脊髓损伤：在损伤平面以下的最低位骶段（S4S5）的感觉、运动功能完全丧失。骶段的感觉功能包括肛门皮肤粘膜交界处的感觉和深感觉，运动功能指肛门指检时肛门外括约肌的自主收缩。不完全性脊髓损伤：脊髓损伤后，损伤平面以下的最低位骶段（

3、S4S5）仍有感觉或(和)运动功能保留。5、脊髓休克期的概念？如何判断脊髓休克期已过？脊髓休克见于急性脊髓横贯性损害，脊髓损伤后，在受损平面以下，立即出现肢体的弛缓性瘫痪，肌张力低下或消失，各种反射均减退或消失，病变水平以下深浅感觉完全丧失，膀胱无张力，尿潴留，大便失禁，呈无张力性(充盈性)尿便失禁。脊髓休克结束指征：球海绵体反射再出现或损伤水平以下出现任何感觉运动或肌张力升高和痉挛。6、脊髓损伤的分期？每一期的治疗重点和方法？急性期：床边康复训练，主要目的是防止失用综合征。保持良肢位，预防压疮，坐起训练、站立训练（电动直立床）、关节被动活动训练（瘫痪肢体各关节，全范围被动活动）、主动运动文档

4、编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9

5、E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档

6、编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9

7、E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档

8、编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9

9、E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档

10、编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3训练（残留肌力训练）。恢复期肌力训练:完全性脊髓损伤患者着重训练肩周肌肉、背阔肌、内收肌、上肢肌肉、腹肌;不完全性脊髓损伤，需对残余肌肉一并训练。垫上训练：翻身训练、牵伸训练、垫上移动训练、四点跪位及移行训练坐位训练：长坐位和端坐位下平衡训练、转移训练。站立、步行训练7、什么是部分保留区、神经根逃逸？完全性脊髓损伤患者在脊髓损伤水平以下大约有13 个脊髓节段中仍

11、有可能保留部分感觉和运动功能，脊髓损伤水平与脊髓功能完全消失的水平之间的脊髓损伤节段，称为脊髓功能部分保留区。神经根逃逸是指实际完全性脊髓损伤患者的平面以上有神经根损伤，在恢复过程中，神经根的功能逐步恢复，从而造成完全性脊髓损伤患者神经平面下降，出现“神经再生”的假象。8、脊髓损伤的评定流程？SOAP 法S 主观资料：患者的一般情况，详细病史（受伤部位、严重程度、损伤平面、），主诉，其他临床症状O 客观资料：关键肌和关键点检查、肌张力、关节活动度情况、坐位及立位平衡、有无并发症A 功能评定：对所收集资料整理分析、患者功能性活动的完成情况文档编码:CS7H4Y8K7F9 HW9O9E2B7X3

12、ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H

13、4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3

14、ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H

15、4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3

16、ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H

17、4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3

18、ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3P 制定治疗计划：康复治疗计划，相关检查9、各关节的生理活动范围？（肩关节、肘关节、腕关节、掌指关节、近端指间关节、远端指间关节、髋关节、膝关节、踝关节）肩关节前屈 0 170后伸 0 60外展 0170水平外展 040水平内收 0130内旋 070外旋 090肘关节屈曲 0 135150旋后 08090旋前08090腕关节掌屈 080 背伸 070 尺偏 030 桡偏 020掌指关节屈曲 090 过伸 015-4

19、5近端指间关节屈曲 0110远端指间关节屈曲 080髋关节屈曲 0120 伸展 030 外展 040内收035内旋 045外旋 045膝关节屈曲 0135踝关节背伸 015 跖屈 050 内翻 035 外翻 02010、MMT 评定具体内容？测试结果MRC 分级Lovett 分级能抗重力及正常阻力运动至正常5 文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2

20、B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码

21、:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2

22、B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码

23、:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2

24、B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码

25、:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3测试姿位或维持此姿位正常-5-能抗重力及阻力运动

26、至测试良+4+姿位或维持此姿位，但仅能良4 抗中等阻力能抗重力及阻力运动至测试良-4-姿位或维持此姿位，但仅能好+3+抗小阻力能抗肢体重力运动至测试姿好3 位或维持此姿位抗肢体重力运动至接近测试好-3-姿位，消除重力时运动至测试姿位在消除重力姿位做中等幅度差+2+运动在消除重力姿位做小幅差2 度运动文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 Z

27、W4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4

28、Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 Z

29、W4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4

30、Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 Z

31、W4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4

32、Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3无关节活动，可扪到肌收缩差-2-微1 无可测知的肌收缩零0

33、11、关键肌有哪些？其神经支配的节段？C5屈肘肌-肱二头肌、肱肌、肱桡肌C6伸腕肌-桡侧腕长短伸肌，尺侧腕伸肌C7伸肘肌-肱三头肌C8中指屈指肌-指深屈肌T1 小指外展肌-小指外展肌L2 屈髋肌-髂腰肌L3 伸膝肌-股四头肌L4 踝背伸肌-胫前肌L5 趾长伸肌群-趾长伸肌S1踝跖屈肌-腓肠肌和比目鱼肌12、改良 Ashworth 评定的具体内容？等级标准0 肌张力不增加，被动活动患侧肢体在整个范围内均无阻力1 肌张力稍增加，被动活动患侧肢体到终末端时有轻微的阻力文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

34、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

35、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

36、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

37、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

38、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

39、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

40、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L31+肌张力稍增加，被动活动患侧肢体时在前1/2 测试中有轻微的卡住感觉后 1/2ROM 中有轻微的阻力2 肌张力轻度增加，被动活动患侧肢体再在大部分ROM 内均有阻力，但仍可以活动3 肌张力中度增加，被动活动患侧肢体在整个ROM 内均有阻力4 肌张力高度增加患侧肢体僵硬，阻力很大，被动活动十分困难13、感觉评定？（28 对感觉关键点分布）C2 枕骨粗隆C3 锁骨上窝C4 肩锁关节的顶部C5 肘前窝的外侧面C6 拇指近节背侧皮肤C7 中指近节背侧皮肤C8 小指近节背侧皮肤T1 肘前窝的内侧面

41、T2 腋窝的顶部T3 第 3 肋间T4 第 4 肋间（平乳线）T5 第 5 肋间（在 T4-T6 的中点）文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

42、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

43、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

44、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

45、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS

46、7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X

47、3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3T6 第 6 肋间（剑突水平）T7 第 7 肋间（在 T6-T8 的中点）T8 第 8 肋间（在 T6-T10 的中点）T9 第 9 肋间（在 T8-T10 的中点）T10 第 10 肋间（平脐）T11 第 11 肋间（在 T10-T11 的中点）T12

48、 腹股沟韧带中点L1 T12 与 L2 的中点L2 大腿前中部L3 股骨内侧L4 内踝L5 足背第 3 跖趾关节S1 足跟外侧面S2 腘窝中点S3 坐骨结节S4-5 肛门周围14、平衡功能的评定?1 级：能正确的完成活动2 级：能完成活动，仅需要较小的帮助来维持平衡3 级：能完成活动，但需要较大的帮助来维持平衡4 级：不能完成活动文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7

49、F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2

50、Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7F9 HW9O9E2B7X3 ZW4B2Q3B9L3文档编码:CS7H4Y8K7