整脊疗法Right in the Middle 下载 pdf 百度网盘 epub 免费 2025 电子版 mobi 在线

This book is a must for everyone involved in the rehabilitation of　stroke patients. Certainly all those already familiar with Pat Davies'　best selling guide to the treatment of adult hemiplegia STEPS TO　FOLLOW will want to learn more about the treatment advances　presented here. The new book focuses on a subject that has been　almost completely ignored until now in the rehabilitation of hemiplegicn patients: selective trunk activity. The author once again shares her　vast experience in treating patients with hemiplegia and points to the　impressive results that can be achieved when specific therapy to　retrain and regain selective trunk activity is integrated into the　treatment program. The key to successful treatment lies in regaining　adaptive stabilisation of the trunk, and the ability to move parts of it　in　isolation. The book explains how the loss of trunk control causes　difficulties with breathing, speaking, balance and walking, as well as　functional use of the arm and hand. Activities to improve these　abilities are described. Clear concise instructions, illustrated by a　wealth of photographs of patients in action will help doctors,　physiotherapists and occupational therapists to observe, analyse and　overcome the problems caused by inadequate trunk control.

Imtroduction

Part Ⅰ Theoretical Antecedents

1 The Normal Trunk - Evolutionary and Anatomical　Considerations

1.1 The Vertebral Column

1.1.1 Movements of the Vertebral Column

　 1.1.2 Movements of the Rib Cage

　 1.2 Conclusion

2 Aspects of Trunk Control

　2.1 The Bridge

　2.2 The Tentacle

　2.3 The Bridge-Tentacle

2.3.1　Muscular Control of the Trunk

　 2.3.2 Anatomical Considerations

　 2.3.2.1 Extension

　　 2.3.2.2 Shoulder Girdle

　　 2.3.2.3 Abdominal Muscles

　　 2.3.2.4 Respiration

2.4 Types of Muscle Action

2.5 Conclusion

3 Problems Associated with the Loss of Selective Trunk　Activity in Hemiplegia

3.1 Possible Reasons for the Bilateral Loss of Abdominal　Muscle Activity and Tone

　3.2 Loss of Selective Activity

3.2.1 Muscles of the Trunk

3.2.2 Muscles of the Trunk and Limbs Acting Simultaneously

3.3 Inability to Move in Normal Patterns

3.4 The Most Commonly Observed Problems Seen in Relation to Normal Motor Development

3.4.1 Difficulties with Breathing and Speaking

3.4.1.1 Distorted Configuration of the Rib Cage

3.4.2 Difficulties Observed in Lying

3.4.3 Difficulties in Moving Between Lying and Sitting

3.4.4 Difficulties in Sitting

3.4.5 Difficulties in Standing Up from Sitting

3.4.6 Difficulties in Standing

3.4.7 Some Difficulties Observed in Walking

3.4.7.1 The Stance Phase

3.4.7.2 The Swing Phase

3.4.7.3 Slow and Effortful Walking with the Stride Width Increased

3.4.7.4 Associated Reactions in the Arm

3.4.8 Difficulties in Moving the Arm

3.5 Conclusion

Part Ⅱ Therapeutic Activities

4 Activities in Lying

4.1 Facilitating Breathing

4.1.1 Moving the Chest Passively

4.1.2 Assisting Expiration

4.1.3 Facilitating Diaphragmatic Breathing

4.2 Flexion/Rotation of the Upper Trunk

4.2.1 Assisting Passive Movement

4.2.2 Facilitating Active Movement

4.3 Retraining Active Protraction of the Scapula with Activation of the Oblique Abdominal Muscles

4.3.1 Lifting the Elbows into the Air

4.4 Rolling to Prone

4.4.1 Rolling Towards the Hemiplegic Side

4.4.2 Rolling Towards the Sound Side

4.5 Flexion/Rotation of the Lower Trunk

4.6 Activating the Oblique Abdominal Muscles in Crook Lying

4.7 Position of the Arms

4.8 Bridging, a Useful Activity for Regaining Selective Extension of the Hip Together with Abdominal Muscle Activity

　……

5 Moving Between Lying and Siting

6 Activities in Sitting

7 Standing Up from Sitting

8 Activities in Standing

9 Ball Activities

10 Walking

References

Subject Index

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