《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (9): 825-829.

• 论文 • 上一篇    下一篇

脑卒中后遗症患者的日常生活活动指导

立松さゆり 陈晓梅1,2，李晏龙3 译   

  1. Bobath 纪念医院，536-0023 日本大阪市城东区东中浜1-6-5。
  • 收稿日期:2011-07-14 修回日期:1900-01-01 出版日期:2011-09-25 发布日期:2011-09-25

Activities of Daily Living Guidance (Intervention) of Stroke Patients

TATEMATSO Sayuri. CHEN Xiao-mei, LI Yan-long trans.   

  1. Bobath Memorial Hoapital, 1-6-5 Higashinakahama, Joto-ku, Osaka City 536-0023, Japan
  • Received:2011-07-14 Revised:1900-01-01 Published:2011-09-25 Online:2011-09-25

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摘要： 我们需要仔细思考日常生活活动和国际功能、残疾与健康分类之间的关系。日常生活活动训练是任务导向性训练内容之一，患者在维持抗重力姿势的同时主动进行选择性运动，并与治疗师一起选取有效的系统处理感觉信息输入，选择最有效的姿势及运动控制方式。本文介绍2 个病例。病例1 除不能独立洗浴外已达到独立生活，并已学习自我控制。病例2 还不能达到生活自理的程度，其治疗目标为减少日常生活活动中的外界辅助量，并使患者能在其他家庭成员和治疗人员的辅助下正常的进行感觉-运动学习。小组治疗和24 小时管理非常重要。

关键词: 日常生活活动, 任务导向性训练, 姿势控制

Abstract: We need to make the consideration for the relation between activities of daily living (ADL) and International Classification of Functioning, Disabilities and Health (ICF). ADL is a part of task-oriented approach. The patients make selective movements voluntarily in anti-gravity posture, change the efficient system treating the information of sensory, and select the efficient postural control and movement control with therapist. 2 cases were reviewed. Case 1 becomes independent expect bathing, has to learn self control. Case 2 does not become independent, the goal is reduction of support. The family and the staff can support that case 2 experiences the good sensory-motor learning. Team approach and 24-hour management are important.

Key words: activities of daily living, task-oriented approach, postural control