《cpm应用》PPT课件

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1、CPM理论和应用ObjectivesObjectivesObjectivesObjectivesObjectivesObjectivesObjectivesPresentthehistoryofCPMCPM的历史ExplaintheclinicalandphysiologicalbenefitsofCPM临床治疗应用的解释Indications&contraindicationsofCPM临床适应症禁忌症Traditionaltherapyvs.CPM传统理论和CPM理论的比较Demonstratetyp

2、esandclinicalcasesofCPMCPM的示范Definition定义«Passivejointmotionisdefinedasanymotionthatis“producedbyanexternalsource”»<被动关节定义:由外力作用引起的运动>Traditionalteachingposttraumaorsurgery:创伤或手术的传统教育Enforced强制限制Uninterrupted不间断Prolonged长期的Immobilization固定EffectsofImmobilization制动的影响

3、InhibitthecirculationofSynovialFluid制约滑液的循环StarvejointcartilageofNutrients阻止关节软骨面的营养供给PromotethedevelopmentofAdhesions促进粘连的发展NeuromuscularDegeneration肌肉神经退化20thCenturyResearch20世纪的研究1919WillemPreservationofsepticjointsbydrainageandimmediatemotion1970SalterHealingeffe

4、ctsofCPMonrabbitjointcartilage1973KleinertEarlyPassiveMotionfollowingtendonrepair1982GelbermanEffectsonCPMontendonhealing动物实验研究Usedrabbits用家兔Fullthicknessdefects全层软骨损伤Intra-articularfractures关节内骨折AcuteSepticarthritis急性化脓性关节炎Partialthicknesstendonlaceration部分肌腱损伤Benef

5、itsofCPMtohealingcartilageCPM对软骨愈合的好处Enhancednutritionandmetabolicactivity促进营养供给和代谢水平Acceleratedhealingofarticulartissues加速关节组织的愈合Regenerationofcartilage重建软骨面Jama,6Nov.1981Vol.246,N°.18Rabbitswithfullthicknesscartilagedefectsdividedintothreegroups:兔子全层软骨损伤分三组（Ｉ，ＩＩ，ＩＩ

6、Ｉ）：Immobilizationwithcast石膏固定组IntermittentActiveMotion(Cageactivity)间歇性主动运动组CPMregimen：TreatmentinitiatedimmediatelypostoperativelyＣＰＭ组：术后马上治疗动物实验研究动物实验研究BenefitsofCPMtoHealingTendonsCPM对肌腱愈合的好处Restorationofthetendon’sglidingsurface重建肌腱表面Greatermeanbreakingstrengthof

7、thetendonSynovialdiffusionmayenhanceintrinsichealing滑液的扩散增强康复Preventionofadhesionformation制止粘连的产生BenefitsofCPMtoHealingLigamentsCPM对韧带愈合的优点Maintenanceofcollagenmatrixorganization维持胶原蛋白组织Normalizedcollagenconcentration提高胶原蛋白排列整齐Maintenanceandincreasedstrength维持和增强强度Be

8、nefitsofCPMtoSkinHealingCPM对皮瓣愈合的好处Edemareduction减少水肿DecreaseScarformation减少疤痕形成Nodisruptionofthegraft(after7thday)Nodisruptionofth