神经肌肉重建技术的基本理论与基本技-培训课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * Burde forandres til program for dyp stabilitet b?r plasseres i omr?de premotor cortex, frontal lobe . Center for signal kommer fra primary motor cortex, pareetal lobe, * Dette seneter b?r ligge i samme omr?de som det andre men med annen farge eller litt annen lokalisasjon. * * * * * * * * * * * Here Open Kinetic Chain is defined, and it is important to point out that the lower leg is not carrying bodyweight, only it′s own weight.(Film: Hip Adduction Open * Is in the booklet. Consider if necessary to go through. * Here closed kinetic chain is defined, and it is important to point out that the lower leg is moving in an open kinetic chain, while the upper is carrying bodyweight distally, and thereby works in a closed kinetic chain. (Film: Hip Adduction Closed) * Is in the booklet. Consider if necessary to go through. * * * * * * * * * (At the moment we haven`t succeeded to provide these articles since they are old). This slide and onwards, until no.45, is considered background information for the instructor, and should not be shown until Level 2. The previous slides about Neurac are meant as appetizers and a very short introduction to the new term. The focus should be on Weak Link on a Level 1 course. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 稳定肌与运动肌比较 位于背部深层 腱膜状（aponeurotic） 慢肌为主 耐力活动时激活 选择性弱化 募集较差，可以被抑制 在30－40％MVC条件下激活 位于背部浅层 梭状（fusiform） 快肌为主 爆发性活动时激活 优先募集 缩短和紧张 在大于40％MVC条件下激活 稳定肌 运动肌 （三）非对称、不稳定 （四）振动与无痛 Brumagne 1999, 2000 Neuromuscular control in lumbal and pelvis Healthy Back pain Before vibration During vibration After vibration Brumagne 1999, 2000 Results of vibration （五）离心收缩与姿势控制 稳定肌（stabilisor）与运动肌（mobilisor）局部肌肉（Local）与全局肌肉（Global） Rood(1972)根据功能的不同，将背部肌肉区分为稳定肌和运动肌两类 稳定肌通常位于深部、具有单关节或者单一节段分布、通过离心收缩控制椎体活动和具有静态保持能力； 运动肌一般位于表层、具有双关节或者多关节分布、通过向心收缩控制体的运动和产生功率 Bergmark（1989）还根据肌肉解剖位置的差异，将背部肌肉分为局部肌肉和全局肌肉 局部肌肉通常均起源于脊椎，它们的活动控制脊柱的弯曲度和维持脊柱的机械稳定性； 全局肌肉一般连接胸廓和骨盆，这些肌肉收缩通常可以产生较大的力量 （七）弱链测试