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康复辅助器具临床应用指南
$52.77
本书全面介绍了康复辅具的基本知识和分类、临床常见疾病和功能障碍的评定和康复治疗,重点是针对常见疾病的各个阶段,各种功能障碍,详细介绍了康复辅具的分类、应用目的和作用,尤其是基于康复评定的临床适配。全书共分为七章,图文并茂,操作性和实践性很强,围绕康复辅具应用的康复评定和治疗方法比较多,涉及到的康复辅具种类也比较多。为方便理解,更加直观,本书精选了600余幅插图,希望能帮助读者更好的掌握康复辅具的内容,成为临床应用的工具书。
现为中国康复器具协会常务理事、中国康复医学会理事、中国康复医学会康复辅具应用专业委员会主任委员、中国康复器具协会足部辅具专业委员会主任委员等。从事康复医学临床、教学和科研30多年,主要研究领域为骨关节病损、脊髓损伤康复和假肢矫形器的临床应用。获国家发明专利1项,实用新型号专利4项,外观专利3项。主编人民卫生出版社专著《假肢与矫形器的临床应用》、《康复医学科临床速查掌中宝》。
第一章康复辅助器具概述第一节概论/1一、定义和分类/1二、作用和对象/8三、特点和应用/10第二节康复辅助器具的发展/11一、发展简史/11二、技术发展/12三、产业发展/14第三节康复辅助器具的临床应用/14一、适配和定改制/14二、适配人员的工作任务/16第二章假肢适配指南第一节假肢概论/18一、假肢的结构和分类/18二、假肢处方和装配流程/20三、上肢假肢和下肢假肢/20四、假肢的适合性检查/21五、假肢使用的注意事项/22第二节上肢假肢适配指南/23一、部分手假肢的适配/23二、腕离断假肢的适配/25三、前臂假肢的适配/26四、肘离断假肢的适配/29五、上臂假肢的适配/30六、肩离断假肢的适配/32七、安装上肢假肢前的康复训练/33八、上肢假肢的使用训练/34第三节下肢假肢适配指南/36一、部分足假肢的适配/36二、小腿假肢的适配/39三、膝离断假肢的适配/42四、大腿假肢的适配/45五、髋离断假肢的适配/51第三章矫形器适配指南第一节矫形器概论/54一、矫形器的定义和作用/54二、矫形器的命名和分类/55三、矫形器的临床应用/56四、矫形器副作用的预防与处理/58第二节骨折的矫形器适配指南/59一、骨折概述/59二、上肢骨折/61三、下肢骨折/68四、脊柱骨折/73第三节运动损伤的矫形器适配指南/77一、运动损伤/77二、肩袖损伤/79三、肩关节撞击综合征/80四、肱骨外上髁炎/82五、尺骨脱位/83六、腕关节腱鞘炎/85七、腕管综合征/86八、三角纤维软骨复合体损伤/87九、锤状指/88十、髋关节撞击综合征/89十一、半月板损伤/90十二、髌股关节疼痛综合征/93十三、交叉韧带损伤/94十四、髂胫束综合征/96十五、髌腱炎/97十六、踝关节韧带损伤/98十七、踝关节撞击综合征/100十八、跟腱损伤/101十九、寰枢关节半脱位/102二十、颈椎不稳/104二十一、腰椎退行性不稳/104二十二、腰椎间盘突出症/106第四节神经系统常见疾病的矫形器适配指南/106一、脑卒中/106二、脊髓损伤/113三、周围神经损伤/120第五节儿童常见疾病的矫形器适配指南/128一、脑瘫/128二、特发性脊柱侧凸/135三、先天性髋关节发育不良/138四、膝内翻畸形/140五、膝外翻畸形/141六、先天性马蹄内翻足/143第六节足部常见疾病的矫形器适配指南/144一、扁平足/144二、高弓足/152三、外翻/156四、跟痛症/161五、跖痛症/166六、糖尿病足/169移动辅助器具适配指南第一节个人移动辅助器具概述/180一、定义和作用/180二、分类、需求和重要性/180三、移动辅助器具的适配流程/181第四章移动辅助器具适配指南第一节个人移动辅助器具概述/180一、定义和作用/180二、分类、需求和重要性/180三、移动辅助器具的适配流程/181第二节单臂操作助行器/182一、分类与结构/183二、选配与应用/185三、使用注意事项/189第三节双臂操作助行器/189一、分类与结构/189二、选配与应用/192三、使用注意事项/195第四节手动轮椅车/196一、分类与结构/196二、选配与应用/210三、身体测量与轮椅尺寸的选择/226四、使用训练/229五、使用注意事项/237第五节动力轮椅车/239一、分类与结构/239二、电动轮椅电动功能及选择/243三、选配与应用/246四、电动轮椅的使用训练/247五、电动轮椅养护技巧/248第六节转移和翻身辅助器具/249一、转移类辅助器具/249二、翻身类辅助器具/254第七节升降移动辅助器具/255一、分类与结构/256二、选配与应用/258三、使用训练/259四、使用注意事项/259沟通和信息康复辅助器具适配指南第一节沟通和信息康复辅助器具概述/261一、定义和作用/261二、分类/262第五章沟通和信息康复辅助器具适配指南第一节沟通和信息康复辅助器具概述/261一、定义和作用/261二、分类/262三、沟通和信息康复辅助器具相关的康复评定与治疗要点/274四、沟通和信息康复辅助器具的适配/277第二节言语障碍类沟通和信息康复辅助器具适配指南/277一、脑瘫/277二、孤独症/284三、阿尔茨海默病/291第三节视力障碍类沟通和信息康复辅助器具适配指南/296一、概述/296二、低视力/299三、盲/300第四节听力障碍类沟通和信息康复辅助器具适配指南/301一、概述/301二、先天性耳聋/304三、后天性耳聋/305个人生活自理和防护辅助器具适配指南第一节概述/309一、定义/309二、作用/309三、分类/309第二节评估与训练/315一、评估/315二、康复训练/316第三节常见功能障碍的适配/316一、进食类辅助器具/317二、洗澡类辅助器具/318三、修饰类辅助器具/320四、穿衣类辅助器具/321五、大小便控制类辅助器具/322六、如厕类辅助器具/322七、体位维持、转移及其他类辅助器具/323第六章无障碍环境第一节概述/327一、定义和作用/327二、分类/327三、环境无障碍服务/328第二节居家环境无障碍/328一、概述/328二、通用设计/330三、视力障碍/338四、听力障碍/340五、肢体障碍/341六、智力障碍及精神障碍/348第三节工作环境无障碍/349一、就业环境改造原则/349二、就业环境康复辅助器具/349第四节公共环境无障碍/352一、到达公共建筑物的途径/353二、公共建筑物出入口设施/355三、公共建筑物内设施/358四、公共建筑物标识/362
康复辅助器具是指一切能预防、维持、改善或代偿人体身体功能的任何产品、器具、设备或软件。可以说,每个人的一生中总有一个阶段需要康复辅助器具,比如发生疾病、外伤、老年后功能减退等,都需要某一种或几种康复辅助器具来改善、提高或代偿降低的功能。因此康复辅助器具的临床应用对于患者、功能障碍者和老年人最大限度地改善功能障碍、提高生活自理能力、早日返回家庭和工作岗位具有十分重要的作用。随着电子学、材料学、互联网技术和人工智能的快速发展,康复辅助器具的种类和产品也越来越多,临床应用的范围也越来越大。但康复辅助器具的临床应用仍然面临着许多困难,可以说是任重道远。一是社会认知度不高,不少医生和从业者对康复辅助器具的作用和应用认识还不到位,不知道如何在疾病的各个阶段,为患者、功能障碍者选择适配的康复辅助器具,对新技术和新产品知之更少,导致康复辅助器具使用率低,在许多疾病的各个阶段,极少使用康复辅助器具。二是康复辅助器具的种类繁多,其作用涉及人体功能、生活和工作环境的各个方面,有必要进行比较全面的、系统性的介绍。三是临床上对各种常见疾病和功能障碍先作康复评定,再依据康复评定结果,进行个性化、规范化地适配康复辅助器具的专业书籍很少。为此,我们在中国康复医学会领导的指导下,依托中国康复医学会康复辅具应用专业委员会,邀请了一些长期在临床一线辛勤耕耘、一直从事康复辅助器具的科研、教学和临床适配,在康复辅助器具领域多有建树的知名专家和中青年专家,在大量的文献、已有的一些临床应用指南和他们长期的临床经验的基础上,共同编写了《康复辅助器具临床应用指南》一书。其目的是向读者全面介绍康复辅助器具的基本知识和分类、临床常见疾病、功能障碍的评定和康复治疗,重点是针对常见疾病的各个阶段、各种功能障碍,详细介绍了康复辅助器具的临床适配。全书分为七章,图文并茂,操作性和实践性很强,围绕康复辅助器具应用的康复评定和治疗方法比较多,涉及的康复辅助器具种类也比较多,为了方便理解,更加直观,本书精选了600 余幅插图,希望能帮助读者更好地掌握康复辅助器具的内容,成为临床应用的工具书。历经2 年多时间,经过全体编委共同努力和辛苦工作,终于完成了本书的编写。四川省八一康复中心辅具中心刘夕东主任为本书的编写做了大量的工作,负责本书第一章和第四~七章的审定和修改;康复辅具应用专业委员会荣誉主任委员赵正全教授,对本书进行了全面的审定;西南医院康复科李磊硕士为本书做了大量的加工和整理工作,在此对他们的辛勤工作和辛苦付出表示衷心的感谢!由于我们的水平有限,加上新材料、新技术、人工智能等在康复辅助器具领域的应用越来越多,且康复辅助器具的种类也很繁多,临床应用很广泛,虽经多次编审,但仍可能存在很多不足,甚至错误,恳请读者批评指正。谢谢!中国康复医学会康复辅具应用专业委员会主任委员武继祥2023 年2 月16 日
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