➢In S-E-T : isolated muscle strengthening exercise
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Closed Kinetic Chain
➢The loading is grading by hanging the placement of the sling on the body ➢rope length ➢suspension point
Organization)治療法受訓合格 ➢1999 台大物理治療學研究所 ➢2003 挪威 SET課程受訓 ➢2010 長庚大學復健科學研究所 ➢2011 挪威 Neruac 1 國際講師 ➢2015 美國特奧會運動員健康計劃之趣味體適能檢測受訓合格 ➢2016 CranioSacral Therapy 顱薦治療 level I II 檢定合格 ➢曾任林口長庚物理治療組長，長庚大學兼任講師，高醫兼任
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Sensorimotor Function
➢Body adjust to gravity change ➢ Closed chain exercise ➢ unstable surface:
➢ stand on sling ➢ inflatable rubber cushion
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Vestibular stimulation
➢Active therapy ➢Work on weak link and movement control ➢Find the right exercise at right level ➢Progress as tolerated
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Sling suspension device for children
individual
task
environment
Children need to be active learners to problem-solve how to accomplish a specific task,
given their constraints
New approaches
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Sling suspension device for children
Strength of suspension exercise •Motivation •Acபைடு நூலகம்ive treatment •Early mobilization •Easy use in clinical
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謝謝
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Muscle Strength : Kinetic Chain
•Open Kinetic Chain
• Distal segment is no weight-bearing • Distal segment is free to move • Focus on isolated training of muscles
•Musculoskeletal system and the neurologic system are intertwined
•Promote musculoskeletal adaptations
• Effort to prevent or correct physical impairment • Enhancing function and participation in daily life activities
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Helping hand principle
➢ free the therapist’s hands
➢ provide relief from heavy weight loads
➢ provide increased relaxation and security
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Treatment Concept
• Negative sign • Strength
Dynamic Therapy
• Problem oriented : Top down approach • ICF : components of health
(WHO, 2001)
International Classification of Functioning, Disability and Health (ICF)
➢ ↓gravity by sling device ➢ ↑control and move joint to end range
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Musculoskeletal Disorder
•Bone abnormalities
disrupt normal
length/tension of muscle and result weakness
物理治療臨床助理教授 ➢現任弘光科大學物理治療系專技副教授
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History
➢Sling exercise therapy (S-E-T) ➢Schlingentish (Sling table) ➢ Norway – 1960 ➢Therapimaster sling exercise device : Kare Mosberg
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Enablement Model
健康狀態 Health Condition (disorder/disease)
身體功能 Body function
&structure (Impairment)
活動 Activities (Limitation)
社會參與 Participation (Restriction)
• To train individual muscle groups
Close Kinetic Chain Distal segment is weight-
bearing Distal segment is fixed Increasing static/dynamic
stability Increase compression in the
• Goal-directed, functional behaviors • consider the importance of multiple system of individual as well as the environment in learning to accomplish specific functional goal • Increase the possibility of activity and participation • Enablement model
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Poor sitting posture
• poor sitting posture of children with Cerebral palsy -Pelvic posterior tilt -Scapular adduction -Poor trunk erect -Hip ADD and IR
Motivation
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Relaxation
➢Place body part in a desired position in the sling device ➢Gently move the body part
➢Used before and after treatment ➢Emphasize terminate specific muscle activity
環境因素
Environmental Factors
個人因素
Personal Factors
(WHO, 2001)
Mobility Exercise
➢Primary impairment : ↓neuromotor control ↓mobility experience
➢Secondary impairment : ↓ ROM and ↑ contracture
SP
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Lateral Suspension Point
• Negative weight in
SP
movement toward the
suspension point
• Increased resistance in movement away from suspension point
• Oblique plane of movement leads to combine movement
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Medial Suspension Point
• Negative weight in movement toward the suspension point • Increased resistance in movement away from suspension point • Oblique plane of movement leads to combined movements
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Stability
➢Training the stabilizing musculature
➢Facilitate agonist and antagonist muscle co-contraction ➢Training proximal stability
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Suspension Air Pillow
懸吊技術在兒童康復中的應用
Edited by Wei-Pin Huang
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簡短經歷
➢1992 中山復健醫學系/林口長庚復健科物理治療室 ➢1995 長庚兒童醫院物理治療室 ➢1998 台灣首屆早期療育物理治療種子人員 ➢1998 美國TAMO (Tscharnuter Akademie for Movement
Poor sitting posture training
• Pelvic posterior tilt
Pelvic posterior tilt