therapy exercise specialist course
DESCRIPTION
運動矯治專業教練証書課程投影片TRANSCRIPT
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矯治運動處方教練証書課程
澳洲體適能專業教練學院 1
澳洲體適能專業教練學院 Australian Training For Fitness
Professionals
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矯治運動
澳洲體適能專業教練學院 2
使用一些特殊工具來增加肌肉的反射及對抗能力,以徒糾正及調整錯誤慣性之身體關節角度,務求使肌肉重新配置,平均分佈拉力,維持最佳平衡狀態,直至得到改善,減除痛覺至完全康復為止。
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需要矯治運動協助
澳洲體適能專業教練學院 3
生活緊張人士
行住及坐卧姿勢問題
缺少運動
機體濫用及過份損耗
局部重複性及持續性動作
休息時間不足
病理性引起
運動錯誤
環境因素影響
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矯治運動重點
澳洲體適能專業教練學院 4
動作上配合:
橫向式呼吸
脊柱印式運動
輕,柔,緩,圓
穩定
肌肉獨立控制
延伸
平衡
動作過程要有:
準確性 PRECISION
流暢 FLOW
集中性 CONCENTRATION
控制力 CONTROL
中心點 CENTERING
節奏 RYTHUM
察覺 AWARENESS
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姿勢的評核
鉛垂線穿過早垂、頸椎、
肩關節、軀幹、大腿的大轉子、膝關節和外踝。
澳洲體適能專業教練學院 5
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不良的體姿
澳洲體適能專業教練學院 6
背部異常凹陷 (Swayback)
過度直立的背脊 (Flat Back)
駝背加腰椎前凸 (Kyphosis/Lordosis)
脊椎側彎 (Scoliosis)
過度伸展的膝蓋 (Hyper extended Knee)
O型腿 (Postural Bowleg)
X型腿 (Postural Knock-Knee)
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澳洲體適能專業教練學院 7
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理想肌肉分佈
澳洲體適能專業教練學院 8
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標準肌肉分佈
澳洲體適能專業教練學院 9
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錯誤肌肉
澳洲體適能專業教練學院 10
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脊椎後彎及斜肩
澳洲體適能專業教練學院 11
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澳洲體適能專業教練學院 12
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Scoliosis
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Kyphosis
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Lordosis
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澳洲體適能專業教練學院 16
常見的腰背疾病及成因
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澳洲體適能專業教練學院 17
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腰椎病的主要成因 (一)
澳洲體適能專業教練學院 18
1) 創傷
- 肌肉扯傷
- 韌帶扭傷
- 小關節脫位或半脫位
- 腰間盤移位
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腰椎病的主要成因 (二)
澳洲體適能專業教練學院 19
2) 疾病 a) 因退化性關節炎引起
.天然老化
.身體過重
.曾患有創傷
.關節勞損受壓
.發病多於四十歲外
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腰椎病的主要成因 (三)
澳洲體適能專業教練學院 20
b) 因炎症引起 .肌肉、韌帶或關節炎
.退化性關節炎
.僵直性腰椎炎
.類風濕關節炎
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腰椎病的主要成因 (四)
澳洲體適能專業教練學院 21
3) 不良姿勢
-站姿不正確
-坐姿不正確
-頸椎或腰椎弧度不正常
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腰椎病的主要成因 (五)
澳洲體適能專業教練學院 22
4) 背柱的勞損
-肌肉過勞,缺乏定時適當的運動
-長期慣性工作,肌肉缺乏舒展
-站立姿不正確,身體缺乏柔軟度
-不正確運動
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腰椎病的主要成因 (六)
澳洲體適能專業教練學院 23
5) 其他 - 坐骨神經痛
因坐骨神經受壓迫而引起
腰間盤移位
腰間盤退化
間中由腰椎間腫瘤,膿瘡或血管瘤引起
骨質疏鬆症
情緒緊張或過份焦慮
遺傳:有數據顯示,但未能証實
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腰背疾病的徵狀
澳洲體適能專業教練學院 24
.腰背肌肉緊張
.腰椎關節活動幅度減少
.腰腿感覺疼痛
.腳部麻痺,肌肉無力
.知覺減少
.腳部神經反射減弱,甚至消失
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腰背病的治療及護理
澳洲體適能專業教練學院 25
主要可分為四大類
藥物治療
物理治療
運動治療
手術治療
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坐骨神經痛症
梨狀肌 (Piriformis)
澳洲體適能專業教練學院 26
梨狀肌
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藥物治療
澳洲體適能專業教練學院 27
.止痛藥
.消炎藥(類固醇或非類固醇)
.鎮靜藥
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物理治療
脊椎舒整治療 (Spinal Mobilization)
.鬆弛關節肌肉痙攣
.糾正關節移位
澳洲體適能專業教練學院 28
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熱療(Hot Therapy)
生理效應包括:
促進血液循環 (Improve circulation)
增進新陳代謝 (Increase metabolism)
減低疼痛 (Pain relief)
鬆弛軟體組織 (Relax the tense soft tissue)
澳洲體適能專業教練學院 29
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熱療(Hot Therapy)
通常以20至30分鐘
患部感到足夠而舒服的熱力 (Comfortable Warm),不能過熱,否則會引起燙傷
熱療包括: 熱敷墊 (Hot Pack) 電熱毯
(Electrical Hot Agent) 熱水 (Hot Bath) 溫水療 (Hydrotherapy)
澳洲體適能專業教練學院 30
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物理治療
澳洲體適能專業教練學院 31
水療 (Hydrotherapy)
在暖水泳池進行, 利用水的基本特質,如:浮力,表面張力,水流阻力及池水的溫度
能強化肌肉
活動關節
減少痛楚
減少肌肉緊張
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電刺激法 (Electrical Stimulation)
能夠刺激神經及肌肉 (Neruo-stimulation),用以: 鎮痛 (Reduce pain)
放鬆繃緊的肌肉 (Relax tense muscles)
澳洲體適能專業教練學院 32 TENS IFT
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澳洲體適能專業教練學院 33
運動治療 腰背護理
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澳洲體適能專業教練學院 34
腰背護理 正確姿態 站姿: 抬起頭,下巴收入,肩膀平直,胸部微向前傾,下腹內收,腰後微凹。
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腰背護理
澳洲體適能專業教練學院 35
坐姿 腰要挺直,雙腳到地,小腿自然下垂,臀部後靠。
可利用軟墊保持腰的弧度
避免經常扭動腰部
不要太久保持交叉著腳的姿勢。
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腰背護理
澳洲體適能專業教練學院 36
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腰背護理
澳洲體適能專業教練學院 37
睡姿 睡眠用的床要能支持身體重量不致下墮。
仰臥時,可用捲起的毛巾保持腰部弧度。
側臥是較自然的姿勢,腰要直,膝部微曲。
上下床時不可只用腰力。
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腰背護理
澳洲體適能專業教練學院 38
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腰背護理
澳洲體適能專業教練學院 39
俯身 彎腰對脊骨是很大的負擔,所以應盡量避免,應養成屈膝蹲下的習慣。
提舉重物 應將物體盡量移近,並利用腿部和肩部的力量。若要轉身,不可只扭轉腰部,應移動整個身體。
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Prescriptive Fitness Program 矯治運動處方流程
澳洲體適能專業教練學院 40
1. 找出即時問題所在
2. 研究背後誘因
3. 針對問題開立對策方案
4. 重整肌力分佈及肌肉微調
5. 神經與肌肉重生
肩膀緊張及背痛
腹部鬆弛及坐姿
目標肌肉鍛鍊,時間及次數
選擇合適開始訓練動作
針對性設若計變化,支持,穩定,加固
協調及平衡訓練動作
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鍛練力量目標
澳洲體適能專業教練學院 41
1. 一般肌肉力量
2. 深層力量
3. 耐力性力量
4. 牽拉力量
1. 補償支持性肌肉不足
2. 穩定性作用
3. 機動性加強耐化
4. 舒張及放鬆過緊部份
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肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
肩關節構造:
1. 球窩關節
2. 活動性高, 但穩定性低
3. 靠韌帶及肌肉作穩定
4. 手提高時, 肱骨頭會擠向肩峰
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肩袖肌群 (rotator cuff)
棘上肌 (supraspinatus)
棘下肌 (infraspinatus)
小圓肌 (teres minor)
肩胛下肌 (subscapularis)
上肢及上身肌肉 (Upper body and upper limb muscle)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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又稱凝肩、五十肩、冰凍肩、黏連性囊炎
原因 cause:
1. 棘上肌肌腱發炎 (supraspinatus tendonitis)
2. 肩關節囊炎 (shoulder capsulitis)
3. 肱二頭肌長頭肌腱炎
(biceps long head tendonitis)
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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受傷機制 Injury mechanism 游水、 棒球、手球
肩關節轉動
肌肉 (肩肘肌群) 疲勞
肩峰壓向棘上肌肌腱
肌腱發炎
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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癥狀 (Sign and symptoms)
棘上肌肌腱炎: 上臂高舉時, 肩膊會疼痛
但當經過某一住置後, 痛楚會消失
壓痛點在肩膊側面
肱二頭肌長頭肌腱炎: 上臂不能高舉
痛楚不會在某個住置消失
壓痛點在肩膊前面
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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癥狀 (Sign and symptoms)
肩關節囊炎 (shoulder capsulitis) 手不能在背後往上伸
肩部有拉扯感覺
惡性循環
肩膊痛 用其他關節代替動作 縮膊、側身、拗腰 肩關節活動更少 組織黏連
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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(Frozen shoulder)肩周炎
處理方法
急性期
目的: 控制及減低發炎情況 PRICE
物理治療 (超聲波治療 ultrasound therapy、短波治療 shortwave therapy)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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處理方法
慢性期
目的: - 增加活動能力
- 增強肌力, 以提高肩關節穩定性 伸展運動 (胸大肌、三角肌)
肌力鍛練 (肩袖肌群)
物理治療 (手力治療 manual therapy)
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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肩周炎 ( Frozen shoulder) 肩袖肌群鍛鍊
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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Shoulder depression
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肩關節穩定性鍛鍊 (shoulder stability training)
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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肩關節本體感受鍛鍊 (proprioception training)
肩周炎 (Frozen shoulder)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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豎棘肌群
(erector spinae)
髂腰肌
(iliopsoas)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
軀幹肌肉 (Trunk muscle)
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處理方法
目的: -牽引及延伸脊柱
-增加背部深層肌肉感覺
-平衡左右軀幹肌肉
背肌伸展 (改善韌帶纖維排列)
背肌肌力訓練
物理治療 (手力治療、水療、腰椎活絡、拉背)
脊椎側彎 (Scoliosis)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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Normal active forward flexion
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Abnormal active forward flexion
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脊柱 (Vertebral column)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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椎間盤 (Intervertebral disc)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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癥狀 (Sign and symptoms)
背部肌肉繃緊、酸痛
背部肌肉變弱
背部活動範圍受限制
脊椎生理弧度改變
背部扭傷 (Sprain back)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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處理方法
急性期
目的: -保護受傷組織
-阻止傷勢惡化 PRICE
物理治療 (超聲波 ultrasound therapy, 腰封 corset)
可用熱敷 (hot pack) 原因??
背部扭傷 (Sprain back)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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處理方法
慢性期
目的: -加強背部肌肉力量
-增加背部肌肉韌帶柔軟度
-加強軀幹肌肉穩定性 熱敷
背肌伸展 (改善韌帶纖維排列)
背肌肌力訓練
物理治療 (手力治療、水療、腰椎活絡、拉背)
背部扭傷 (Sprain back)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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軀幹肌肉鍛鍊 (Core stabilization training)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
鍛鍊軀幹穩定肌肉 (core stabilizer) 腹橫肌 transversus abdominis
多裂肌 multifidus
腰方肌 quadratus lumborum
深層腹內斜肌 internal oblique deep fibre
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軀幹肌肉鍛鍊 (Core stabilization training)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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軀幹肌肉鍛鍊 (Core stabilization training)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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游水
腹核肌肉鍛鍊
PILATES 運動
FITBALL 運動
軀幹肌肉鍛鍊 (Core stabilization training)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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椎間盤脫出 (PID)
原因cause:
1.過多腰部旋轉動作
2.腰部椎間盤經常受壓
3.腰部受直接創傷
如哥爾夫球、籃球、推鉛球、體操、舉重
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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不同的嚴重情度
椎間盤脫出 (PID)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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癥狀 (Sign and symptoms)
背部劇痛 (尤其彎腰動作)
咳嗽時增加腰痛
長時間坐立後, 起身時難以伸直及會有劇痛
嚴重可能會引致坐骨神經痛, 即臀部大腿及小出現拉扯或麻痺
椎間盤脫出 (PID)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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處理方法
急性期 用腰封以保持腰部穩定
物理治療 (拉腰 lumbar traction, 冰敷或熱敷)
背伸運動 (麥根斯運動)
慢性期 熱敷
背伸運動 (麥根斯運動)
腰腹肌肉強化運動 (fitball, 游水……)
椎間盤脫出 (PID)
Australian Training For Fitness Professionals 2002 背部運動創傷處理
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綱球肘 (Tennis elbow) 肱骨外上髁發炎 (lateral epicondylitis)
肱骨外上髁 (lateral epicondyle)
腕伸肌群依附點
做腕伸動作時, 力量會集中在外上髁
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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受傷機制 Injury mechanism
網球、羽毛球
反手擊球時, 腕伸肌群用力
肌腱承受拉力 (尤其當離心收縮時期)
產生輕微撕裂、發炎
形成綱球肘
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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綱球肘 (Tennis elbow) 癥狀 (Sign and symptoms)
壓痛點位於肱骨外上顆
腕伸肌群被伸展時及
腕伸用力時會疼痛
日常生活中, 腕伸或腕轉動時會疼痛
(如扭毛巾、扭門鎖、拿重物)
手握力量減弱
急性時期可能會出現紅腫熱痛
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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處理方法
急性期
目的: 減低及控制發炎情況 盡量避免腕伸動作
冰敷、休息
可用護肘 (elbow brace)加強保護
物理治療 (超聲波治療、激光治療 laser therapy)
綱球肘 (Tennis elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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網球肘 (Tennis elbow) 處理方法
慢性期
目的: - 增加腕伸肌群力量
- 增加手握力
- 回復日常生活、工作 伸展運動
肌力鍛鍊、手握力鍛鍊
深層按壓治療 (deep friction massage)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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伸展運動 stretching exercise
網球肘 (Tennis elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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肌力鍛鍊 strengthening exercise
網球肘 (Tennis elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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哥爾夫球肘 (Golf elbow) 肱骨內上髁發炎 (medial epicondylitis)
肱骨外上髁 (medial epicondyle)
腕屈肌群依附點
做腕屈動作時, 力量會集中在內上髁
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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受傷機制 Injury mechanism 哥爾夫球
擊球時, 腕屈肌群用力
肌腱承受拉力 (尤其當離心收縮時期)
產生輕微撕裂、發炎
形成哥爾夫球肘
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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哥爾夫球肘 (Golf elbow) 癥狀 (Sign and symptoms)
壓痛點位於肱骨內上顆
腕屈肌群被伸展時及
腕屈用力時會疼痛
日常生活中, 腕伸或腕轉動時會疼痛
(如扭毛巾、扭門鎖、拿重物)
手握力量減弱
急性時期可能會出現紅腫熱痛
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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處理方法
急性期
目的: 減低及控制發炎情況 盡量避免腕屈動作
冰敷、休息
可用護肘 (elbow brace)加強保護
物理治療 (超聲波治療、激光治療 laser therapy)
哥爾夫球肘 (Golf elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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處理方法
慢性期
目的: - 增加腕屈肌群力量
- 增加手握力
- 回復日常生活、工作 伸展運動
肌力鍛鍊、手握力鍛鍊
深層按壓治療 (deep friction massage)
哥爾夫球肘 (Golf elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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伸展運動 stretching exercise
哥爾夫球肘 (Golf elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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肌力鍛鍊 strengthening exercise
哥爾夫球肘 (Golf elbow)
Australian Training For Fitness Professionals 2002 上肢運動創傷處理
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下肢與膝蓋異常
澳洲體適能專業教練學院 85
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膝蓋關節勞損 (chondromalacia patella)
成因 cause
1. 直接撞傷 (direct trauma)
2. 重複屈膝引致微傷 (microtrauma)
3. 股外側肌或髂脛束過緊
導致
1. 髕骨下軟骨磨損
2. 能導致骨刺發生
3. 髕骨不穩定症狀
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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癥狀 (signs and symptoms)
膝關節前痛
蹲下、屈膝及上/落樓梯時會有關節變梗情況
髕骨移動路線不正確
膝關節活動時會有阻礙感覺
膝蓋關節勞損 (chondromalacia patella)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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處理方法
急性期 PRICE
配帶護膝
膠帶包紮 Taping
物理治療 (超聲波、干擾電波治療 IFT 、透皮神經電刺激TENS、手力治療、運動治療)
膝蓋關節勞損 (chondromalacia patella)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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處理方法
慢性期 膠帶包紮 Taping
熱敷 (運動前) 、冰敷 (運動後)
物理治療 (肌肉電流刺激、水療)
運動治療 (鍛鍊股內側斜肌 vastus medialis obilque VMO)
膝蓋關節勞損 (chondromalacia patella)
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處理方法
慢性期 伸展闊筋膜張肌及髂脛束
膝蓋關節勞損 (chondromalacia patella)
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十字韌帶扭傷 (cruciate ligament sprain)
成因 cause 負重 + 膝部扭曲 (如籃球)
急停動作
易發生於女性身上
導致 十字韌帶部份撕裂或全部撕裂
膝關節活動時不穩
小腿往前移或往後移
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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癥狀 (signs and symptoms)
膝部紅腫
膝部步行或跑步時不穩
嚴重時可能會跛行或不能步動
受傷時可能會聽到 “pop” 聲
十字韌帶扭傷 (cruciate ligament sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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處理方法
急性期 PRICE
物理治療 (TENS 、IFT)
情況嚴重需接受手術
十字韌帶扭傷 (cruciate ligament sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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處理方法
慢性期 伸展運動
閉合式肌力鍛鍊 (股四頭肌及膕繩肌)
正常肌力比例 股四頭肌:膕繩肌 = 6:4
十字韌帶扭傷 (cruciate ligament sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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平衡力訓練 + 本體感受訓練
十字韌帶扭傷 (cruciate ligament sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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副韌帶扭傷 (collateral ligament
sprain)
成因 cause
膝部外側或內側受衝擊, 導致膝部向內或向內扭曲
運動時小腿被壓力壓向外側, 使膝關節內側受拉力 (如: 游蛙式、足球)
導致
膝部內/外側副韌 帶被拉傷
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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癥狀 (signs and symptoms)
膝部內/外側有壓痛點
膝關節活動時要會增加疼痛
膝關節壓力減少時, 疼痛減少
副韌帶扭傷 (collateral ligament
sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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處理方法
急性期 PRICE
膠帶包紮 Taping
配帶護膝
物理治療 (超聲波治療、TENS 、IFT)
慢性 期 大腿肌肉肌力鍛練
平衡力及本體感受訓練
伸展訓練
副韌帶扭傷 (collateral ligament
sprain)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
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半月板撕裂 (torn meniscus)
成因 cause
突然轉向
膝部過份伸直
癥狀 (signs and symptoms)
膝部紅腫及疼痛
有鎖膝情況 (locking knee)
步行時膝部不穩
可能需要破行甚至不能步行
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 100: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/100.jpg)
處理方法
急性期 PRICE
物理治療 (TNES 、IFT)
情況嚴重需要接受手術
慢性期 開放式(open chain) 肌力鍛鍊---股四頭肌及膕繩肌
平衡力及本體感受訓練
伸展訓練
半月板撕裂 (torn meniscus)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 101: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/101.jpg)
跟腱炎 (Achilles tendonitis)
成因 cause
彈跳時力度過大, 使跟腱有撕裂現象
過度勞損使跟腱有微創現象
跟骨外翻, 令跟腱變得過緊
導致
足跟後面之肌腱 (跟腱) 發炎, 甚至輕微撕裂
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 102: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/102.jpg)
徵狀 (signs and symptoms)
跟腱位置有壓痛點, 並會有腫脹情況
行路或跑步時後蹬動作會有痛楚
處理方法
急性期 PRICE
膠帶包紮 Taping
物理治療 (超聲波、干擾電波治療 IFT 、透皮神經電刺激TENS、手力治療、運動治療)
跟腱炎 (Achilles tendonitis)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 103: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/103.jpg)
足踝扭傷 (sprain ankle)
成因 cause
足部踏在不平坦之地面上
足踝關節過份向內或向外扭曲
引致足踝關節韌帶撕裂
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 104: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/104.jpg)
多數足踝扭傷由內翻引致, 扭傷外側三條韌帶: 1. 距腓前韌帶 ant. talofibular ligament 2. 距腓後韌帶 post. talofibular ligament 3. 跟腓韌帶 calcaneofibular ligament
足踝扭傷 (sprain ankle)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 105: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/105.jpg)
癥狀 (signs and symptoms)
足踝附近疼痛及紅腫
足踝活動受阻礙
嚴重時可能無法走路
足踝扭傷 (sprain ankle)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 106: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/106.jpg)
處理方法
急性期 PRICE
足踝護套 ankle brace
膠帶包紮 Taping
物理治療 (超聲波、TENS 、 IFT)
足踝扭傷 (sprain ankle)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 107: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/107.jpg)
處理方法
慢性期 熱敷
物理治療 (超聲波、手力治療、被動活絡運動)
足踝肌力鍛鍊 (運用毛巾、橡根帶)
平衡力及本體感覺訓練
靈敏度訓練
足踝扭傷 (sprain ankle)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 108: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/108.jpg)
處理方法
慢性期 靈敏度訓練
足踝扭傷 (sprain ankle)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 109: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/109.jpg)
足底筋膜炎 (plantar fasciitis)
成因 cause
跳躍時用力過度引致足底筋膜撕裂
過度使用足部引致足底筋膜微創傷, 加上足底肌力弱, 不能拱固足弓 (foot arch)
結構問題 (如筋膜過緊及跟骨外翻)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
![Page 110: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/110.jpg)
癥狀 signs and symptoms
早上起床足部踏地時會疼痛
足部會有繃緊情況
腳跟可能會有麻痺情況
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
足底筋膜炎 (plantar fasciitis)
![Page 111: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/111.jpg)
處理方法
急性期 PRICE
膠帶包紮 Taping
物理治療 (超聲波、TENS 、
肌肉電刺激)
慢性期 鍛鍊足底肌力以拱固足弓
伸展足底筋膜 (用毛巾)
Australian Training For Fitness Professionals 2002
下肢運動創傷處理
足底筋膜炎 (plantar fasciitis)
![Page 112: Therapy Exercise Specialist course](https://reader033.vdocuments.net/reader033/viewer/2022051616/556d36b5d8b42aa95c8b4a94/html5/thumbnails/112.jpg)
澳洲体适能专业教练学院 112
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澳洲體適能專業教練學院 113
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澳洲體適能專業教練學院 114
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澳洲體適能專業教練學院 115
膝部矯治示範
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澳洲體適能專業教練學院 116