? ? ? ? exercise therapy

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? ? ? ? exercise therapy 
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????

• ??
• ?????????????,???????????????????,?????
  ??????????????

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????????

• ?????
• ??????????????????????????????
• ???

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• ???????????????????????????
• ???? physiological movement
• ????accessory movement

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• ????????????????????
• ???????????
• ??????????????

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• ?????????? isotonic contraction?????
  isometric contraction
• ?????????????????
• ??????

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????????

• 1???????????(1)???? isotonic exercise(2)????
  isometric exercise(3)???? isokinetics exercise
  Cybex

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• 2???????????????
• ????
• ????
• ????
• ????

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???????????????

• 1????????????????
• ??????2??????????????3?????????????????
  4??????????????

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??????????

• (?)?????????????,????????????????????

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1?????

• (1)?????? Delorme ??????? PRE(Progressive
  Resistance Exercise) 10 RM--- 10????????????

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• (2)??????Roce????????????? (3)????
  ?Hislop?Perrine 1967 Cybex Biodex Kin-com
  Lido

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(4)???????

• ?????????????????
• ?????????????????????????????????,????????????
  ????????
• ???????????????
• ????????????????
• ?????????????????????????

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2???????

• CPM??(continue passive motion ??????)
• ROM(range of motion)????
• ????? joint Mobilization

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3??????????

• (1)?? VO2(ml/mg/min) speed(m/min)
  x 0.13.5(2)??? ???? ??? THR
  ??????(?????? - ????) x 5085????

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4?????

• ????
• ????
• ?????
• ????
• ????

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(?)???????????????,?????????????????

• ???? Facilitation
• ?????? neurodevelopment treatment, NDT
• ???????motor learning program,MRP

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1???????

• ???????????
• ??????????
• ??a-- ?????

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2?????????

• ?????????,?????????
• ????????,??????????????
• ????????????? ???????????
• ??????????????? ??????????????

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3?????????

• rood?? ????--????--???????
• bobath?? ?????????????????????????????????
  ??????

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• brunnstrom?? ?????????????????????????????
  ???? ???????
• ??????(PNF) ??????????????????????????????
  ????????????????????????????????????

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???????????

• ????
• ????
• ?????
• ?????
• ????
• ????

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??????

• 1?????????????(1)????(2)??????????
  ????(3)?????? ???????????
  ???? (4)????????

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2?????????

• (1)????????(2)???????(3)?????????????????(4)
  ??????????(5)??????(6)????

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??????????

• 1?????????2?????????

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• ???
• ???????
• ??????????????
• ???????
• ???????
• ??????????
• ?????????????
• ?????????????
• ??????? ????

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? ? ? ?occupation therapy OT
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????????? ????????????????,??????????????
,?????????????,????,??????????????,?????
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?????????
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????????? 1?????? 2??????????
??????????????????????????????????????????????????
????????????????? 3?????
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• ????(requirement)
• importent(???)
• present(???)
• satisfaction(???)
• IP ? 100
• IS ? 100

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???????????1????????????2???????3?????????4??
?????
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??????????? 1????????? ?????????????????????
?????????????????????????
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????????????????????????????????????????????
????????????
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?????????????????????????????????????????????
??????????????????
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2????????? ???????????????????????????????? ?
ADL??????????????????????
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ADL??????????????? ? ????????????????
??????????
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????????1????????2?????3????????4????? 
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??????????1????2???? ??????????????????????
? 
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? ? ? ? ? ?
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 ?????????? ???????????,???????????????
?,???????,?????????????????
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?????(orthosis)???????????????????????????
????
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????????????????????????????????
????splint???sling????????????????
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?????(walking aids)???????????????????????stick
????walking frame
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???? ?????????
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?????????????????????????????????????????
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????????????????????????
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???????????????????????????????????????????