密集運動訓練治療計畫

Intensive Therapy Program- ITP

此密集運動訓練治療計畫是由訓練合格的認證治療師，結合專屬訓練器材－思若速特裝具 (TheraSuit® Orthosis) 及全方位動態運動器

材(Universal Exercise Unit)的操作技巧及運用運動的操作技巧及運用運動生理訓練的基本原則與概念，結合專屬訓練器材－全方位動態運

動器材(Universal Exercise Unit)，統合運用各種不同的治療手法及誘發技巧 (NDT,PNF, TAMO, Pilates,...等)，針對腦性麻痺或功能礙者的

個別需求，量身規劃的密集運動訓練治療計畫。在此個別化的密集運動訓練治療中,讓腦性麻痺兒童及有神經肌肉或運動功能障礙的個案

，藉由運用以上的專屬訓練器材,及統合運用各種不同的治療手法及誘發技巧,來減低病理運動模式、正常化肌肉張力及提供姿勢穩定性；

並在正常的本體感覺輸入的影響下，增強功能障礙患者的肌力及耐力、增強肌肉的控制與協調能力、增強功能性活動的能力、及發展適當

的平衡反應。藉以達到功能與活動技巧獨立自主及自理的最終目標。

(一). 訓練頻率:

每天 3-4 小時，每週五天，持續 3-4 週的密集運動訓練(依小孩或個案的個別情形及需求決定)。

(二). 訓練計畫內容:

*第一週: 減少肌肉張力及不正常運動模式，增加主動且正確的運動模式，並加強全身肌力。

*第二週: 加強訓練與功能性活動相關的個別或同功能性肌肉群。

*第三週: 學習運用已增強的肌力和耐力，改善功能性動作（坐、爬、行走、及跳躍等），以達功能及活動技巧獨立自主的個別

化功能訓練目標。

(三). 運動訓練計畫臨床效果:

－減低病理運動模式的影響
－增強肌力及耐力
－增強肌肉控制和協調
－增強功能性活動 (坐、爬、跪走、走等)

(四). 適用對象:

－腦性麻痺兒童
－發展遲緩患者
－中風患者
－創傷性腦損患者
－脊椎損傷患者
－神經肌肉及運動功能失調或障礙患者

 

*密集運動訓練治療法［TheraSuit Method®］使用器材:

*密集運勳訓練課程選擇 -

聯絡我們

如何參加此運動計劃? 

Typical Intensive Therapy Program (ITP) Treatment Session :

* Preparation Phase  --

This preparation period consists of warming up the muscles through hot packs and massage followed by muscle stretching and strengthening exercises so that they are ready for the second phase of

the therapy.

* Second Phase  --

During the second phase of treatment sessions with applying combination of TheraSuit® and floor activities, personally customized activities which include proximal trunk stability training, graded movement control in transitions, balance and coordination training, and integrating all training skills into functional activities such as head control, rolling, sitting up, crawling/creeping, and walking training with assistive device or independence are practiced.

* Third Phase  --

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**Glossary  --

*Muscle Stretching and Range of Motion Exercises - Depends on the consumer's participation level and degree of muscle tightness, muscle stretching exercise (the proper muscle lengthening) is necessary to prevent the development of joint contractures in a grow process, to promote more freedom of movement, and to prevent loss of maintaining a proper posture in standing upright or in ambulation.

* Muscle Strengthening Exercises - Muscle weakness is a major detriment to children with neuromuscular disorders as it hinders the achievement of gross motor skills.  Muscle strengthening exercises can help the child to increase control over how their body moves.  For example, if a child exhibits a scissor pattern when they are walking, by way of muscle stretching and strengthening exercises to their muscle group around hips, the child can display greater control movement to step properly.  Muscle strength training coupling with muscle stretching exercise is the most effective in treatment strategy.

*Balance and Coordination - Balance includes the ability to maintain positions, and to recover and react from forces that might throw you off balance, as well as the ability to safely fall, minimizing injuries.  Coordination is the ability to smoothly execute a movement through space.  These skills are essential in order to maintain different positions as well as to be able to move through different positions independently.  Balance and coordination depend on the interaction of multiple body organs and systems including the eyes (visual system), ears (auditory system), spatial orientation (vestibular system), brain and nervous system (ability of motor learning and motor control, and motor processing), cardiovascular system and musculoskeletal system.  Balance and coordination skills sometimes do not naturally occur in children with neuro-musculoskeletal or neuro-motor disorders, and they hinder their achievement of independent motor skills.  These skills can be taught repeatedly, and many children successfully learn balance strategies after proper and correct instructions and practices.

By using TheraSuit® and TheraSuit Method®, and Universal Exercise Unit (UEU) during Intensive Therapy Program treatment session, the children can learn graded balance and coordination control.  Having good balance and coordination skills can be the difference between needing assistance and being able to complete a movement independently.  It promotes a better muscle strength, enhances the single movement or the movement pattern learning, and promotes, develops, and accelerates functional skills learning in proper correct postures.

*Functional Activities - Intensive Therapy Program focuses on functional activities training to promote and develop independence of graded control in movements, transitions, and functional skills.  The children with neuro-motor or neuro-musculoskeletal disorders will practice or perform needed movements, transitions (side-sitting to quadruped position, side-sitting to kneeling, kneeling to standing via a half-kneeling, sitting to standing, and squatting to standing), or functional skill in different developmental positions (sitting, crawling/creeping, standing, walking, jumping, hopping, etc.) on their own after muscle stretching and strengthening, and balance and coordination enhancing training.  Repetition is necessary to learn new motor skills, and providing instruction of the "Home Exercise Programs" to parents after treatment sessions allows for this practice to take place.  Moreover, each child will receive an individually designed program to meet his or her specific needs and to ensure the accommodation of each child's goals. 

*Gait Training  - Practicing or performing walking or ambulation training can lead to final goals of independence.  The children with neuro-motor or neuro-musculoskeletal disorders will practice and learn the concept of weight bearing on the lower extremities in standing and weight shifting from side to side or forward and backward (as a pre-ambulation training) along with the consequences in a safe way.  We also uses a variety of assistive devices depending on each individual child's abilities and needs.  This will enable children in all developmental levels to gain exposure to walking skills. 

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