老人康复游戏训练

老人康复游戏训练 康复游戏集体训练 一 传球游戏 1目的: (1) 通过传球游戏训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动的兴趣。 (2) 通过游戏训练，使双上肢的活动能力增强，有助于患侧肢体及肌萎缩的恢复，增强手腕部及手指关节的活动能力，达到恢复的目的。 2 方法 (1) 将老人(半自理、偏瘫、痴呆、个别自理)扶至/推至游艺厅，围成圆圈。 (2)将玩具(玩具苹果、香蕉、鸭梨、芒果、小球等)从第一人开始依次顺时针传递，传递时要求老人右手接，倒置左手，再由左手传给旁边人(如偏瘫老人只用健侧手传递，达不到训练的目的)。 (4) 根据老人人数或自理能力的不同，护士/员进行辅导协助，特殊肢体活动障碍、僵硬者，护士/护理员要给予亲自指导和心理安慰及鼓励。应带动大家给他(她)以掌声，使之感到欣慰。 (5)传递玩具时顺逆时针交替进行，大约进行60分钟，或根据人数而定。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 二 数字接龙游戏 1 目的: (1)通过数字接龙游戏训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动的兴趣。 (2)通过游戏训练，使痴呆等老人提高思维反应能力，改善思维迟钝;语言功能障碍及计算能力，增加近期记忆，延缓病情的进展。 2 方法 (1)将老人(半自理、偏瘫、痴呆、个别自理)扶至/推至游艺厅，围成圆圈。 (2) 从第一人先顺时针开始数1、第二人数2、依次类推，数到100。再逆时针从1数到100。如需加大难度，可从100、99、98--1往回数。 (3)根据老人人数或自理能力的不同，护士/护理员进行辅导协助，特殊语言表达反应迟缓老人，护士/护理员要给予亲自指导和心理安慰及鼓励。 (4)当特殊老人能连接数出数位时，护士/护理员应带动大家给他(她)以掌声，使之感到欣慰。 (5)往返几轮，此项活动一般进行约60分钟，或根据人数而定。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 三 套圈游戏比赛 1 目的: (1)通过套圈游戏训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动的兴趣。 (2)通过游戏训练，调动老人的思维及动手能力，特别针对患偏瘫、帕金森氏病老人的定向行为起到加速康复的目的 2 方法:(将老人按病种分别活动) (1)护士、护理员将10位老人分成2组:(5人一组)扶至/推至游戏地前，距离1米处地上摆放各种玩具，发给每位老人5个竹圈，2个组的第一人一起投圈套玩具，套上后，除了记数，还要表扬，没套上的要给予鼓励(下轮努力)，依次进行。 (2)对于手臂震颤、肌无力的老人护士/护理员要耐心辅导，并给予特殊照顾。 (3)游戏结束后，进行评比，鼓励老人兴趣。 (4)此项活动一般进行40分钟，或根据人数而定。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 四 夹豆子比赛 1 目的: (1)通过夹豆游戏训练，使老人充分体现自我价值，减轻心理孤独感增加与其他老人间的和睦关系及参加活动的兴趣。 (2)通过游戏，培养老人对日常生活物品及颜色的分辨，尤其是对手指运动锻炼康复效果明显。 (3)通过游戏训练，可观察每位老人内心有无竞争意识，并对痴呆老人的思维反应进行有效的评估。 2 方法(适宜老年痴呆，双手无疾患/或一侧手臂瘫痪者) (1)将4---5位老人扶至/推至桌旁围坐，发给每人一份(圆盘内盛适量大米、少量黄豆、红豆等)，筷子一双。 (2)护士/护理员指导老人用筷子将豆子按颜色分别夹出，分别放在桌上备好的容器内(限定时间)。 (3)一轮次结束后，可给老人统计每人所夹豆子数量，多者给予表扬，少者给予鼓励，可进行下一轮次或进行多轮最后每人数量。 (4)无论老人夹豆多少，护士、护理员都要给予表扬与鼓励，更好地调动老人的积极性和参与兴趣。 (5)此项活动一般进行40分钟，或根据人数而定。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 五 接球游戏 1 目的: (1)通过接球游戏，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动兴趣。 (2)通过游戏训练，可锻炼老人双上肢的活动肌能及对运动物体定向视物能力，充分调动老人的反应能力，促进大脑的思维和精神乐趣。 2 方法 (1)将老人5—10位(自理、半自理---下肢瘫痪，双上肢均可活动)扶至座椅/轮椅上，围成圆圈，每人发一塑料纸篓， 护士/助理护士准备一个小皮球(软)，依次扔进老人纸篓。 (2)护士/助理护士根据老人反应能力、上肢活动能力，调整扔球距离，但不可直接扔进老人纸篓，要求老人双臂要有屈伸动作及接球意识，以达到锻炼的目的。 (3)为强化训练老人记忆能力，还可在游戏前，给每位老人看好指定一种颜色的小球，当护士/助理护士拿起某一种颜色的小球时，要求老人能认出属于自己颜色的球，当他/她准确地接住球后，要给予表扬，接不住时要给予鼓励。 (4)此项活动一般进行40分钟，或根据人数而定。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 六 跨栏活动训练 备注:(是一种老人专用训练器具;双杠高130---140厘米，离地20---30厘米设可移动横杆若干)。 1 目的: (1)通过跨栏训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动兴趣。 (2)通过游戏训练,主要锻炼老人双下肢的行走功能和协调性。对老人膝关节炎的功能恢复起到极佳的康复作用。 2 方法 (此项游戏训练仅限于自理老人;老年痴呆可行走者;半身偏瘫较轻者)。 (1)正面迈步:将5—10位老人分为一组，第一人开始，双手臂扶于双杠，依次先从正面迈进，要求先迈一只脚后停顿，等另一只脚跟进后再迈第二步。 (2)向后退步:最后一人开始，双手臂扶于双杠，依次先从后面退步，要求先退一只脚后停顿，等另一只脚退步后再退第二步。 (3)向左移步:第一人开始，双手臂扶于双杠，依次先迈左脚后停顿，再迈右脚跟进后，再迈第二步。 (4)向右移步:第一人开始，双手臂扶于双杠，依次先迈右脚后停顿，再迈左脚跟进后，再迈第二步。 (5)此项训练活动根据人数而定，一般进行2轮即可。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 七 描绘游戏训练 1 目的: (1)通过描绘训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动兴趣。 (2)描绘主要训练老人对色彩的分辨能力，对图案绘画内容的理解能力。 (3)根据不同老人的认知程度，由浅入深的开展此项训练活动，以调动老人的思维能力。 2 方法: (1)将4---6位老人扶/推置桌前，围坐一起，每人发给一套内容、图案相同的画册;(一本为成型彩画，一本为黑白填充画)，发彩色铅笔一套。 (2)让老人对照彩色图案，将黑白图案用彩色铅笔逐项填充(图案应一致)。 (3)在老人填充画册过程中，护士、助理护士要随时耐心指导老人并与之交流，必要时给予帮助。 (4)每名老人的画册和彩笔盒上要写名字，以便下次继续使用。 (5)此项训练可进行2小时，中间可给老人喂水等。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 八 拼图游戏训练 1 目的: (1)通过拼图训练，使老人充分体现自我价值，减轻心理孤独感，增加与其他老人间的和睦关系及参加活动兴趣。 (2)拼图对老人(尤其对老年痴呆)是一项恢复认知、调动思维能力的最佳游戏训练。 (3)通过拼图训练，护士、助理护士能对老人智力能力，认知程度，进行最有效的考量和评估。 2 方法 (1)将4---6位老人扶/推置桌前，围坐一起，根据每位老人智力程度和认知能力，分别发给每位老人一副拼图。 (2)护士、助理护士要耐心给每位老人讲解并演示拼图方法;必要时可数遍教授，直至老人学会。 (3)如老人反复学习仍不能独立完成拼图，可更换简易拼图，反之有老人较易掌握拼图，可更换难度大的拼图。 (4)再如老人的确不能完成拼图(但有兴趣)也可随意。 (5)此游戏项目可进行2小时，中间可给老人喂水等。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave,