题目内容

关节挛缩的康复治疗最佳组合是

A. 温热疗法、被动疗法
B. 温热疗法、主动运动
C. 温热疗法、主动运动、被动疗法、手法
D. 温热疗法、主动运动、被动疗法
E. 温热疗法、主动运动、被动疗法、水疗

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患者,女,56岁,工人,腰腿痛20年,加重3个月。患者20年前有腰部疼痛,偶伴有右侧下肢牵拉痛。随着体重的增加,腰痛逐年加重。近3个月来,因腰痛而不能久行,咳嗽和坐起等体位改变时有明显腰痛,伴右小腿疼痛和麻木感。检查:体胖(85kg),腰部前屈20°,侧屈各30°,后伸30°,腰椎生理弧度呈过屈,腰4~5棘旁和棘间局部压痛(++),腰5和骶1似呈台阶状,挺腹试验不能完成,直腿抬高试验弱阳性,加强试验阳性。 最有可能的诊断是

A. 腰背肌筋膜炎
B. 腰椎管狭窄症
C. 腰椎间盘突出症
D. 腰肌劳损
E. 神经根型颈椎病

有关主动抑制技术的描述中,下列哪一项是正确的

A. 在牵拉肌肉之前,患者有意识的主动抑制拮抗肌收缩,使牵拉阻力最小
B. 它不仅可放松肌肉组织的收缩性结构,而且也使结缔组织放松
C. 在缺乏肌肉神经支配时,改良的主动抑制技术也可很好应用
D. 临床上常用的主动抑制方法有:放松-收缩、放松-收缩-放松
E. 以上都不对

渐进性抗阻练习第一级运动重复的次数为

A. 5次
B. 10次
C. 20次
D. 根据患者可耐受程度而定
E. 患者尽最大努力重复

At the little town of Vevey, in Switzerland, there is a particularly comfortable hotel. There are, indeed, many hotels, for the entertainment of tourists is the business of the place, which, as many travelers will remember, are seated upon the edge of a remarkably blue lake—a lake that it behooves every tourist to visit. The shore of the lake presents an unbroken array of establishments of this order, of every category, from the "grand hotel" of the newest fashion, with a chalk-white front, a hundred balconies, and a dozen flags flying from its roof, to the little Swiss pension of an elder day, with its name inscribed in German- looking lettering upon a pink or yellow wall and an awkward summerhouse in the angle of the garden. One of the hotels at Vevey, however, is famous, even classical, being distinguished from many of its upstart neighbors by an air both of luxury and of maturity. In this region, in the month of June, American travelers are extremely numerous; it may be said, indeed, that Vevey assumes at this period some of the characteristics of an American watering place. There are sights and sounds which evoke a vision, an echo, of Newport and Saratoga. There is a flitting hither and thither of "stylish" young girls, a rustling of muslin flounces, a rattle of dance music in the morning hours, a sound of high-pitched voices at all times. You receive an impression of these things at the excellent inn of the "Trois Couronnes" and are transported in fancy to the Ocean House or to Congress Hall. But at the "Trois Couronnes," it must be added, there are other features that are much at variance with these suggestions: neat German waiters, who look like secretaries of legation; Russian princesses sitting in the garden; little Polish boys walking about held by the hand, with their governors; a view of the sunny crest of the Dent du Midi and the picturesque towers of the Castle of Chillon. I hardly know whether it was the analogies or the differences that were uppermost in the mind of a young American, who, two or three years ago, sat in the garden of the "Trois Couronnes," looking about him, rather idly, at some of the graceful objects I have mentioned. It was a beautiful summer morning, and in whatever fashion the young American looked at things, they must have seemed to him charming. He had come from Geneva the day before by the little steamer, to see his aunt, who was staying at the hotel. But his aunt had a headache—his aunt had almost always a headache—and now she was shut up in her room, smelling camphor, so that he was at liberty to wander about. He was some seven-and-twenty years of age; when his friends spoke of him, they usually said that he was at Geneva "studying. " When his enemies spoke of him, they said—but, after all, he had no enemies; he was an extremely amiable fellow, and universally liked. What I should say is, simply, that when certain persons spoke of him they affirmed that the reason of his spending so much time at Geneva was that he was extremely devoted to a lady who lived there—a foreign lady—a person older than himself. Very few Americans—indeed, I think none—had ever seen this lady, about whom there were some singular stories. But Winterbourne had an old attachment for the little metropolis of Calvinism; he had been put to school there as a boy, and he had afterward gone to college there-circumstances which had led to his forming a great many youthful friendships. Many of these he had kept, and they were a source of great satisfaction to him. After knocking at his aunt’s door and learning that she was under the weather, he had taken a walk about the town, and then he had come in to his breakfast. He had now finished his breakfast; but he was drinking a small cup of coffee, which had been served to him on a little table in the garden by one of the waiters who looked like an attache. At last he finished his coffee and lit a cigarette. Presently a small boy came walking along the path—an urchin of nine or ten. The child, who was diminutive for his years, had an aged expression of countenance, a pale complexion, and sharp little features. He was dressed in knickerbockers, with red stockings, which displayed his poor little spindle-shanks; he also wore a brilliant red cravat. He carried in his hand a long alpenstock, the sharp point of which he thrust into everything that he approached—the flowerbeds, the garden benches, the trains of the ladies’ dresses. In front of Winterbourne he paused, looking at him with a pair of bright, penetrating little eyes. The phrase "under the weather" in the last but one paragraph probably means

A. handicapped.
B. indisposed.
C. glum.
D. indignant.

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