Anthropometric dosage. Vimiryuvannya zrostannya patient

Shown by the admission of the patient to the hospital; assessment physical development

Prototype indications: important patient's camp;

EQUIPMENT: vertical zrostomir (horizontal - for children up to 1 rock); temperature sheet; clean disinfected glue 30x30 cm; mittens;

OBOVYAZKOVA UMOVA: the visibility of the growth of the patient's height is carried out for the sake of the swelling and headdress.

1. Good-naturedly and naughtyly introduce themselves to the patients. Rewrite the information for the year.

2. Posteliti the disinfected glue on the maidan of the height (from the patient's feet).

3. By the way, from the side of the patient and take the tablet from the height of the pending patient.

4. Proponuvati the patient to stand in the middle of the maidan of the height, so that the vertical bar of the height is stoosuvsya by the height, with the shoulder blades, with the height, the p'yat.

5. The head of the patient is guilty of such a position, so the call of the oka and the upper edge shell boules on one horizontal line.

6. Gently lower the height plate on the patient's time.

7. Visually, on the scale, the number of centimeters from the Maydan to the planchette. Tell the patient about the results of the vimiryuvannya.

8. Take the glue and twist it twice and the surface of the height of the jaws, wrinkled des. by striking.

9. Take mittens, give disinfection, reduce and dry your hands.

4. Document the visitor's management.

FEATURES:

For children up to 1 rock, for a vimiryuvannya dozhini tila vikoristoyuyut a horizontal scale, which is set on an equal style surface with a scale to itself. Place the pelushi (do not curl the scale, do not zapazhayu planetsі). Worship the child so that the top of the head was sculpted by the untidy bar of the height. Stretch the legs to light onslaught on the knees. Bring the collapsing bar down to nig, bent down with a straight cut. Viznachiti zrostannya for the scale of height in centimeters. Arrive the child from the Rostovir.

Dovzhinu tila for children from 1 rock to 3 rocky in a vertical height meter, only to replace the lower platform of the height in a vicoristyuyuyuyuyuyu on the bench. Lead in centimeters along the scale.

Vimіryuvannya circumference of the breast

Shown visasnumber colo breast cancer in peace, in the camp of maximum vidihu and vidihu, assessment of physical development.

EQUIPMENT: centimeter line, 70% ethyl alcohol, or 0.5% alcohol rozchin chlorhexidine; gauze servet; temperature sheet; mittens;

1. Introduce yourself kindly to the patients. Rewrite the information for the year.

2. Proponuvati to the patient to stretch up to the waist and stand in a special position to the medical sister, the hands of the guilty patient are lowered downwards. Dikhannya maє buti spokіynim.

3. Apply a centimeter line on the patient's chest, so that the backward passes through the lower cut of the shoulder blades, in front of the 4th rib along the nipple line (in choloviks), or even in the milk zone (in females).

4. Visualize a colo of breast cells in a calm state, maximum vidihu, povny vidihu.

1. Write down the data in the temperature sheet:

OGK calm - ___ cm.

OGK vdih - ___ cm.

OGK vidih ​​- ___ cm.

2. Povidomiti paciєntu results and vimіryuvannya.

3. Put on gloves. Dezinfikuvati centimeter line: wipe with gauze servetka, soaked with 70% ethyl alcohol or 0.5% alcohol solution chlorhexidine

4. Take mittens, give disinfection, reduce and dry your hands.

I. Preparation before the procedure:

1. Introduce yourself to the patients, explain the meta and go of the procedure.

Reconsider in the presence of an informed patient for the maybutny procedure.

II. Viconannya procedure:

2.Place a centimeter line on the back along the lower cuff of the shoulder blades, and on the anterior surface of the breast plate on the rivni 4 ribs, in the choloviks a line of nipples, and in females above the milky cavities.

3. Carry out three tests:

With a calm dichanna;

At maximum inhalation;

At maximum vidihu.

III. Completion of the procedure:

4. Write down all three reports in centimeters on the temperature sheet.

Remember:

The norm has a difference in the indications at the maximum inhalation and vidihu of the warehouse:

1. In females - 4-9 cm.

2. In cholovikiv - 6-12 cm.

The circumference of the breast tissue in choloviks is 88-92 cm, in females - 83-85 cm. Indicators vary in fallowness from physical development.

Significant growth, size, chest circumference is necessary for the removal of indices (indexes).

1. Growth-vagovy indicator... It characterizes the proportions in terms of maturity to maturity - vaga tila. For the calculation of the length in kilograms, multiply by 100 and multiply by the indicator of growth in centimeters.

The average value of the growth-carriage indicator is 32-40. The most important indicator is to talk about the overwhelming vagu. Big low - about the lack of vase.

2. Index of proportions between adults and the circumference of the breasts. To calculate the circumference of the breasts, bends in centimeters, you need to multiply by 100 and size by height, bends in centimeters. In normal, the index Reven is 50-55 (in normostenics), the index is less than 50 in the case of narrow chest (in asthenics), and 55 - on broad-chested (in hypersthenics).

3. Pigne index. Calculated by the way of rotation from the indicator of growth, rotated in centimeters (L), sumi from the size of the circumference of the chest cage, rotated in centimeters (T), and vagi til, rotated in kilograms (P), tobto L- (T + P).

For normosthenics - index Pigne to set from 0 to 20,

For asthenics from 20 to 50

For hypersthenics - below 0

Physical indicators.

To the physical indicators, to bear the life of the legacy and the force of the life.

Life of legends (VC) should start behind an auxiliary spirometer.

spirometryє by the method of assigning the function of the dyshal to the apparatus. For the spirometer testimonials, one can judge about the function of the heart-vascular system.

Average indicators of VC for older people are 3.5 - 4 liters (3500-4000 cm 3), for females - 2.5-3 liters (2500-3000 cm 3).

In addition, the indicators of VOLUME change and the indicators of patients, who suffer from ill health and blood circulation, change significantly. Before the end of the day, to spend 3 times a week and to give a shorter result.

TECHNOLOGY VIKONANNYA PROSTIUM MEDICAL SERVICE - spirometer:

1. Attach the individual sterile mouthpiece to the spirometer.

2. Sweep the patient with a special person until spirometry.

3. The patient holds the spirometer in his hand.

4. Propagate to the patient 1-2 vidihu and vidihu in front of the front.

5. Propose to the patient the most vivid vidih, squeeze nis and, by and large, vybiti the maximal vidih ​​through the mouthpiece, take it into the mouth.

6. Visnacte obsyag povitrya to see the scale.

7. Write down the data in the history of the ailment.

dynamometer- vimir of myazovoi power. Viznachennya is carried out with the help of a hand-held dynamometer in kilograms.

TECHNOLOGY VIKONANNYA PROSTITS MEDICHNOЇ SERVICES - dynamometer.

1. Propose to the patient to take the dynamometer in the wrist with the dial in the middle.

2. Hand knit to the side, in a strictly horizontal position.

3. Grip the dynamometer as much as possible.

The method of anthropometric doslіdzhen is widely used for viznennya physical development of individuals, who are engaged in physical culture and sports. The whole method of advancing the human body is mainly based on the field of many, common morphological indicators. However, a number of anthropometric dosages (spirometry, dynamometry) give an indication of the functions of industrial systems and organs. In general, the indicators of physical development make the functional state of the body important for the assessment of health and fitness.

The technique of carrying out anthropometric dosages is not foldable. Zvchikay їkh spend medical sisters... However, as if it were the only scientific method of preliminaries,

anthropometry is a quick guide to catching the singing minds, so as to ensure the correctness and accuracy of indicators. These are the main minds for carrying out all anthropometric changes є:

Viconannya doslidzhen for a single unified methodology;

Carrying out the first and repeated dosages by one and the same special and the same instruments;

Doslіdzhennya at one and the same hour of the day (the most beautiful thing in the heart);

Preslidzhuvaniy is guilty of being without clothes and swelling (admitting only cowards).

Viznachennya wagi. Respectful to spend on dozens of medical wagons, as before the implantation of the guilty butti vivirenі and vіdregulovanі. The maidanchik vagina is guilty of being exactly horizontal pidlozі (tse rewrite on the wagon or the water "whip", we will stand on the wagons). Vagi blame but are sensitive up to weight 100 g. Reconsider the correctness of the weight of the regular weight of the weight (not less than 30 kg). Doslidzhuvaniy is guilty of standing unruly in the middle of the maidan vag. On the Maydan, it is not entirely true that the farboi walked along, kudi was guilty of stavati doslidzhuvaniy.

Vimiryuvannya zrostannya. Zrostannya vimіryuyut with an extraordinary easel wood stadiometer or a metal anthropometry of the Martin system.

Vimiryuvannya growing up standing behind the aid of a tree growth to shrink in such a way: to listen to the height on the platform with its back up to the scale with a scale and to feel it in three specks - p'yats, children, and simply. The head is not to blame for the height of 1, but is guilty of being slightly nagged so that the upper edge of the ear canal and the lower edge of the ear canal was rocked along the same line, parallel to the disease.

Vimiru stays sideways from the preliminarily and lowered on his head a tablet, which is scored on a centimeter scale. Drag along the bottom edge of the tablet. It is necessary to quit, to stand up without straining; in women with a high hair loss when they are guilty but released.

In the proper seated position, carry out the growth with the same tree height meter, which is attached to the window of a bench, which is fixed on the wall 40 cm in the direction of the log. Vimіryuvannya to be timid in such a way: to listen to sits on the bench with his back to the height of the height,

Dottik with a head growth is mozhlno with dolichocephalic forms of a skull in a pre-juvenile.

Vimiryuvannya growth anthropometry. Metal anthropometer Martina is stored in 4 empty metal shears. According to the shear, on any applied pads with an accuracy of up to 1 mm, the sleeve is equipped with a virus. On the upper end of anthropometry, another clutch with a vimiruval line is attached to it. The upper cut of the anthropometry can be adjusted around the yak with a compass to determine the width of the parts of the body. The whole attachment can be taken into pieces and tidied up in a case, it is easy to carry the threads, which is why the anthropometry is very quick.

Vimіryuvannya circumference of the chest wall. Yogo to carry out a progummed centimeter line in three positions: from the stand of calm, with a repeated inhalation and maximum vidiha. The growth of the size of the breath and the way it is called the excursion of the breast; a very important indicator of the function of dichannya.

Technique for the detection of the circumference of the breast cell. Before reaching the senses, spread your arms to the sides. Apply a centimeter line like this. the backward of the won passed through the lower cut of the shoulder blades, and in front of the cholovik and children of both articles up to 12-13 years - along the lower segment of the nipple, in females - over the milk zone behind the bone of the IV rib to the sternum; when overlapping the line of hearing the lowering of the hand. Slide to reconsider, where the line is correctly applied. For sluggishness, it is recommended to carry out an additional session in front of the mirror, until you turn your back until you hear it. At the mirror it can be seen that the line is correctly applied to the back.

The circumference of the breast bed in the spokiy stania in the older adults is 88-92 cm, in the females 83-85 cm.

As a result of regular occupation with physical rights, especially sports, the excursion of the breast cancer can significantly increase and reach 12-15 cm.

Spirometry is a method, for the help of which, to begin life in the memory of legends. Vimiryuvannya is carried out with a water spirometer, which is stored from two empty metal cylinders, one inserted into the inner tube. The spirometer unit is 7 liters.

Doslidzhennya technique. Afterwards, you will be exposed to the spirometry, take the mouthpiece with the gum pipe in your hands. Then, having finished 1-2 vidih ​​and vidikh in front of the front, quickly gaining the maximum number of vidy and smoothly seeing it into the mundos. Preslіdzhennya spend three times a week; a better result. With a lot of skin tones, he is guilty of koristuvatisya with an individual squeaky mouthpiece. Pislya vikorystannya mouthpieces to boil.

Spirometry is a good method of determining the function of the mental apparatus. The indicators of spirometry can be judged by the world about the function of the heart-vascular system.

In addition, the indicators of life are many legends to change.

Average indicators of living capacity for an overweight person store 3500-4000 cm3, for women - 2500-3000 cm3.

For athletes, especially for oarsmen, lizhniks, swimmers, life, the number of legends can reach 5000-6000 cm3 and is larger.

The value of the number of legends lies in the form of growth and mass, and that is the meaning of the so-called living indicator, which is a representation of life between life and life. In an older person, the indicator is not guilty of being below 60. The norm for a mature physical culture worker is an indicator of 62-68.

Dynamometry is a method that helps to start the force of the hands and the force of the muscles of the spine.

A hand-held dynamometer є an elastic steel plate, squeezing which will show the strength of the force, rotated in kilograms.

Doslidzhennya technique. To take the dynamometer in the brush with the dial in the middle (the gudzik is turned to the fingers). Push your hand towards and squeeze the dynamometer as much as possible. I will manually force it for the skin brush okremo. Carry out the pre-treatment for the skin brush 3 times

і write down the shortest result. Average indicators of strength of the right hand for older people 40-45 kg, for women - 30-35 kg; Average strength indicators of the left hand will grow by 5-10 kg less.

You can use a special spring dynamometer to get your strength up to date. Afterwards, you start to get started with a hook, on which you fasten the lance from the dynamometer. Stavati slid so, 2/3 of the skin feet went behind the metal base (zazvychay її insert into the wood platform). The legs are guilty of being straightened and the handrail is placed. Tulub zginayut, lantsyug zakryplyuyut for the hook, so that the hand was always on the edge of the line. For a lot of delightful feelings, do not bend your hands and nig, you tend to wiggle, flail your hands to see. Zazvychay enough one-time license. The body strength for older people in the middle road is 130-150 kg, for women - 80-90 kg.

Osyag anthropometric doslіdzhen. With mass medical preliminaries of physical culture, you are encouraged to be surrounded by the size of the vagi, the growth, the circumference of the thorax, the life of the leg, the muscular strength of the brush and the strength of the strength.

For more and more special coverage, there may be possible extensions and include the designation of the shoulder, front, back, shoulder, abdomen, width and diameter of the breast cage, front-back and rear diameter. additional centimeter lines and thick compasses. Great interest, zokrema, representing the value of proportions of body. All Fig. 13. Vimir of the strengths. we can significantly expand our statement about the steps and specialties of the physical development of athletes.

Assessment of the results of anthropometric dosages is carried out using the methods of standards, correlations, profiles, indexes.

Evaluation by the standard method is most accurate and objective. The assessment of the physical development of physical culture workers by the method is carried out by the method of adjustment (release), from the middle - standard - values, set on a great number of conditions of the same stat, in the form of growth.

With a sling of a large number of obstezhuvannyh (change the number of people to rotate in thousands) anthropometric dosages by the method of variable statistics start the middle velichin - "median" (M) and mean square deviations - sigma (± a). Otrimanі standard values ​​to produce in the tables of evaluations of physical development, which can be done by hand. Otrimanі at vimіrah danіvnyuyut with general indicators of anthropometric standards. As soon as the value is changed from the value specified in the table of standards, or to change from one side to the other, no more than the value of the "average impression" shown here (± 1 / 2o), then the estimate can be made. As soon as the value is taken out of the middle, indicated in the table, more than on one middle-square view, then this is an indication of the greatness of life, but the greatest of all As soon as the value is taken into account, the average value in the table is more than two times lower (± a), then the estimation of the presumed signs will be even better or even worse than the extremes.

Like mothers on respect, the method of standards in transferring materials to the processing of materials that are taken away on the same contingents of the same age: students, schoolchildren, working people, collegiate workers, sportsmen-distributors, etc., who live in the same classrooms well m_scevostі.

Today, such a kind of table of standards is not only in the republican scientific and pre-ancient installations, but in the case of sports and other organizations, primary mortgages. The tables are broken up by the forces of the Muscovites.

It is important to wait for an hour, if anthropometric standards were broken up, so as good as it seems that the physical camp of the population of the CPCP from the future in the world to be used and to reject the old anthropometric standards for victorious work is no longer suitable.

Lower, only in the quality of the image, the table of estimates of the indicators of the physical development of athletes is induced.

Deyaki author for the purpose of scientific evaluation of materials and assessment of the results of anthropometric dosages use the most rational method of correlation. Wines of the competition anthropometric indicators, Yaki calculate mathematically for an additional coefficient of correlation, їm viznachayut so titles of coefficient of regression. Remain showing, one sign changes by the amount of one sign when it changes by one unit. For an additional regression function, it is possible to use a regression scale, i.e.

The method of profiling of evidence for variable-statistical testing of results for the situation. Wien allows you to render the data graphically. Call for the whole world to get ready-made nets, on which digital indicators are applied.

For the butt, it is suggestive of an anthropometric profile. The short-lived method is difficult, tied to the preparation of a great number of sows and the robot to pick up the profiles; To that, mabut, the tsey method in this hour is not enough to stop.

The method of indexes (indicators) is a set of special formulas, in addition to which it is possible to conduct an assessment of certain atropometric indicators and their characteristics. Tsikavim and maє are practically meaningful in a number of indicators.

Growth-vagovy indicator characterizes the proportional (in terms of maturity to maturity) vaga tila.

Let us expand and be most primitive є Brock's indicator, the scarlet people are guilty of being equal to their growth without 100 units. Qiu zasosovovyt formula with amendments Brooksha; in people with a height of 165 to 170 cm, it is 105 units, with a growth of 175-185 cm-ON is one; tsey exponent unprecedented in a childish and youthful vіtsі.

We will broaden the indicator є the carriage-Rostov indicator of Quetelet, which should be removed by the way of the length of the carriage in grams per height in centimeters; tsey indicator of showing, the number of grams of vagi is brought to a centimeter in height (indicator of growth). At an average height of 1 cm, 400 g of vagi will grow. The indicator of 500 g and more depends on signs of obesity, the indicator of 300 g and lower - on the decrease in food consumption.

Index of proportions between adults and the circumference of the breasts. Before the broadest indicators of this kind, the breast indicator is used. For the purpose of calculating the circumference of the breasts in centimeters, multiply by 100 and multiply by the height in centimeters; in the norm of the index of the road 50-55. Index less than 50 is applied to the university, over 50 - on wide chest.

MAK is a wider exponential indicator of Yersman; yogo visnakhayut by way of virahuvannya from the indicator of the circumference of the chest in a quiet stanza half the height; In the norm, the circumference of the breast is guilty of the door.

If the circumference of the breast cage is over half the height, the indicator is a plus sign, if the circumference of the breast is half as tall, it is a minus sign. The average value of the indicator for a kindly grown-up physical culture worker is 5.8 cm, for a physical culture worker - 3.8 cm.

Index of physical development. With the help of this kind of index, the Pignet exponent. Yogo count the size of the wirahuvannya from the indicator of growth in centimeters (L) sum the values ​​of the circumference of the chest wall in centimeters (T) and vagi tila in kilograms (P), tobto L- (T --- P); less surplus, less more beautiful statura. Statue with an indicator of 10 15 mitsne, at 16-20 it is good, at 21-25 average, at 26-30 weak, at 31 or more it is even weak.

Theoretically, the index of folds is incorrect, since they set different values ​​not in all types of values, but behind the addition of a simple addition or information. In individuals of low growth, ale with a great wagon, the indicator will be high; tsey index is absolutely unauthorized for children and children.

Most of the indexes are put together mechanically, and that does not showcase scientific criticism. Estimate the standard of physical development by indices followed with great care. For reasons, mabut, interest before the victorious indexes at the lykarsko-fizkulturnoi practice for the rest of the rock has gone down. However, many well-known therapists (A.L. Myasnikov in.) Recommend in their instructions deyakі іndeksi for the purpose of clinical anthropometry.

Bagato ailments and injuries lead to the destruction of the functions of the urazhenoi system, physical capabilities ailing (self-reliantly oversaturated, servicing oneself), I will ruin the quality of service and it is not easy to lead to invalidity.

To that, the value of the functional camp of the affected system can be supervised more important in rehabilitation and assessment of efficiency.

At the same time, in order with the classy preliminaries, special methods are taken into account, which give a basic assessment of the effectiveness of the main treatment.

To them are referred to: anthropometry (vimir masi, volume of rukhiv, silly mujaz, life and capacity of legends and in.) And functional probes.

Anthropometry (somatometry)

at anthropometric dosages obstezhuvaniye is guilty of butti without odyagu. Technique and methodology of anthropometry in order to create practical tools. The need for accuracy, accuracy, respect, clever management of anthropometric instruments, reconversion and metrological control.

Vimiryuvannya masi

Vimiryuvannya zrostannya

Vimіryuvannya circumference of the breast

Vimiryuvannya zhittovoi otnosti legends

Vimiryuvannya sili m'yaziv

In the practical protection of health, the most effective and efficient method of assessing anthropometric data is based on the method of indexes, which, as a rule, have two indicators.

Maso-Rostov index Quetelet- the price of the mass in grams to the height in centimeters. In females, the indicator becomes 300-375 g / cm, in choloviks - 350-400 g / cm.

Yerisman index- the difference between the circumference of the breast cell at a pause of 0.5 growth. In women, the index in the norm is 3-5 cm, in the cholovik - 5 7 cm.

Breast sweep- the difference between the circumference of the chest of the cell on the vidikha and vidikha. For females, the sizes become 5-7 cm, for choloviks - 7 9 cm.

life index- the set of VC (in ml) to weight (in kg). In females, the indicator is 50-60 ml / kg, in choloviks - 60-70 ml / kg.

power index- the performance of the dynamometer indicator to the weight of the vehicle. Strong hand index for women: 50% for women, 75% for women, for women - 140-160%, for women - 200-220%.

Functional tests and tests

Functional test - navantazhennya, which is used for assessing the destruction of the functions of industrial organs and systems.

Before functional tests, the following vimogs are displayed:

• the test is guilty of buty navantazhuvalnoy, so that it is guilty of vicious destruction in the presumed system;
• the test is guilty of being equivalent to the value of life in their minds;
• the sample is guilty of buty standard, nadіynoї, how to be created;
• the test is guilty of being active, if small individuals, Corrode the singing test and fit one and the same group of individuals, get rid of the same results;
• the test is guilty but informative or correct, if the assessment is correct when the group is well-balanced, in general, it is due to the sports results of the tested individuals;
• the test is guilty of but not tedious.

Prototype shown before functional tests:
1) the important zagalny camp of the sick man;
2) gostry period zhvoryuvannya;
3) temperature adjusted tila;
4) bleeding;
5) there is a lack of blood circulation;
6) rapidly progressive or unstable angina;
7) hypertensive crisis;
8) Sudin aneurysm;
9) bending aortic stenosis;
10) severely disturbed rhythm of the heart (tachycardia of 100-110 beats / hv, groups, parts or polytopic extrasystoles, blinking arrhythmia, blockade ta in.);
11) gostry thrombophlebitis;
12) dyshally deficiency is swung;
13) state standard psychiatry;
14) the unkindness of the test (ailments of the loam, the nervous and the nervous-myazoi systems, as the test is carried out).

Shown for spinning dough:
1) progression in the breasts;
2) zadishka bends;
3) overwhelmingly;
4) blіdіst abo cyanosis of an individual, cold pіt;
5) failure of the coordination of rukhiv;
6) non-viral mova;
7) supervising arterial vise, Which does not lead to a change in the provision of new options;
8) reduction of systolic arterial vise;
9) withdrawal on the EKG (supraventricular or supraventricular paraxysmal tachycardia;

Classification of functional tests

see physical options It will freeze up when carrying out functional tests:
A. Without interruption in the adjustment of equal intensity.
B. stepwise move on the line with intervals according to the point of the cutaneous step.
B. Unless the robot is constantly moving forward.
G. Bezperervna, stepwise move on the job without intervals in order.

Vibrating specific methods of advancement, overwhelming the next time, in some results, they may be better (digitally), and not just described (for example, brighter, more, more) viraz. For a practical victorian only such test, for those given a scale of assessments or standards (so called proper values). It is extremely important to precisely follow the instructions for carrying out the rigging (test method).

Pirogova L.A., Ulashchik V.S.