下肢肌力测试_臀中肌.pptVIP

下肢肌力测试——臀中肌 Origin（起点） Ilium (outer surface between crest and anterior and posterior gluteal lines) 髂骨 Fascia (over upper part) 髂 Insertion（止点） Femur (greater trochanter, lateral aspect) 作用：后伸并外旋大腿 Grade 5 (Normal) and Grade 4 (Good) Position of Patient:Side-lying with test leg uppermost 病人体位：侧卧位，被测下肢在上 Grade 3 (Fair) For the Grade 3 test, 在3级肌力测试时， Test: Patient extends hip through available range, maintaining knee flexion. Resistance is given in a new straight downward direction (toward floor). 测试：病人膝关节屈曲，后伸髋关节通过可活动范围 ；阻力方向垂体向下指向地面 Instructions to Patient: Lift your foot to the ceiling. OR Lift your leg, keeping your knee bent. 和病人讲解：把你的脚举向天花板 Grade 5 (Normal): Completes available range of motion and holds end position against maximal resistance. 5级：最大阻力下，完成全范围活动并在末端维持 Grade 4 (Good): Limb position can be held against heavy to moderate resistance. 4级：肢体可以抵抗中到大的阻力 Grade 3 (Fair): Completes available range of motion and holds end position but takes no resistance 3级：抗自身重力，可完成全范围活动并在末端维持 Grade 2 (Poor) Position of Patient: 病人体位： Grade 2 (Poor) Position of Therapist: Standing behind the patient at thigh level. Therapist cradles uppermost leg with forearm and hand under the flexed knee. Other hand is on pelvis to maintain postural alignment. 测试者体位：站在患者大腿后侧，一手放在屈曲的膝关节下方，用前臂托住患肢，另一手放在骨盆位置维持骨盆稳定。 Grade 2 (Poor): Completes available range of motion in side-lying position. 2级：在侧卧位可完成全范围活动。 Grade 1 (Trace) and Grade 0 (Zero) The patient is prone and attempts to extend the hip or squeeze the buttocks together while the therapist palpates the gluteus maximus. 病人俯卧并尝试 * *