肌肉检查.pptVIP

MUSCLE TEST 陈 曦 中山大学附属第一医院康复医学科 Diagnostic muscle test 谢谢！！ * * MUSCLE FUNCTION CLASSIFICATION Short and overactive long and weak Loss of joint position direction dependent Non-continuous concentric direction dependent Non-continuous eccentric Low,continuous activation in all joint position Rectus abdominis 腹直肌 Serratus anterior 前锯肌 Deep cervical flexors Global mobilizer Global stabilizer Local stabilizer Agonist and antagonist Length test of both agonist and antagonist Muscle testing Muscle strength Muscle control Muscle length Isometric muscle testing Muscle bulk Specific diagnostic muscle test Muscle strength(MRC) Active movement, with gravity eliminated 2 Flicker or trace of contraction 1 No contraction 0 Normal power 5 Active movemtnt against gravity and resistance 4 Active movement against gravity 3 Muscle activity grade 肌力测评表 Muscle strength VS muscle length Outer range 35% greater normal muscle Over a period of time, become weak Muscle strength test P58F 向对侧卧，对侧下肢半屈，髋外展，阻力加于股骨远端 大腿外展，内外旋 臀中肌 P58E 俯卧，轻屈膝，伸髋，阻力加于股骨远端 大腿后伸、外旋 臀大肌 P58D 仰卧，屈颈 颈深肌群 P58A 仰卧，屈肩，屈肘，推肘 拉肩胛骨向前，紧贴胸廓 前锯肌 Page test function name Muscle strength test P59I 坐位，小腿悬于床边，踝背屈，足内翻，阻力加于足背内缘 足背屈，足内翻 胫前肌 P59J 坐位，小腿悬于床边，踝跖屈，足外翻，阻力加于足背外缘 足跖屈,足外翻 腓骨长短肌 P59H 坐位，对抗伸膝 伸膝，屈大腿 股四头肌 P59G 坐位，小腿悬于床边，髋内旋，阻力加于小腿下前外侧 大腿外展，内外旋 臀小肌 Page test function name Muscle control Recruitment and coordiantion of muscle during active movement Recruitment: activation, timed onset of muscle activity;  =grade 3 The relative strength , endurance and control of muscles are considered to be more important than the overall strength of a muscle or muscle group Muscle length Methods: stabilizing one end of the muscle and slowly and smoothly moving the body part to stretch the muscle. Note: quality Resistance Range Pain Overuse short and strong weak Isometric muscle testing S