神经肌肉力量的测试、评定PPT.ppt

Neuromuscular strength assessment and training神经肌肉力量的测试、评定;Muscular decrease after immobilization and bedrest 固定和卧床后肌肉力量的下降;;Assessment 测试、诊断;MTT neuromuscular assessment MTT神经肌肉诊断 Questions:问题 Pain? 疼痛？ Flexibility? 柔韧性？ Strength? 力量？ Ratios 比率 Dysbalances 失衡 Strength in particular positions 特定姿势的力量 Bilateral comparison 双侧比较 Strength endurance? 力量耐力？ EMG activity? 肌电活动性？ ;Flexibility柔韧性 – Muscle function testing 肌肉功能测试 Lower extremities 下肢;Flexibility – Muscle function testing 柔韧性－肌肉功能测试 Lower extremities 下肢;Assessment modes 测试方法 ;Simple Screening Modes 简单测试法 Manual muscle testing 手法肌肉测试 ;Simple Screening Modes 简单测试法 Simple isometric testing 简单的等长测试 ;Simple Screening modes – problems: 简单测试法的问题 Semi – objective – reliable- valid 不完全的（缺乏）–客观性–可靠性–有效性 Results dependent on person who do the test 测试结果受测试人的影响很大 No documentation and reporting 没有书面的结果和报告 ? Not evidence based 不能用于循证医学（医疗科研）;Assessment of muscular strength: 肌肉力量测试 Professional Assessment modes 专业测试方法;Assessment of muscular strength: 肌肉力量测试 Professional Assessment modes 专业测试方法;Contraction type;Strength assessment with Multi Joint System 通过多关节等速力量测试系统进行力量测试 ;Strength assessment with Multi Joint System 通过多关节等速力量测试系统进行力量测试 ;Objective – reliable- valid ? evidence based assessment 客观-可信-有效?循证医学认可的测试 Isometric testing 等长测试 static test 静态测试 one position testing 单一位置的测试 multiple position testing 多位置的测试;Objective – reliable- valid ? evidence based assessment 客观-可信-有效?循证医学认可的测试 Isokinetic testing 等速测试 dynamic test 动态测试 neuromuscular test 神经肌肉测试 full range of motion testing 全活动范围测试 every position through range of motion will be tested 整个活动范围内的所有位置都将被测试。 ;Objective – reliable- valid ? evidence based assessment 客观-可信-有效?循证医学认可的测试 Reproducable positioning 可重复的位置固定 Standardized testing procedure 标准的测试过程 Only if Re-Test is done in exactly the same way results can be compared 如果做重复测试，测试方法必须完全一致才有可比性 Documentation 测试结果数据文件 Reporting 报告 ? Transfer into intervention program 可转化为治疗