肌力测试和关节角度测量.pptVIP

肌力測試與關節角度測量 主講者：嚴璐璐 治療師 振興復健醫學中心 物理治療總治療長 肌肉力量測試與關節角度測量 診斷、治療、與判斷預後依據 體位分級的基礎 準確的測量 良好的信度與效度 小心的觀察 細心的觸診 正確的姿勢 穩固的支持 避免替代動作 如無法避免應紀錄之 THE GRADING SYSTEM Grade Normal (5) Good (4) Fair (3) Poor (2) Trace (1) Zero (0) The range-grade system Ex: elbow flexion 0-90/F TRUNK FLEXION Supine Stabilize lower limbs TRUNK EXTENTION Prone Resistance: Caudal portion of thoracic area (lumbar spine) Cranial portion of thorax (T-spine) HIP FLEXION ROM: 0 to 120-130 Sitting Possible substitution: Sartorius HIP EXTENTION ROM: 0 to 10-20 Prone Possible substitution: lift pelvis (hamstings) KNEE FLEXION ROM: 0 to 135-145 Prone Stabilize pelvis For biceps femoris – laterally rotate leg For Semitendinosus Semimembranosus – medially rotate leg KNEE EXTENSION ROM: 135-145 to 0 Sitting and lean back to relief hamstring tension Stabilize without pressure on Quadriceps ANKLE PLANTATION ROM: 0 to 45-55 Standing with knee extended Normal: complete 4-5 times Good: complete 2-3 times ANKLE DORSITION AND INVERSITION ROM: 0 to 15-25 Sitting Stabilize: above ankle EXTENTION OF BIG TOE ROM: 0 to 75-85 Supine with ankle plantar flexed to lessen the tension of long flexors of the toes SHOULDER FLEXION ROM: 0 to 170-180 Sitting with elbow slightly flexed (to prevent substitution by the Biceps) Poor grade: sidelying SHOULDER EXTENTION ROM: 0 to 50-60 Prone with shoulder medially rotated adducted SHOULDER LATERAL ROTATION ROM: 0 to 80-90 Prone with arm rest on table Resistance should be given slowly and carefully SHOULDER MEDIAL ROTATION ROM: 0 to 70-80 Prone with arm rest on table Resistance should be given slowly and carefully ELBOW FLEXION ROM: 0 to 145-155 Sitting with forearm supinated - Biceps pronated – Brachioradialis Stabilize arm without pressure over Biceps or Brachialis ELBOW EXTENTION ROM: 145-155 to 0 Supine with shoulder flexed to 90 degrees Elbow should be slightly flexed WRIST FLEXION ROM: 0 to 80-90 Forearm in supination with dorsal surface resting on table WRIST EXTENSION ROM: