版權(quán)說(shuō)明:本文檔由用戶(hù)提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請(qǐng)進(jìn)行舉報(bào)或認(rèn)領(lǐng)
文檔簡(jiǎn)介
脊髓損傷神經(jīng)學(xué)分類(lèi)國(guó)際標(biāo)準(zhǔn)(2011年修訂)肌力檢查編輯版ppt1C5屈肘|肱二頭肌,肱肌3級(jí)病人體位:肩關(guān)節(jié)內(nèi)收,肘伸直,前臂旋后,腕關(guān)節(jié)放松位.治療師體位:Supportthewrist.提示:Bendyourelbowandtrytoreachyourhandtoyournose.Action:Thepatientattemptstomovethroughthefullrangeofmotioninelbowflexion.編輯版ppt2C5屈肘|肱二頭肌,肱肌4&5級(jí)病人體位:肩關(guān)節(jié)內(nèi)收,肘關(guān)節(jié)屈曲90°,前臂旋后.治療師體位:固定肩前部,抓住腕關(guān)節(jié)施加伸肘的力.提示:Holdyourarm.Don’tletmemoveit.Action:Thepatientresiststheexaminer’spullandattemptstomaintaintheelbowflexedat90°.編輯版ppt3C5屈肘|肱二頭肌,肱肌2級(jí)病人體位:肩關(guān)節(jié)內(nèi)收,內(nèi)旋,前臂放在腹部上方。肘關(guān)節(jié)屈曲30°,前臂肘關(guān)節(jié)放松.治療師體位:Supportthearm.提示:Bendyourelbowandtrytobringyourhandtoyournose.Action:Thepatientattemptstomovetheelbowthroughafullrangeofmotioninelbowflexion.編輯版ppt4C5屈肘|肱二頭肌,肱肌0&1級(jí)病人體位:同2級(jí)治療師體位:一手托住前臂,一手握住肘關(guān)節(jié),觸診或看到肌腱的收縮.提示:Bendyourelbowandtrytobringyourhandtoyournose.Action:Thepatientattemptstomovetheelbowthroughafullrangeofmotioninelbowflexion.編輯版ppt5C6伸腕|腕長(zhǎng)、腕短伸肌3級(jí)病人體位:肩關(guān)節(jié)內(nèi)收,肘關(guān)節(jié)伸直,前臂旋前,腕關(guān)節(jié)屈曲.治療師體位:Onehandsupportsthedistalforearmtoallowthewristtobepre-positionedinsufficientflexionfortesting.提示:
Bendyourwristupwards.Liftyourfingerstowardtheceiling.Action:Thepatientattemptstoextendthewristthroughafullrangeofmotion.編輯版ppt6C6伸腕|腕長(zhǎng)、腕短伸肌4&5級(jí)病人體位:同上,除腕關(guān)節(jié)伸展.治療師體位:一手握住腕關(guān)節(jié),一手在掌骨施加屈腕的力.提示:Holdyourwristup.Don’tletmepushitdown.Action:Thepatientresiststheexaminer’spushandattemptstomaintainthewristinthefullyextendedposition.編輯版ppt7C6伸腕|腕長(zhǎng)、腕短伸肌0,1&2級(jí)病人體位:同3級(jí)/肩關(guān)節(jié)稍屈曲,內(nèi)旋,內(nèi)收,上臂放在腹部上方,屈肘90°,前臂旋前,腕關(guān)節(jié)屈曲.治療師體位:一手握住腕關(guān)節(jié),一手觸診腕背側(cè).提示:Bendyourwristbackwards.Action:Thepatientattemptstoextendthewristthoughafullrangeofmotioninwristextension.編輯版ppt8C7伸肘|肱三頭肌3級(jí)病人體位:肩前屈90°,肘關(guān)節(jié)屈曲,手貼近耳朵.治療師體位:Supporttheupperarm.提示:Straightenyourarm.Action:Thepatientattemptstomovethroughthefullrangeofelbowextension.編輯版ppt9C7伸肘|肱三頭肌4&5級(jí)病人體位:Sameasgrade3,excepttheelbowisin45°offlexion.治療師體位:Supporttheupperarm.Graspthewristandapplyresistancetothedistalforearminthedirectionofelbowflexion.提示:Holdthisposition.Don’tletmebendyourelbow.Action:Thepatientresiststheexaminer’spressureandattemptstomaintainthepositionoftheelbowin45°offlexion.編輯版ppt10C7伸肘|肱三頭肌2級(jí)病人體位:肩內(nèi)旋內(nèi)收,前臂在腹部上方,肘關(guān)節(jié)屈曲.
WhencheckingGrade2,sufficientflexionoftheshouldermustbepermittedtoallowtheforearmtoclearandmoveoverthechestandabdomen.治療師體位:Supportthepatient’sarm提示:Straightenyourarm.Action:Thepatientattemptstomovethroughthefullrangeofelbowextension.編輯版ppt11C7伸肘|肱三頭肌0&1級(jí)病人體位:同上,除屈肘30°治療師體位:一手托住腕關(guān)節(jié),一手觸診三頭肌腱.提示:Straightenyourarm.Action:Thepatientattemptstofullyextendtheelbow.編輯版ppt12C8屈中指|指深屈肌3級(jí)病人體位:內(nèi)收,肘伸直,前臂旋后,腕關(guān)節(jié)伸展,MCP和PIP固定在伸展位.治療師體位:兩手抓住手掌,固定中指MCP和PIP.提示:Bendthetipofyourmiddlefinger.Action:
Thepatientattemptstoflexthedistalinterphalangeal(DIP)jointthroughthefullrangeofmotioninflexion.編輯版ppt13C8屈中指|指深屈肌4&5級(jí)病人體位:Thesameasgrade3,excepttheDIPjointisfullyflexed.治療師體位:固定中指MCP、PIP,在指腹施加力.提示:
Holdthetipofyourfingerinthisbentposition.Don’tletmemoveit.Action:
ThepatientattemptstomaintainthefullyflexedpositionoftheDIPjoint,andresistthepressureappliedbytheexaminerinthedirectionoffingerextension.編輯版ppt14C8屈中指|指深屈肌0,1&2級(jí)病人體位:同上,除前臂旋前.治療師體位:固定中指MCP、PIP。提示:Bendthetipofyourmiddlefinger.Action:Thepatientattemptstoflexthedistalinterphalangeal(DIP)jointthroughthefullrangeofmotioninflexion.編輯版ppt15T1外展小指|小指展肌3級(jí)病人體位:肩關(guān)節(jié)內(nèi)收內(nèi)旋,屈曲15°,肘關(guān)節(jié)屈曲90°,前臂旋前.治療師體位:握住腕關(guān)節(jié),固定MCP防止過(guò)度后伸.提示:Moveyourlittlefingerawayfromyourringfinger.
Action:
Thepatientattemptstomovethelittlefingerthroughthefullrangeofmotioninabduction.編輯版ppt16T1外展小指|小指展肌4&5級(jí)病人體位:Sameasgrade3,exceptthelittlefingerisfullyabducted.治療師體位:固定掌側(cè)MCP防止過(guò)度后伸.遠(yuǎn)端施加阻力.提示:Holdyourlittlefingerawayfromyourringfinger.Don’tletmepushitin.Action:Theexaminerexertsapushingforceagainstthesideofthedistalphalanx,andthepatientattemptstoresisttheexaminer’sforceandkeepthelittlefingerfullyabducted.編輯版ppt17T1外展小指|小指展肌0,1&2級(jí)病人體位:肩內(nèi)收,肘伸直,前臂旋前,固定MCP/肩內(nèi)收內(nèi)旋,肘屈曲90°,固定MCP.治療師體位:固定腕關(guān)節(jié),手背施加輕微向下的力,防止MCP過(guò)度后伸,觸診外展肌.提示:Moveyourlittlefingerawayfromyourringfinger.Action:Thepatientattemptstoabductthelittlefingerthroughthefullrangeofmotion.編輯版ppt18L2屈髖|髂腰肌3級(jí)病人體位:髖膝屈曲15°.治療師體位:托住腘窩和小腿,檢查屈曲時(shí)不要讓髖關(guān)節(jié)超過(guò)90°,避免對(duì)腰椎增加脊柱后凸的壓力.提示:Liftyourkneetowardsyourchestasfarasyoucan,tryingnottodragyourfootontheexamtable.Action:Thepatientattemptstoflexhipto90°offlexion.編輯版ppt19L2屈髖|髂腰肌4&5級(jí)病人體位:Thehipisin90°offlexionwiththekneerelaxed.治療師體位:一手固定膝關(guān)節(jié),一手固定對(duì)側(cè)髂嵴.提示:Holdyourkneeinthisposition.Don’tletmepushitdown.Action:Thepatientattemptstoresisttheexaminer’spushandkeepthehipflexedat90°.編輯版ppt20L2屈髖|髂腰肌2級(jí)病人體位:屈髖外旋45°,屈膝90°治療師體位:Supporttheleg.提示:Trytobringyourkneeouttotheside,”or“Trytoflexyourthightowardthesideofthebody.”Action:Thepatientattemptstomovethroughthefullrangeofmotioninhipflexion.編輯版ppt21L2屈髖|髂腰肌0&1級(jí)病人體位:Sameasgrade3.治療師體位:Supportthethightoeliminatefrictionwhilepalpatingthesuperficialhipflexorsjustdistaltotheanteriorsuperioriliacspine.提示:liftyourkneetowardsyourchestasfarasyoucan.Action:Thepatientattemptstoflexthehip.編輯版ppt22L3伸膝|股四頭肌3級(jí)病人體位:屈髖15°,屈膝30°.治療師體位:
Placethearmunderthetestedkneeandrestthehandonthepatient’sdistalthigh.Thiscausesthetestedkneetoflextoapproximately30°.提示:Straightenyourknee.Action:
Thepatientattemptstostraightenthekneethroughthefullrangeofmotioninextension.編輯版ppt23L3伸膝|股四頭肌4&5級(jí)病人體位:Sameasgrade3,exceptthekneeisin15°offlexion.治療師體位:
Placethearmunderthetestedkneeandrestthehandonthepatient’soppositethigh.Graspthelegtobetested,justproximaltotheankle.提示:Holdthisposition.Don’tletmebendyourknee.Action:
Examinerexertsdownwardforceintokneeflexionwhilethepatientattemptstoholdthekneein15degreesofflexion.編輯版ppt24L3伸膝|股四頭肌2級(jí)病人體位:Thehipisinexternalrotationand45°offlexion.Thekneeisflexedat90°.治療師體位:
Supportthedistalthighandleg.提示:Straightenyourknee.Action:
Thepatientattemptstomovethroughthefullrangeofmotion.編輯版ppt25L3伸膝|股四頭肌0&1級(jí)病人體位:屈髖屈膝15°.治療師體位:Supporttheleg.Palpatethepatellartendonorthebellyofthequadricepsmusclefortracefunction.Themusclebellymayalsobeobservedformovement.提示:Straightenyourknee.Action:
Thepatientattemptstostraightentheknee.編輯版ppt26L4踝背屈|脛骨前肌3級(jí)病人體位:髖膝稍屈曲,手放在小腿下。治療師體位:Atthepatient’sside.Supporttheleg.提示:Pullyourtoesupwardtowardyourhead,lettingyouranklebend.Action:Thepatientattemptstodorsiflexanklethroughafullrangeofmotion.編輯版ppt27L4踝背屈|脛骨前肌4&5級(jí)病人體位:Sameasgrade3,excepttheankleisfullydorsiflexed.治療師體位:手在足背施加跖屈的力量.提示:Holdyourankleinthisposition.Don’tletmepushitdown.Action:Thepatientattemptstoresisttheexaminerandmaintaintheankleinfulldorsiflexion.編輯版ppt28L4踝背屈|脛骨前肌2級(jí)病人體位:髖外展外旋45°治療師體位:Supporttheleg.提示:Liftthetoesupwardtowardthehead,allowingtheankletobend.Action:Thepatientattemptstodorsiflexanklethroughthefullrangeofmotion.編輯版ppt29L4踝背屈|脛骨前肌0&1級(jí)病人體位:Thekneeisfullyextendedandtheankleslightlyplantarflexed.治療師體位:觸診肌腱或肌腹.提示:Bringyourtoesupwardtowardyourhead,lettingyouranklebend.Action:Thepatientattemptstodorsiflextheankle.編輯版ppt30L5趾伸|拇長(zhǎng)伸肌3級(jí)病人體位:下肢中立位.治療師體位:Atthepatient’sside.Supportthefoot.提示:Liftyourbigtoeupwardstowardyourknee.Action:Thepatientattemptstomovethegreattoethroughthefullrangeofmotion.編輯版ppt31L5趾伸|拇長(zhǎng)伸肌4&5級(jí)病人體位:Sameasgrade3,exceptthetoeisfullyextended.治療師體位:拇指在大腳趾遠(yuǎn)端施加趾屈的力量.提示:Keepyourtoeliftedupward.Don’tletmepushitdown.Action:Thepatientattemptstoresisttheexaminerandmaintainthegreattoeinfullextension.編輯版ppt32L5趾伸|拇長(zhǎng)伸肌2級(jí)病人體位:Thehipisinexternalrotation,45°abduction.Thekneeisflexed.Theankleandlongtoeareinarelaxed,neutralposition.治療師體位:Supporttheleg.提示:Liftyourbigtoeupwardstowardtheknee.Action:Thepatientattemptstoextendthegreattoethroughthefullrangeofmotion.編輯版ppt33L5趾伸|拇長(zhǎng)伸肌0&1級(jí)病人體位:Sameasgrade3.治療師體位:Supportthelegandpalpatetheextensortendonofthelongtoefortracefunction.提示:Liftyourbigtoeupwardstowardyourknee.Action:Thepatientattemptstoexte
溫馨提示
- 1. 本站所有資源如無(wú)特殊說(shuō)明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請(qǐng)下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請(qǐng)聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶(hù)所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁(yè)內(nèi)容里面會(huì)有圖紙預(yù)覽,若沒(méi)有圖紙預(yù)覽就沒(méi)有圖紙。
- 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
- 5. 人人文庫(kù)網(wǎng)僅提供信息存儲(chǔ)空間,僅對(duì)用戶(hù)上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對(duì)用戶(hù)上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對(duì)任何下載內(nèi)容負(fù)責(zé)。
- 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請(qǐng)與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時(shí)也不承擔(dān)用戶(hù)因使用這些下載資源對(duì)自己和他人造成任何形式的傷害或損失。
最新文檔
- 威尼斯商人課件
- 江西省鷹潭市(2024年-2025年小學(xué)四年級(jí)語(yǔ)文)統(tǒng)編版能力評(píng)測(cè)(下學(xué)期)試卷及答案
- 深圳市龍崗區(qū)赴武漢招聘教師考試試卷及答案
- 2024年建筑涂料項(xiàng)目發(fā)展計(jì)劃
- 2024年碳碳復(fù)合材料剎車(chē)片項(xiàng)目合作計(jì)劃書(shū)
- 2024年低壓化成箔項(xiàng)目合作計(jì)劃書(shū)
- 2024年數(shù)字保密電話機(jī)項(xiàng)目合作計(jì)劃書(shū)
- 2024年氣相色譜儀合作協(xié)議書(shū)
- 2024年石油醚乙二醇乙醚合作協(xié)議書(shū)
- 賓館裝修施工合同協(xié)議
- 國(guó)開(kāi)2024春《人文英語(yǔ)3》第1-4單元作文練習(xí)參考答案
- 2024年高考語(yǔ)文必背古詩(shī)文60篇理解性默寫(xiě)含答案
- 2024年保安員考試題庫(kù)(綜合題)
- 9-那一定會(huì)很好 教學(xué)實(shí)錄
- 2022年全國(guó)小學(xué)生天文知識(shí)競(jìng)賽考試題庫(kù)(含答案)
- 2024年4月自考00170建筑工程定額與預(yù)算試題
- 中小學(xué)運(yùn)動(dòng)會(huì)活動(dòng)方案(30篇)
- 中國(guó)血脂管理指南(基層版2024年)
- 足球D級(jí)教練員培訓(xùn)
- 數(shù)據(jù)中心安全評(píng)估報(bào)告
- 支氣管鏡手術(shù)麻醉
評(píng)論
0/150
提交評(píng)論