下肢肌力测试--臀中肌PPT课件.ppt

下肢肌力测试 臀中肌 1 Origin 起点 Ilium outersurfacebetweencrestandanteriorandposteriorgluteallines 髂骨Fascia overupperpart 髂Insertion 止点 Femur greatertrochanter lateralaspect 作用 后伸并外旋大腿 2 3 Grade5 Normal andGrade4 Good PositionofPatient Side lyingwithtestleguppermost病人体位 侧卧位 被测下肢在上 4 Grade3 Fair FortheGrade3test 在3级肌力测试时 5 Test Patientextendshipthroughavailablerange maintainingkneeflexion Resistanceisgiveninanewstraightdownwarddirection towardfloor 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InstructionstoPatient Liftyourfoottotheceiling OR Liftyourleg keepingyourkneebent 和病人讲解 把你的脚举向天花板 6 Grade5 Normal Completesavailablerangeofmotionandholdsendpositionagainstmaximalresistance 5级 最大阻力下 完成全范围活动并在末端维持Grade4 Good Limbpositioncanbeheldagainstheavytomoderateresistance 4级 肢体可以抵抗中到大的阻力Grade3 Fair Completesavailablerangeofmotionandholdsendpositionbuttakesnoresistance3级 抗自身重力 可完成全范围活动并在末端维持 7 Grade2 Poor PositionofPatient 病人体位 8 Grade2 Poor PositionofTherapist Standingbehindthepatientatthighlevel Therapistcradlesuppermostlegwithforearmandhandundertheflexedknee Otherhandisonpelvistomaintainposturalalignment 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 Grade2 Poor Completesavailablerangeofmotioninside lyingposition 2级 在侧卧位可完成全范围活动 9 Grade1 Trace andGrade0 Zero Thepatientisproneandattemptstoextendthehiporsqueezethebuttockstogeth