肌力测试与关节角度测量

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1、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THEGRADINGSYSTEMGradeNormal(5)Good(4)Fair(3)Poor(2)Trace(1)Zero(0)Therange-gradesystemEx:elbowflexion0-90/FTRUNKFLEXIONSupineStabilizelowerlimbsTRUNKEXTENTIONProneResistance

2、:Caudalportionofthoracicarea(lumbarspine)Cranialportionofthorax(T-spine)HIPFLEXIONROM:0to120-130SittingPossiblesubstitution:SartoriusHIPEXTENTIONROM:0to10-20PronePossiblesubstitution:liftpelvis(hamstings)KNEEFLEXIONROM:0to135-145ProneStabilizepelvisForbicepsfemoris–laterallyrotatelegForSemi

3、tendinosusSemimembranosus–mediallyrotatelegKNEEEXTENSIONROM:135-145to0SittingandleanbacktoreliefhamstringtensionStabilizewithoutpressureonQuadricepsANKLEPLANTATIONROM:0to45-55StandingwithkneeextendedNormal:complete4-5timesGood:complete2-3timesANKLEDORSITIONANDINVERSITIONROM:0to15-25SittingS

4、tabilize:aboveankleEXTENTIONOFBIGTOEROM:0to75-85SupinewithankleplantarflexedtolessenthetensionoflongflexorsofthetoesSHOULDERFLEXIONROM:0to170-180Sittingwithelbowslightlyflexed(topreventsubstitutionbytheBiceps)Poorgrade:sidelyingSHOULDEREXTENTIONROM:0to50-60Pronewithshouldermediallyrotated&a

5、dductedSHOULDERLATERALROTATIONROM:0to80-90PronewitharmrestontableResistanceshouldbegivenslowlyandcarefullySHOULDERMEDIALROTATIONROM:0to70-80PronewitharmrestontableResistanceshouldbegivenslowlyandcarefullyELBOWFLEXIONROM:0to145-155Sittingwithforearmsupinated-Bicepspronated–BrachioradialisSta

6、bilizearmwithoutpressureoverBicepsorBrachialisELBOWEXTENTIONROM:145-155to0Supinewithshoulderflexedto90degreesElbowshouldbeslightlyflexedWRISTFLEXIONROM:0to80-90ForearminsupinationwithdorsalsurfacerestingontableWRISTEXTENSIONROM:0to75-85Forearminpronation結論