肢肌力测试臀中肌课件.ppt

下肢肌力测试——臀中肌￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿肢肌力测试臀中肌•Origin（起点）–Ilium￿(outer￿surface￿between–crest￿and￿anterior￿and￿posterior–gluteal￿lines)髂骨–Fascia￿(over￿upper￿part)￿￿￿￿￿髂•Insertion（止点）–Femur￿(greater￿trochanter,￿￿￿￿￿lateral￿aspect)￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿￿作用：后伸后伸并外旋外旋大腿肢肌力测试臀中肌肢肌力测试臀中肌Grade￿5￿(Normal)￿and￿Grade￿4￿(Good)Position￿of￿Patient:Side-lying￿with￿test￿leg￿uppermost病人体位：侧卧位，被测下肢在上肢肌力测试臀中肌Grade￿3￿(Fair)•For￿the￿Grade￿3￿test,￿•在3级肌力测试时，肢肌力测试臀中肌•Test:￿Patient￿extends￿hip￿through￿available￿range,￿maintaining￿knee￿flexion.Resistance￿is￿given￿in￿a￿new￿straight￿downward￿direction￿(toward￿floor).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•Instructions￿to￿Patient:￿"Lift￿your￿foot￿to￿the￿ceiling."￿OR￿"Lift￿your￿leg,￿keeping￿your￿knee￿bent.和病人讲解：把你的脚举向天花板肢肌力测试臀中肌•Grade￿￿5￿￿(Normal):￿Completes￿￿available￿￿range￿￿of￿motion￿￿and￿￿holds￿￿end￿￿position￿￿against￿￿maximal￿resistance.•5级：最大阻力下，完成全范围活动并在末端维持•Grade￿4￿(Good):￿Limb￿position￿can￿be￿held￿against￿heavy￿to￿moderate￿resistance.•4级：肢体可以抵抗中到大的阻力•Grade￿3￿￿(Fair):￿Completes￿￿available￿￿range￿￿of￿motion￿and￿holds￿end￿position￿but￿takes￿no￿resistance•3级：抗自身重力，可完成全范围活动并在末端维持肢肌力测试臀中肌Grade￿2￿(Poor)•Position￿of￿Patient:•病人体位：肢肌力测试臀中肌Grade￿2￿(Poor)•Position￿of￿Therapist:￿Standing￿behind￿the￿patient￿at￿thigh￿level.￿Therapist￿cradles￿uppermost￿leg￿with￿forearm￿and￿hand￿under￿the￿flexed￿knee.￿Other￿hand￿is￿on￿pelvis￿to￿maintain￿postural￿alignment.•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。

Grade 2 (Poor): Completes available range of motion in side-lying position.2级：在侧卧位可完成全范围活动肢肌力测试臀中肌Grade￿1￿(Trace)￿and￿Grade￿0￿(Zero)•The￿patient￿is￿prone￿and￿attempts￿to￿extend￿the￿hip￿or￿squeeze￿the￿buttocks￿together￿while￿the￿therapist￿palpates￿the￿gluteus￿maximus.•病人俯卧并尝试肢肌力测试臀中肌肢肌力测试臀中肌。