神经肌肉力量的测试、评定VIP免费

Neuromuscularstrengthassessmentandtraining神经肌肉力量的测试、评定Dr.OliverKieffer,PhD奥利弗·基弗博士OrthoTrainRehabilitationCenter,Berlin,Germany德国柏林OrthoTrain康复中心院长SorehaChinaCEO玖瑞德康复技术（北京）有限公司总裁Musculardecreaseafterimmobilizationandbedrest固定和卧床后肌肉力量的下降Wearingacastafteroperationsleadtoadecreaseofmusclestrengthof20%andmorewithin2weeks.Thedecreaseofstrengthworks4timesfasterthantherebuildofmuscularstrength.在手术后的2周内导致肌肉力量下降20%或以上。肌肉力量下降的速度比重建的速度快4倍Researchstudiesshowthat1weekbedrestreducethemuscularmassby13%.4weeksimmobilizationresultinastrengthdecreaseof30-50%.MainlythetypeIfibersdecreaseinthefirstperiodofimmobilization.。研究结果表明，1周的卧床休息使肌肉重量降低13%。4周的固定导致力量下降30-50%。在制动的第一阶段大部分减少的是1型肌纤维。Assessment诊断、测试Assignment评价、计划Intervention干预、治疗Evaluation再测试、评估ICF-TheRehabcircleICF-康复治疗周期Assessment测试、诊断Medicalexamination医学检查PTAssessmentPT检查FunctionalworkspecificAssessment功能检查Genericquestionnaires一般问卷IndicationSpecificquestionnaires适应症的特殊问卷Painrating疼痛指数Neuromusculartesting神经肌肉测试PsychologicaltestsAttendanceConcentration心理测试MTTneuromuscularassessmentMTT神经肌肉诊断Questions:问题Pain?疼痛？Flexibility?柔韧性？Strength?力量？Ratios比率Dysbalances失衡Strengthinparticularpositions特定姿势的力量Bilateralcomparison双侧比较Strengthendurance?力量耐力？EMGactivity?肌电活动性？MTTassessment诊断Flexibility柔韧性–Musclefunctiontesting肌肉功能测试Lowerextremities下肢Calftesting小腿后群测试Stretchingtest:拉伸测试Dorsalextensionin背伸•fullkneeextension(m.gastrocnemiusandmm.soleus)完全伸膝（腓肠肌和比目鱼肌）•90°kneeflexion(mm.soleus)90°屈膝（比目鱼肌）Flexibility–Musclefunctiontesting柔韧性－肌肉功能测试Lowerextremities下肢Result:结果Kneeflexion>90°+屈膝大于90°Knee80-90°flexionO屈膝80-90°之间Kneeflexion<80°-屈膝小于80°Quadricepstesting–kneeextension股四头肌测试－伸膝Flexibilitytestinsupineposition.仰卧姿势柔韧性测试Assessmentmodes测试方法SimpleScreeningModes简单测试法Measuremusclecircumference测量肌肉的围度Strengthtesting力量测试Lowerextremities下肢SimpleScreeningModes简单测试法Manualmuscletesting手法肌肉测试Assessmentmodes测试方法SimpleScreeningModes简单测试法Simpleisometrictesting简单的等长测试Assessmentmodes测试方法SimpleScreeningmodes–problems:简单测试法的问题Semi–objective–reliable-valid不完全的（缺乏）–客观性–可靠性–有效性Resultsdependentonpersonwhodothetest测试结果受测试人的影响很大Nodocumentationandreporting没有书面的结果和报告Notevidencebased不能用于循证医学（医疗科研）Assessmentmodes测试方法Assessmentofmuscularstrength:肌肉力量测试ProfessionalAssessmentmodes专业测试方法Electromyography(EMG)肌电图MultijointSystems多关节力量测试系统IsometricTesting等长测试Isokinetictesting等速测试Objective–reliable-validmethods客观-可信-有效的方法evidencebasedassessment用于循证医学（医学科研）Assessmentofmuscularstrength:肌肉力量测试ProfessionalAssessmentmodes专业测试方法LumbarbacktestingIsometricTesting等长测试MultijointSystems多关节力量测试系统IsometricTesting等长测试Isokinetictesting等速测试IsotonictestingObjective–reliable-validmethods客观-可信-有效的方法evidencebasedassessment用于循证医学（医学科研）ContractiontypeStatic静态Dynamic动态Isokinetic等动Isometric等长Isotonic...