下肢肌力测试--臀中肌

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1、下肢肌力测试——臀中肌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Grade5(Normal)andGrade4(Good)PositionofPatient:Side-lyingwithtestleguppermost病人体位：侧卧位，被测下肢在上Grade3(Fai

2、r)FortheGrade3test,在3级肌力测试时，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,keepingyourkneebe

3、nt.和病人讲解：把你的脚举向天花板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):Completesavailablerangeofmotionandholdsendpositio

4、nbuttakesnoresistance3级：抗自身重力，可完成全范围活动并在末端维持Grade2(Poor)PositionofPatient:病人体位：Grade2(Poor)PositionofTherapist:Standingbehindthepatientatthighlevel.Therapistcradlesuppermostlegwithforearmandhandundertheflexedknee.Otherhandisonpelvistomaintainposturalalignment.测试者体位：站在患者大腿后侧

5、，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。Grade1(Trace)andGrade0(Zero)Thepatientisproneandattemptstoextendthehiporsqueezethebuttockstogetherwhilethetherapistpalpatesthegluteusmaximus.病人俯卧并尝试