Voluntary movement- Muscle power(BL/ yy Classic grading scores Classification 0 no contraction 今单瘫:一侧肢体 I. palpable contraction; little visible 偏瘫:一侧肢体;同侧中 2. horizontally along bed枢性面瘫及舌瘫 surface 今截瘫双下肢 3. against gravity only 4. against gravI & 交叉瘫同侧周围性脑神 resistance 经麻痹对侧肢体中枢性 5. full strengt 偏瘫
Voluntary movement - Muscle power (肌力) Classic grading scores 0 no contraction 1. palpable contraction; little visible 2. horizontally along bed surface 3. against gravity only; 4. against gravity & resistance; 5. full strength Classification ❖ 单瘫:一侧肢体 ❖ 偏瘫:一侧肢体;同侧中 枢性面瘫及舌瘫 ❖ 截瘫:双下肢 ❖ 交叉瘫:同侧周围性脑神 经麻痹;对侧肢体中枢性 偏瘫
Voluntary movement Muscle Tone Muscle bullk Decreased Atrophy萎缩 Floppy Fasciculation Flaccid 肌束颤动 Hypotonic张力减退 Normal Increased Spastic痉挛的 Rigid
Muscle Tone Decreased – Floppy – Flaccid – Hypotonic 张力减退 Normal Increased – Spastic 痉挛的 – Rigid Voluntary movement Muscle Bulk Atrophy 萎缩 Fasciculation 肌束颤动
Involuntary movement 1. hand tremor resting senile kinetic postura 2. Tetany
Involuntary movement 1. hand tremor • resting • senile • kinetic • postural 2. Tetany
录像 米不自主运动 米患者的姿势 米是否有肌肉萎缩 米步态 米肌张力 嘱患者放松 伸、屈患者的腕、肘、肩关节 伸、屈患者的膝、踝关节
录像 不自主运动 患者的姿势 是否有肌肉萎缩 步态 肌张力 • 嘱患者放松 • 伸、屈患者的腕、肘、肩关节 • 伸、屈患者的膝、踝关节
Gait and Balance assessment