Voluntary movement-Muscle power ( Classic grading scores Classification 0 no contraction 。单瘫：一侧肢体 1.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 ·截瘫：双下肢 3.against gravity only; 4.against gravity ÷交叉瘫：同侧周围性脑 resistance; 神经麻痹；对侧肢体中 5.full strength 枢性偏瘫
Voluntary movement - Muscle power (肌力) 0 no contraction 1. palpable contraction; little visible 2. horizontally along bed surface 3. against gravity only; 4. against gravity & resistance; 5. full strength v 单瘫:一侧肢体 v 偏瘫:一侧肢体;同侧中 枢性面瘫及舌瘫 v 截瘫:双下肢 v 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 Bulk Decreased Atrophy萎缩 Floppy Fasciculation -Flaccid 肌束颤动 -Hypotonic张力减退 Normal Increased -Spastic痉挛的 -Rigid
Decreased – Floppy – Flaccid – Hypotonic 张力减退 Normal Increased – Spastic 痉挛的 – Rigid Voluntary movement Atrophy 萎缩 Fasciculation 肌束颤动
Involuntary movement 1.hand tremor resting senile kinetic postural 2.Tetany
Involuntary movement • resting • senile • kinetic • postural
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 ã 不自主运动 ã 患者的姿势 ã 是否有肌肉萎缩 ã 步态 ã 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