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Muscle strength assessments for foot drop[1]

Muscle strength assessments for foot drop[1]
Assessment Assessment method
Hamstring The hamstrings are tested with the patient seated, flexing their knee against resistance. This may also be tested with patients in the prone position.
Hip adduction Hip adduction can be tested with the patient either seated or supine, bringing their knees together against resistance.
Gastrocnemius In a sitting position, the gastrocnemius heads are tested by having the patient plantar flex the ankle against resistance with the knee straight. To observe subtle plantar flexion weakness, the patient should attempt standing on their toes with one foot at a time.
Soleus The patient will be asked to go up on their toes while in a seated position with resistance placed on top of their knees.
Tibialis posterior The patient inverts their foot against resistance while relaxing toe flexors.
Flexor digitorum longus, flexor hallucis longus, flexor digitorum brevis To assess toe flexion, the patient will curl their toes against resistance.
Tibialis anterior Contraction of this muscle can be seen during foot dorsiflexion, while the toes remain relaxed.
Extensor digitorum longus The patient will extend their toes, with or without resistance.
Extensor hallucis longus The patient will extend their great toe against resistance.
Peroneus longus and brevis The peroneus muscles are evaluated by having the patient evert their foot against resistance.
Intrinsic motor function This can be assessed by having a patient "cup" their foot.
Extensor digitorum brevis To assess the extensor digitorum brevis, observe and palpate its contraction during toe extension.
Reference:
  1. Distad BJ, Weiss MD. Clinical and electrodiagnostic features of sciatic neuropathies. Phys Med Rehabil Clin N Am 2013; 24:107.
Graphic 119269 Version 1.0

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