{"id":38,"date":"2024-04-04T05:48:57","date_gmt":"2024-04-04T02:48:57","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/125-isomeetrilised-testid-vastupanuga\/"},"modified":"2024-04-04T05:52:29","modified_gmt":"2024-04-04T02:52:29","slug":"125-isomeetrilised-testid-vastupanuga","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/125-isomeetrilised-testid-vastupanuga\/","title":{"rendered":"12.5. Isomeetrilised testid vastupanuga"},"content":{"rendered":"
\n\tRandmeliigest \u00fcmbritsevate lihaste isomeetriline j\u00f5ud hinnatakse vastupanuga k\u00f5ikidel randme- ja s\u00f5rmeliigeste liikuvussuundadel vastavalt patsiendi eelnevate hindamiste tulemustele.
\n<\/h6>\n

\n\tK\u00fc\u00fcnarvarre, randmeliigese ja labak\u00e4e isomeetriliste vastupanutestide ajal patsient istub. Teadmine, et s\u00f5rmede, p\u00f6idla ja randmeliigese liigutusi teostavad labak\u00e4e v\u00e4limised lihased (k\u00fc\u00fcnarvarrelihased, ingl extrinsic muscles<\/i>) ning s\u00f5rmede ja p\u00f6idla liigutustel osalevad ka labak\u00e4e sisemised lihased (ingl intrinsic muscles<\/i>), annab aluse otsustada, milliseid isomeetrilisi teste vastupanuga on adekvaatne sooritada. Isomeetrilisi teste vastupanuga teostades peavad liigutused olema isomeetrilised ning randmeliiges peab testimise ajal olema neutraalasendis (joonis 6). Isomeetrilisi teste vastupanuga sooritatakse samu funktsioone silmas pidades nagu liigesliikuvuste m\u00f5\u00f5tmisel: k\u00fc\u00fcnarvarre <\/span>pronatsioon ja supinatsioon, randmeliigese fleksioon, ekstensioon, radiaaldeviatsioon ja ulnaardeviatsioon, s\u00f5rmede fleksioon, ekstensioon, abduktsioon, adduktsioon, p\u00f6idla fleksioon, ekstensioon, abduktsioon, adduktsioon, p\u00f6idla ja v\u00e4ikese s\u00f5rme l\u00e4hendamine.<\/span>\n<\/p>\n

\n\t\"12-6\"\n<\/p>\n

\n\tJOONIS 6. ISOMEETRILINE TEST VASTUPANUGA. A \u2013 RANDMELIIGESE FLEKSIOON; B \u2013 RANDMELIIGESE EKSTENSIOON.
\n<\/h5>\n

\n\tTabelis 2 on toodud k\u00fc\u00fcnarvarre, randmeliigese ja labak\u00e4e lihased ning nende funktsioonid eristamaks neid isomeetriliste vastupanutestide ajal. D\u00fcnamomeetriga isomeetrilist j\u00f5udu hinnates on randmeliigese sirutaja- ja painutajalihaste suhe ligikaudu 50%, ulnaar- ja radiaaldeviatsiooni teostavate lihaste isomeetriline j\u00f5usuhe on ligikaudu 80%. Suurimaid j\u00f5un\u00e4itajaid demonstreerivad randmeliigese painutajalihased, seej\u00e4rel radiaal- ja ulnaardeviatsiooni teostavad lihased ning v\u00e4iksemad on randmeliigese sirutajalihaste j\u00f5u n\u00e4itajad.<\/span>\n<\/p>\n

\n\tTABEL 2. K\u00dc\u00dcNARVARRE JA LABAK\u00c4E NING RANDMELIIGEST \u00dcMBRITSEVAD LIHASED, NENDE FUNKTSIOON JA N\u00c4RVIJUURE INNERVATSIOON.
\n<\/h5>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

\n\t\t\t\t\tFunktsioon<\/span><\/span><\/span><\/span><\/strong>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tLihas<\/span><\/span><\/span><\/span><\/strong>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tN\u00e4rvijuure\u00a0<\/span><\/span><\/span><\/span><\/strong>innervatsioon<\/span><\/span><\/span><\/span><\/strong>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tK\u00fc\u00fcnarvarre supinatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm supinator<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm biceps brachii<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC5-C6<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC5-C6<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tK\u00fc\u00fcnarvarre supinatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm pronator quadratus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm pronator teres<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor carpi radialis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC8-T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC6-C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC6-C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tRandmeliigese ekstensioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm extensor carpi radialis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor carpi radialis brevis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor carpi ulnaris<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC6C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tRandmeliigese fleksioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor carpi radialis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor carpi ulnaris<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC6-C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tRandmeliigese ulnaardeviatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor carpi ulnaris<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor carpi ulnaris<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tRandmeliigese radiaaldeviatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor carpi radialis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor carpi radialis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm abductor pollicis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor pollicis brevis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC6-C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC6-C7<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00f5rmeliigeste ekstensioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm extensor digitorum communis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor indicies (teine s\u00f5rm)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor digiti minimi (v\u00e4ike s\u00f5rm)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00f5rmeliigeste fleksioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor digitorum profundus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor digitorum superficialis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm lumbricales<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm interossei<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor digiti minimi<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00f5rmeliigeste abduktsioon (s\u00f5rmed sirutatud)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm interossei dorsales<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm abductor digiti minimi (v\u00e4ike s\u00f5rm)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00f5rmeliigeste adduktsioon (s\u00f5rmed painutatud)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm interossei palmares<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t\u00a0<\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tP\u00f6idla ekstensioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm extensor pollicis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor pollicis brevis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm abductor pollicis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC7-C8<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tP\u00f6idla fleksioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor pollicis brevis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor pollicis longus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm opponens pollicis<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tC8,T1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\n\t\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Randmeliigest \u00fcmbritsevate lihaste isomeetriline j\u00f5ud hinnatakse vastupanuga k\u00f5ikidel randme- ja s\u00f5rmeliigeste liikuvussuundadel vastavalt patsiendi eelnevate hindamiste tulemustele. K\u00fc\u00fcnarvarre, randmeliigese ja labak\u00e4e isomeetriliste vastupanutestide ajal patsient istub. Teadmine, et s\u00f5rmede, p\u00f6idla ja randmeliigese liigutusi teostavad labak\u00e4e v\u00e4limised lihased (k\u00fc\u00fcnarvarrelihased, ingl extrinsic …<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-38","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/38","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/comments?post=38"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/38\/revisions"}],"predecessor-version":[{"id":575,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/38\/revisions\/575"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}