{"id":48,"date":"2024-04-04T05:48:58","date_gmt":"2024-04-04T02:48:58","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/35-muotoomid\/"},"modified":"2024-04-04T05:52:29","modified_gmt":"2024-04-04T02:52:29","slug":"35-muotoomid","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/35-muotoomid\/","title":{"rendered":"3.5. M\u00fcotoomid"},"content":{"rendered":"
\n\tM\u00fcotoom on tihkenenud ning valulik lihasv\u00e4\u00e4t, mis esineb h\u00e4iritud n\u00e4rvijuure poolt innerveeritavas lihases.
\n<\/h6>\n

\n\tLihaste j\u00f5u ning v\u00f5imaliku neuroloogilise patoloogia l\u00e4htepiirkonna t\u00e4psustamine l\u00fclisamba kaelaosa n\u00e4rvijuure tasandil on v\u00f5imalik m\u00fcotoomide abil (tabel 4). M\u00fcotoom on tihkenenud, valulik lihasv\u00e4\u00e4t<\/span>\u00a0(lokaalne lihaskontraktuur), mis esineb h\u00e4iritud n\u00e4rvijuure poolt innerveeritavas lihases. M\u00fcotoome hinnatakse isomeetrilist lihaskontraktsiooni tekitava vastupanutestiga (joonis 4), samal p\u00f5him\u00f5ttel nagu kirjeldatud peat\u00fckis <\/span>3.4. \u201eL\u00fclisamba kaelaosa isomeetrilised testid vastupanuga\u201c<\/a>. Lihaskontraktsiooni peab s\u00e4ilitama v\u00e4hemalt 5 sekundit, et v\u00f5imalik n\u00f5rkus saaks ilmneda. V\u00f5imalusel tuleb testid sooritada bilateraalselt, et esineks v\u00f5rdlusmoment. Terapeut peab j\u00e4lgima, et vastupanu avaldamise surve l\u00fclisamba kaelaosa l\u00fclidele ei tekitaks liigese valu, mis v\u00f5ib anda vale diagnoosi.<\/span>\n<\/p>\n

\n\tTabel 4. \u00dclaj\u00e4seme m\u00fcotoomid. N\u00e4rvijuur, funktsionaalne test, lihased.
\n<\/h5>\n\n\n\n\n\n\n\n\n\n\n\n
\n

\n\t\t\t\t\tN\u00e4rvijuur<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tFunktsionaalne test<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tLihased<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC1-C2<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tKaela fleksioon<\/span><\/span><\/span><\/span> (joonis 4A)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tRectus lateralis, rectus capitis anterior, longus capitis, longus colli, longus cervicis, sternocleidomastoideus<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC3<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tKaela lateraalfleksioon<\/span><\/span><\/span><\/span> (joonis 4B)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tLongus capitis, longus cervicis, trapezius, scalenus medius<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC4<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\t\u00d5lav\u00f6\u00f6tme t\u00f5stmine<\/span><\/span><\/span><\/span> (joonis 4C)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tDiafragma, trapezius, levator scapulae, scalenus anterior, scalenus medius<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC5<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\t\u00d5laliigese abduktsioon<\/span><\/span><\/span><\/span> (joonis 4D)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tRhomboid major et minor, deltoid, supraspinatus, infraspinatus, teres minor, biceps, scalenus anterior, scalenus medius<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC6<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tK\u00fc\u00fcnarliigese fleksioon ja randmel<\/span><\/span><\/span><\/span>iigese ekstensioon (joonis 4E, 4F)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tSerratus anterior, latissimus dorsi, subscapularis, teres major, pectoralis major (\u00fclemine osa), biceps, coracobrachialis, brachialis, brachioradialis, supinator, extensor carpi radialis longus, scalenus anterior, medius et posterior<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC7<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tK\u00fc\u00fcnarliigese ekstensioon ja randmeliigese fleksioon<\/span><\/span><\/span><\/span> (joonis 4G, 4H)\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tSerratus anterior, latissimus dorsi, pectoralis major (keskmine osa), pectoralis minor, triceps, pronator teres, flexor carpi radialis, flexor digitorum superficialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, scalenus medius et posterior<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tC8<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tP\u00f6idla ekstensioon ja randmeliigese ulnaardeviatsioon (joonis 4I)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tPectoralis major (keskmine osa), pectoralis minor, triceps, flexor digitorum superficialis, flexor digitorum profundus, flexor pollicis longus, pronator quadratus, flexor carpi ulnaris, abductor pollicis longus, extensor pollicis longus et brevis, extensor indicis, abductor pollicis brevis, flexor pollicis brevis, opponens pollicis, scalenus medius et posterior<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tTh1<\/span><\/span><\/span><\/b><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tS\u00f5rmede abduktsioon (joonis 4J)<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tFlexor digitorum profundus, k\u00e4elaba intrinsics va. extensor pollicis brevis, flexor pollicis brevis, opponens pollicis<\/span><\/span><\/span><\/i><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\n\t\"M\u00fcotoomi
\"joonis\n<\/p>\n

\n\tJoonis 4. M\u00fcotoomi testid. A-kaela fleksioon (C1,C2); B-lateraalfleksioon (C3); C-\u00f5lav\u00f6\u00f6tme t\u00f5stmine (C4); D-\u00f5laliigese abduktsioon (C5); E-k\u00fc\u00fcnarliigese fleksioon; (C6); F-randmeliigese ekstensioon (C6); G-k\u00fc\u00fcnarliigese ekstensioon (C7); H-randmeliigese fleksioon (C7); I-p\u00f6idla ekstensioon (C8); J-s\u00f5rmede abduktsioon (Th1).
\n<\/h5>\n","protected":false},"excerpt":{"rendered":"

M\u00fcotoom on tihkenenud ning valulik lihasv\u00e4\u00e4t, mis esineb h\u00e4iritud n\u00e4rvijuure poolt innerveeritavas lihases. Lihaste j\u00f5u ning v\u00f5imaliku neuroloogilise patoloogia l\u00e4htepiirkonna t\u00e4psustamine l\u00fclisamba kaelaosa n\u00e4rvijuure tasandil on v\u00f5imalik m\u00fcotoomide abil (tabel 4). M\u00fcotoom on tihkenenud, valulik lihasv\u00e4\u00e4t\u00a0(lokaalne lihaskontraktuur), mis esineb h\u00e4iritud …<\/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-48","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/48","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=48"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/48\/revisions"}],"predecessor-version":[{"id":565,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/48\/revisions\/565"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}