{"id":82,"date":"2024-04-04T05:49:01","date_gmt":"2024-04-04T02:49:01","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/75-isomeetrilised-testid-vastupanuga\/"},"modified":"2024-04-04T05:52:26","modified_gmt":"2024-04-04T02:52:26","slug":"75-isomeetrilised-testid-vastupanuga","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/75-isomeetrilised-testid-vastupanuga\/","title":{"rendered":"7.5. Isomeetrilised testid vastupanuga"},"content":{"rendered":"<h6>\n\tSuur tuharalihas aktiveerub nii puusaliigese ekstensioonil, adduktsioonil kui v\u00e4lisrotatsioonil.<br>\n<\/h6>\n<p style=\"margin-top:12.0pt;margin-right:0cm;margin-bottom:12.0pt;margin-left:0cm\">\n\tPuusaliigese funktsioone m\u00f5jutavate lihaste isomeetrilised testid vastupanuga teostatakse patsiendi seliliasendis. Lihaste isomeetrilist j\u00f5udu hinnatakse puusaliigese fleksiooni ekstensiooni, abduktsiooni, adduktsiooni, v\u00e4lis- ja siserotatsiooni ning p\u00f5lveliigese fleksiooni ja ekstensiooni suunal (joonis 8). Testi eel \u00f6elda patsiendile \u201e\u00e4ra lase ennast liigutada\u201c, testi ajal j\u00e4lgida, millised liigutused on n\u00f5rgad v\u00f5i p\u00f5hjustavad valu. Kuna suur tuharalihas on ainuke, mis aktiveerub nii puusaliigese\u00a0ekstensioonil, adduktsioonil kui v\u00e4lisrotatsioonil, siis valu k\u00f5igil kolmel nimetatud liigutustel annab aluse suure tuharalihase funktsioonih\u00e4ire kahtluseks.\u00a0 Isomeetrilised testid p\u00f5lveliigese sirutusel ja painutusel tuleb sooritada p\u00f5hjusel, et hamstringlihased ja reie sirglihas \u00fcletavad nii p\u00f5lve- kui puusaliigest.\n<\/p>\n<p style=\"margin: 12pt 0cm;text-align: center\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"1110\" height=\"888\" class=\"alignnone wp-image-256\" style=\"width: 550px;height: 440px\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8a.png\" title=\"joonis7-8a.png\" alt=\"Joonis 7-8a\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8a.png 1110w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8a-300x240.png 300w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8a-1024x819.png 1024w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8a-768x614.png 768w\" sizes=\"auto, (max-width: 1110px) 100vw, 1110px\">\n<\/p>\n<p style=\"margin: 12pt 0cm;text-align: center\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"1104\" height=\"918\" class=\"alignnone wp-image-257\" style=\"width: 550px;height: 457px\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8b.png\" title=\"joonis7-8b.png\" alt=\"Joonis7-8b\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8b.png 1104w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8b-300x249.png 300w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8b-1024x851.png 1024w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/414\/joonis7-8b-768x639.png 768w\" sizes=\"auto, (max-width: 1104px) 100vw, 1104px\">\n<\/p>\n<h5 style=\"margin: 12pt 0cm;text-align: center\">\n\tJoonis 8. Puusaliigest \u00fcmbritsevate lihaste isomeetrilised testid vastupanuga. A \u2013 fleksioon; B \u2013 ekstensioon; C \u2013 abduktsioon; D \u2013 adduktsioon; E \u2013 v\u00e4lisrotatsioon; F \u2013 siserotatsioon; G \u2013 p\u00f5lveliigese fleksioon; H \u2013 p\u00f5lveliigese ekstensioon.<br>\n<\/h5>\n<h5 style=\"margin-top: 12pt;text-align: center\">\n\t<br>Tabel 1. Puusaliigest \u00fcmbritsevad lihased, nende funktsioon ja n\u00e4rvijuure innervatsioon.<br>\n<\/h5>\n<table class=\"table table-hover\" align=\"center\" style=\"border-collapse: collapse;width: 80%\" width=\"358\">\n<tbody>\n<tr style=\"height:46.0pt\">\n<td style=\"width: 79.5pt\" width=\"106\">\n<p style=\"margin-top: 12pt;text-align: center\">\n\t\t\t\t\t<strong>Puusaliigese funktsioon<\/strong>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width: 119.25pt;border-left: none\" width=\"159\">\n<p style=\"margin-top: 12pt;text-align: center\">\n\t\t\t\t\t<strong>Lihased<\/strong>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width: 69.75pt;border-left: none\" width=\"93\">\n<p style=\"margin-top: 12pt;text-align: center\">\n\t\t\t\t\t<strong> N\u00e4rvijuure innervatsioon<\/strong>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\tFleksioon\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em>1. m psoas<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>2. m iliacus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>3. m rectus femoris<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>4. m sartorius<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>5. m pectineus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>6. m adductor longus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>7. m adductor brevis<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>8. m gracilis<\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\tL1-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3,L5\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\tEkstensioon\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em>1. m biceps femoris<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>2. m semimembranosus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>3. m semitendinosus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>4. m gluteus maximus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>5. m gluteus medius tagumine osa<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>6. m adductor magnus<\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\tAbduktsioon\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em>1. m tensor fasciae latae<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>2. m gluteus minimus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>3. m gluteus medius<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>4. m gluteus maximus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>5. m sartorius<\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\tL4-L5\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5-S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5-S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\tAdduktsioon\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em>1. m adductor longus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>2. m adductor brevis<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>3. m adductor magnus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>4. m gracilis<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>5. m pectineus<\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\tV\u00e4lisrotatsioon\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em>1. m gluteus maximus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>2. m obturatorius internus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>3. m obturatorius externus<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>4. m quadratus femoris<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>5. m piriformis<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>6. m gemellus superior<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>7. m gemellus inferior<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>8. m sartorius<\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em>9. m gluteus medius tagumine osa<\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL3-L4\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1-S2\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL2-L3\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\tL5,S1\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>\n\t\t\t\t\t<span>Siserotatsioon<\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<em><span>1. m adductor longus<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>2. m adductor brevis<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>3. m adductor magnus<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>4. m gluteus medius eesmine osa<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>5. m gluteus minimus eesmine osa<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>6. m tensor fasciae latae<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>7. m pectineus<\/span><\/em>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<em><span>8. m gracilis<\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n<td>\n<p>\n\t\t\t\t\t<span>L2-L4<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span>L2-L4<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span>L2-L4<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span>L5,S1<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span> <\/span><span>L5,S1<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span> <\/span><span>L4-L5<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span>L2-L3<\/span>\n\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t<span>L2-L3<\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"margin-top:12.0pt;margin-right:0cm;margin-bottom:12.0pt;margin-left:0cm\">\n<\/p>","protected":false},"excerpt":{"rendered":"<p>Suur tuharalihas aktiveerub nii puusaliigese ekstensioonil, adduktsioonil kui v\u00e4lisrotatsioonil. Puusaliigese funktsioone m\u00f5jutavate lihaste isomeetrilised testid vastupanuga teostatakse patsiendi seliliasendis. Lihaste isomeetrilist j\u00f5udu hinnatakse puusaliigese fleksiooni ekstensiooni, abduktsiooni, adduktsiooni, v\u00e4lis- ja siserotatsiooni ning p\u00f5lveliigese fleksiooni ja ekstensiooni suunal (joonis 8). Testi &#8230;<\/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-82","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/82","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=82"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/82\/revisions"}],"predecessor-version":[{"id":531,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/82\/revisions\/531"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=82"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}