{"id":90,"date":"2024-04-04T05:49:02","date_gmt":"2024-04-04T02:49:02","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/85-isomeetrilised-testid-vastupanuga\/"},"modified":"2024-04-04T05:52:26","modified_gmt":"2024-04-04T02:52:26","slug":"85-isomeetrilised-testid-vastupanuga","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/85-isomeetrilised-testid-vastupanuga\/","title":{"rendered":"8.5. Isomeetrilised testid vastupanuga"},"content":{"rendered":"
\n\tP\u00f5lveliigest \u00fcmbritsevate lihaste isomeetiline j\u00f5ud hinnatakse vastupanuga p\u00f5lveliigese fleksiooni ja ekstensiooni ning h\u00fcppeliigese plantaar- ja dorsaalfleksiooni suundadel.
\n<\/h6>\n

\n\tEt hinnata p\u00f5lveliigest \u00fcmbritsevate lihaste (tabel 2) isomeetriline j\u00f5ud, teostatakse vastupanutestid p\u00f5lveliigese fleksioon, ekstensioon ning h\u00fcppeliigese plantaarfleksioon ja dorsaalfleksioon suundadel<\/span>. Kuna korrektne on teostada isomeetrilised vastupanutestid liigese puhkeasendis, siis reie nelipealihase isomeetrilise j\u00f5u hindamisel on patsient seliliasendis, tema p\u00f5lveliiges on painutatud 25\u02da (joonis 4A). Et hinnata s\u00e4\u00e4re kompensatoorseid liigutusi, p\u00f5lveliigese sidemete ebastabiilsust v\u00f5i valu patella kompressiooni ajal, v\u00f5ib reie nelipealihase isomeetrilise j\u00f5u hindamisel olla p\u00f5lveliigese nurk ka 0\u00b0, 30\u00b0, 60\u00b0 v\u00f5i 90\u00b0. Hamstringlihaste isomeetrilist j\u00f5udu saab hinnata nii patsiendi k\u00f5huliasendis, p\u00f5lveliiges painutatud 90\u02da, kui seliliasendis (joonis 4B). Kui kand on p\u00f6\u00f6ratud v\u00e4ljapoole, hinnatakse reie kakspealihast, kui kand on p\u00f6\u00f6ratud sissepoole, hinnatakse poolk\u00f5\u00f5luslihast ja poolkilelihast. Kuna s\u00e4\u00e4re kolmpealihas \u00fcletab p\u00f5lveliigest, siis hinnatakse ka h\u00fcppeliigese plantaarfleksiooni (joonis 4C), aga ka dorsaalfleksiooni (joonis 4D) teostavate lihaste isomeetriline j\u00f5ud. <\/span>\n<\/p>\n

\n\t\"Joonis\n<\/p>\n

\n\tJoonis 4. P\u00f5lveliigest \u00fcmbritsevate lihaste isomeetrilised testid vastupanuga. A \u2013 p\u00f5lveliigese ekstensioon; B \u2013 p\u00f5lveliigese fleksioon; C \u2013 h\u00fcppeliigese plantaarfleksioon; D \u2013 h\u00fcppeliigese dorsaalfleksioon. <\/span>
\n<\/h5>\n
\n\t
Tabel 2. P\u00f5lveliigest \u00fcmbritsevad lihased, nende funktsioon ja n\u00e4rvijuure innervatsioon. <\/span>
\n<\/h5>\n\n\n\n\n\n\n\n
\n

\n\t\t\t\t\tP\u00f5lveliigese funktsioon<\/span><\/span><\/span><\/span><\/strong>\n\t\t\t\t<\/p>\n<\/td>\n

\n

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

\n

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

\n

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

\n

\n\t\t\t\t\t1. m biceps femoris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t2. m semimembranosus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t3. m semitendinosus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t4. m gracilis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t5. m sartorius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t6. m popliteus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t7. m gastrocnemius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t8. m tensor fasciae latae<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t45-145\u00b0 painutuse ajal<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t9. m plantaris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tL5,S1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL5,S1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL5,S1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL4-L5,S1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL4-L5<\/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

\n\t\t\t\t\tS1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

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

\n

\n\t\t\t\t\t1. m rectus femoris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t2. m vastus medialis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t3. m vastus intermedius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t4. m vastus lateralis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t5. m tensor fasciae latae<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t0-30\u00b0 sirutuse ajal<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tL2-L4<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L4<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L4<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L4<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL4-L5<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00e4\u00e4reluu siserotatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\t1. m popliteus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t2. m semimembranosus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t3. m semitendinosus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t4. m sartorius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\t5. m gracilis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tL4-L5<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL5,S1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL5,S1-S2<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tL2-L3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tS\u00e4\u00e4reluu v\u00e4lisrotatsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\t1. m biceps femoris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tL5,S1-S2<\/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":"

P\u00f5lveliigest \u00fcmbritsevate lihaste isomeetiline j\u00f5ud hinnatakse vastupanuga p\u00f5lveliigese fleksiooni ja ekstensiooni ning h\u00fcppeliigese plantaar- ja dorsaalfleksiooni suundadel. Et hinnata p\u00f5lveliigest \u00fcmbritsevate lihaste (tabel 2) isomeetriline j\u00f5ud, teostatakse vastupanutestid p\u00f5lveliigese fleksioon, ekstensioon ning h\u00fcppeliigese plantaarfleksioon ja dorsaalfleksioon suundadel. Kuna korrektne on …<\/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-90","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/90","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=90"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/90\/revisions"}],"predecessor-version":[{"id":523,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/90\/revisions\/523"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=90"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}