{"id":98,"date":"2024-04-04T05:49:03","date_gmt":"2024-04-04T02:49:03","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/95-isomeetrilised-testid-vastupanuga\/"},"modified":"2024-04-04T05:52:25","modified_gmt":"2024-04-04T02:52:25","slug":"95-isomeetrilised-testid-vastupanuga","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/95-isomeetrilised-testid-vastupanuga\/","title":{"rendered":"9.5. Isomeetrilised testid vastupanuga"},"content":{"rendered":"
\n\tH\u00fcppe- ja varbaliigeseid \u00fcmbritsevate lihaste isomeetrilised testid vastupanuga teostatakse p\u00f5lveliigese fleksioon, h\u00fcppeliigese plantaar-, dorsaalfleksioon, supinatsioon, pronatsioon ning varvaste fleksioon ja ekstensioon suundadel.
\n<\/h6>\n

\n\tIsomeetrilisi teste vastupanuga teostatakse h\u00fcppe- ja varbaliigeseid \u00fcmbritsevate kontraktiilsete kudede (tabel 3) hindamiseks. Patsient on seliliasendis, tema h\u00fcppeliiges on anatoomilises asendis (90\u00ba). Vastupanuga teostatakse isomeetrilised testid j\u00e4rgmistel funktsioonidel: p\u00f5lveliigese fleksioon\u00a0<\/span>(joonis 12A), h\u00fcppeliigese plantaarfleksioon (joonis 12B), h\u00fcppeliigese dorsaalfleksioon (joonis 12C), h\u00fcppeliigese supinatsioon (joonis 12D), h\u00fcppeliigese pronatsioon (joonis 12E), varvaste ekstensioon (joonis 12F), varvaste fleksioon (joonis 12G).<\/span>\n<\/p>\n

\n\t\u00a0<\/span>\"Joonis\n<\/p>\n

\n\tJoonis 12. H\u00fcppe- ja varbaliigeseid \u00fcmbritsevate lihaste isomeetrilised testid vastupanuga. A \u2013 p\u00f5lveliigese fleksioon; B \u2013 h\u00fcppeliigese plantaarfleksioon; C \u2013 h\u00fcppeliigese dorsaalfleksioon; D \u2013 h\u00fcppeliigese supinatsioon; E \u2013 h\u00fcppeliigese pronatsioon; F \u2013 varvaste ekstensioon; G \u2013 varvaste fleksioon.<\/span>
\n<\/h5>\n
\n\t
Tabel 3. H\u00fcppeliigest \u00fcmbritsevad lihased, nende funktsioon ja n\u00e4rvijuure innervatsioon. <\/span>
\n<\/h5>\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 innervatsioon<\/span><\/span><\/span><\/span><\/strong>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\th\u00fcppeliigese plantaarfleksioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm gastrocnemius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm soleus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm plantaris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor digitorum longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm peroneus longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm peroneus brevis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor hallucis longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm tibialis posterior<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

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

\n\t\t\t\t\tS2-S3<\/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\tS2-S3<\/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\th\u00fcppeliigese dorsaalfleksioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm tibialis anterior<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor digitorum longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor hallucis longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm peroneus tertius<\/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<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

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

\n\t\t\t\t\tL5,S1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\th\u00fcppeliigese inversioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm tibialis posterior<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor digitorum longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor hallucis longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm tibialis anterior<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor hallucis longus<\/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\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/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\tL5,S1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\th\u00fcppeliigese eversioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm peroneus longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm peroneus brevis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm peroneus tertius<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

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

\n\t\t\t\t\tL5,S1<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tvaravaste painutus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm flexor digitorum longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor hallucis longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor digitorum brevis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor hallucis brevis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm flexor accessorius (m quadratus plantae)<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

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

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

\n\t\t\t\t\tmm lumbricales<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/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\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tvarvaste sirutus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm extensor digitorum longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor hallucis longus<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm extensor digitorum brevis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tmm lumbricales<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

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

\n\t\t\t\t\tL5,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\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tvarvaste abduktsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tm abductor hallucis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm abductor digiti minimi<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tm interosseus dorsalis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n

\n

\n\t\t\t\t\tvarvaste adduktsioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tM adductor hallucis<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tM interosseus plantaris<\/span><\/span><\/span><\/span><\/em>\n\t\t\t\t<\/p>\n<\/td>\n

\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n

\n\t\t\t\t\tS2-S3<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

H\u00fcppe- ja varbaliigeseid \u00fcmbritsevate lihaste isomeetrilised testid vastupanuga teostatakse p\u00f5lveliigese fleksioon, h\u00fcppeliigese plantaar-, dorsaalfleksioon, supinatsioon, pronatsioon ning varvaste fleksioon ja ekstensioon suundadel. Isomeetrilisi teste vastupanuga teostatakse h\u00fcppe- ja varbaliigeseid \u00fcmbritsevate kontraktiilsete kudede (tabel 3) hindamiseks. Patsient on seliliasendis, tema h\u00fcppeliiges …<\/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-98","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/98","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=98"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/98\/revisions"}],"predecessor-version":[{"id":515,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/98\/revisions\/515"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=98"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}