等速肌力测试在康复医学中的运用

罗 媛媛, 李 咏梅
云南省第一人民医院

摘要


等速肌力测试是一种利用等速测试仪器对肌肉负荷参数进行量化评估的技术，主要用于评定肌肉功能水平。目前，等速肌力测试已广泛应用于多个临床领域：在骨科领域，主要用于前交叉韧带重建、关节置换及肩袖修补等术后康复评估；在运动医学领域，可有效评估慢性踝关节不稳、髌骨软化症及骨性关节炎等运动损伤；在神经康复领域，为脊髓损伤和脑血管意外患者的康复提供量化依据；同时，该技术还可用于老年性肌少症及慢性阻塞性肺疾病等慢性疾病的肌力评估。等速肌力测试的优势在于能够安全、准确地测定健侧基础值，为患侧康复治疗效果的预测提供可靠参考，并可用于康复方案的疗效评估及康复过程的实时监控。随着智能化康复技术的发展，等速肌力测试将在更多疾病领域得到应用，通过精细化评估各类功能障碍程度，为患者提供更为精准的个性化康复治疗方案及疗效评估指标。

关键词


等速肌力测试；康复医学

全文:

PDF


参考


[1]CVJETKOVIC D D, BIJELJAC S, PALIJA S, et al. Isokinetic Testing in Evaluation Rehabilitation Outcome After ACL Reconstruction [J]. Med Arch, 2015, 69(1): 21-3.

[2]YEN D. Limitations of isokinetic testing to determine shoulder strength after rotator cuff repair [J]. Iowa Orthop J, 2005, 25(141-4.

[3]WANG X F, MA Z H, TENG X R. Isokinetic Strength Test of Muscle Strength and Motor Function in Total Knee Arthroplasty [J]. Orthop Surg, 2020, 12(3): 878-89.

[4]FOX J, DOCHERTY C L, SCHRADER J, et al. Eccentric plantar-flexor torque deficits in participants with functional ankle instability [J]. J Athl Train, 2008, 43(1): 51-4.

[5]INOJOSSA T R, ALONSO A C, DA SILVA V C, et al. Comparative analysis of isokinetic parameters in individuals with and without chondromalacia patellae [J]. J isakos, 2025, 11(100383.

[6]EL MHANDI L, BETHOUX F. Isokinetic testing in patients with neuromuscular diseases: a focused review [J]. Am J Phys Med Rehabil, 2013, 92(2): 163-78.

[7]STOFFELS A A F, MEYS R, VAN HEES H W H, et al. Isokinetic testing of quadriceps function in COPD: feasibility, responsiveness, and minimal important differences in patients undergoing pulmonary rehabilitation [J]. Braz J Phys Ther, 2022, 26(5): 100451.

[8]RIVERA-BROWN A M, FRONTERA W R, FONTáNEZ R, et al. Evidence for isokinetic and functional testing in return to sport decisions following ACL surgery [J]. Pm r, 2022, 14(5): 678-90.

[9]HICKEY P F. Isokinetic strength testing in monitoring progress in a multidisciplinary work reentry program: A case study [J]. J Occup Rehabil, 1991, 1(1): 83-90.

[10]LEE O S, LEE Y S. Changes in hamstring strength after anterior cruciate ligament reconstruction with hamstring autograft and posterior cruciate ligament reconstruction with tibialis allograft [J]. Knee Surg Relat Res, 2020, 32(1): 27.

[11]PALMIERI-SMITH R M, LEPLEY L K. Quadriceps Strength Asymmetry After Anterior Cruciate Ligament Reconstruction Alters Knee Joint Biomechanics and Functional Performance at Time of Return to Activity [J]. Am J Sports Med, 2015, 43(7): 1662-9.

[12]HOLMGREN D, NOORY S, MOSTRöM E, et al. Weaker Quadriceps Muscle Strength With a Quadriceps Tendon Graft Compared With a Patellar or Hamstring Tendon Graft at 7 Months After Anterior Cruciate Ligament Reconstruction [J]. Am J Sports Med, 2024, 52(1): 69-76.

[13]CARR A J, ROBERTSSON O, GRAVES S, et al. Knee replacement [J]. Lancet, 2012, 379(9823): 1331-40.

[14]SCHROER W C, DIESFELD P J, REEDY M E, et al. Isokinetic strength testing of minimally invasive total knee arthroplasty recovery [J]. J Arthroplasty, 2010, 25(2): 274-9.

[15]LUBIATOWSKI P, KACZMAREK P, DZIANACH M, et al. Clinical and biomechanical performance of patients with failed rotator cuff repair [J]. Int Orthop, 2013, 37(12): 2395-401.

[16]DAVID P, HALIMI M, MORA I, et al. Isokinetic testing of evertor and invertor muscles in patients with chronic ankle instability [J]. J Appl Biomech, 2013, 29(6): 696-704.

[17]PARK Y H, PARK S H, KIM S H, et al. Relationship Between Isokinetic Muscle Strength and Functional Tests in Chronic Ankle Instability [J]. J Foot Ankle Surg, 2019, 58(6): 1187-91.

[18]NASCIMENTO L R, TEIXEIRA-SALMELA L F, POLESE J C, et al. Strength deficits of the shoulder complex during isokinetic testing in people with chronic stroke [J]. Braz J Phys Ther, 2014, 18(3): 268-75.

[19]YANARTAŞ G, KARAKOYUN A. Isokinetic Analysis of Trunk Muscles in Stroke Patients and its Association with Functional Parameters [J]. J Stroke Cerebrovasc Dis, 2020, 29(12): 105329.

[20]AKMAN M N, BENGI R, KARATAS M, et al. Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury [J]. Spinal Cord, 1999, 37(9): 638-43.

[21]MUIR S W, BERG K, CHESWORTH B, et al. Balance impairment as a risk factor for falls in community-dwelling older adults who are high functioning: a prospective study [J]. Phys Ther, 2010, 90(3): 338-47.

[22]RIBEIRO F, LéPINE P A, GARCEAU-BOLDUC C, et al. Test-retest reliability of lower limb isokinetic endurance in COPD: A comparison of angular velocities [J]. Int J Chron Obstruct Pulmon Dis, 2015, 10(1163-72.

[23]BUTCHER S J, PIKALUK B J, CHURA R L, et al. Associations between isokinetic muscle strength, high-level functional performance, and physiological parameters in patients with chronic obstructive pulmonary disease [J]. Int J Chron Obstruct Pulmon Dis, 2012, 7(537-42.


Refbacks

  • 当前没有refback。