危重病人中的应用手册肌力测试：下肢肌力测量方法
1Outcomes After Critical Illness and Surgery (OACIS) Group, Division of Pulmonary and Critical Care Medicine,Johns Hopkins University, 2Critical Care Physical Medicine and Rehabilitation Program,Johns Hopkins Hospital , 3Department of Physical Medicine and Rehabilitation,Johns Hopkins University, 4Department of Rehabilitation Services,University of Maryland Medical System
Summary
急性呼吸窘迫综合征（ARDS）和危重病的幸存者经常制定长期的肌肉无力。人工肌肉测试（MMT）的是一个标准化的临床检查，常用来衡量周围骨骼肌肉群的力量。本视频演示了市场失当行为审裁处使用了6点的医学研究理事会的规模。
Abstract
急性呼吸窘迫综合征（ARDS）和其他原因造成的重大疾病的幸存者往往有全身乏力，运动耐受力降低，以及出院后的持久性神经和肌肉损伤 。1-6使用一个明确的协议与结构化方法，培训和质量保证人工肌肉测试（MMT）的研究人员，是一个高度可靠的方法评估实力，采用标准化的临床检查，以下ARDS患者，，就可以完成与机械通气的病人，他可以容忍坐在直立在床上，并能够按照两个步骤的命令7， 8
本视频演示了一个审裁处，已教≥43，> 280 ARDS的幸存者进行> 800评估的研究人员的协议。修改为长期卧床的病人。定位，稳定，电阻，触诊为每6点序号医学研究理事会的规模分，每一块肌肉测试的具体技术是在本议定书分级 7,9-11三上，三下肢肌肉：肩外展屈肘，伸腕，髋关节屈曲，膝关节伸直，踝关节背屈。这些肌肉ICU获得前出版物中使用的弱点评估病人的标准方法的基础上选择1,2。
Protocol
1。简介在人工肌肉测试（MMT）的双边，每个肌肉群进行测试。出于演示的目的，只有一方是在这6肌肉群中的每一个视频进行测试。一方面考官适用于电阻或palpates收缩肌肉或肌腱，而另一方面，稳定保持在测试中的地位，它正在测试的肢体。重复测试，如果病人不理解的说明，或不将尽最大的努力。 2。分级如下医学研究理事会（MRC），系统（表1?…
Discussion
根据诊断标准，9 – ICU患者的87％，发展神经肌肉并发症，这是长时间机械通气相关，增加了住院和康复时间，并有可能与死亡率增加相关肌肉1,2,16-18定期评估。强度，使用可靠的方法，最大限度地减少评分间变异检测随着时间的推移变化是有益的。使用MRC评分系统的市场失当行为的重要限制是6点序规模。举行测功机手的肌肉力量测试是不太常用，但使用的比例尺度测量的优势。19…
Offenlegungen
The authors have nothing to disclose.
Acknowledgements
由美国国立卫生研究院授予＃R01HL088045支持。博士。涡流风扇和米歇尔哥是每个从加拿大卫生研究院的奖学金奖的支持。
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Tags
Manual Muscle TestingExtremity Muscle StrengthCritically Ill PatientsAcute Respiratory Distress Syndrome (ARDS)Generalized WeaknessExercise ToleranceNerve And Muscle ImpairmentsStructured ApproachQuality AssuranceResearch StaffStandardized Clinical ExaminationMechanically Ventilated PatientsSitting Upright In BedTwo-step CommandsVideo DemonstrationBedridden Patient Modifications6-point Ordinal Medical Research Council ScaleUpper Extremity MusclesLower Extremity MusclesShoulder AbductionElbow FlexionWrist ExtensionHip FlexionKnee ExtensionAnkle Dorsiflexion
Diesen Artikel zitieren
Ciesla, N., Dinglas, V., Fan, E., Kho, M., Kuramoto, J., Needham, D. Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients. J. Vis. Exp. (50), e2632, doi:10.3791/2632 (2011).