السلام عليكم
انا عارفه انه صعب سكشن ثرابيوتكس من غير صور..و صدقوني اعتذر و حاولت افصل قدر المستطاع علشان اوصل الفكره..و ربنا يوفقنا جميعا احبتي في الله
Flexibility tests:-
These tests are performed to soft tissue muscle and fascia..
1st:Tests of lower limb
A-Tomas test
Test for flexibility of four muscles:_Iliopsoas….._Rectus femoris….._Tensor fascia lata…._sartorious..
Ilio psoas
-Muscle action: Flex the hip.
-Patient position:- .Lying with buttocks are rested on edge of plinth,,that to allow the muscles of lower limb to stretch beyond its physiological length by effect of gravity.
.Then the patient flex hip and knee of the untested limb and support them by his hands,,that to isolate the other limb from test not to show false flexibility of lower limb muscles.
-Test : In the tested limb…if the hip shows hyper extension so normal flexibility is indicated.
.But if slight flexion is shown and resist to extension so that means contracture of iliopsoas .
Rectus femoris
-Muscle action: Extend the knee.
-Patient position:The same as in test of iliopsoas.
-Test:Take the patient knee in passive flexion…If there is resistance to flexion so means contracture.
.So signs of contracture here are:slightly extended knee+Resistance to passive flexion.
Tensor fascia lata
-Muscle action:slight flexion of hip + Abduction +Internal rotation.
-Patient position:The same mentioned position.
-Test:If indicated hip flexion + abduction + internal rotation,, so contracture is concluded.
If not and the Knee cap(patella) is in neutral position so normal flexibility concluded.
Sartorious
-Muscle action :Flexion hip+abduction + External rotation
-Patient position is the same
-Test: If indicated hip flexion + abduction + external rotation…so means contracture
If not.. and there is neutral knee cap so means normal flexibility.
B-Opper test :-
Test for flexibility of Ilio tibial tract and tensor fascia lata.
-The tensor fascia lata is a lateral thickening of deep fascia of thigh.
-Its action is stability of knee joint at extension specially at weight bearing.
-Patient position: side lying on edge of Plinth.
-Test:Carry the patient limp in passive abduction.
.Then leave it suddenly .
.If sudden drop occur to the limb so that means normal flexibility.
.If resistance to drop indicated so contracture is indicated.
C- schobber test:-
Test for Erector spinae of lumbar spine.
Test:First therapist should mark two pony prominence which are C7 ,,and junction between L5 and S1.
.Then with tape measurement measure the distance between the two pony prominence at standing position,, then let patient to touch toes and repeat the measurement.
.If the difference between the two measurements is less than 5…so means contracture.
.Also contracture can be found at resistance to touch toes.
2nd:Test for upper limp
A- Pectoralis major:-
-Patient put his hands behind his head.
-If elbow joint point for ward so contracture is concluded.
-But if elbow is in same level with shoulder so normal flexibility is concluded.
-Test from another position:
Supine lying,, If elbow is not rested on plinth so contracture is indicated…If rested on plinth so normal flexibility.
-Also another position is from prone lying,, If patint had elbows at same shoulder level…so normal flexibility is indicated.
B-shoulder extensors:-
-Test : patient is in supine lying and elevate arms above head level……If resistance to elevation found so contracture is indicated.
موضوع: سكشن ثرابيوتك اكسرسيز... (Examination(Tests 
الثلاثاء أكتوبر 09, 2007 11:41 pm
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