THE STANDING HEEL-RISE TEST FOR ANKLE PLANTAR FLEXION - CRITERION FOR NORMAL
THE STANDING HEEL-RISE TEST FOR ANKLE PLANTAR FLEXION - CRITERION FOR NORMAL
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DOI：
10.1093/ptj/75.8.694
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发表时间：
1995-08-01
期刊：
影响因子：
3.2
通讯作者：
PERRY, J
中科院分区：
文献类型：
--
作者：
LUNSFORD, BR;PERRY, J
背景和目的。手动肌肉测试与考官提供的阻力长期以来一直是肌肉力量的标准测试。通过使用四肢作为杠杆，临床医生已经能够有效地将阻力施加到除踝跖屈肌之外的所有肌肉群。因此，使用体重作为阻力的站立脚跟上升测试已被取代。代表正常跖屈肌“力量”的脚跟抬起次数和受试者重复使用该“力量”的能力仍然没有得到解决。由于行走是一项耐力任务，因此本研究测试的假设是，没有已知弱点的人能够执行超过标准推荐的一到五次站立脚跟上升。这项研究的目的是测量没有已知弱点的人可以完成的站立脚跟上升的数量。受试者，研究了203名受试者做站立脚跟抬高的能力，正如使用直立测试测试跖屈强度时所做的那样。共有122名男性受试者和81名女性受试者，年龄范围为20至59岁。方法.每个受试者都被要求尽可能多地做站立脚跟抬高，仔细监测身体和肢体的排列以及踝关节的运动，并有特定的停止标准。结果所有组和两种性别的平均脚跟抬高次数为27.9（SD= 11.1，最小值= 6，最大值= 70），男性和女性受试者之间无差异。99%置信区间下限为25。结论和讨论。建议改变跖屈功能的测试标准，当使用站立脚跟抬高测试时，要求25次重复以获得正常等级。
Background and Purpose. Manual muscle testing with the examiner providing the resistance has long been a standard test of muscle strength. Through the use of extremities acting as levers, clinicians have been able to effectively apply resistance to all muscle groups except the the ankle plantar flexors. As a result, a standing heel-rise test that uses body weight as the resistance has been substituted. The number of heel-rises that represent normal plantar-flexor ''strength'' and the ability of subjects to repeatedly use that ''strength'' remain unresolved. Because walking is an endurance task, the hypothesis tested by this study was that individuals without known weakness would be able to perform more than the standard recommended one to five standing heel-rises. The purpose of this study was to measure the number of standing heel-rises that individuals without known weakness could accomplish. Subjects, Two hundred three subjects were studied for their ability to do standing heel-rises, as is done when testing plantar-flexion strength using the upright test. There were 122 male subjects and 81 female subjects, ranging in age from 20 to 59 years. Methods. Each subject was asked to do as many standing heel-rises as he or she could, with careful monitoring of body and limb alignment and of ankle motion, with specific criteria for stopping. Results. The average number of heel-rises was 27.9 (SD= 11.1, minimum= 6, maximum= 70) for all groups and both genders, with no differences between male and female subjects. The lower 99% confidence interval was 25. Conclusion and Discussion. A recommendation is made to change the standard of testing plantar-flexion function, when using the standing heel-rise test, to require 25 repetitions for a grade of Normal.