Brandsma J W
Schieffelin Leprosy Research & Training Centre, Tamil Nadu, India.
Lepr Rev. 2000 Sep;71(3):258-67. doi: 10.5935/0305-7518.20000029.
Manual muscle strength testing has an important function in the management of leprosy patients. Its importance was first recognized in the 1960s, especially when following patients who were started on steroid treatment to monitor the nerve function and the effect of treatment. In those days, and still in many centres today, many or all muscles were tested that are innervated by the nerves that can be at risk in leprosy. The author argues that not all muscles innervated by the nerves at risk need to be tested and also that many muscles cannot be tested in isolation. A muscle charting form is presented which is suitable for screening purposes, and that also allows for more detail when motor function is impaired.
徒手肌力测试在麻风病患者的管理中具有重要作用。其重要性在20世纪60年代首次得到认可，尤其是在对开始接受类固醇治疗的患者进行随访以监测神经功能和治疗效果时。在那个时候，以及如今在许多中心，仍会对许多或所有由麻风病中可能受累的神经所支配的肌肉进行测试。作者认为，并非所有由受累神经所支配的肌肉都需要进行测试，而且许多肌肉也无法单独进行测试。本文提供了一种适合筛查目的的肌肉图表形式，当运动功能受损时，它也能提供更多细节。
