Cook J D, Glass D S
Neurol Clin. 1987 Feb;5(1):101-23.
Strength evaluation in neuromuscle disease is necessary to track the natural history of the disease, to understand its pathophysiology, to determine the efficacy of treatment, and, most importantly, to evaluate an experimental treatment regimen. This article describes the physiology of muscle activity, discusses fatigue, examines various testing methods, and suggests appropriate measurements to assess the neuromuscular patient's strength and endurance in a variety of clinical settings. The minimal amount of equipment necessary to follow patients with NMD is a stop watch, a goniometer, a hand-held dynamometer, a hand-grasp dynamometer, and a creative mind.
评估神经肌肉疾病的肌力对于追踪疾病的自然史、理解其病理生理学、确定治疗效果，以及最重要的是评估实验性治疗方案而言是必要的。本文描述了肌肉活动的生理学，讨论了疲劳问题，审视了各种测试方法，并提出了在各种临床环境中评估神经肌肉疾病患者肌力和耐力的适当测量方法。随访神经肌肉疾病患者所需的最少设备是一块秒表、一个角度计、一个手持测力计、一个握力计，以及一颗富有创造力的头脑。
