Fischer A A
Arch Phys Med Rehabil. 1987 Feb;68(2):122-5.
A new instrument is described, the tissue compliance meter (TCM), for quantitative and objective recording of soft tissue consistency. This quality is appreciated at present only by the subjective method of palpation. Use of the TCM therefore offers a method to quantify palpation of tissue consistency and to document findings objectively. The handheld instrument allows immediate and simple reading of the depth of penetration of a rubber disc at a known pressure. The relation between the achieved penetration and employed pressure expresses the compliance. The TCM consists of a rubber disc with the surface of 1 cm2 attached to a force gauge. The depth of penetration of the rubber tip is indicated by a disc which slides on the shaft of the force gauge. Normal values were established for men and women over muscles which are frequently affected by spasm. Tissue compliance measurement can document changes in soft tissue consistency which occur in muscle spasm, spasticity, swelling, tumors, lumps, hematomas, etc. Use of the TCM provides the most sensitive and earliest objective indication of either healing and resolution in soft tissue pathology or occurrence of complications. Changes in muscle tone such as reduction of spasm, tension, or spasticity can be recorded. The effects of different types of physical therapy can thus be documented objectively.
本文介绍了一种新型仪器——组织顺应性测量仪（TCM），用于定量、客观地记录软组织的硬度。目前，这种特性只能通过触诊这种主观方法来评估。因此，使用TCM提供了一种量化组织硬度触诊并客观记录结果的方法。这种手持式仪器能够在已知压力下即时、简单地读取橡胶盘的穿透深度。所达到的穿透深度与施加压力之间的关系表示顺应性。TCM由一个面积为1平方厘米的橡胶盘连接到一个测力计组成。橡胶尖端的穿透深度由一个在测力计轴上滑动的圆盘指示。针对经常受到痉挛影响的肌肉，确定了男性和女性的正常值。组织顺应性测量可以记录肌肉痉挛、痉挛状态、肿胀、肿瘤、肿块、血肿等情况下软组织硬度的变化。使用TCM能为软组织病理学中的愈合和消退或并发症的发生提供最敏感、最早的客观指标。可以记录肌肉张力的变化，如痉挛、紧张或痉挛状态的减轻。从而可以客观地记录不同类型物理治疗的效果。
