Dok. Ot-9. Blanko Pemeriksaan Kekuatan Otot [PDF]

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PEMERIKSAAN OKUPASI TERAPI UNTUK KEKUATAN OTOT



Nama Pasien :………………………………………



Jenis Kelamin :…………………………………



Tanggal Lahir:……………………………………….



Sisi Dominan :………………………………….



Umur



Diagnosa



:……………………………………….



I



II



III



IV



Tgl



Tgl



Tgl



Tgl



GERAK



:………………………………….



OTOT



Eyelid elevation



Levator palpebrae superior



Eyelid closure



Obicularis oculi



Eyeball elevation



Rectus superior Obliqous inferior



Eyeball depression



Rectus inferior Obliqous superior



Eyeball abduction



Rectus lateralis



Eyeball adduction



Rectus medialis



EYEBROW Elevation



Epricanius



Adduction



Corrugator supercilli



Depression



Procesus



MANDIBLE Elevation



Temporalis/Maxeler Medial pterygoid



Depression



Lateral pterygoid Suprahyoid



Protusion



Pterygoids



NASAL APERTURE Dilation



Nasalis/Depressor Septi



Constriction



Nasalis



LIPS/MOUTH Lip closure



Obicularis oris



Cheek compression



Buccinator



Elevation of angle



Levator anguli oris



Reaction of angle



Zygomacticus major/risorius Platysrua/depressor



Depression of angle



Anguli oris/depressor Labii inferioris



Upper lip elevation



Levator labii superior/Zygomaticus



Lower lip elevation



Mentalis



I



II



III



IV



Tgl



Tgl



Tgl



Tgl



TOUNGE Protrusion



Glenioglosus



NECK Hyoid bone depression



Infrahyoid group



Flexion



Sternocleidomastoideus



Extension



Extensor group



SCAPULA Abduction



Seratus anterior



Lateral rotation Elevation



Upper trapezius Levator scapula



Adduction Adduction



Middle trapezius Rhomboids



Medial rotation Depression



Lower trapezius



SHOULDER Flexion



Anterior deltoid



Flexion-adduction



Coracobrachialis



Extension



Latissimus dorsi Teres major Pectoralis major



Adduction



Teres major Latissimus dorsi



Abduction



Middle deltoid Supraspinatus



Horizontal adduction



Pectoralis major



Horizontal abduction



Posterior deltoid



Internal rotation



Subscapularis



External rotation



Infraspinatus Teres minor



ELBOW Flexion



Biceps



Extension



Triceps



Pronation



Pronator teres



Supination



Pronator quadratus



WRIST Flexor



Flexor carpi radialis Flexor carpi ulnaris Extensor carpi radialis longus



Extension



Extensor carpi radialis brevis Extensor carpi ulnaris



FINGERS Extensor digitorum MCP extension



Extensor indicis propius Extensor digiti minimi



MCP abduction



Dorsal interossei Abductor digiti minimi



MCP Adduction MCP flexion-IP extensor



Palmar interossei Lumbricales 1&2 Lumbricales 3&4



5th MCP Flexion



Flexor digiti minimi



PIP flexion digit 2



Flexor digitorum superficialis



Digit 3



Flexor digitorum superficialis



Digit 4



Flexor digitorum superficialis



DIP flexor digit 2



Flexor digitorum profundus



Digit 3



Flexor digitorum profundus



Digit 4



Flexor digitorum profundus



Digit 5



Flexor digitorum profundus



THUMB IP flexion



Flexor pollicis longus



MCP flexion



Flexor pollicis brevis



IP extension



Extensor policis longus



MCP extension



Extensor policis brevis



Radial abduction



Abductor policis longus



Palmar abduction



Abductor policis brevis



Adduction



Adductor policis longus



Opposition



Opponen policis Opponen digiti minimi



TRUNK Flexion



Rectus abdominis



Extension



Extensor group



Rotation



External oblique Internal oblique



Pelvis elevation



Quadrotus lumborum



HIP Flexion



Psoas major Iliacus Gluteus maximus



Extension



Biceps femoris Semitendinosus Semimembranosus Gluteus medius



Abduction



Glueteus minimus Tensor fascia latae



Adduction



Adductir group Gluteus medius



Internal rotation



Glueteus minimus Tensor fascia latae



KNEE Extension



Quadriceps Biceps femoris



Flexion



Semi tendinosus Semi membranosus



ANKLE Dorsi flexion Plantar flexion



Tibialis anterior Gastrocnemius Soleus



Inversion Eversion



Tibialis posterior Peroneus longus Peroneus brevis



TOES MTP flexion



Flexor hallucis brevis Lumbricalis Flexor hallucis longus



IP flexion



Flexor digitorum longus Flexor digitorum brevis Abductor hallucis



MTP abduction



Abductor digiti minimi Dorsal interossei Extensor hallucis longus



Extension



Extensor digitorum brevis Extensor digitorum longus



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