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題名 | 從脊關節運動學看主動動作檢查﹣﹣整脊治療前的一個評估工具= |
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作者 | 陳文玲; |
期刊 | 物理治療學會雜誌 |
出版日期 | 19871100 |
卷期 | 12 1987.11[民76.11] |
頁次 | 頁46-52 |
分類號 | 416.61 |
語文 | chi |
關鍵詞 | 工具; 主動; 治療; 前; 脊關節; 動作; 評估; 運動學; 整脊; 檢查; |
中文摘要 | 本篇文章針對脊椎面關節損傷的病人,運用一般評估活動度的觀念,再 加上以脊關節動學為基礎的特別想法,而提出主動動作檢查,以期能成功地掌握 病人的問題,且達到專一的治療效果。對於中段頸椎單側面關節損傷的病人而 言,其側彎與轉動向對側的動作之活動度均會減少,而做前彎動作時則會有偏擺 到同側的現象。對於中段胸椎或中段腰椎單側面關節損傷的病人而言,其側彎向 對側與轉動向同側的動作之活動度均會減少,而做前彎動作時則會有偏擺到同側 的現象。以上是主動動作檢查在臨床上的初步應用,其功效是有助於儘快找出病 人的患側,至於進一步的應用,例如面關節損傷中非關節囊型病人或其餘除了面 關節損傷以外的頸背痛病人,則將有賴於有興趣的人配合臨床經驗來發掘。 |
英文摘要 | Mobilization techniques become more and morepopular not only for peripheral joints but also torspinal facet joints during the past ten years. Yetwithout exact technique applied on exact problem,it will take much more effort without specific effect.Active movement testing advocated in this articleemploys general evaluation for decreased mobility withspecial consideration on spinal arthrokinematics forspinal facet lesion. For mid cervical unilateral facet lesion, thesubject tends to show limited sidebending & rotationto the opposite side, and swings to the same sideduring forward bending actively. For mid thoracic &mid lumbar unilateral facet lesion, the subject tendsto show limited sidebending to the opposite side &limited rotation to the same side, and swings to thesame side during forward bending. This testing hasproven to increase the efficiency for searching thelesion side as soon as possible. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。