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CASE STUDY

근골격계

Transcription:

98 年 不 療 理 98 年 5111 8 1 類 理 療 理 療 1 不 80 1.25 2 不 1 pronation 力 列 C6 C7 C8 T1 2 列 行 rotatory cervical manipulation techniques 行 力 upper limb tension test 拉 distraction test 3 forward head 列 狀 extension 度 flexion 度 scapular adduction 度 midcervical spine 力 林 Spurling s test vertebral artery test 4 upper crossed syndrome 臨 列 tight deep neck flexors tight upper trapezius tight lower trapezius tight serratus anterior 5 廓 thoracic outlet syndrome 療 列 力 練 scalenus 力 練 不 6 力 行 若 療 shoulder girdle depression shoulder abduction elbow extension 行 laterally rotating the arm and supinating the forearm wrist, finger, and thumb extension 行更 度 令 contralateral cervical side flexion 療 列 median nerve ulnar nerve radial nerve long thoracic nerve 7 行 palpation 若 mastoid process transverse process C1 C2 C3 C4 8 chin-tuck 練 列 stretch

8 2 9 close-packed position 10 列 Erb-Duchenne paralysis triceps brachii C8, T1 狀 intrinsic muscles 11 列 裂 multifidus sternocleidomastoid trapezius scalenus 12 0 度 30 度 45 度 90 度 13 flat back 列 hamstrings iliopsoas 力 hamstrings iliopsoas 力 hamstrings 力 iliopsoas hamstrings 力 iliopsoas 14 straight leg raise 拉 hamstring iliopsoas gluteus maximus sciatic nerve femoral nerve 15 列 狀 annulus fibrosus 數 年 狀 nucleus pulposus 連 cartilaginous end plate 了 兩 16 療 spinous process anterior superior iliac spine 拉 17 lateral shift 拉 拉 18 sacroiliac dysfunction 列 leg length discrepancy joint laxity muscle imbalance decreased lordosis

8 3 19 路 立 若 gluteus medius 力 gluteus medius 力 gluteus medius 力 gluteus medius 力 20 20 spinous process step deformity 來 disc herniation 拉 muscle strain dislocation/subluxation of the lumbar facets 滑 spondylolisthesis 21 TA IO 列 TA IO 力 TA IO 連 兩 力 TA IO 連 力 TA IO 連 lateral raphethoracolumbar fascia 22 列 力 力 降 力 力 力 力 力 降 力 力 降 23 iliac crest quadratus lumborum 力 quadratus lumborum quadratus lumborum 力 quadratus lumborum 24 力 力 neurodynamic tests slump test internal rotation external rotation adduction abduction 25 列 sacral sitting hip flexors hip extensors 拉 hip flexors erector spinae hip extensors 拉 erector spinae hip extensors abdominus 26 若 拉 隆 sacrotuberous ligaments 列 nutation counter nutation right rotation left rotation 27 列

8 4 28 度 列 29 狀 deep centralized back pain 罹 列 ankylosing spondylitis sacroiliac disorder vertebral osteomyelitis herniated nucleus pulposus 30 列 女 spinal stenosis ankylosing spondylitis herniated nucleus pulposus osteoporosis 31 iliac crest 度 列 兩 1 2 2 3 3 4 4 5 32 McKenzie dysfunction syndrome 列 度 decreased range of motion referred pain 33 列 不 atraumatic instability 療 療 glenoid labrum 切 34 連 adhesive capsulitis 列 見 muscle guarding 理 35 列 X plain film X-ray 不 異 不 36 了 度 療 列 滑 度 滑 度 滑 度 滑 度 37 列 力 teres minor supraspinatus 75 teres minor subscapularis 38 arm abduction 列 力 humeral head glenoid fossa 力 force couple 便 力 upper trapezius triceps brachii pectoralis major rotator cuff

39 列 不 5111 8 5 40 upper quarter myotome 列 C2 C3 C4 C5 41 bicipital tendinitis 列 烈 drop arm test 裂 隆 greater tubercle 行 deep friction massage 42 兩 不 度 pectoralis major latissimus dorsi pectoralis minor serratus anterior 43 列 cervical compression test Phalen s test carpal tunnel syndrome upper limb tension test 連 Roos test thoracic outlet syndrome 44 列 不 見 不良 forward head round shoulder flattened neck 45 acromioclavicular joint sprain 列 臨 Cross-chest adduction test X > 5mm 46 shoulder arthroplasty 列 律 90 度 立 力 練 度 練 47 impingement syndrome 練 列 48 列 glenohumeral joint close-packed position 49 連 adhesive capsulitis referred pain 見 列 C3 dermatome C6 dermatome C5 dermatome T12 dermatome

8 6 50 列 度 rotator cuff coracoacromial arch 力 力 tensile force 30 度 60 度 90 度 120 度 51 列 不 upward rotation 度不 protraction posterior tipping 度不 elevation 不 52 列 median nerve posterior interosseous nerve 53 de Quervain s 列 54 列 理 ulnar nerve graft musculocutaneous nerve graft 復 primary repair 復 更 protective splint 30-40 度 metacarpophalangeal joint 50-60 度 狀 力 lumbrical plus deformity 55 posterior interosseous nerve 列 musculocutaneous nerve median nerve 56 列 ulnar nerve radial nerve 力 拉力 力 力 57 李 anterior knee pain 不 instability 裂 popping 李 不 列 degenerative tibiofemoral arthritis 度 overuse injury anterior cruciate ligament tear 滑 bursitis 58 C5 C6 C7 C8 59 復 列 不 open-chain 練 60 Escamilla 若 練 knee extension machine 行 open-chain 練 leg-press machine 行 closed-chain 練 vastus medialis oblique 力 練 練 練 不 練 練

8 7 61 anterior cruciate ligament injury 復 列 力 練 vastus medialis oblique hamstrings 62 列 tensor fascia lata gastrocnemius 63 unholy triad 見 contact mechanism 列 不 anterior cruciate ligament medial meniscus 64 來 patella femur 滑 cranial sliding 滑 medial collateral ligament pes anserinus 滑 caudal sliding 不 65 復 列 練 不 行 力 立 練 路 練 練 66 medial meniscus 復 passive manipulative reduction 療 列 knee valgus knee varus knee valgus knee varus 67 列 2 立 immediate swelling inflammatory effusion 滑 bursitis 68 列 裂 meniscal tear 裂 patellar tendon rupture patellar tendinitis anterior cruciate ligament tear 69 類 度 行 acute hemarthrosis 拉 quadriceps strain 0-30 0-60 15-90 0-90

8 8 70 度 力 練 刺 力 練 來 練 異 specificity of training 練 generality of training 練 transfer of training 練 facilitation of training 71 列 anterior cruciate ligament injury strain 60 hamstrings 30 hamstrings 15 行 力 30 15 行 hamstrings 力 30 72 arthrodesis 列 了 力 立 來 73 pes anserinus tendon 度 adduction posterior displacement external rotation 滑 downward glide 74 立 subtalar neutral position inversion eversion 度 1 : 2 1 : 3 2 : 1 3 : 1 75 列 medial longitudinal arch anterior talofibular ligament calcaneofibular ligament 76 列 extensor hallucis longus spring ligament deltoid ligament L3 L4 L4 L5 L5 S1 S1 S2 77 列 量 10 度 度 力 練 練 量 了 練 不 78 列 Panner s disease osteochondrosis dissecans capitulum 不 年 10 易 avascular necrosis 79 reflex sympathetic dystrophy 列 療 不 80 理 療 relaxation 拉 tense muscle concentration on relaxation 刺 TENS breathing muscle contraction