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Cervicle disorders - symptoms
- discogenic pain without nerve root involvement typically is vague, diffuse
and distributed axially.
- pain referred from disc to upper limb is usually nondermatomal
- radicular pain occurs through chemical radiculitis where proteoglycan and
phospholipase released from nucleus pulposus mediate chemical inflammation
and direct nerve root compression.
- patients with radicular pain also displays decreased cervicle ROM
- abduction sign
Cervicle spondylosis (OA)
- develops at multiple interspaces
- spinal canal stenosis, foraminal stenosis
Cervicle facet syndrome
- axial cervicle pain
- tenderness to palpation; unilateral, dull, aching neck pain in the post.
neck
- absent neurological abnormalities
評估TMD患者時，常測量病人嘴巴及下顎之主動運動。請問包括哪些運動？
- opening, closing, protrusion, retraction and lateral displacement
針對TMD患者接受手術治療，物理治療何時介入較為恰當？物理治療目的為何？
- intervention could begin right after surgery
- acute stage: decrease edema, reflex guarding and gain circulation
- subacute stage: decrease musculoskeletal pain and gain TMJ function
良好之站姿和坐姿中，理想之骨盆傾斜角度是否相同？站姿時理想之骨盆傾斜角度大約
幾度？
- yes, the same
- 20 - 34 degree of inclination
評估TMD患者，哪些部位須從口腔內palpate？外耳道內可palpate TMJ的哪一部位？
- temporalis and pterygoid muscles
- dorsal side of capsule
請說明sway-back posture alignment與flat back posture alignment相似及相異之處
- similarities: FHP, C-spine extended, lumbar flexion, pelvis post. tilt,
hip and knee hyperextension
- differences: thoracic spine and ankle joint
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06/20 13:37, , 1F
06/20 13:37, 1F