關於同學問的pendulum test
下面描述的是spasticity(hypertone)在此test的表現,此test主要是看spaticity的。
Pendulum Test (Wartenberg, 1951):
Patient lies supine or can sit with the knee flexed.
The clinician then extends the knee and releases the foot,
allowing the leg to swing.
In a normal healthy joint it will swing about six times,
but in the presence of spasticity the number of swings is
reduced in accordance with the velocity dependence.
(出處:GR Johnson. Outcome measures of spasticity.
Eur J Neurol. 2002;9 Suppl 1:10-6; dicussion 53-61. Review)
至於Hypotonia(flaccidity):
A reduced resistance to passive movement, so that the distal portion of
the limb is easily waved to and fro when the expremity is passively shaken.
(出處: MJ Aminoff, DA Greenberg, RP Simon. Clinical Neurology. 6th ed.)
根據上述解釋,如果講義上說pendulum test positive表示hypotonicity,
那麼此test positive的意思應該是表示小腿swing > 6次。
宜君
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豈會因為我跌跌爬爬 顛跛而行
這就不是一條正路呢
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※ 編輯: smallchiou 來自: 140.112.116.136 (06/06 12:19)
※ 編輯: smallchiou 來自: 140.112.116.136 (06/06 12:19)
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