特殊检查法（Special inspection method）.docVIP

特殊检查法（Special inspection method） Special inspection method - neck (1) separation test: the examiner holds the lower part of the patients hand, the other hand holds the pillow, and then gradually upward traction head, such as patients feel neck and upper limb pain relief, that is positive. This test can open the narrow intervertebral foramen, reduce the pressure of the articular capsule around the facet joint, relieve the muscle spasm, reduce the compression and stimulation of the nerve root, and relieve the pain. (2) cervical intervertebral foramen extrusiontest: patient seat, check the fingers of both hands each other clamping buckle, the palm surface pressure in patients with head to the ipsilateral or contralateral cervical flexion, flexion and extension can also, if the neck or upper limb pain worse, which is positive. More common in nerve root type of cervical spondylosis or cervical disc herniation. The test is to narrow the intervertebral foramen and thereby aggravate the stimulation of the cervical nerve root, resulting in pain or radiation pain. (3) brachial plexus traction test: patient seat, head slightly bent, check the patients who stand by check side, hand push to the right side, while the other side of the hand wrist relative traction, the stretching of the brachial plexus, if limb pain, numbness, is positive. Be more common in nerve root type of cervical spondylosis patients. Lumbar back (1) SLRT: patient supine, two straight leg closer examination for patients with a hand holding the ankle, knee to keep the legs straight, gradually raise the patients with lower extremity, normal can raise 70 degrees - 90 degrees without any discomfort; if less than the angle of the lower extremity pain sense conduction or numbness is positive. More common in sciatica and lumbar disc herniation patients. If the patients with lower extremity straight leg raising to produce pain level, check with a hand fixed the lower limb keep knee unbend, another hand stretched ankl