意大利整骨Cervical spine中英文.ppt

MOBILITY TEST移动性测试 PRACTICE练习 -POSTERIORITY WHERE R ≠ S 向后 其中旋转和侧屈方向不一致R ≠ S -ANTERIORITY WHERE R = S 向前 其中旋转和侧屈方向一致R = S * TEST OF MOBILITY C0 - occiput with seated patient枕骨的移动性测试-患者坐位 We must position with both thumbs as close as possible to the occipital condyles; the rest of the hand must not cover the ear canal, while the arms slightly compress the shoulders to eliminate the lower tensions and can perform the test in traction upwards. 我们需将两个拇指尽可能地触及枕骨突起；手的其他部分不要盖住耳朵，双手轻轻地挤压患者的肩部来降低下方的张力，然后向上牵拉来进行测试 * You can also make the tests of mobility in flexion-extension, rotation and lateral translation, placing two fingers (thumb and index) on the condyles with support always on vertex to reduce muscle and ligament tension. 可以在屈曲-伸展、旋转和侧移时进行此移动性测试，两个手指（拇指和食指）置于骨突处给予垂直向的支撑以减少肌肉和韧带的张力 We are going to evaluate the spacing C0-C1 and if the movements are fluid. 我们是评估寰椎关节的空间，且看看其运动是否顺畅 * Similarly placing three fingers on C0 and the spinous processes of C1 and C2 and inducing rotations will highlight any deflection of one or more segments. 轻轻地将3个手指置于枕骨、寰椎及枢椎的棘突，产生的旋转运动会造成一个或者几个阶段的偏移 * TEST OF MOBILITY C0 – occiput with supine patient枕骨移动性测试-患者仰卧位 1-)Move to extension to test the anteriority and to flexion to test a posteriority; the middle finger close to the occipital condyles, thumb and index include the mastoid; 伸展时测试向前，屈曲时测试向后；中指紧贴枕骨突起，拇指及食指置于乳突 2-) test in rotation right and left; 左旋及右旋中进行测试 3-) test in lateral tilt 侧屈中进行测试 Patient keeps his mouth slightly open and eyes closed. 患者保持嘴轻微张开，眼睛关闭 * OCCIPUT REAR RIGHT 枕骨后右 - Pz supine with his head on the edge of the table, to respect the physiological extension of the cervical spine; 患者仰卧，头置于床缘，利于颈椎的生理伸展 - contact the condyle dorsally with the metacarpophalangeal joint of the index; 用食指的掌指关节在后方接触枕骨骨突 - Maintaining the extension, support the head by placing your hand on chin; 保持伸展，手托住下巴来支撑患者的头部 - Mixing the barrier always with a rotation of about 45 ° / 50 ° and a side tilt of about 20 °; 达到障碍点时同时旋转大约45-50度，侧屈大约20度 *