spine mobility

Spinal activity is a preliminary examination of the activity of the spine for the prevention and timely treatment of spinal lesions. Check the relaxed mood, follow the doctor's instructions to check, and if there is any abnormal reaction. The patient takes a sitting position or standing position, the head is in the middle, and the two eyes are looking straight ahead. Basic Information Specialist classification: growth and development check classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The spine is normal and there are no other reactions such as pain. Positive: There is an abnormal pain feeling, and further examination and diagnosis is recommended. Tips: Check your relaxation and follow the doctor's instructions to check if there is any abnormal reaction. Normal value The cervical vertebrae and lumbar vertebrae have the largest range of motion; the thoracic vertebrae have a smaller range of motion; the atlas vertebrae have merged into a bone mass and have almost no activity; the tail vertebrae are fixed and inactive. Clinical significance Abnormal results: Limited spinal activity (1) soft tissue injury: such as muscle fibrosis, ligament strain. (2) bone hyperplasia: such as hypertrophic arthritis of the neck and lumbar vertebrae. (3) Bone destruction: found in spinal tuberculosis or tumors. (4) Spinal fracture or trauma: Avoid spinal movement during examination to avoid damage to the spinal cord. (5) Disc herniation: mainly occurs in the lumbar region. People who need to be examined: people with abnormal pain at the waist. Positive results may be diseases: lumbar disc herniation, pediatric spina bifida, thoracic disc herniation Taboo before inspection: no special contraindications. Requirements for inspection: Check the relaxed mood, follow the doctor's instructions to check, and if there is any abnormal reaction. Inspection process The patient takes a sitting position or standing position, the head is in the middle, and the two eyes are looking straight ahead. Check the following actions in order: (1) Flexion: The examiner estimates the mobility of the cervical vertebrae by using the ankle to touch the chest, and the normal cervical vertebrae can be flexed by about 45 degrees, which is the degree of active activity of the patient. (2) Stretching: The examiner licks the patient as far as possible and can stretch about 45 degrees after normal operation. (3) Lateral flexion: The patient touches the right shoulder with the right ear and the left shoulder touches the left shoulder. The distance from the normal two ears to the ipsilateral shoulder is equal, and the lateral flexion is about 45 degrees. Pay attention to the height of the shoulders in advance, and the shoulders should not be lifted during the movement. (4) Rotation: 嘱 The examinee uses the ankle to contact the left and right shoulders separately, but cannot raise the shoulder to touch the ankle. The normal rotation is about 60 to 80 degrees on each side. Not suitable for the crowd Patients with lumbar fractures are not suitable for this examination. Adverse reactions and risks Nothing.

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