Cervical spondylosis of the physical examination

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Cervical spondylosis of the main physical examination are as follows: JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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(1) point tenderness. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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① tenderness between the spinous process: that is, under the spinous process between depression Department tenderness. This close to the positioning of cervical disease, particularly early point the location of tenderness, to live with the involvement of vertebral line, due to the late calcification of ligaments around the joint cage, without a significant spur. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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② paraspinal tenderness: that is, in a spinous process on both sides of 1.0 cm, 1.5 cm tenderness. Check along the spinous process on both sides of a top-down, from within and outside the order. Paraspinal tenderness points more common in the lower cervical transverse and paragraphs 1, 2 cervical side, basically along the trapezius course, usually reflect the spinal nerve involvement. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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③ other parts of the tenderness: tenderness near the shoulder, said shoulder involvement; supraclavicular fossa of tenderness, more common in the former Xie Jiaoji syndrome; papilla and the axis between the spinous process tenderness, and more prompt greater occipital nerve involvement . JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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(2) cervical ∩ inspection activities through the neck flexion, extension, rotation and Cequ activities, with Liang Jiaoqi measurement, in accordance with the normal scope of activities, determine whether the activities are limited. General nerve root, neck-cervical spondylosis of cervical flexion and extension activities and spin-restricted. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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(3) the special test cervical check. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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① Rotary neck flexion test: let patients with head and neck flexion, and then the left and right direction of rotation, cervical If there is a positive pain. Positive results in general have prompted cervical facet degeneration. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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② intervertebral foramen squeeze test and intervertebral foramen separation test: Squeeze intervertebral foramen test, also known as the first test pressure. For the specific methods of operation, let patients with head tilted to the side, check to his left palm down flat on the head with the top of the right hand gently Kouji Woquan left hand back to force down transmission. If nerve root injury, will be because of the narrow hole between a limb and radiation feel pain or numbness, namely Yang intervertebral foramen for the separation test, also known as eagerly test. In contrast with the intervertebral foramen squeeze test suspected nerve root pain, allowing patients Duanzuo to check who were handed Tuozhu its mandible, and chest or the abdomen withstood its occipital, cervical traction gradually upward, to gradually expand the cage Hole. As plastic numbness, pain or relieve the symptoms of the neck appeared relaxed  of vermiculite. Cervical nerve root of the two patients were generally positive. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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③ brachial plexus traction test: The patient sitting, flexion and head slightly to contralateral (asymptomatic side of the neck), who in an inspection side, arrived in Jingce hand at the top, and push the healthy side, the other First-hand grasp of the wrist to lead the opposite direction, such as numbness or Fangshe Tong patients, compared with positive, indicated that a nerve root of the possibility of cervical disease. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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④ Rotary neck test: also known as the vertebral artery distorted test, mainly used for state judge vertebral artery. For the specific methods of operation, with his head slightly to Yang, for the left, to the D-neck action, such as a vertigo, such as vertebral - basilar artery insufficiency of blood supply, which is the positive test patients sometimes can cause vomiting or damping-off, Therefore, checks should be closely observed to prevent accidents. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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(4) muscle tension and muscle strength check. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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① muscle tension: is the muscle relaxant at the movement of passive resistance encountered by. Cervical muscle tension in the inspection, the main test and upper limbs falling Shen cited test. Check when the former patients supine, Bimu, who held up a check after the sudden opening up limbs, muscle tension to catch high-speed slow, decreased muscle tension while fast. Check the latter when patients Bimu, arms Ping Shen. A pyramidal tension or spasm of small Wu Daozheng, forearm growing internal rotation; Cone, tonic, limb to offset the center line; cerebellum disease patients, the outward migration; Qingtan, limb gradually sinking ; Serious deep feeling of disorder, wiggle fingers were involuntary. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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② strength: As patients with cervical nerve root or spinal cord damage in varying degrees, can cause deltoid, biceps, triceps and hands, and other small muscle atrophy or reduced muscle strength, weakness. In addition, cervical spondylosis if long-term neck muscle spasm, restricted activities, but also to a certain extent, affected the neck muscles, such as the sternocleidomastoid, trapezius and other forces. Therefore, patients with cervical muscle strength for this inspection is quite meaningless. Strength is commonly used manual methods. The method in clinical application is more convenient. Its determination divided into six, including five full resistance to the resistance of the entire scope of activities of joint movement; four for the resistance of the resistance of the entire scope of activities of joint movement; three in order to resist gravity of the entire scope of activities of joint movement; two Can not resist the gravity of the entire scope of activities of joint movement; a mild muscle contraction; 0 for muscle contraction. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
(5) reflection and pathological examination reflection. Reflection »as including biceps reflection, reflection triceps muscle reflex, such as brachial radius. Common pathology reflection check Hoffman levy, fortune chin reflection, Babinski levy, and so on. These pathological reflection, are the top after the damage to neurons in segmental hyperreflexia, and even that has been inhibiting reproduction arising from the reflection. Pathological examination in reflection, attention should be paid to observe the deep and shallow reflection at the same time whether there are abnormal, Hoffman levy, to the attention of a few normal people can also be a positive, positive or only apparent asymmetry on both sides when they have clinical significance. JXX the disease, the most comprehensive disease database, the latest health information platform, worried about the health of your friends!
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