下腰痛课件PPT

1、soreha educationexamination block 小关节错位a. inspection in rest and motion 在静止和运动的状态下检查soreha educationexamination block 小关节错位active and passive motion主动和被动活动hyperflexion (finger to the floor)hyperextensionlateral flexionResults (examples) 结果treatment 治疗 hypermobile 活动度过大 stabilization 稳定性训练 hypomobile

2、 活动度不足stretching, decrease muscle tonus, mobilization 拉伸，减少肌肉张力soreha educationexamination blockpalpation (in motion)触诊（运动中）Results (examples) 结果treatment 治疗 pain疼痛3-D-traction 三维拉伸 hypomobile 活动度不足mobilization 关节松解palpation of combined movements结合运动的触诊soreha educationexamination blockpalpation (in

3、rest)触诊（静止状态）Results (examples)结果treatment治疗 pain 疼痛traction 拉伸posture 调整姿态(decrease lordosis) pain rosette: provoking pain by initiating spine contact疼痛范围：触及某椎骨时出现明显疼痛soreha educationexamination blockjoint play (example)关节间隙活动fix upper spine,move lower spine固定上部椎骨，活动下部椎骨Results (examples) 结果treatme

4、nt 治疗 hypermobile 活动度过大 stabilization 增强稳定 hypomobile 活动度不足traction, mobilization 拉伸，关键松动soreha educationexamination blocklisthesis test椎骨前移测试fix upper spine,move lower spine backwards固定上部椎骨，移动下部椎骨向后Results (examples) 结果treatment 治疗 hypermobile, 1cm = Listhesis! stabilization, abdominal training 活动度

5、 1cm = 椎骨前移！ 稳定训练，腹肌练习 soreha educationexamination blockjoint play (example)关节间隙活动sacroiliac joint blockLeft: normalRight: blockade on right side骶髂关节错位左图：正常右图：右侧错位Results (examples) 结果treatment 治疗 hypermobile 活动度过大 brace support, taping, bandage护腰，支持带，绷带 hypomobile 活动度不足traction, mobilization 拉伸，关节松

6、解soreha educationexamination blockmuscle tests肌肉测试example: m. Iliopsoas(flexor of hip) 髂腰肌 （髋关节屈）Results (examples) 结果treatment 治疗 too long 过长 strengthening, stabilizing 力量，稳定训练 too short 过短stretching 拉伸(Influencing pelvic position影响骨盆位置) soreha educationexamination blockSkin皮肤skin inspection (low b

7、ack area)观察皮肤观察皮肤 （下腰部）（下腰部） - affection in surface, structure, color ?- 表皮，皮肤组织，颜色是否异常？- consistency (swelling, temperature .)- 皮肤触摸的感觉（肿胀，温度）inflammation signs 炎症的表现from 5 point examination scheme3/5: orthopedic neurologic tests骨科神经测试low back下腰背-Lasegue, Bragard拉赛格症，拉赛格症， 布拉加德症布拉加德症-segment muscles肌肉结段-reflex situation反射状况-sensitive disturbances有神经症状soreha educationNeuromuscular testing:神经肌肉测试神经