從脊關節運動學看主動動作檢查－整脊治療前的一個評估工具

Active Movement Testing Based on Spinal Arthrokinematics－A Tool for Evaluation Prior to Mobilization Therapy

陳文玲(Wen-Lin Chen)

《物理治療學會雜誌》 12卷 (1987/11) Pp. 46-52

https://doi.org/10.29617/JPT.198711.0008

摘要

本篇文章針對脊椎面關節損傷的病人，運用一般評估活動度的觀念，再加上以脊關節動學爲基礎的特別想法，而提出主動動作檢查，以期能成功地掌握病人的問題，且達到專一的治療效果。對於中段頸椎單側面關節損傷的病人而言，其側彎與轉支向對側的動作之活動度均會減少，而做前彎動作時則會有偏擺到同側的現象。對於中段胸椎或中段腰椎單側面關節損傷的病人而言，其側彎向對側與轉動向同側的動作之活動度均會減少，而做前彎動作時則會有偏擺到同側的現象。對於中段胸椎或中段腰椎單側面關節損傷的病人而言，其側彎向對側與轉動向同側的動作之活動度均會減少，而做前彎動作時則會有偏擺到同側的現象。以上是主動動作檢查在臨床上的初步應用，其功效是有助於儘快找出病人的患側，至於進一步的應用，例如面關節損傷中非關節囊型病人或其餘除了面關節損傷以外的頸背痛病人，則獎有賴於有興趣的人配合臨床經驗來發掘。

並列摘要

Mobilization techniques become more and more popular not only for peripheral joints but also for spinal facet joints during the past ten years. Yet without exact technique applied on exact problem, it will take much more effort without specific effect. Active movement testing advocated in this article employs general evaluation for decreased mobility with special consideration on spinal arthrokinematics for spinal facet lesion.
For mid cervical unilateral facet lesion, the subject tends to show limited sidebending & rotation to the opposite side, and swings to the same side during forward bending actively. For mid thoracic & mid lumbar unilateral facet lesion, the subject tends to show limited sidebending to the opposite side & limited rotation to the same side, and swings to the same side during forward bending. This testing has proven to increase the efficiency for searching the lesion side as soon as possible.

並列關鍵字

Mobilization ； Spinal arthrokinematics ； Spinal evaluation