脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理-002

脊柱與四肢,神經(jīng)反射檢查脊柱與四肢,神經(jīng)反射檢查1要求1、熟悉脊柱、四肢的檢査方法及病理改變的臨床意義掌握神經(jīng)反射的檢查方法及臨床意義要求2脊柱(Spine)脊柱是支持體重,保持正常的立位及坐位姿勢的重要支柱。脊柱的椎管可容納并保護脊髓。脊柱的病變主要表現(xiàn)為疼痛、姿勢或形態(tài)異常以及活動度受限等,檢査時應(yīng)注意其彎曲度、有無畸形、活動度是否受限有無壓痛及叩擊痛。脊柱(Spine)3脊柱彎曲度(一)生理彎曲度立位:側(cè)面觀察四個彎曲,似“S”生理彎曲背后觀察:無側(cè)彎方法:患者立位或坐位,檢查者用手指沿脊椎的棘突尖以適當(dāng)?shù)膲毫纳贤聞潐?劃壓后皮膚出現(xiàn)一條紅色充血線,以此線為標(biāo)準(zhǔn),觀察脊柱有無側(cè)彎。正常人無側(cè)彎脊柱彎曲度4生理彎曲度檢查方法用手指沿脊柱棘突從上向下劃壓生理彎曲度檢查方法5脊柱的解剖結(jié)構(gòu)(Anatomyofspine)脊柱的解剖結(jié)構(gòu)(Anatomyofspine)6脊柱彎曲度(二)病理性變形1.脊柱后凸:脊柱過度后彎稱為脊柱后凸(kyphosis),也稱為駝背(gbus)脊柱后凸多發(fā)生于胸段脊柱。脊柱后凸時前胸凹陷,頭頸部前傾。脊柱彎曲度7脊柱后凸脊柱后凸8GibbusGibbus9脊柱彎曲度脊柱后凸常見原因佝僂病:多在小兒或兒童期發(fā)病,坐位時胸段呈明顯均勻性向后彎曲,仰臥位時彎曲可消失結(jié)核病:青少年發(fā)病多,常見部位為胸椎下段,由于椎體被破壞、壓縮,棘突明顯向后突出,形成特征性的成角畸形。常伴有全身其它臟器的結(jié)核病變?nèi)绶谓Y(jié)核、腸結(jié)核、淋巴結(jié)核。脊柱彎曲度10脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00211脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00212脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00213脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00214脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00215脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00216脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00217脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00218脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00219脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00220脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00221脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00222脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00223脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00224脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00225脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00226脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00227脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00228脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00229脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00230脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00231脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00232脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00233脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00234脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00235脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00236脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00237脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00238脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00239脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00240脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00241脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00242脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00243脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00244脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00245脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00246脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00247脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00248脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00249脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00250脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00251脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00252脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00253脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00254脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00255脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00256脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00257脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00258脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00259脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00260脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00261脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00262脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00263脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00264脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00265脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00266脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00267脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00268脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00269脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00270脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00271脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00272脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00273脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00274脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00275脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00276脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00277脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00278脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00279脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00280脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00281脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00282脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00283脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00284脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00285脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00286脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00287脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00288脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00289脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00290脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00291脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00292脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00293脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00294脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00295脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00296脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00297脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00298脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_00299脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002100脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002101脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002102脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002103脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002104脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002105脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002106脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002107脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002108脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002109脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002110脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002111脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002112脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002113脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002114脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002115脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002116脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002117脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002118脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002119脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002120脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002121脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002122脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002123脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002124脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002125脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002126脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002127脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002128脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002129脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002130脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002131脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002132脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002133脊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3脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002264脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002265脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002266脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002267脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002268脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002269脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002270脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002271脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002272脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002273脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002274脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002275脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002276脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002277脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002278脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002279脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002280脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002281脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002282脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002283脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002284脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002285脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002286脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002287脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002288脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002289脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002290脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002291脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002292脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002293脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002294脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002295脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002296脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002297脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002298脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002299脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002300脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002301脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002302脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002303脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002304脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002305脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002306脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002307脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002308脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002309脊椎四肢神經(jīng)系統(tǒng)反射檢查課件整理_002