上肢神经损伤与神经受压的评估

Evaluation of nerve injury and nerve compression in the upper quadrant.

作者信息

Novak Christine B, Mackinnon Susan E

机构信息

Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

出版信息

J Hand Ther. 2005 Apr-Jun;18(2):230-40. doi: 10.1197/j.jht.2005.02.002.

DOI:10.1197/j.jht.2005.02.002

PMID:15891981

Abstract

Evaluation of the patient with nerve compression and/or nerve injury should include a complete motor and sensory evaluation to establish the level and degree of injury and/or compression. No one test has been accepted as the standard procedure for the evaluation of sensibility. The various sensory tests available for patient assessment will yield different information regarding the integrity of the quickly and slowly adapting sensory receptors. Tests such as provocative maneuvers and sensory thresholds (cutaneous and vibration) will be more sensitive in the evaluation of patients with nerve compression, and other discriminatory measures will yield better functional information in patients with nerve injury.

摘要

对患有神经压迫和/或神经损伤的患者进行评估时，应包括全面的运动和感觉评估，以确定损伤和/或压迫的水平及程度。目前尚无一种测试被公认为评估感觉功能的标准程序。可用于患者评估的各种感觉测试，会就快速适应和缓慢适应感觉受体的完整性产生不同信息。诸如激发性动作和感觉阈值（皮肤感觉和振动觉）等测试，在评估神经压迫患者时会更敏感，而其他鉴别性措施则会在神经损伤患者中产生更好的功能信息。