Miller Kenneth Jeffrey
Chairperson, Department of Clinical Sciences, Cleveland Chiropractic College, Kansas City, MO 64131.
J Chiropr Med. 2007 Jun;6(2):75-82. doi: 10.1016/j.jcme.2007.04.001.
The purpose is to describe active and passive physical maneuvers that provoke or alleviate lumbosacral radiculopathy and/or sciatica to demonstrate how these maneuvers function in common orthopedic and neurological tests/signs.
Descriptions of the maneuvers and their countermaneuvers are provided to establish an understanding of their mechanisms and influence on lumbosacral nerve roots and the sciatic nerve. Common tests and signs for lower extremity radiculopathy and sciatica are described to demonstrate the clinical application of the maneuvers. Combinations of common tests are also offered to improve examination efficiency.
Understanding how each maneuver contributes individually or in combination with standard tests will enhance the reader's examination skills.
Improved examination skills lead to improved diagnosis and differential diagnosis of lower extremity radiculopathy and sciatica.
描述引发或缓解腰骶神经根病和/或坐骨神经痛的主动和被动物理手法，以展示这些手法在常见骨科和神经学检查/体征中的作用方式。
提供手法及其对抗手法的描述，以帮助理解其机制以及对腰骶神经根和坐骨神经的影响。描述了下肢神经根病和坐骨神经痛的常见检查和体征，以展示这些手法的临床应用。还提供了常见检查的组合方式，以提高检查效率。
了解每种手法单独或与标准检查结合的作用，将提高读者的检查技能。
提高检查技能有助于改善下肢神经根病和坐骨神经痛的诊断及鉴别诊断。
