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Rehabilitation Practice and Science

Translated Title

上頸椎病變分析研究

Abstract

Neck pain is the most clinical complain in PM&R out patient department. In spite of , the upper cervical is rare. But the lesion is variety and dangerous.The upper cervical lesion, non-pathologic lesion is always obviously traumatic history. But pathologic lesion has not obviously traumatic history that the diagnosis is often delayed. This study was carried out on 68 cases (age 3-76, M/F 51/17) who took CT or MRI at TAICHUNG VETERAN GENERAL HOSPITAL from SEP. 1983 to NOV. 1991. These cases consisted 51 male, 17 female. According to the final results, non-pathologic change 9/68 pathologic 59/68. There were three causes distribution of the non-pathologic change 9/68 pathologic 59/68. There were Three causes distribution of the non-pathologic change, traffic adccident 41/59 falling down 13/59, others 5/59. Analysis of the total numbers from the delayed time of diagnesis. There were pathologic change 0.8 month, non-pathologic change 6.7 months. obvious traumatic history 8.2 months. in the clinical symtoms, include headache 22/68 (34.2%), neck pain 68/68 (100.0%), radiation pain 16/68 (23.6%), cord compression 16/68 (7.9%). In the series of the study of the upper cervical lesion, there were two method of physical examination that could exactly find out some problems before image study. The first method is Fryette's three principle described the spinal movements of three dimension. The second method is end feel of joint ROM. We concluded the detailed history, physical examination and image study. That will be early disgnosis lead to better prognosis.

Language

Traditional Chinese

First Page

27

Last Page

31

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