神经系统检查课件.ppt

文档介绍：神经系统检查
Neurological Assessment
主讲人
董璐
Glossary
palpable
contraction
proprioceptive
cognitive
ataxia
ipsilateral
需要的器具
大头针
棉签
检眼镜
叩诊锤
128 Hz音叉
笔式电筒
压舌板
Six Parts of Neuro Exam
Mental State
Cognitive Function
Cranial Nerves
Motor System
Sensory System
Reflexes
MOTOR SYSTEM - Motor Function
Voluntary movement
Muscle power 肌力
Muscle Tone 肌张力
Muscle Bulk 肌
Involuntary movement
Voluntary movement - Muscle power (肌力)
Classic grading scores
0 no contraction
palpable contraction; little visible
horizontally along bed surface
against gravity only;
against gravity & resistance;
full strength
Classification
单瘫:一侧肢体
偏瘫:一侧肢体;同侧中枢性面瘫及舌瘫
截瘫:双下肢
交叉瘫:同侧周围性脑神经麻痹;对侧肢体中枢性偏瘫
Muscle Tone
Decreased
Floppy
id
Hypotonic 张力减退
Normal
Increased
Spastic 痉挛的
Rigid
Voluntary movement
Muscle Bulk
Atrophy 萎缩
Fasciculation
肌束颤动
Involuntary movement
hand tremor
resting
senile
ic
postural
Tetany
录像
不自主运动
患者的姿势
是否有肌肉萎缩
步态
肌张力
嘱患者放松
伸、屈患者的腕、肘、肩关节
伸、屈患者的膝、踝关节