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Mike Chu 南京中医药大学 江苏省中医院. Manual Therapy Techniques. 好的治疗就是一碗汤. SOAP. 如何了解腰痛. Body Chart S.A.N.D. P+N. C/O§S/E. Main problem 对你将面对的问题进行有效的排序. Behaviour of symptoms. Aggravate Walk 15 mins→pain↑ continue walk ↑ pain Sit on low chair for 15—20mins Squatting Eases Rest Movement
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Mike Chu南京中医药大学江苏省中医院 Manual Therapy Techniques
好的治疗就是一碗汤 • SOAP
如何了解腰痛 • Body Chart • S.A.N.D. • P+N
C/O§S/E • Main problem 对你将面对的问题进行有效的排序
Behaviour of symptoms • Aggravate Walk 15 mins→pain↑ continue walk ↑ pain Sit on low chair for 15—20mins Squatting • Eases Rest Movement Hot shower 24 hours pattern(a.m d.d p.m night)
Special Questions • G.H.-(DM,IHD,TB,Major surgery,non smoker) • Wt.Loss • XR_2/12 ago, show arthritis • Med.-Brufen 2/12 ago for 1/12 ,does not help
Present Hx • Gradual worsen of groin pain over 2-3/12,pain worsens that affect ADL,such as shopping.Over last mon,groin pain and noticed onset of p(2)and p(3)
Past Hx • 你在这里找到你的救命稻草
Social Hx • 职业 • 家庭角色 • 居住环境
O/E bilateral • Observation 1.Stand 2.Gait • Fouctional movement Unable to squat • PROM(VAS , angle) bilateral • A ROM(VAS , angle) bilateral • MMT
O/E • Accessory moverment • Thomas test • Palpation
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Effect of Trigger Point Release on Neural Pathways Adapted from Simons, Travell, and Simons 1999.
Grades of Movement in a Normal and a Restricted Joint Adapted by permission from G. Maitland 1991.
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