Physical Medicine Rehabilitation

Manual Medicine: Diagnostics by Jiri Dvorak

By Jiri Dvorak

Booklet by means of Dvorak, Jiri, Gilliar, Wolfgang

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Articular fat pads b) _c) Evocation of pain. ,lm x 100 lm) that most often appear singly in the deeper layers of the fibrous joint capsule. These receptors are connected with the articular rami by way of the thickly myelinated nerve fibers. and are found at the end of the ligament or tendon. ,lm) fibers and are connected with the articular branches. Their form resembles the ligamentous receptors of the Golgi's corpuscles, and it is assumed that they have the same function. 5 seconds). - Phasic and reflexogenic effects on neck, limb, jaw, and eye muscles - Transitory inhibition of the nociceptive activity of the joint capsule receptors have an inhibitory reflexogenic effect on motoneurons (Freeman and Wyke, 1967).

89 and 90 in the section "examination"). sides. The Test: The patient is Kleijn and reaction upon head rotation, flexion and exten­ passively rotated to both sides. While the examiner sion. Since it is physiologically normal for blood now eye movements (nystagmus), asked to report to decrease with rotation, it is important to symp­ blood flow arrest in this examination toms. Ultrasound examination: and reaction of the carotid upon compressi examiner. , communications, Noninvasive examination of the carotid and vertebral arteries can be helpful when vertebral basilar pected, with subclavian is sus­ 1 steal hypersensitive carotid sinus possible increased risk of cerebral vascular disease.

1 Macroscopic and microscopic Joint Anatomy Fig. 41 Anatomic arrangement of the sacroiliac joint The SIJs, with their surfaces oriented vertically, are arranged such that they form a certain angle in respect to the sagittal plane (i. , oblique orienta­ tion). In a horizontal plane through the center of the material. Sacral cartilage contains large chondrocytes joint, the distance between either side of the SIJ is grouped in pairs which fill the lacunes. These lacunes smaller anteriorly than posteriorly.

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