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TMJ-C-T - Coggle Diagram

- - - - 通常為肩膀
    - - 頸椎/ 神經性
    - - C5& C6
    - - C8
    - - subacromial/ GH
  - - - Disc
        
        Sinuvertebral nerve
        
        Somatic nervous system
        (vertebral nerve, ventral ramus)
        
        ANS
      - Facet
        
        vertebral nerve, dorsal rami
        
        Medial branch
    - - SH
        
        Suprascapular nerve
        
        axillary nerve
  - - - Shoulder abduction test
        
        高 spe
        低 sen
      - Spurling test
      - DTR up
        
        C5-6: biceps, brachioradialis
        C7---Triceps
      - Dermatone+ myotone
      - Arm squeese test
        
        sen: 0.96
        spe: 0.90
        
        治療師站在個案後側，先在上臂中段給予三次中度擠壓，再在AC jts& subacromial施以相同力度。
        ＋：上臂中段相比起AC jts and subacromial疼痛增加超過三分以上
    - - Hoffman's sign
        
        個案forearm pronation,
        從手背測快速下壓，看手指頭會部會被彎曲
        ＋：會
        
        ULMN: L/E weakness and stiffness
        LNML: U/E strength decrease, finger atrophy, fine motor difficulty
      - UMN--hyperreflexia
      - Finger escape sign
        
        forearm pronation下, 5st finger內收不足夠
  - - - Speed test
        Yergason test
        Crank test
        
        但有low
        speciticity& low sensitivity
      - Passive distraction test
        
        53% sen
        80% spe
        
        Then elevate the affected arm to 150° in the coronal plane with the elbow in extension and the forearm in supination and the upper arm stabilized to prevent humeral rotation. Then gently pronate the forearm.
  - - - lateral glide
      - Transverse glide
      - AP glide
    - - safety test
        
        Anterior shear test, sharp purser test
        
        VBI test
- - - - 用手指戴手套督進去
- - - - 摸相鄰兩節SP
    - - 摸單節SP
    - - Upper T之TP應該遠離手指
  - - - 先用gross motor去看