ケンプ テスト
Bow stringテスト SLRテストの疑陽性を除外するときにブラガードテストとともに用います。 やり方 SLRテストを行い、下肢に疼痛が誘発された角度において膝関節を約20度屈曲します。 足部は術者の肩に乗せて、再び疼痛が誘発される角度まで挙上します。
図3 kempテスト 10)より画像引用 つまり、腰椎椎間板ヘルニア患者のkempテスト陽性例では、ヘルニアの後方突出による神経症状の誘発だけではなく、脊柱管および椎間孔狭窄に伴う神経根絞扼症状の存在も考慮する必要があります。
The Kemp test (also known as the quadrant test and extension-rotation test) is a provocative test useful for diagnosing pain related to facet joint pathology, e.g. osteoarthritis.. The client performs combined extension and rotation of the spine (used for the cervical spine or the lumbar spine).; The test is considered positive when the patient reports pain, numbness or tingling in the area
Kemp's Test is a common orthopedic test to assess neurogenic claudication due to lumbar spinal stenosis as well as facet joint irritation. In lumbar spinal stenosis, the intervertebral foramen narrows due to degenerative changes in lumbar spine anatomy. Symptoms are usually pooled under the term neurogenic claudication.
The literature supporting the use of the Kemp's test to diagnose facet joint pain is limited and generally indicates that the test has poor diagnostic accuracy. There is preliminary evidence that a negative test result, either in isolation or as part of a clinical prediction rule, may have some clinical value in eliminating the facet joint as
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