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patologies[1]

patologies[1]

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CLINICAL PATTERNS: Cervicogenic headache
ש"ועב היצקנופסיד עקר לע שאר באכ-) ןוילע יראווצC1-3תויהל לוכי באכה.(רוזאהמ ןירקמ ,ידדצ וד וא ידדצ דחהsuboccipitalרקיעב ,שארה ראשל -ה םירוזאלfrontal-, temporal,-וretro-orbital.םה םיירקיעה םיברועמה םינבמה-facet jointsםידיגו םירירש ,םיבצע ,תועוצר,.ןוילעה ראווצבבאכ תמצועו ,ינדרוטו םומע ,קומע באכה-.םישנ לצא רתוי ץופנ .הנתשמ עקרה
DISODE
Behavior
:םירימחמ םימרוג.שוטיעו לועיש ,האירקו הגיהנ ןוגכ ראווצב םיכשוממ םיחנמו תויראווצ תועונת.םימוטפמיס ררועת ראווצה לש יטמוטפמיסה דצב שיגרה רוזאה לע ץחל:םילקמ םימרוגלבא הלחתהב םירזוע םיבאכ יככשמ ,חרק ,החונת ייוניש ,הביכשב החונמ.םיליעי אל רבכ םה ,םיינורכל םיכפוה שארה יבאכ רשאכ
אוצמל חיכשtrigger pointsירירשב ,ראווצה לש םייתביציה םירירשב םייביטקאירשפא .שלחנ יליטקרטנוקה םחוכו רצקתמ םירירשה ךרוא .םייפתכה ירירשבו הסיעלה.םייתשוחת םייוניש אוצמל
הייאר ,תורוחרחס ,תואקה ,תוליחב ,הסיעלו העילב יישקב הוולמ תויהל יושע שארה באכ.דצה ותואב ףתכ /ראווצב לפרועמ באכו זוכיר תויעב ,תלפרועמ
SUBJECTIVE CHAACTEISTICS
24
 
-
 
hour pattern
 
לפוטמה רשאכ עיפוהל לוכי באכה ,רקובב .כ"דב םימוטפמיס ןיא הניש ןמזב הלילב.םויה ךשמב רימחהל לוכי באכה .תיראווצ תושקונ שיגרהל לולע אוהו ררועתמ
Hx
היוקל הביצי
היוקל ףוג תקינכמ
היוקל הימונוגרא
הלופקסה יבציימו ראווצה ירירש תשלוחoveruse
המישנ תוערפה
ןוגכ המוארטwhiplash
םינווינ םייוניש
יקרפמב תויליבומרפיה וא תויליבומופיהםיטסאפה
םייניש תויעב
ומכ םירירשמ ךלשומ באכtemporalis,sternocleidomastoid.
Precautions/Contraindications
לולשל שיVBI.
יקרפמו םיטנמגיל תוביצי קודבל שי.ראווצה
וא תוימטסיס תולחמ לולשל שיעובקל ידכ יחרכה הז .תויגולוריונ תועיגפ.המיאתמ המצועו לופיטה יפוא תא
תלילשל ןגטנר ימוליצ עצבל שי.יראווצ ש"ועב םינווינ םייוניש
היהת היגולותפהש תוריבס תמייקןוגכ םיימונוטוא םימוטפמיסב הוולמ.תוליחבSpecial tests- tension tests, VBI,ligament stability
Contributing Predisposing Factors
תמר ,הביצי ,הדובע גוס ,הימונוגרא ,ףוג תקינכמ ךירעהל יוצרstress.ינפוג רשוכו םייח חרוא ,
1
 
Functional
םירוסקלפ םירירש חוכ קודבל שי.םיקומע םייראווצ
תנמ לע תסלב תויתעונת קודבל שי-ב תירשפא היעבמ לידבהלTMJ.
תועונתב תורחא תולבגה קודבל שי.ראווצה
Observation
היוקל הביצי
שי -תוצפמ תוחונת וא תועונתהחונת התוא לש ןוקית ךיא קודבללע עיפשמ הצפמ העונת וא.לפוטמה
PHYSICALEXAMINATION
Passive
PAIVM-ב תוירוססקא תועונת :C1-2קפומ באכב כ"דב ,באכ ררועל תולולעעוציב רחאלPA-בC2.
PPIVM-ו תויצטורב הלבגה :sideflexion.ןוילע ראווצב
רותיאל תיגולוריונ הקידב עצבל שי.ירירש חתמ
תוביציו םירירש ךרוא קודבל שי.לופיטה תעיבק םשל תועוצר
Active
-ב הדיריROMרקיעב יראווצתועונתבside flexion, rotations-וextensionתויליבומרפיה .רסוחל יוציפכ םיכומנ םיטנמגסב.ןוילעה ראווצב יתעונתה
ררועל הלולע תיראווצ העונת.באכ
Differentiation
הנרגמ
tension headache
לודיג
-ב םומידsubarachnoid space
.יתלוגלוג ךותה ץחלב היילע
Palpation
-ה רוזאב תוכר תומקר תובעתהsuboccipitalרוזאב חותמ רועה .רתוי תונשי תועיגפב .ראווצהןכתת .רתוי תושקונ תומקרה.רועב עגמל תושיגרועיפויtrigger points.היזטסארפיה תולגל יושע לפוטמהיגולותפה טנמגסה לש םוטמרדבעוציבבskin rolling
Management
יתביצי לופיט
תוכרה תומקרבו תויראווצ תויצזיליבומ
המישנ יליגרת
היפרהו העגרהל תוקינכט
,םירירש קוזיחו תחיתמmuscle coactivation(תוחיתמה ינפל םומיח)
תויראווצ תוילוחל תוירוססקא תועונת
NSAID
-היפרתומרתו היפרתורטקלאUS, electric stimulation.
-ב לופיטtrigger points: stretch and spray, ischemic pressure
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CLINICAL PATTERNS: Tension headache
.הרומח דע תינוניב המצוע ,ילרטליב שאר באכ-.ישפנ חתמ עקר לע באכ-םג תויהל לוכי ,רקיעב ילטנורפ וניה באכה- retro-orbital, occipitalוא/וtemporal. .ראווצל םג ןרקומ היהי באכהו ןכתיי-ןוגכ תלוגלוגה ירירשב חתמ תויהל יושע- masseter, temporalis, frontalis..םישנב רתוי ץופנ-
DISODE
Behavior
.תופלוח תודוזיפאב וא ינורכ שארה באכ
.קומעו דח באכה
.היבופוטופ ,תואקה ,תוליחבב הוולמ תויהל יושע באכה
.ראווצה תועונתמ עפשומ אל באכה
.(ףרושו םומע באכ) םייפתכה ימירמ םירירשב הוולמ באכ תויהל יושע
.שארה ביבס ץחולש דבכ לקשמ לש איה לפוטמה לש תיביטקייבוסה השוחתה:םירימחמ םימרוגstress.רבגומ יזיפ /ישפנ חתמ ,
SUBJECTIVE CHAACTEISTICS
24
 
-
 
hour pattern
 
.םויה ךשמב רימחהל יושע באכה .שאר באכ םע רקובב םיררועתמ םיתיעל
Hx
.תיתחפשמ הייטנ תויהל הלולעםיימוטנא םינבמ לש החיתמ וא המוארטל רשק ןיא.םייראווצ.יזיפ וא/ו ישפנ חתמ לש תופוקתב ועיפוי שארה יבאכ
Precautions/ContraindicationsContributing Predisposing Factors
.ישפנ חתמ
.יהשלכ המוארטל רושק אל
,תילטלקסולוקסומה תכרעמב היצקנופסיד
trigger points.
3

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