5

(Neurological Examination)
5-1

5-1
. 5-1

5-2

(INITIAL ASSESSMENT OF DIVING INJURIES)

5-1,

(dive profile)
.
.

1.
.



.
2.
3.
.
. bottom time
.

5 -

5-1

.
.
4. 24
.

chart profile

24

5. //

6. / bottom/
7.
8.
9.
10.
. .
11.

()
5-3

(NEUROLOGICAL ASSESSMENT)

coordination

1. (Mental status)
2. (Coordination)
3. (Motor)
4. (Cranial nerves)

5-2

.. .. 6 (15 ..2551) - 5


( 1 2)
( 5 )
................................................................................................/...............................................
/.......................................................................................................................................
.........................................................................................................................................................................

......................................................................................................
24 .......................................................................................................
//...................................................................................................
//.......................................................................................
...................................................................................................
()...................................................................................
..........................................................................................................................................................................
........................................................................................
..........................................................................................................................................................................
(MENTAL STATUS)/
..........................................................................................................................................................................
..........................................................................................................................................................................

: .............................................
: ........................................
Rhomberg: .......................................
Finger-to-nose: .................................
Heel shin slide: ................................
Rapid movement: .............................

(0-5)

- Deltoid
R......L.....
- Latissimus R......L.....
- Biceps
R......L.....
- Triceps
R......L.....
- Forearms R......L.....
- Hands
R......L.....

(I): ......................................
- Hip flexion
R......L.....
/ (II): ...................
-Hip extension R......L.....
/ (III, IV, VI).............
- Hip abduction R......L.....
/ (V): ............
- Hip adduction R......L.....
(VII): ............................
- Knee flexion R......L.....
(VIII): .....................................
- Knee extension R......L.....
/ (IX): ............
(Ankles)
Gag/ (X): ........................................
- Dorsiflexion R......L.....
(XI): ...........................................
- Plantarflexion R......L.....
(XII): .................................................
(Toes) R......L.....

5 -1 . ( 1 2)
5 -

5-3


( 2 2)
(Reflexes)
(, , , )
Biceps: R......L.....
Triceps: R......L.....
Knees: R......L.....
Ankles: R......L.....

( ( ) )

.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.......................................................................................................................................................

5 -1 . ( 2 2)
5-4

.. .. 6 (15 ..2551) - 5

5. (Sensory)
6. (Deep tendon reflexes)

5-1
5-3.1

(Mental Status). ,

:


mental status cognitive
function cognitive function

:

100-7-7-7-7..

5-3.2

() (Coordination (Cerebellar/
Inner Ear Function)).


2 :
1. Heel-to-Toe

5 -

5-4

.
2. Romberg test.

3. Finger-to-Nose Test. 2
2

.
4. Heel-Shin slide Test 2

5. Rapid alternating movement Test.

5-3.3

(Cranial Nerves.) 12

I. Olfactory.
II. Optic.
/

()

III. Oculomotor, (IV.) Trochlear, (VI.) Abducens. 3

4 () 3

2
V. Trigeminal. trigeminal
tensor tympani

5-5

.. .. 6 (15 ..2551) - 5

VII. Facial.

2
VIII. Acoustic.

IX.Glossopharyngeal.

(sensory component) (gag reflex)

X.Vagus.

XI.Spinal Accessory.

XII.Hypoglossal.

5-3.4

() (Motor).

5-3 .4 .1 (Extremity Strength).

6
(0)

(Paralysis).

(1)

(Profound Weakness).

(2)

(Severe Weakness).

(3)

(Moderate Weakness).

(4)

(Mild Weakness).

5 -

5-6

(5)

(Normal).

5-3 .4.1.1 (Upper Extremities).

6
1.
2.
3.
4.
5.
6.

Deltoids.
Latissimus.
Biceps.
Triceps.
Forearm muscles.
Hand muscles.

5-3 .4.1.2 (Lower Extremities).

()


5-3 .4 .2 (Muscle Size).

5-3 .4 .3 . (Muscle Tone).
passive.
rigidity
5-3 .4 .4 (Involuntary Movements).
(jerky) tics
5-3.5

(Sensory Function).

paresthesia

5-3 .5 .1 (Sensory Examination).

5-2 dermatome
dermatome (circular pattern)

5-3 .5 .2 (Sensations).

5-3 .5 .3 (Instruments).
( Wartenberg pinwheel )
5-7

.. .. 6 (15 ..2551) - 5

Occipital
C2

C3
Supraclav

C4
T2

Ax.

C5

T4

Intercostals

T6

Post.

Lat.

T8
T2

Post. Cutan.

Radial

T10

Dorsal Cutan.

T1

T12

C6

Musculo. Cutan.
Med Cutan.
S5
Radial

S3
Median

S2

Ulnar

Post. Cutan.

C7
L4

C8

L3

S1

Femoral-Saphenous
L4

L5

Peroneal
Sciatic
Sural
Tibial
Plantars

Med.
Lat.

S1

5-2 (Dermatomal Areas) (Spinal Cord Segment) ( 1/2)

5 -

5-9

Cran 5

C2 C3
Superclav.

C4
C5

Ax.

T3
T4

Intercostal
Post Cutan.

T6
T8

(Radial)

T10
C6

Med. Cutan.
T12
L1

Musculo.
Cutan.
S6
Median

C7
L2
Ulnar
C8
L3
Ant. Cutan.
L4

L5

Femoral

Saphenous
Lat. Cutan.

S
Common
Peroneal
Sup. Peroneal
Sural - Tibal
Deep Peroneal

5-2 (Dermatomal Areas) (Spinal Cord Segment) (2/2)

5-10

.. .. 6 (15 ..2551) - 5


.
5-3 .5 .4 (Testing the Trunk).

5-3 .5 .5 (Testing Limbs).
3
deltoid

5-3 .5 .6 (Testing the Hands).

5-3 .5 .7 (Marking Abnormalities).

5-3.6

(Deep Tendon Reflexes). deep tendon reflexes

( )
2


2



biceps triceps 5-2

5 -

5-11

 5-1. (Extremity Strength Tests) .

Deltoid

Latissimus group

Biceps

()

Triceps

()
(forearm)

Forearm muscles

Hand muscles

2 2

()
2

()

5-12

(Ankle
dorsiflexion)

(Ankle
plantarflexion)

15

.. .. 6 (15 ..2551) - 5

 5-2 (Reflexes)

biceps

biceps
biceps

triceps

biceps

knee

quadriceps

ankle

achilles tendon
achilles tendon

5 -

5-13

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5C-4 .1 .1 $0/23.F$'". .'+0*=#&7! , (6756:F+5-# , N/< /()?2+-#4/&(!(D<# T>54RH+:-#?2+"$30$/#+>-.O<

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5%-4.2

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5%-15

5%-4.3

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5%-4.4

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5!-16

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5%-4.5

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5%-4.6

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5%-4.7

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5%-17