The examination of the lumbar activity is an active examination of the waist to determine if there is an abnormality in the spine.

Basic Information

Specialist classification: growth and development check classification: physical examination

Applicable gender: whether men and women apply fasting: not fasting

Tips: Check your relaxation and check for possible pain. Need to be faithful. Normal value

The lumbar spine can reach a normal flexion of up to 90°, and can reach 30° backwards and left and right.

Clinical significance

Abnormal results:

Spinal lumbar motion is limited, commonly seen in:

1. Lumbar muscle fibrosis and lumbar muscle ligament strain;

2, lumbar proliferative arthritis;

3, disc herniation, the movement of the lumbar vertebrae in all directions is limited;

4, tuberculosis or tumor damage to the lumbar vertebrae;

5, lumbar vertebrae fracture or dislocation, mostly after trauma. During the examination, you should pay attention to the medical history and observe whether there is swelling or deformation in the local area.

People who need to be examined: people with low back pain and unable to rotate freely.

Precautions

Taboo before inspection: no special contraindications.

Requirements for inspection: Check for relaxation and check for possible pain. Need to be faithful.

Inspection process

1. Lumbar vertebrae flexion: The patient bends and tries to touch the ground with the hand, record the degree of flexion, and pay attention to the shape of the spine. Under normal circumstances, there is about 45 degrees of activity from the upright position to flexion.

2. Stretching: The patient's waist is bent back as far as possible, and the pelvis and hip joints on both sides of the patient are fixed behind the patient to check the waist extension. The normal stretch is about 35 degrees.

3, lateral flexion: the examiner fixed the pelvis and hip joints on both sides of the patient behind the patient, and the paralyzed patients bent to the left and right sides respectively to check the activity of the spine to both sides. Under normal circumstances, the activity on each side is about 30 degrees.

4. Rotation: The examiner fixes the pelvis and hip joints on both sides of the patient as described above, and the shoulders of the patient are rotated to the left and right, respectively, and the normal human torso rotation is about 45 degrees on each side. The rotation of the torso includes thoracic and lumbar motion.

Not suitable for the crowd

Pregnant women.

Adverse reactions and risks

Generally not.