Yu dɔn ɛva fil wan tin we de kɔmɔt na yu nɛk to yu sholda ɛn dɔŋ yu an? Sɔntɛm dis pen kin bɔku we yu de wok bifo kɔmpyuta fɔ lɔng tɛm, we yu nɔ de slip fayn, ɔ we yu es ebi ebi tin dɛn. Pan ɔl we bɔku pipul dɛn kin tink se dis nɛk pen na nɔmal tin, sɔntɛnde i kin bi sayn fɔ siriɔs prɔblɛm we de insay pɔsin in bɔdi. So, fɔ no di rial tin we kin mek pɔsin gɛt dis kayn nɛk pen, wan rili simpul bɔt impɔtant tɛst de we dɔktɔ kin du. Tide wi de tok abaut di 'Spurling Test '.
Fɔ tɔk am simpul wan, wetin na di Spurling Test?
Di Spurling tɛst na manual fyzikal ɛgzamin we yu dɔktɔ kin du fɔ no wetin mek yu nɛk de pen. I nɔto blɔd tɛst ɔ skan. Dɛn gi am in nem to Roy Spurling, we na wan dɔktɔ we de mɛn nyuro sajin we bin fɔs bigin fɔ du dis tɛst insay 1944.
I de wok pan wan kɔnsɛpt we rili simpul. Imajin se wan nerv we kɔmɔt na wan pan di vertebra dɛn na yu nɛk, dɛn pinch am fɔ sɔm rizin. Insay dis tɛst, di dɔktɔ kin tray fɔ gi yu nɛk wan muvmɛnt we rili saful ɛn we yu kin kɔntrol we kin pinch da nerv de, ɛn si if di pen we yu kin fil nɔmal fɔ kam bak . In ɔda wɔd, dis na wetin dɛn de du fɔ mek pɔsin gɛt di sik. If i apin, di dɔktɔ kin gɛt gud aidia bɔt usay di prɔblɛm de.
Wetin i min if di tɛst gɛt pɔsitiv?
We di tɛst dɔn, di rizɔlt kin bi ‘Pozitiv’ ɔ ‘Nɛgitiv’.
Wan fayn tin we kin apin min se we di dɔktɔ tɔn yu nɛk na wan patikyula say ɛn prɛs yu saful saful, yu kin fil di sem pen, tingling, ɔ nɔ fil fayn we yu kin fil ɔltɛm na yu an.
bכku tεm we yu gεt fayn fayn tin lεk dis kin min se dεn de kכmprεs wan nεv rכt we de kכmכt frכm wan pan di vεrbra dεm na yu nεk. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis kɔndishɔn ‘Sɛvikal Radikulopati’ .
Bɔku rizin dɛn kin de we mek wan nɛv kin pinch dis we:
- Herniated Disk : fכ bi prεsis, wan kushכn (disk) we lεk jεli bitwin tu vεrbra dεm de bulge kכmכt εn prεs pan wan nεv.
- di bon chenj dεm: di chenj dεm na di vεrbra (atraytis) we kin apin wit di ej kin mek nyu bon dεm we de gro fכ prεs pan di nεv.
- Tisu we de swel ɔ we gɛt skata:swel ɔ ska tisu we kin apin afta aksidɛnt kin mek di nerve kɔmprɛs.
- Sivεr mכsul spam : dεn kin pinch di nεv dεm bak bikoz fכ di mכsul tεnshכn pasmak na di nεk.
We yu tink bɔt yu mɛdikal istri ɛn ɔda sayn dɛm, di dɔktɔ kin kam fɔ gɛt gud kɔnklushɔn bɔt yu sik wit fayn rizɔlt frɔm dis Spurling Test.
Aw di dɔktɔ kin du dis tɛst?
Sɔm pipul dɛn kin fred smɔl we dɛn yɛri bɔt dis tɛst. Bɔt dɛn kin tek tɛm du am ɛn ɔnda kɔntrol. If yu fil ɛni pen, dɛn go stɔp di tɛst wantɛm wantɛm.
Na di tin dɛn we yu fɔ du fɔ du dis:
1. Step 1: Di dɔktɔ go mek yu sidɔm na chia ɛn, we yu ed stret, put saful prɛshɔn pan yu ed. Dɛn kɔl dis di Besik Kɔmpreshɔn Tɛst . If yu nɔr fil ɛni pen ɔr nɔr fil fayn na dis tɛm, yu kin go to di nɛks step.
2. Step 2: Naw di dɔktɔ go tilt yu nɛk smɔl to di sayd usay di pen de . Fɔ ɛgzampul, if di pen de go dɔŋ yu raytan, i go tilt yu ed smɔl to di rayt an.
3. Step Tri: We di ed tilt na dis pozishɔn, di prist de prɛs saful wan bak pan di ed in tap.
We dɛn put dis prɛshɔn, if yu fil da pen we yu sabi, tingling, ɔ ilɛktrik sɛns we yu bin dɔn fil ɔltɛm, dɔŋ yu sholda ɔ yu an, di tɛst na ‘positiv’. As yu fil dat so, di dɔktɔ kin stɔp di tɛst. If yu nɔ fil pen, di rizɔlt na ‘negativ’.
I rili impɔtant: Yu nɔ fɔ ɛva tray dis tɛst na os ɔ mek ɔda pɔsin du am fɔ yu. Na dɔktɔ we sabi du am nɔmɔ fɔ du dis. If yu du am di rayt we, dat kin pwɛl yu nɛk.
Us ɔda tɛst dɛn we dɛn kin du apat frɔm di Spurling Tɛst?
di Spurling tεst na wan vεri spεsifi k tεst fכ no wan pinch nεv. dis min se if i ‘positiv’, i go bi se na pinched nerve de de. Bɔt, i nɔto tɛst we rili sɛnsitiv . Dis min se jɔs bikɔs di tɛst na ‘negativ’, dɛn nɔ go ebul fɔ tɔk wit 100% shɔ se yu nɔ gɛt prɔblɛm. I pɔsibul se na ɔda rizin mek di pen.
So, di dɔktɔ kin du sɔm ɔda tɛst dɛn bak fɔ di bɔdi fɔ gɛt di ful pikchɔ. Na sɔm ɔda tɛst dɛn we tan lɛk dis.
| Nem fɔ di tɛst | Aw fɔ du am simpul ɛn bi ‘positiv’. |
|---|---|
| Sɔlda Abdukshɔn (Rilif) Sayn | Dɛn go aks yu fɔ es di an na di sayd we yu ed de fil pen. If yu pen dכn we yu du dat, di tεst na ‘Positiv’. |
| Tɛst fɔ distrakshɔn na di nɛk | Di dɔktɔ go ol yu ed ɔnda yu chin ɛn biɛn yu ed ɛn pul am ɔp jisnɔ. If yu pen dכn dכn na dis tεm, di tεst na ‘positiv’. |
| L'hermitte in Sayn we i de du | If, we yu bɛn yu ed dɔŋ (to yu chɛst), yu fil ilɛktrik shɔk along yu spayna ɔ yu an ɛn leg, di tɛst na ‘Pozitiv’. |
| Sayn we Hoffman bin gi | Di dɔktɔ go ‘snap’ di nel na yu midul finga jisnɔ. if di indeks finga εn di tכmb bεnd sכmtεm, di tεst na ‘positiv’. |
| Adson in Tɛst | Yu ed go tɔn to di sayd we di pen de, yu chin go es ɔp, ɛn dɛn go aks yu fɔ tek dip briz. Dis tɛm, di dɔktɔ go chɛk yu puls frɔm yu an. if di puls stכp, di tεst na ‘Positiv’. |
We yu gɛda di infɔmeshɔn frɔm dɛn tɛst ya ɛn rifer yu fɔ mek dɛn du ɔda tɛst, lɛk MRI skan, if nid de, yu dɔktɔ go no di tritmɛnt we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- di Spurling test na simpul fyzikal test we dכkta kin du fכ chεk fכ nerv kכmpreshכn we de mek pen we de rayt frכm di nεk dכn di an.
- ‘positiv’ test min se strɔng pruf de fɔ se wan nerve na yu nɛk dɔn kɔmprɛs.
- Dis tɛst na jɔs wan pat pan di diagnosis. Yu dɔktɔ go tink bɔt dis rizɔlt wit yu sayn dɛm, mɛdikal histri, ɛn ɔda tɛst dɛm.
- Nɔ tray fɔ du dis tɛst na os fɔ ɛni rizin. Na dɔktɔ we sabi du am nɔmɔ fɔ du am.
- If yu de fil pen, yu de stif, ɔ yu nɔ de fil fayn na yu nɛk, sholda, ɔ yu an, nɔ ignore am ɛn go mɔs go to dɔktɔ fɔ advays ɛn tritmɛnt.
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