Bɔrku pipul dɛn dɔn gɛt bak pen wan tɛm na dɛn layf. Sɔmtɛm dis pen nɔ kin jɔs de na di bak, bɔt i kin rayt bak dɔŋ di bɔdi, dɔŋ di leg, ɔ dɔŋ di leg, we kin mek yu nɔ gɛt swɛla ɔ yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk. We yu go to dɔktɔ na di tɛm lɛk dis, wan rili simpul ɛn rili impɔtant tɛst de we yu kin du fɔ no wetin rili de mek dis sik. Tide wi go tɔk bɔt di Straight Leg Raise (SLR) Test . Sɔntɛnde dɛn kin kɔl dis `Lasegue test`.
Fɔ tɔk am simpul wan, wetin na di Strayt Leg Raise (SLR) Tɛst?
Tink bɔt di nɛf dɛn we de rɔn frɔm yu bak to yu leg dɛn lɛk ilɛktrik waya. Dɛn nɛv fayv ya kin travul tru yu spayna. sכmtεm, bikoz fכ wan hεnia disk na yu spayna (`Lumbar disc herniation`) כ כda rizin dεm, dεn nεv dεm ya kin kכmprεs. Na da tɛm de di pen kin bigin fɔ travul dɔŋ yu leg, lɛk aw wi bin dɔn tɔk. Wi kin kɔl dis kɔndishɔn bak `Sciatica`.
So, di SLR tɛst na tɛst we yu dɔktɔ go yuz fɔ no if na yu nerve we dɔn pinch ɔ yu gɛt mɛkanikal prɔblɛm wit yu mɔsul ɔ jɔyn dɛn . Di rizɔlt fɔ dis tɛst go sho di bɛst tritmɛnt fɔ yu.
Di dɔktɔ go aks yu sɔm kwɛstyɔn dɛn bifo i du dis tɛst. Fɔ ɛgzampul:
- Ustɛm di kramp dɛn bigin?
- Aw lɔng i dɔn tek?
- Aw di pen kin fil? (e.g., bɔn, chuk, tingling?)
- Yu tink se di pen de bɔku ɔ i de go dɔŋ?
I rili impɔtant fɔ ansa dɛn kwɛstyɔn ya ɔnɛs wan ɛn klia wan as wi ebul. Dis go ɛp di dɔktɔ fɔ ɔndastand yu sik fayn fayn wan.
Aw yu kin du dis tɛst?
Dis na rili simpul we fɔ du tin. Yu nɔ go fil ɛni diskɔmfɔt. Bɔku tɛm, di dɔktɔ go du dis we yu de ledɔm na di tebul fɔ ɛgzamin.
1. Fɔs, dɛn go aks yu fɔ ledɔm fes dɔŋ na di bed.
2. Dɔn, we yu kip yu ni stret, di dɔktɔ go es di leg we de pen ɔp smɔl smɔl.
3. We yu es yu leg dis we, yu fɔ tɛl yu dɔktɔ usay yu bigin fɔ fil di pen we yu kin fil (pen na yu bak ɔ dɔŋ yu leg) bak .
4. Sɔntɛnde, fɔ put smɔl mɔ strɛs pan di nerve, di dɔktɔ kin aks yu fɔ fleks yu leg to yu sayd, ɔ fɔ bɛn yu nɛk fɔ go bifo.
Apat frɔm dis men tɛst, sɔm ɔda we dɛn de lɛk dis.
| Nem fɔ di tɛst | Di we aw wi fɔ du am simpul. |
|---|---|
| Krɔs Strayt Leg Rays Tɛst | Insay dis, di dɔktɔ de es di wɛlbɔdi leg we nɔ gɛt pen. Bɔt if, we yu es da leg de, yu fil pen na yu ɔda leg we de mek yu fil pen, dis na strɔng pruf fɔ se yu nerv kɔmpreshɔn. |
| Sidɔm Stret Leg Rays Tɛst | Dɛn go mek yu sidɔm na bed, bɛn yu ni dɛn to 90 digri, dɔn yu stret wan ni. Dɛn go chɛk fɔ si if dis sɛf kin mek pɔsin fil pen. |
| Prone Knee Bending Test (Rɛvɛs SLR) . | Dɛn go put yu na yu bɛlɛ, yu ni dɛn bɛn bak, ɛn yu il dɛn go kam togɛda te dɛn tɔch yu bɔdi. if yu fil pen na yu thigh, dis kin sho se yu pinch nεv na yu כp bak (`L2-L3 nεv rכt`). |
Wetin i min we tɛst na "Positive" ɛn "Negative"?
Naw lɛ wi si wetin di rizɔlt fɔ dis tɛst se.
If di SLR tɛst na pɔsitiv...
Nɔ fred we yu yɛri "positiv." Insay mɛrɛsin, i min se dɛn dɔn kɔnfyus wan patikyula sayn.
Wan SLR tɛst de pɔsitiv we:
- If yu ɔspitul pen (pen we de travul frɔm yu bak dɔŋ yu leg) kam bak we yu es yu leg bitwin 30 ɛn 70 digri.
- Ɛspɛshali if dis pen de rayt dɔŋ di ni , na strɔng sayn fɔ se di nerv dɔn pinch .
Impɔtant: I nɔmal fɔ fil di hamstring mɔsul dɛn we de na di bak pat pan yu leg we yu de es yu leg ɔp. Dis nɔto rizin fɔ mek di tɛst gɛt pɔsitiv. Na fayn tin nɔmɔ if yu gɛt di sem pen we yu bin de fil frɔm yu bak to yu leg .
Wan fayn rizɔlt go mɔs min se di tin we de mek yu fil pen na wan nerve kɔmpreshɔn kɔndishɔn lɛk sciatica, spinal stenosis, ɔ disk herniation.
If di SLR test na negatif...
"Negative" test min se yu nɔ bin gɛt di pen we yu kin fil we yu es yu leg.
- Fɔ ɛgzampul, if yu jɔs gɛt bak pen, we yu nɔ gɛt pen we de rayt dɔŋ yu leg, dis tɛst kin bi negatif.
- Dɔn bak, if no pen nɔ de te dɛn es di leg ɔp pas 70 digri, dɛn kin tek dat bak se i nɔ fayn.
Negatif rizulyt nɔr min se yu nɔr gɛt ɛni sik. I min se i go mɔs bi se nɔto bikɔs yu nerv dɔn pinch yu pen. I kin bi pen na yu mɔsul dɛn, yu jɔyn dɛn, ɔ ɔda tin. Dɔn yu dɔktɔ go rifer yu fɔ ɔda tɛst fɔ no di kɔz.
Wetin yu kin du nɛks if di tɛst gɛt pɔsitiv?
If di SLR tɛst na pɔsitiv, we min se dɛn de sɔprayz se na di nerve kɔmpreshɔn, nɔ panik. Bɔku tritmɛnt dɛn de fɔ dis.
Di tin we impɔtant pas ɔl na fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du .
Bɔku tɛm, di dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:
- Rɛst: Dɛn go advays yu fɔ de fa frɔm tin dɛn we de mek yu fil pen (lɛk fɔ bɛn fɔ go bifo, fɔ es yu wet) fɔ sɔm tɛm.
- Fisiotɛrapi: Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu spɛshal ɛgzampul dɛn fɔ mek yu bak ɛn bɛlɛ mɔsul dɛn strɔng ɛn fɔ mek yu nɔ gɛt prɛshɔn pan di nerve.
- Mɛrɛsin: Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu nɔ fil pen ɛn fɔ mek yu nɔ swel.
- Spinal Injekshɔn: Fɔ sɔm pipul dɛn, if di pen rili bad, dɛn kin gi spɛshal injɛkshɔn na di spayna.
- Ɔpreshɔn: Na fɔ smɔl pipul dɛn nɔmɔ dɛn kin du ɔpreshɔn, dat na if bad bad pen de we pɔsin nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, ɔ if siriɔs sayn dɛn de lɛk we pɔsin chenj in bɔdi ɛn blad.
Bɔrku tɛm, di kɔndishɔn lɛk sciatica go sɔlv insay lɛk 6 wiks wit di rayt rɛst, fizik tritmɛnt, ɛn mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- di Straight Leg Raise (SLR) Test na simpul, penless test we de chεk fכ nerve compreshכn as di kכz fכ bak pen, spεshal pen we de rayt dכn di leg.
- "positiv" test min se di usual pen de apin we yu es di leg. Dis de sho se di nerve dɔn pinch.
- "nεgεtiv" tεst min se di kכz fכ di pen nכto na di nεv kכmpreshכn, bכt na כda tin.
- Ilɛk wetin apin, nɔ panik, tɔk to yu dɔktɔ, ɛn fala in instrɔkshɔn ɛn tritmɛnt ɛksaktɔli.
- Bɔrku pipul kin wɛl kwik kwik wan wit fizik tritmɛnt ɛn rɛst.
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