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2023 | OriginalPaper | Hoofdstuk

28. The spine

Auteurs : Prof. G. M. Rommers, G. M. M. Winnubst, Dr J. Damen, Dr M. W. J. L. Schmitz, Dr C. J. Haven

Gepubliceerd in: Physical Diagnostics

Uitgeverij: Bohn Stafleu van Loghum

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Abstract

Examination of the spine consists of examining the cervical, thoracic and lumbar spinal column. Make sure that the patient is sufficiently unclothed, so that the connections between the various parts can be observed. The examination should be carried out in the following order: inspection (with superficial palpation), movement assessment, clinical palpation and the specific tests. It is important to observe the patient for movement limitations and pain throughout the tests, to stabilise the trunk and use the correct hand positions for the various joints being examined. Any abnormalities found from physical examination should always be interpreted in light of the patient’s context (from history-taking). As an isolated abnormal test finding will often have little scientific value. Physical examination findings will more reliable if those from history-taking, inspection, movement assessment, palpation and the specific test combined are consistent with the diagnosis. Common abnormalities and problems that can be found include scoliosis, thoracic kyphosis, neck and back problems (e.g. lumbago and non-specific myalgia), and degenerative disorders, such as spondylosis, spondylarthrosis deformans and facet joint arthrosis.
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Literatuur
2.
go back to reference Koes BW, Van Tulder MW, Poos MJJC. Hoe vaak komen nek- en rugklachten voor en hoeveel mensen sterven eraan? In Volksgezondheid Toekomst Verkenning (Public Health Status and Forecasts Report), Nationaal Kompas Volksgezondheid (National Public Health Compass). Bilthoven: National Institute for Public Health and the Environment (RIVM); 2014. Koes BW, Van Tulder MW, Poos MJJC. Hoe vaak komen nek- en rugklachten voor en hoeveel mensen sterven eraan? In Volksgezondheid Toekomst Verkenning (Public Health Status and Forecasts Report), Nationaal Kompas Volksgezondheid (National Public Health Compass). Bilthoven: National Institute for Public Health and the Environment (RIVM); 2014.
5.
go back to reference Deyo R, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain? JAMA. 1992;268b:760–5. Deyo R, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain? JAMA. 1992;268b:760–5.
6.
go back to reference Miedema HS. Reuma-onderzoek meerdere echelons (ROME): basisrapport. NIPG publication no. 93,099. Leiden: NIPG-TNO; 1994. Miedema HS. Reuma-onderzoek meerdere echelons (ROME): basisrapport. NIPG publication no. 93,099. Leiden: NIPG-TNO; 1994.
8.
go back to reference Ensing GT, Knobben BAS, Houweling ST, et al editors. Probleemgeoriënteerd denken in de orthopedie. 2nd ed. Utrecht: De Tijdstroom; 2006. Ensing GT, Knobben BAS, Houweling ST, et al editors. Probleemgeoriënteerd denken in de orthopedie. 2nd ed. Utrecht: De Tijdstroom; 2006.
9.
go back to reference Koes BW, Van Tulder MW. Wat zijn de mogelijkheden voor diagnostiek en behandeling? In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. Bilthoven: National Institute for Public Health and the Environment (RIVM); 2014. Koes BW, Van Tulder MW. Wat zijn de mogelijkheden voor diagnostiek en behandeling? In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. Bilthoven: National Institute for Public Health and the Environment (RIVM); 2014.
10.
go back to reference Lurie JD, Gerber PD, Sox HC. A pain in the back. N Engl J Med. 2000;342:723–6.CrossRef Lurie JD, Gerber PD, Sox HC. A pain in the back. N Engl J Med. 2000;342:723–6.CrossRef
11.
go back to reference Boumans MTA, Van Ooy A, Mameren H. Vaardigheden in de geneeskunde: Het onderzoek van de wervelkolom. 4th edition. Maastricht: Mediview; 2018. Boumans MTA, Van Ooy A, Mameren H. Vaardigheden in de geneeskunde: Het onderzoek van de wervelkolom. 4th edition. Maastricht: Mediview; 2018.
13.
go back to reference Hoppenfeld S. Physical examination of the spine and extremities. Norwalk: Appleton Century Crofts; 1976. Hoppenfeld S. Physical examination of the spine and extremities. Norwalk: Appleton Century Crofts; 1976.
14.
go back to reference Magee DJ. Orthopaedic physical assessment. 6th ed. St Louis, MO: Saunders; 2013. Magee DJ. Orthopaedic physical assessment. 6th ed. St Louis, MO: Saunders; 2013.
15.
go back to reference Van Wingerden JP. Rugpijn en andere onbegrepen klachten. Houten: Bohn Stafleu van Loghum; 2014 Van Wingerden JP. Rugpijn en andere onbegrepen klachten. Houten: Bohn Stafleu van Loghum; 2014
16.
go back to reference Malanga GA, Nadler SF. Musculoskeletal physical examination. Philadelphia, PA: Mosby; 2006. Malanga GA, Nadler SF. Musculoskeletal physical examination. Philadelphia, PA: Mosby; 2006.
17.
go back to reference Gross J, Fetto J, Rosen E. Musculoskeletal examination. 3rd ed. Malden, MA: Blackwell Publishing Inc.; 2009. Gross J, Fetto J, Rosen E. Musculoskeletal examination. 3rd ed. Malden, MA: Blackwell Publishing Inc.; 2009.
18.
go back to reference Kendall FP, Creary Mc EK. Spieren. 4th edition. Houten: Bohn Stafleu van Loghum; 2008 Kendall FP, Creary Mc EK. Spieren. 4th edition. Houten: Bohn Stafleu van Loghum; 2008
19.
go back to reference Verhaar JAN, Van Mourik JBA. Orthopedics textbook. 4th revised edition. Houten: Bohn Stafleu van Loghum; 2019. Verhaar JAN, Van Mourik JBA. Orthopedics textbook. 4th revised edition. Houten: Bohn Stafleu van Loghum; 2019.
20.
go back to reference Rae R Mc. Clinical orthopedic examination. 6th edition. Philadelphia, PA: Churchill Livingstone; 2010. Rae R Mc. Clinical orthopedic examination. 6th edition. Philadelphia, PA: Churchill Livingstone; 2010.
22.
go back to reference Tousignant M, Poulin L, Marchand S, et al. The Modified-Modified Schober test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil. 2005;27:553–9.CrossRefPubMed Tousignant M, Poulin L, Marchand S, et al. The Modified-Modified Schober test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil. 2005;27:553–9.CrossRefPubMed
23.
go back to reference Robinson R, Robinson HS, Bjǿrke G, Kvale A. Reliability and validity of a palpation technique for identifying the spinous processes of C7 and L5. Manual Ther. 2009;14:409–14.CrossRef Robinson R, Robinson HS, Bjǿrke G, Kvale A. Reliability and validity of a palpation technique for identifying the spinous processes of C7 and L5. Manual Ther. 2009;14:409–14.CrossRef
24.
go back to reference Kim HW, Ko YJ, Rhee WI, et al. Interexaminer reliability and accuracy of posterior superior iliac spine and iliac crest palpation for spinal level estimations. J Manipulative Physiol Ther. 2007;30:386–9.CrossRefPubMed Kim HW, Ko YJ, Rhee WI, et al. Interexaminer reliability and accuracy of posterior superior iliac spine and iliac crest palpation for spinal level estimations. J Manipulative Physiol Ther. 2007;30:386–9.CrossRefPubMed
25.
go back to reference Kilby J, Heneghan NR, Maybury M. Manual palpation of lumbo-pelvic landmarks: a validity study. Man Ther. 2012;17:259–62.CrossRefPubMed Kilby J, Heneghan NR, Maybury M. Manual palpation of lumbo-pelvic landmarks: a validity study. Man Ther. 2012;17:259–62.CrossRefPubMed
26.
go back to reference Robinson HS, Mengshoel AM. Assessments of lumbar flexion range of motion: intertester reliability and concurrent validity of 2 commonly used clinical tests. Spine. 2014;39:E270–5.CrossRefPubMed Robinson HS, Mengshoel AM. Assessments of lumbar flexion range of motion: intertester reliability and concurrent validity of 2 commonly used clinical tests. Spine. 2014;39:E270–5.CrossRefPubMed
27.
28.
go back to reference Bickley LS. Bates’ guide to physical examination and history taking. 10th edition. Philadelphia, PA: Lippincott, Williams & Wilkins, 2012. Bickley LS. Bates’ guide to physical examination and history taking. 10th edition. Philadelphia, PA: Lippincott, Williams & Wilkins, 2012.
29.
go back to reference Duane TM, Dechert T, Wolfe LG, et al. Clinical examination and its reliability in identifying cervical spine fractures. J Trauma. 2007;62:1405–8.PubMed Duane TM, Dechert T, Wolfe LG, et al. Clinical examination and its reliability in identifying cervical spine fractures. J Trauma. 2007;62:1405–8.PubMed
30.
go back to reference Stochkendahl MJ, Christensen HW, Hartvigsen J, et al. Manual examination of the spine: a systematic critical literature review of reproducibility. J Manipulative Physiol Ther. 2006;29(475–85):485.e1-10. Stochkendahl MJ, Christensen HW, Hartvigsen J, et al. Manual examination of the spine: a systematic critical literature review of reproducibility. J Manipulative Physiol Ther. 2006;29(475–85):485.e1-10.
31.
go back to reference Quack C, Schenk P, Laeubli T, et al. Do MRI findings correlate with mobility tests? Eur Spine J. 2007;16:803–12.CrossRefPubMed Quack C, Schenk P, Laeubli T, et al. Do MRI findings correlate with mobility tests? Eur Spine J. 2007;16:803–12.CrossRefPubMed
32.
go back to reference Malanga GA, Nadler SF. Musculoskeletal physical examination. Philadelphia, PA: Mosby; 2006. Malanga GA, Nadler SF. Musculoskeletal physical examination. Philadelphia, PA: Mosby; 2006.
33.
go back to reference Bunnell WP. Selective screening for scoliosis. Clinical orthopedics and related research. Number 434, 40–5. Philadelphia, PA: Lippincott, Williams & Wilkins; 2005. Bunnell WP. Selective screening for scoliosis. Clinical orthopedics and related research. Number 434, 40–5. Philadelphia, PA: Lippincott, Williams & Wilkins; 2005.
34.
go back to reference Karachalios T, Sofianos J, Roidis N, et al. Is the forward bending test an accurate diagnostic criterion for the screening of scoliosis? Spine. 1999;24:2318–24.CrossRefPubMed Karachalios T, Sofianos J, Roidis N, et al. Is the forward bending test an accurate diagnostic criterion for the screening of scoliosis? Spine. 1999;24:2318–24.CrossRefPubMed
35.
go back to reference Coté P, Kreitz BG, Cassidy J, et al. A study of the diagnostic accuracy and reliability of the scoliometer and Adam’s forward bend test. Spine. 1998;23:796–802.CrossRefPubMed Coté P, Kreitz BG, Cassidy J, et al. A study of the diagnostic accuracy and reliability of the scoliometer and Adam’s forward bend test. Spine. 1998;23:796–802.CrossRefPubMed
36.
go back to reference Van der Meer JWM, Postma CT, Blockmans DE, De Rooij SEJA. Anamnese en lichamelijk onderzoek [History-taking and physical examination]. 9th ed. Houten: Bohn Stafleu van Loghum; 2019.CrossRef Van der Meer JWM, Postma CT, Blockmans DE, De Rooij SEJA. Anamnese en lichamelijk onderzoek [History-taking and physical examination]. 9th ed. Houten: Bohn Stafleu van Loghum; 2019.CrossRef
37.
go back to reference McGaugh JM, Brismée JM, Dedrick GS, et al. Comparing the anatomical consistency of the posterior superior iliac spine to the iliac crest as reference landmarks for the lumbopelvic spine: a retrospective radiological study. Clin Anat. 2007;20:819–25.CrossRefPubMed McGaugh JM, Brismée JM, Dedrick GS, et al. Comparing the anatomical consistency of the posterior superior iliac spine to the iliac crest as reference landmarks for the lumbopelvic spine: a retrospective radiological study. Clin Anat. 2007;20:819–25.CrossRefPubMed
38.
go back to reference Viitanen JV, Kokko ML, Heikilla S, et al. Correlation between mobility restrictions and radiological changes in ankylosing spondylitis. Spine. 1995;20:492–6.CrossRefPubMed Viitanen JV, Kokko ML, Heikilla S, et al. Correlation between mobility restrictions and radiological changes in ankylosing spondylitis. Spine. 1995;20:492–6.CrossRefPubMed
39.
go back to reference Macagno AE, O’Brien MF. Thoracic and thoracolumbar kyphosis in adults. Spine. 2006;31(19 Suppl):161–70. Macagno AE, O’Brien MF. Thoracic and thoracolumbar kyphosis in adults. Spine. 2006;31(19 Suppl):161–70.
Metagegevens
Titel
The spine
Auteurs
Prof. G. M. Rommers
G. M. M. Winnubst
Dr J. Damen
Dr M. W. J. L. Schmitz
Dr C. J. Haven
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2931-1_28