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    August 03

    医生的总结-Doctor's Medical Report for Celine

    Contrasting of Celine Lion’s curative effect

     

    Classification

     

    Before treatment

    After treatment

    Hypothenar/ the big thenar

     

    muscular atrophy

    Her muscle is plumpy than before

    Response to exciting

     

    Spasms of the extremities

    Her spasms is alleviated than before

    Upper limbs

    Muscle strength

    Right forearm muscle strength  level of flexing is(5); of straighten is (3). Left forearm muscle strength  level of flexing is(4) and muscle strength level of extensor is (2).

    Same to before

    Movement

    Both hands before wrist cannot flex, her right hand can reach her face, her left upper limb, when straightening, can lift the bed at a angle of 60°.

    Her right hand can reach her head easily and her left hand can touch the face. Right wrist can do the movement of endoductionaboduction and flexing. Right finger can flex and grasp. Left wrist can make a small flexing movement.

    Muscular tension

    High tension at the end of bending.

    Normal

    Muscular volume

    Decreased than normal

    Increased after treatment

    Physiological reflex response

    Radioperiosteal reflex active in both sides. Biceps femoris reflex of both sides decline. The triceps reflex bilateral were hyperreflexia

    The bilateral biceps femoris reflex are normal, others are same to before.

    Both lower extremities

    Muscle strength

    (0) degree

    1 degree

    Movement

    Naught

    Both lower extremities have the movement of intorsion, now she can bend her knees, her big toe in right foot has discontinuous movement.   

    Muscular tension

    Lower than normal

    Not high

    Muscular volume

    Lower than normal

    Increased

    Physiological reflex response

    Patellar tendon reflex in both sides are basically normal. Anklereflex didn’t been induced.

    Same to before

    Abdominal reflexes

     

     

    Reflex in middle hypogastrium of left abdominal

    wall declined, others was not induced

    Reflex in both hypogastrium and left middle of abdominal wall are normal, others was not induced.

    Pathologic reflex

     

    Hoffmann sign of both side(+)

    Rossilimo sign of both side(+)

    Babinski sign and palm-chin reflex in bilateral(), sucking reflex(). meningeal irritation sign().

    Same as before

    Shoulder pain

     

    Pain was existence

    Obviously relief

    Sensation

     

    Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process were disappeared. Area in right upper limb innervated by C5-6 had decreased sensibility. Sense of T1 distribution area had distinctly decline, muscle’s tremor can be observed when needling the part. Hypesthesia in C5-6 distribution area of left upper limb, she has anesthesia in C7-8 and T1 distribution area, hyperesthesia in T1 distribution area and thenar area , muscle’s tremor occurred when needling. Tactile sensations was disappeared below the level of C5, sense of tuning folks’ vibration disappeared in both lower extremities    

    Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process has been restored a little. Sensibility of her upper limbs were improved. The symptom of hyperaesthesia in C4,C7 area was alleviated. Sense of C8 distribution area is occurred unsteady. Her both lower extremities has superficial sensibility delay. Both big toe had spontaneous pain occasionally, pain in her left thumb was decreased. The pallesthesia was stronger in left leg, in her right knee and foreside of tibia had sense of pallesthesia, she has a response with strong pain stimulus in both lower extremities, there was a sense delay in right leg for about 1-2 seconds.     

    Esthesia about emiction

     

    Naught

    Has a feeling that bladder is empty. 

    Esthesia about defecation

     

    Naught

    Has a sense around the anus, her ani sphincter can contract now

    Coordinate movement

     

    Can not cooperate the check

     

     

     

     

      

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