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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 strengthlevel 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 endoduction、aboduction 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 reflexbilateral 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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