只需，产后修复＋骨盆闭合＋徒手缩阴＋私密内雕四课同修课程

医生通过体格检查，发现和辨别正常所见和有临床意义的体征，作出疾病的初步诊断。体格检查是医生的基本功，正确查体，对于准确诊断非常重要。

全身体格检查

发育和体型

营养状态

体位（自动体位、被动体位、强迫体位）

姿势

步态

骨科体格检查

按程序

视诊→触诊→叩诊→动诊→测量→特殊试验

常见骨科检查

1、前屈旋颈试验：（Fenzsign）

先令患者头颈部前屈，再左右旋转活动，若颈椎处出现疼痛即为阳性，提示颈椎骨关节病，表明颈椎小关节多有退行性病变。

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2、椎间孔挤压实验：（Spurlingsign）

患者头转向患侧并稍屈曲，检查者左手掌置于患者头顶，右手轻叩击掌背。当患肢出现放射性疼痛或麻木感时，即为阳性。提示有神经根性损害，见于神经根型颈椎病。

3、直腿抬高试验：（Laseguesign）

患者仰卧，检查者一手握住患侧足跟，另一手保持膝关节伸直，抬高患肢至患者疼痛，并记录其角度，在60~70度出现坐骨神经的放射性疼为阳性。

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4、颈脊神经根张力实验

（Eatensign或Lasequardsign）：患者坐位，检查者一手将患者头部推向健侧，另一手握住患者腕部并向下牵引，如出现患肢的麻木疼痛即为阳性。提示神经根型颈椎病、臂丛损伤或前斜角肌综合征。

5、Bragardsign（加强实验）

在Lasegue(+)时，缓慢放低患肢高度，待放射性痛消失后再将踝关节被动屈曲，如再度出现放射性疼痛，即为阳性。此二征阳性为腰椎间盘突出症的主要诊断依据。

6、“4”字试验

（Patricksign或Faberesign）：患者仰卧，一侧下肢伸直，另侧下肢以“4”字形状放在伸直下肢近膝关节处，并一手按住膝关节，另一手按压对侧髂嵴上，两手同时下压。下压时，骶髂关节出现痛者，并且或者曲侧膝关节不能触及床面为阳性。提示骶髂关节病变如劳损、类似风湿性关节炎、结核致密性骨炎等。

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mp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;mpchecktextcontenteditable=amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;falseamp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;id=amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;0_0.amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;/mpchecktextamp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;

7、床边实验（Gaenslensign）

患者仰卧，屈健侧髋、膝关节，让患者抱住。患侧大腿垂于床沿外。检查者一手按健膝，一手压患膝，出现骶髂关节疼痛为阳性。说明骶髂关节有病变。

8、伸髋试验（Yeomansign）

患者俯卧，检查者一手压住患侧骶部，另一手握住患侧踝部将患侧膝关节屈90度后向上提起，使髋关节过伸，此时必扭动骶髂关节，如出现疼痛为阳性。提示骶髂关节有病变。

9、肱二头肌长头紧张试验（Yergasontest）

患者屈肘，前臂旋后，检查者给予阻力。当有肱二头肌长头肌腱炎时，结节间沟区有疼痛。

10、Floatingpatellatest

即浮髌试验。患者仰卧位，伸膝，放松股四头肌，检查者一手放在髌骨近侧，将髌上囊的液体挤向关节腔，另一手示指、中指急速下压，若感到髌骨碰击股骨髁时为阳性。一般中等量积液（50ml）或以上，浮髌试验阳性。提示膝关节腔积液。

11、髌骨摩擦试验（Soto-hollsign）

患者仰卧位，伸膝，检查者一手按压髌骨，使其在股骨关节面上下活动，若出现摩擦音或疼痛为阳性。见于斌骨软化症。

12、床边实验（Gaenslensign）

患者仰卧，屈健侧髋、膝关节，让患者抱住。患侧大腿垂于床沿外。检查者一手按健膝，一手压患膝，出现骶髂关节疼痛为阳性。说明骶髂关节有病变。

13、Addsionsign

患者坐位，仰首转向患侧，深吸气后屏住呼吸，检查者一手抵住患者下颌，一手摸患侧桡动脉，动脉搏动减弱或消失则为阳性。提示血管受挤压，常见于前斜角肌综合征。

14、腕伸肌紧张试验（Millssign）

患者伸直患侧肘关节，前臂旋前，检查者将患侧腕关节屈曲，若患者肱骨外上髁处发生疼痛即为阳性。提示肱骨外上髁炎。

15、Cozentest

即前臂伸肌张力试验，肘关节，尽量将前臂旋前，然后伸肘，如肱骨外上髁疼痛即为阳性。提示肱骨外上髁炎。

16、Thechairtest

患者伸肘，肩前屈60°，双手举一椅子，如举起困难或伴有肱骨外上髁疼痛即为阳性。提示肱骨外上髁炎。

17、THomsentest

患者紧握拳，背伸腕关节、伸肘，当患者背伸腕关节时，检查者用力抵抗并使之屈曲，肱骨外上髁疼痛即为阳性。提示肱骨外上髁炎。

18、Hutertriangle

正常情况下，肘关节伸直时，肱骨内、外上髁和尺骨鹰嘴突在一条直线上；肘关节屈曲时，三者连线呈一等腰三角形。肱骨髁上骨折时三者位置关系不变，肘关节脱位时，三者关系发生改变。

19、芬克斯征-握拳尺偏实验

（Finkelseinsign或Finkel-steinsign）：患者拇指握于掌心，使腕关节被动尺偏，桡骨茎突处出现疼痛即为阳性，为桡骨茎突狭窄性腱鞘炎的体征。

20、单足独立试验（Trendelenburgtest）

患者背向检查者，健侧屈髋屈膝上提，用患肢站立，如健侧骨盆及臀褶下降即为阳性。多见臀中、小肌麻痹，髋关节脱位及陈旧性股骨颈骨折或发育性髋关节脱位。

21、望远镜试验：（Dupuytrensign）

患者仰卧，检查者一手握膝，一手固定骨盆，上下推动股骨干，若觉察有抽动或响声即为阳性，提示小儿先天性髋关节脱位。

22、髂胫束试验：（Obersign）

患者健侧卧位，健侧屈髋屈膝，检查者一手固定骨盆，一手握患侧踝部，屈髋屈膝达90°，外展大腿并伸直患膝，大腿不能自然下落，并可在大腿患侧触及索条样物或患侧主动内收，足尖不能触及床面，即为阳性。提示髂胫束痉挛。

23、Ortolanisign

小儿仰卧，双髋外展，双腿分开，患侧膝关节不能触及床面；如能，则先有一滑动声响（此为暂时复位标志）即为阳性。提示小儿先天性髋关节脱位。

24、Barlowtest

Ortolanisign阴性，并不表明髋关节稳定，为进一步确定，可用此试验。检查者一只手于耻骨联合和骶骨尖处固定骨盆，另一手向后方施压试图使髋关节脱位，如感觉到股骨头向后半侧脱位，再通过其余手指向前推动大转子或加大外展角度可能使股骨头复位，提示小儿髋关节不稳。

25、Nelatonline

即髂坐线。患者侧卧，髂前上棘到坐骨结节的连线正通过大转子的最高点。否则为阳性，提示髋关节脱位或股骨颈骨折。

产后修复＋骨盆闭合＋徒手缩阴＋私密内雕四课同修课程火热报名中，告诉你“性福”的答案，让小三无缝可钻，紧握幸福的钥匙……

预约：（ 　　目前，亚洲女性对美的追求已经不满足于对脸部及五官美的塑造，而是到了臀部、私密处，她们意识到女人的美，就是要内外兼修。

　80%的女性在大龄或生育后，会出现阴道松弛、弹性减弱。外力致伤，性生活频繁者以及年龄增长，肥胖、抽烟、酗酒、内分泌失调也容易让私处失去弹性导致松弛，从而影响性生活质量。

什么是？

　纯手法不需要任何产品，不需要手术，不需要微针注射，绿色安全有效，甚至不接触私密部位，无需脱衣服随治随走，数据化测量，最安全最有效的最速度的技术!

　操作一次当场可以收紧1~2指！腰围当场收紧2-8厘米！学习现场老师操作全体学员都可以见证！无基础学员2天内包教包会！

是通过什么原理达到理想塑形效果的?

以中医学、解剖学、生物力学为基础，以徒手整形师的各种手法，根据肌肉走向，骨骼定位，经络定位，全息反射，加上人体艺术审美等多门学科的综合运用，依靠特定手法使深层肌肉组织、筋络骨骼重新整理、修正、加固，从而达到私密收紧的效果。

为什么叫四课同修班

最专业的技术，上四个课程仅收一个课程的费用，放在美容院、养生馆做一次收费都可以在万元以上。

为什么要选择德懿堂学习

1、缩阴不碰阴，只在腿部，背部等外围操作，男女皆可学习。纯手法操作，立竿见影，一次就有效！一次操作只需20-25分钟，易推广，我们的技术不等同其他只是局部刺激，后期反弹；我们的技术是改造盆地结构，恢复自主调整功能！

2、现场见证徒手缩阴的神奇效果：老师给学员现场演示操作手法，操作前后进行数据测量比较，保证当场操作一次可以收紧1~2指！所有学员都是现场亲眼见证！

3、理论加实战实习，包教包会，免费复训

开班时间：

期课程

年12月18日-19日

年1月18日-19日

举办地点：

医院七楼会议室（郑州市金水区景明街）

学习费用：原价元，优惠后报名：元，现在报名只需元。赶紧锁定名额！

小班授课，名额有限，欲报从速！

一次学习，免费复训！

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