1. Healthcare

Review Articles / 2553; 20(2): 37-40
J Thai Rehabil Med 2010; 20(2): 37-40
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Correspondence to: Assist. Prof. Dr. Wipoo Kumnerddee,
Department of Rehabilitation Medicine, Phramongkutklao College
of Medicine, Bangkok, Thailand
E-mail: [email protected]
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2553; 20(2)
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Radiculopathy
Radiculopathy & , (
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% 1
(%) (%)
SLR
SLR
Crossed SLR
Weakness
Sensory deficits
Imaging
Surgery
Surgery/Imaging
Surgery/Imaging
Surgery/Imaging
37-81
92
28
27-62
14-61
37-100
28
90
47-93
60-93
Impaired DTR
Surgery/Imaging
14-61
60-93
1 !
lumbar radiculopathy(8)
SLR = Straight Leg Raising, Imaging = abnormal disc in CT/MRI,
Surgery = abnormal disc in operative findings
Weakness = weakness of dorsiflexors (ankle/toe),
DTR = Deep tendon reflex at the ankle
Large heterogeneity, surgical cases only
J Thai Rehabil Med 2010; 20(2)
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lumbar radiculopathy *%""5! EMG &
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fibrillation potentials, polyphasic potentials "9$%$,
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SHBF, MGAS, PSM
100
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SHBF, MGAS, PSM
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*spontaneous activity=fibrillations & positive sharp waves
VMED=vastus medialis; ATIB=tibialis anterior; PTIB=tibialis
posterior; SHBF=short head biceps femoris
MGAS=medial gastrocnemius; PSM=paraspinal muscles;
ADD=adductor longus
facet arthropathy(12)
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Criteria
1.
2.
3.
4.
5.
Age at onset < 40 years
Insidious onset
Improvement with exercise
No improvement with rest
Pain at night (with improvement upon getting up)
3 >?
! inflammatory back pain(14)
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2553; 20(2)
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J Thai Rehabil Med 2010; 20(2)
7. Lipetz JS, editor. Pathophysiology of inflammatory, degenerative,
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2002.
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12. Cohen SP, Raja SN. Pathogenesis, diagnosis, and treatment of
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