患者,女,56岁,工人,腰腿痛20年,加重3个月。患者20年前有腰部疼痛,偶伴有右侧下肢牵拉痛。随着体重的增加,腰痛逐年加重。近3个月来,因腰痛而不能久行,咳嗽和坐起等体位改变时有明显腰痛,伴右小腿疼痛和麻木感。检查:体胖(85kg),腰部前屈20°,侧屈各30°,后伸30°,腰椎生理弧度呈过屈,腰4~5棘旁和棘间局部压痛(++),腰5和骶1似呈台阶状,挺腹试验不能完成,直腿抬高试验弱阳性,加强试验阳性。 患者采用腰部牵引治疗,其起始重量为
A. 自身重量的20%
B. 自身重量的30%
C. 自身重量的40%
D. 自身重量的50%
E. 自身重量的60%
患者,女,56岁,工人,腰腿痛20年,加重3个月。患者20年前有腰部疼痛,偶伴有右侧下肢牵拉痛。随着体重的增加,腰痛逐年加重。近3个月来,因腰痛而不能久行,咳嗽和坐起等体位改变时有明显腰痛,伴右小腿疼痛和麻木感。检查:体胖(85kg),腰部前屈20°,侧屈各30°,后伸30°,腰椎生理弧度呈过屈,腰4~5棘旁和棘间局部压痛(++),腰5和骶1似呈台阶状,挺腹试验不能完成,直腿抬高试验弱阳性,加强试验阳性。 下列治疗中,不适当的是
A. 卧床休息
B. 运动疗法
C. 超短波等物理治疗
D. 胶原酶注射
E. 立即手术治疗
患者,男,40岁,因右侧胫骨平台骨折手术切开复位,螺钉内固定术,功能位石膏外固定4周后,拆除石膏后,发现右膝僵硬,导致膝关节屈曲受限,要求康复治疗。 在实施膝关节被动运动前,必须了解最基本的信息是
A. 患者的职业
B. 膝关节活动范围
C. 屈、伸膝关节肌的肌力
D. 膝关节正侧位X线,了解骨折愈合、关节关系等情况
E. 疼痛评定了解疼痛程度
British English vs. American English American English is the form of English used in the United States. British English is the form of English used in the United Kingdom. Ⅰ. History A. the introduction of English to the Americans —time: in the (1) (1)______ —way: by colonization B. divergence after the introduction —result: BE and AE Ⅱ. Accents A. before American independence —American and British accents were similar —both AE and BE were rhotic i.e.letter R was pronounced (2) (2)______ B. since 1976 —accents diverged —British English changed more C. towards the end of the 18th century —non-rhotic speech became (3) in Britain (3)______ —exceptions also exsit Ⅲ. Use of Tenses A. the present perfect —BE: to express an action that has occurred in the recent past that has an effect on the present moment —AE: present perfect or (4) to be used to express the (4)______ same thing B. the use of words already, just and yet in the present perfect Ⅳ. (5) (5)______ A. some words exist in both AE and BE, but have different meanings B. some words are only common in AE or BE alone C. some word are (6) differently (6)______ Ⅴ. Use of Prepositions —e.g.in, on and at, etc. Ⅵ. Verb Usage —use a base verb in different manners e.g.different (7) for a same verb (7)______ Ⅶ. Pronunciation —same word, different pronunciation —same pronunciation, different (8) (8)______ Ⅷ. (9) (9)______ A. different telling for quarter(s): e.g.quarter past ten is common in (10) (10)______ B. same telling for thirty minutes after the hour C. different writing ways for times: e.g.AE:6:00 vs BE:6.00 British English vs. American English American English is the form of English used in the United States. British English is the form of English used in the United Kingdom. Ⅰ. History A. the introduction of English to the Americans —time: in the (1) (1)______ —way: by colonization B. divergence after the introduction —result: BE and AE Ⅱ. Accents A. before American independence —American and British accents were similar —both AE and BE were rhotic i.e.letter R was pronounced (2) (2)______ B. since 1976 —accents diverged —British English changed more C. towards the end of the 18th century —non-rhotic speech became (3) in Britain (3)______ —exceptions also exsit Ⅲ. Use of Tenses A. the present perfect —BE: to express an action that has occurred in the recent past that has an effect on the present moment —AE: present perfect or (4) to be used to express the (4)______ same thing B. the use of words already, just and yet in the present perfect Ⅳ. (5) (5)______ A. some words exist in both AE and BE, but have different meanings B. some words are only common in AE or BE alone C. some word are (6) differently (6)______ Ⅴ. Use of Prepositions —e.g.in, on and at, etc. Ⅵ. Verb Usage —use a base verb in different manners e.g.different (7) for a same verb (7)______ Ⅶ. Pronunciation —same word, different pronunciation —same pronunciation, different (8) (8)______ Ⅷ. (9) (9)______ A. different telling for quarter(s): e.g.quarter past ten is common in (10) (10)______ B. same telling for thirty minutes after the hour C. different writing ways for times: e.g.AE:6:00 vs BE:6.00