{"id":44,"date":"2024-04-04T05:48:57","date_gmt":"2024-04-04T02:48:57","guid":{"rendered":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/31-anamnees\/"},"modified":"2024-04-04T05:52:29","modified_gmt":"2024-04-04T02:52:29","slug":"31-anamnees","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/31-anamnees\/","title":{"rendered":"3.1. Anamnees"},"content":{"rendered":"<p style=\"margin-top: 12pt\">\n\t<span lang=\"et\" style=\",serif\">Lisaks Sissejuhatava peat\u00fcki alapeat\u00fckis <\/span><a data-url=\"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/book\/12-patsiendi-anamnees\" href=\"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/book\/12-patsiendi-anamnees\" title=\"\">\u201cPatsiendi anamnees\u201d<\/a><span lang=\"et\" style=\",serif\"> v\u00e4lja toodud aspektidele, toetavad terapeuti spetsiifiliselt l\u00fclisamba kaelapiirkonna kaebusega patsiendi anamneesi v\u00f5tmisel ka j\u00e4rgmised k\u00fcsimused:\u00a0 <\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<span lang=\"et\" style=\",serif\"><strong>1. Kui t\u00f5sised on s\u00fcmptomid?<\/strong> Tabelis 1 on toodud s\u00fcmptomid, mis v\u00f5ivad olla tingitud kaela patoloogiast.<\/span>\n<\/p>\n<h5 style=\"text-align: center\">\n\t<br>Tabel 1. Kaela patoloogiaga seotud s\u00fcmptomid.<br>\n<\/h5>\n<table class=\"table table-hover\" align=\"center\" style=\"border-collapse:collapse;border:solidblack1.0pt\" width=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 50%;border-top: none;text-align: center\">\n\t\t\t\t<span style=\"height:24.25pt\"><b><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Funktsioonih\u00e4ire<\/span><\/span><\/span><\/b><\/span>\n\t\t\t<\/td>\n<td style=\"width: 249.75pt;border-top: none;border-left: none;text-align: center\" width=\"333\">\n\t\t\t\t<span style=\"height:24.25pt\"><b><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">S\u00fcmptomid<\/span><\/span><\/span><\/b><\/span>\n\t\t\t<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Kukkumine<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Valu<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tundlik peanahk<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Peavalu<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tundlikud luud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Pearinglus\/ uimasus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Anesteesia<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Vertiigo\/ peap\u00f6\u00f6ritus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">H\u00fcperesteesia\/ liigtundlikkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Paresteesia\/ v\u00e4\u00e4raisting, v\u00e4\u00e4rtundlikkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">D\u00fcsesteesia\/ tundlikkuse v\u00e4henemine<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">V\u00e4simus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Atroofia<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Unetus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">\u00dclaj\u00e4seme n\u00f5rkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">\u201eRahutud k\u00e4ed ja jalad\u201c<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">As\u00fcmmeetria<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">K\u00f6ha<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Higistamine v\u00f5i higistamise puudumine<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Aevastamine<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">N\u00fcstagm\/ silmat\u00f5mblus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Iiveldus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Lihastundlikkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">K\u00f5hulahtisus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">K\u00f5nnimustrih\u00e4ire<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">N\u00e4gemish\u00e4ire<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">M\u00f6\u00f6duv kuulmise, n\u00e4gemise, teadvuse kaotus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Kuulmish\u00e4ire, \u00fcla-ja alaj\u00e4semevalu<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Ataksia\/ liigutuste koordinatsioonih\u00e4ire<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tortikollis\/ k\u00f5\u00f5rkaelsus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:24.25pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Spastiline k\u00f5nnimuster<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:24.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">K\u00f5nnimustrih\u00e4ire<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:52.0pt\">\n<td style=\"width:180.75pt;border:solidblack1.0pt;border-top:none\" width=\"241\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Muutused refleksides<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:249.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"333\">\n<p style=\"margin-top: 12pt;margin-right: 0cm;margin-bottom: 0.0001pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tasakaaluh\u00e4ire, uneh\u00e4ire, lihaskrambid, tujuh\u00e4ired, tinnitus\/ k\u00f5rvas v\u00f5i peas kuuldav lisam\u00fcra, diploopia\/ kahelin\u00e4gemine<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"margin-top: 12pt\">\n\t<strong><span lang=\"et\" style=\",serif\">2.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Vigastuse korral, milline oli selle tekkemehhanism \u2012 kas venitus v\u00f5i \u00fclekoormus? Kas patsient liikus trauma hetkel? <\/strong>N\u00e4iteks v\u00f5ib trauma tagaj\u00e4rjel tekkida piitsal\u00f6\u00f6gi t\u00fc\u00fcpi (ingl <i>whiplash<\/i>) kaelavigastus, venitusega seotud vigastus v\u00f5ib patsiendile tunduda p\u00f5letavana, \u00fclakeha r\u00fchih\u00e4irel v\u00f5ib olla seos rindkereava s\u00fcndroomiga (ingl <i>thoracic outlet syndrome<\/i>), aeglase kuluga kaelavaevus vanemal inimesel v\u00f5ib viidata l\u00fclisamba kaelaosa spond\u00fcloosile (degeneratiivne l\u00fclihaigus\/l\u00fclij\u00e4ikus). Kiirguv valu v\u00f5i p\u00f5letustunne v\u00f5ib ilmneda kui \u00f5lap\u00f5imik (la <i>plexus brachialis<\/i>\u2013 nelja alumise kaela ja \u00fclemise rindkeren\u00e4rvi eesmistest harudest moodustuv n\u00e4rvip\u00f5imik, mis kulgeb rangluualusest arterist k\u00fclgmiselt kaenlaauku) on \u00fclaj\u00e4seme liigutuse ajal venitunud v\u00f5i komprimeeritud (Tabel 2). Vastused v\u00e4ljatoodud k\u00fcsimustele v\u00f5imaldavad terapeudil hinnata, kuidas tekkis kahjustus, millised struktuurid on kahjustunud ning kui t\u00f5sine on kahjustus.<\/span>\n<\/p>\n<h5 style=\"text-align: center\">\n\t<br>Tabel 2. Diferentsiaaldiagnostika l\u00fclisamba kaelaosa n\u00e4rvijuure ja \u00f5lap\u00f5imiku kahjustuse korral.<br>\n<\/h5>\n<table class=\"table table-hover\" align=\"center\" style=\"border-collapse:collapse;border:solidblack1.0pt\" width=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 102pt;border-top: none\" width=\"136\">\n\t\t\t\t\u00a0\n\t\t\t<\/td>\n<td style=\"width: 168.75pt;border-top: none;border-left: none;text-align: center\" width=\"225\">\n\t\t\t\t<span style=\"height:50.5pt\"><b><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">L\u00fclisamba kaelaosa\u00a0<\/span><\/span><\/span><\/b><\/span><span style=\"height:50.5pt\"><b><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">n\u00e4rvijuure kahjustus<\/span><\/span><\/span><\/b><\/span>\n\t\t\t<\/td>\n<td style=\"width: 171.75pt;border-top: none;border-left: none;text-align: center\" width=\"229\">\n\t\t\t\t<span style=\"height:50.5pt\"><b><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">\u00d5lap\u00f5imiku kahjustus<\/span><\/span><\/span><\/b><\/span>\n\t\t\t<\/td>\n<\/tr>\n<tr style=\"height:66.25pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">P\u00f5hjus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Diski herniatsioon, stenoos\/kitsenemus, osteof\u00fc\u00fcdid, traumaga seotud turse, spond\u00fcloos<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Kaela venitus, kaela kompressioon, \u00f5lav\u00f6\u00f6tme depressioon<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Soodustavad tegurid<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Kaasas\u00fcndinud defektid<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Rindkereava s\u00fcndroom<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:66.25pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Valu<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Terav, p\u00f5letav valu \u00fclaj\u00e4seme haaratud dermatoomides<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:66.25pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Terav, p\u00f5letav valu k\u00f5igis v\u00f5i peaaegu k\u00f5igis \u00fclaj\u00e4seme haaratud dermatoomides, valu trapetslihases<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:52.0pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Paresteesia<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tuimus, \u201en\u00f5elatorked\u201c haaratud dermatoomides<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tuimus, \u201en\u00f5elatorked\u201c k\u00f5igis v\u00f5i peaaegu k\u00f5igis haaratud dermatoomides<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Tundlikkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Kaela posterioorses osas<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">\u00d5lap\u00f5imiku v\u00f5i kaela lateraalses osas<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:52.0pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">L\u00fclisamba kaelaosa liikuvuse ulatus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">V\u00e4henenud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">V\u00e4henenud, kuid tavaliselt taastub kiiresti<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:52.0pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">N\u00f5rkus<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">M\u00f6\u00f6duv paral\u00fc\u00fcs\/halvatus, m\u00fcotoomid v\u00f5ivad olla m\u00f5jutatud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:52.0pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">M\u00f6\u00f6duv lihasn\u00f5rkus, m\u00fcotoomid m\u00f5jutatud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:38.5pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">K\u00f5\u00f5luste s\u00fcgavad refleksid<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">M\u00f5jutatud n\u00e4rvijuur v\u00f5ib olla komprimeeritud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:38.5pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">V\u00f5ib olla komprimeeritud<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<tr style=\"height:120.75pt\">\n<td style=\"width:102.0pt;border:solidblack1.0pt;border-top:none\" width=\"136\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:120.75pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">Provokatiivne test<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:168.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"225\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:120.75pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">L\u00fclisamba kaelaosa lateraalfleksioon, rotatsioon ja ekstensioon koos kompressiooniga s\u00fcvendab s\u00fcmptomeid. Kaela traktsioon v\u00e4hendab s\u00fcmptomeid. \u00dclaj\u00e4seme pinge test (ingl <i>upper limb tension test<\/i>\u2013 ULTT) on positiivne<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<td style=\"width:171.75pt;border-top:none;border-left:none;border-bottom:solidblack1.0pt;border-right:solidblack1.0pt\" width=\"229\">\n<p style=\"margin-top: 12pt\">\n\t\t\t\t\t<span style=\"height:120.75pt\"><span lang=\"et\"><span style=\"line-height:115%\"><span style=\",serif\">L\u00fclisamba kaelaosa lateraalfleksioon koos kompressiooniga (samas suunas) v\u00f5ib s\u00fcmptome s\u00fcvendada. ULTT v\u00f5ib olla positiivne.<\/span><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h6>\n\tPeatrauma, kaelatrauma, peavalu, tundlikkuse h\u00e4ire \u00fclaj\u00e4semes, n\u00e4gemish\u00e4ire, pea ja \u00fclaj\u00e4semete asend t\u00f6\u00f6 tegemisel, magamisel, padi, on spetsiifilised m\u00e4rks\u00f5nad l\u00fclisamba kaelaosa kaebusega patsiendi anamneesi v\u00f5tmisel.<br>\n<\/h6>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">3.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Milline on patsiendi amet, hobitegevus, vabaajategevused?\u00a0Kas patsient kannab prille?<\/strong> Kuna <\/span><span lang=\"et\" style=\",serif\">patsient painutab pead pilgu fokusseerimiseks liigselt ette, siis seos n\u00e4gemish\u00e4ire ja \u00fclakaela s\u00fcmptomite vahel on ilmne. L\u00fclisamba kaela alumise v\u00f5i rinna \u00fclemise piirkonna s\u00fcmptomid s\u00fcvenevad tegevustel, mis n\u00f5uavad eseme t\u00f5ukamist v\u00f5i t\u00f5mbamist (nt muru niitmine, saagimine, akende pesemine).<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">4.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Kas patsiendil on esinenud peatrauma, teadvuse kaotust? Kas s\u00fcmptomid tekkisid vahetult p\u00e4rast traumat? <\/strong>Luuvalu ilmneb vahetult vigastuse j\u00e4rgselt, ka lihase v\u00f5i k\u00f5\u00f5luse rebend tekitab kohese valu. Lihase venitusega seotud valu v\u00f5ib aga tekkida m\u00f5ne tunni v\u00f5i p\u00e4eva m\u00f6\u00f6dudes vigastusest.<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">5.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Milline on valu lokalisatsioon ning piirid? Kas patsient viitab \u00fchele kindlale v\u00f5i mitmele valu piirkonnale? <\/strong>C4 n\u00e4rvijuure v\u00f5i sellest k\u00f5rgemal oleva n\u00e4rvijuure patoloogia ei tekita s\u00fcmptomeid \u00fclaj\u00e4semes. Kaela radikulopaatia tekitab tavaliselt unilateraalselt \u00fclaj\u00e4semes nii sensoorseid kui motoorseid h\u00e4ireid koos lihasn\u00f5rkusega (m\u00fcotoom) ja tundlikkuse h\u00e4irega (dermatoom). Akuutne radikulopaatia on tavaliselt seotud diski herniatsiooniga, krooniline kaebus spond\u00fcloosiga. L\u00fclisamba kaelaosa diski herniatsioon p\u00f5hjustab tavaliselt tugevat valu, mis v\u00f5ib kiirguda \u00f5lav\u00f6\u00f6tmesse, abaluu piirkonda v\u00f5i \u00fclaj\u00e4semesse. Diski herniatsiooniga kaasneb kaela liikuvuse piiratus ning valu suurenemine n\u00e4iteks k\u00f6himisel, aevastamisel, raskel f\u00fc\u00fcsilisel t\u00f6\u00f6l. Kaelapiirkonna m\u00fcelopaatia ehk seljaajuhaigestumuse korral esineb spastilist lihasn\u00f5rkust, paresteesiat ning v\u00f5imalikku koordinatsioonih\u00e4iret \u00fches v\u00f5i m\u00f5lemas \u00fclaj\u00e4semes.<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">6.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Kas valu on kiirguv? <\/strong>Antud vastust on m\u00f5istlik seostada dermatoomide ja perifeerse n\u00e4rvi kahjustuse korral sensoorse h\u00e4ire leiuga, teostades edaspidi tundlikkuse testid ning palpatsiooni.<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">7.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Kas esineb peavalusid? <\/strong>Jaatava vastuse korral t\u00e4psustada, kus piirkonnas, kui intensiivselt, kui sageli peavalud esinevad ning kas patsient tarvitab ravimeid, et leevendada peavalu.<strong> Kas esineb valu provotseerivaid tegureid nagu n\u00e4iteks stress, teatud toit, kehaasend? <\/strong>Peavaluga seostub ka kraniovertebraalliigese d\u00fcsfunktsioon \u2012 n\u00e4iteks C1 patoloogiaga seotud peavalu esineb pealae piirkonnas, C2 patoloogia v\u00e4ljendub valus oimupiirkonnas.\u00a0 <\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">8.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Kas patsient tunneb kihelust\/pakitsust (ingl <i>tingling<\/i>) \u00fclaj\u00e4semetes?<\/strong> Bilateraalselt esinevad s\u00fcmptomid v\u00f5ivad viidata s\u00fcsteemsele haigusele (diabeet, alkoholism), mis p\u00f5hjustab neuropaatiat. Kui esineb paresteesiat v\u00f5i tuimust alaj\u00e4semetes, komistamist, k\u00f5nni- ja tasakaaluh\u00e4ireid, siis v\u00f5ivad vastavad s\u00fcmptomid viidata tservikaalsele m\u00fcelopaatiale (nagu ka soole ja p\u00f5iega seotud sulgurlihase d\u00fcsfunktsioon).<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">9.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Kas patsient hingab valdavalt suu kaudu? <\/strong>Suuhingamine soodustab pea eesasendi teket ning suurendab abihingamislihaste aktiivsust.<\/span>\n<\/p>\n<p style=\"margin: 12pt 0cm\">\n\t<strong><span lang=\"et\" style=\",serif\">10.<\/span> <\/strong><span lang=\"et\" style=\",serif\"><strong>Milline on patsiendi t\u00fc\u00fcpiline magamisasend? Kas magamisel esineb probleeme? <\/strong>Kui mitut ning millise koostisega patja patsient kasutab? Milline on k\u00e4e asend magamisel, kas see v\u00f5ib soodustada l\u00fclisamba kaelaosa alumiste n\u00e4rvijuurte kompressiooni? <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lisaks Sissejuhatava peat\u00fcki alapeat\u00fckis \u201cPatsiendi anamnees\u201d v\u00e4lja toodud aspektidele, toetavad terapeuti spetsiifiliselt l\u00fclisamba kaelapiirkonna kaebusega patsiendi anamneesi v\u00f5tmisel ka j\u00e4rgmised k\u00fcsimused:\u00a0 1. Kui t\u00f5sised on s\u00fcmptomid? Tabelis 1 on toodud s\u00fcmptomid, mis v\u00f5ivad olla tingitud kaela patoloogiast. Tabel 1. Kaela &#8230;<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-44","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/44","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/comments?post=44"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/44\/revisions"}],"predecessor-version":[{"id":569,"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/pages\/44\/revisions\/569"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/fysioterapeutilinehindamine\/wp-json\/wp\/v2\/media?parent=44"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}