Muscular atony
Contents:
Description:
Decrease or lack of resistance to the passive movements in various joints; the volume of movements at the same time is often increased, "looseness" of joints quite often comes to light.
Symptoms of the Muscular atony:
Also some symptoms (tests) are characteristic: the test of folding of a shoulder and forearm - when bending in an elbow joint a forearm densely adjoins to a shoulder, and it is possible to touch with a wrist and a brush a shoulder joint; a symptom of "sluggish nadplechiya" - when raising the child for axillary area only his shoulder girdles rise, and the head is as if pulled in between them; Orshansky's symptom - the bigger passive overextension of a leg in a knee joint observed at low by T. m (at the patient lying on spin the doctor with one hand presses a knee joint, and the second raises a leg for a heel, at low T. the m a leg pererazgibatsya in a knee joint, and the heel easily comes off a bed; when walking at such patients overextension in a knee joint is observed, also overextension in elbow joints is possible); test calcaneal and buttock - at the patient lying on a stomach when bending a leg in a knee joint a heel can freely touch a buttock; calcaneal трохантерная Poyemny's test - is similar previous, but at the same time it is possible to lead a heel to an outside surface of a trokhanter of a hip (a femur spit), Oppengeym's tests - the first: in a sitting position of the patient can touch by fingers of feet of a mandible, the second - in a sitting position of the patient can stuff up legs for the head.
Reasons of the Muscular atony:
The hypomyotonia (atony) meets at hereditary neuromuscular diseases, damage of a peripheral motor neuron (sluggish paresis and paralyzes, it is frequent in combination with an atrophy of muscles), back roots and back cords of a spinal cord (for example, at tabes), a reticular formation of a brainstem (for example, a cataplexy), striopallidal system (different types of a chorea), cerebellar system (an acute cerebellar ataxy, cerebellum tumors, etc.), at a diaschisis.
Treatment of the Muscular atony:
Treatment of a basic disease is carried out.
