Student UHS

17/10/2025

01/10/2025

01/10/2025ជាថ្ងៃថ្មីខែថ្មីសូមអោយពុកម៉ែបងប្អូនទាំងអស់សុខភាពល្អសំណាងល្អរកទទួលទានមានបានសុខសប្បាយហេងៗទាំងអស់គ្នា!!!🙏🙏

29/09/2025

ប្រឹងឱ្យអ/ស់ពីសម្ថភាព ទោះបីជាចុងក្រោយលទ្ធផលយ៉ាងណា ក៏សប្បាយ/ចិត្តនឹងទទួលយក…🤍🧑‍⚕️

Admin : PHANIT

18/09/2025

យើងត្រូវជឿជាក់លើសមត្ថភាពរបស់យើង ហើយកុំរារែកក្នុងការជ្រើសរើសជំនាញអ្វីដែលយើងស្រឡាញ់..🧑‍⚕️🩺

Admin : PHANIT

17/09/2025

•ជីវិតគ្រូពេទ្យ: នរណាខ្លះយល់អារម្មណ៍ទាំងអស់នេះ?
-គ្មានពេលវេលាផ្ទាល់ខ្លួន
-សុខចិត្តទៅយាមនៅពេទ្យ ទុកផ្ទះចោល
-មានពេលមេីលថែអ្នកជម្ងឺ តែគ្មានពេលមេីលថែគ្រួសារខ្លួនឯង
-ប្រឈមមុខនឹងគេជេរ និងដាក់បណ្ដាសារច្រេីន
-ប្រឈមមុខនឹងជម្ងឺឆ្លង គ្រប់ប្រភេទ
-ធ្វេីការច្រេីន គិតច្រេីន មុខចាស់ជាងអាយុ 💙👩🏻‍⚕️🧑🏼‍⚕️🫶🏻
Admin : PHANIT

15/09/2025

មិចហើយ jivit ថ្ងៃភ្ជុំ បានទៅស្រុកអត់មើលទៅ..☺️

Admin : PHANIT

14/09/2025

អំពេីល្អវាគ្មានរូប/គ្មានរាងនោះទេ ប៉ុន្តែវាមានតម្លៃ.🤍

Admin : PHANIT

09/06/2025

Kinesio Taping...?

05/06/2025

🤍សុខចិត្តនៅផ្ទះតូច ចាយលុយត្បិតត្បៀត ឱ្យតែកូនបានរៀនសាលាល្អ គឺគ្រប់គ្រាន់ហើយ។
💞ម៉ាក់ប៉ា អាចអត់ភាពហ៊ឺហារ អត់ហូបឆ្ងាញ់ អត់ឡូយឆាយបាន តែមិនអាចឱ្យកូនអត់សាលារៀនទេ។
ជីវភាពយើងអាចដើរមិនទាន់គេ តែចំណេះកូនមិនអាចដើរក្រោយគេបានទេ។
រស់នៅជាមួយចំណេះដឹង ទោះមិនមានស្តុកស្តម្ភ តែជីវិតថ្លៃថ្នូរ។🫶🏻🕊️😍

30/05/2025

+ ជំងឺ Stroke ឬ ជំងឺដាច់សរសៃឈាមខួរក្បាល ឬស្ទះសរសៃឈាមខួរក្បាល.🧠

29/05/2025

𝙎𝙩𝙧𝙖𝙞𝙜𝙝𝙩 𝙇𝙚𝙜 𝙍𝙖𝙞𝙨𝙚 (SLR)

••Overview••

The Straight Leg Raise (SLR) test, also called Lasegue’s test, is a neurodynamic test used primarily to assess the irritation of the lumbosacral nerve roots, particularly L4, L5, and S1. It’s commonly performed on patients presenting with low back pain radiating down the leg, especially in suspected lumbar disc herniation or sciatica.

••Purpose••

-Detect lumbar nerve root compression (especially L5/S1).

-Differentiate neurological pain from musculoskeletal or hamstring tightness.

-Evaluate sciatic nerve irritability.

𝙌)How to Perform the SLR Test?

•Patient Position: Supine (lying flat on the back), legs extended.

•Examiner Action:

1. Passively lift the patient's leg by the heel, keeping the knee fully extended.

2. Slowly raise the leg in hip flexion until the patient experiences pain or discomfort (usually between 30° to 70°).

3. If pain is present, lower the leg slightly and then dorsiflex the foot or flex the neck to further stretch the nerve root (this increases the stretch on the sciatic nerve).

Variations:

Bragard’s test: After SLR elicits symptoms, lower the leg slightly and dorsiflex the ankle to confirm neural tension.

Crossed SLR test (Well leg raise): Lifting the unaffected leg causes pain in the affected leg — this strongly suggests a herniated disc.

Normal vs. Abnormal Response

[Positive SLR Test Criteria]

1) Reproduction of the patient’s sciatic-type pain (radiating below the knee).

2)Pain intensifies with ankle dorsiflexion or neck flexion (suggests neural tension).

3)Pain reduces with hip lowering, indicating a neural structure is the pain source.

••Differential Diagnosis Based on SLR••

-Lumbar disc herniation: Pain between 30–70° with neural symptoms.

-Hamstring tightness: Pain >70°, localized to the posterior thigh.

-SI joint pathology: Pain not radiating below the knee and usually localized to the buttock area.

-Hip pathology: Pain felt in groin or anterior thigh, not typically below the knee.

••Clinical Significance••

Sensitivity: High (around 91% for disc herniation).

Specificity: Moderate to low (around 26–40%).

Crossed SLR Test: Lower sensitivity but very high specificity, often confirms large or medial disc herniation.

••Limitations••

Cannot always distinguish between muscular and neurological causes without adjunct testing.

False positives: Tight hamstrings, hip joint stiffness.

False negatives: Mild disc herniations or patients with high pain tolerance.

••Tips for Better Accuracy

-Always compare both sides.

-Note the quality and distribution of pain.

-Combine with neurological examination: reflexes, strength, and sensation tests.