基于筋骨理论探讨手法对颈椎病姿态异常的影响
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摘要
筋骨理论是中医学医疗实践中具有指导意义的经典理论。中医学认为颈椎病的发生是筋骨体系失衡引起的,现代生物力学研究表明颈椎病头颈姿态异常与颈椎内源性稳定和外源性稳定失衡密切相关。颈椎病患者往往伴有姿态的异常,长期的不良姿态使得颈椎病患者头颈生物力学状态发生改变,从而加速颈椎周围肌群和椎骨退变,这也正是颈椎病易反复发作的症结所在。临床研究表明推拿手法通过柔筋调骨使得骨正筋柔,以达到筋骨平衡、改善姿态的目的。文章从中医筋骨理论出发探讨颈椎病姿态异常的形成机制和手法对姿态的影响。
The Jingu theory is a classic theory which has a guiding significance in the medical practice of TCM. TCM thinks that Jingu imbalance can cause cervical spondylopathy. Modern biomechanical studies have also proved that abnormal posture of cervical spondylosis is related to the destruction of endogenous stability or external stability of the cervical spine.Cervical spondylosis patients are often accompanied with abnormal posture of the head and neck. The long time bad posture changes the biomechanical state of the head and neck of the patients with cervical spondylosis, thus accelerating the surrounding muscle group and vertebra degeneration, which is also the crux of the recurrence of cervical spondylosis. Clinical studies have shown that the manipulation can restore the bone to its proper position and make tendons soft by regulating the bone with flexible tendons, so as to achieve the balance of muscles and bones and improve posture. This article will discuss the mechanism of abnormal posture of cervical spondylosis and the influence of manipulation on posture based on the TCM Jingu theory.
The Jingu theory is a classic theory which has a guiding significance in the medical practice of TCM. TCM thinks that Jingu imbalance can cause cervical spondylopathy. Modern biomechanical studies have also proved that abnormal posture of cervical spondylosis is related to the destruction of endogenous stability or external stability of the cervical spine.Cervical spondylosis patients are often accompanied with abnormal posture of the head and neck. The long time bad posture changes the biomechanical state of the head and neck of the patients with cervical spondylosis, thus accelerating the surrounding muscle group and vertebra degeneration, which is also the crux of the recurrence of cervical spondylosis. Clinical studies have shown that the manipulation can restore the bone to its proper position and make tendons soft by regulating the bone with flexible tendons, so as to achieve the balance of muscles and bones and improve posture. This article will discuss the mechanism of abnormal posture of cervical spondylosis and the influence of manipulation on posture based on the TCM Jingu theory.
引文
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[13]朱清广,房敏,潘磊,等.推拿手法对颈椎病“骨错缝”的治疗作用.中医杂志,2012,53(2):129-132
[14]叶勇,汤伟,李里,等.“筋骨调衡”手法理论溯源与临床应用探讨.中国中医药信息杂志,2017,24(1):108-109
[15]宋少军,陶绍南,戴春玲.颈椎整脊学.北京:海洋出版社,2009:86
[16]朱清广,房敏,洪水棕.“经筋病”和“骨错缝”在颈椎病中的生物力学作用.北京中医药,2010,29(1):34-36
[17]李西海,刘献祥.基于筋骨理论探讨膝骨关节炎筋骨失衡的治疗策略.中华中医药杂志,2017,32(8):3344-3346
[18]金志刚.颈椎病采用理筋手法联合颈椎关节调整手法治疗的临床效果分析.基层医学论坛,2015,19(34):4784-4785
[19]沈国权.脊柱推拿的理论与实践.北京:人民卫生出版社,2016:54-55
[2]艾健,房敏,孙武权,等.“筋骨失衡,以筋为先”理论在膝关节病中的应用探讨.中华中医药杂志,2014,29(8):2404-2406
[3]韦坚,韦贵康.经筋疗法.北京:中国中医药出版社,2002:21-24
[4]张义,郭长青.颈肌改变与颈椎病关系研究进展.现代中西医结合杂志,2012,21(8):2045-2047
[5]宁飞鹏.颈后肌群等长收缩锻炼治疗颈型颈椎病的临床研究.广州:广州中医药大学,2008
[6]杨世斌.颈肌与颈型颈椎病的关系.颈腰痛杂志,2008,29(1):77-79
[7]房敏,严隽陶.颈部软组织病变在颈椎发病中的作用.中国骨伤,2001,14(2):94-95
[8]姜淑云,房敏,左亚忠.颈部肌群与颈椎病.颈腰痛杂志,2006,27(3):235-238
[9]覃兴乐,苏霞辉,徐森明,等.颈后肌群劳损对颈椎病患者颈曲改变的影响及针刀治疗研究.辽宁中医杂志,2016,43(11):2361-2364
[10]张蓉,李峰,王常海,等.经筋理论在膝关节骨性关节炎发病机制及治疗中的作用.中国康复医学杂志,2007,22(7):644-646
[11]马登尚,庞灿.针刺斜方肌起中止点治疗颈型颈椎病临床疗效评价.针灸临床杂志,2015,31(2):18-20
[12]张斌,檀亚军,何本祥,等.颈部伸屈肌群静力增强训练对颈椎病的临床疗效.中国康复医学杂志,2016,31(9):964-968
[13]朱清广,房敏,潘磊,等.推拿手法对颈椎病“骨错缝”的治疗作用.中医杂志,2012,53(2):129-132
[14]叶勇,汤伟,李里,等.“筋骨调衡”手法理论溯源与临床应用探讨.中国中医药信息杂志,2017,24(1):108-109
[15]宋少军,陶绍南,戴春玲.颈椎整脊学.北京:海洋出版社,2009:86
[16]朱清广,房敏,洪水棕.“经筋病”和“骨错缝”在颈椎病中的生物力学作用.北京中医药,2010,29(1):34-36
[17]李西海,刘献祥.基于筋骨理论探讨膝骨关节炎筋骨失衡的治疗策略.中华中医药杂志,2017,32(8):3344-3346
[18]金志刚.颈椎病采用理筋手法联合颈椎关节调整手法治疗的临床效果分析.基层医学论坛,2015,19(34):4784-4785
[19]沈国权.脊柱推拿的理论与实践.北京:人民卫生出版社,2016:54-55