髂腰肌与脊柱退行性病变相关性研究
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摘要
脊柱退行性病变随着发病率的逐步升高对人们社会生活及心理健康造成了极大的负面影响。研究表明核心肌群的力学改变与脊柱病变相关,而髂腰肌作为核心肌群之一对于维持脊柱的稳定性及活动度具有重要作用。通过查阅近10年的文献资料,我们发现目前针对脊柱退行性病变以髂腰肌为主的治疗方式较局限,现对其与脊柱退行性病变的相关性及与髂腰肌治疗相关的手法、针灸等治疗方案进行总结以期推广临床应用。
The spinal degenerative disease has a great negative impact on people 's social life and mental health with the increasing incidence. Studies have shown that the mechanical changes in the core muscles are associated with spinal lesions, and that the iliopsoas as one of the core muscles plays an important role in maintaining the stability and mobility of the spine. By reviewing the high-quality literature data in the past 10 years, we found that the treatment of iliopsoas mainly for the spinal degenerative diseases is relatively limited, and its relevance to spinal degenerative diseases and the treatment related to iliopsoas muscle are currently used.Acupuncture and other treatment programs are summarized to promote clinical applications.
The spinal degenerative disease has a great negative impact on people 's social life and mental health with the increasing incidence. Studies have shown that the mechanical changes in the core muscles are associated with spinal lesions, and that the iliopsoas as one of the core muscles plays an important role in maintaining the stability and mobility of the spine. By reviewing the high-quality literature data in the past 10 years, we found that the treatment of iliopsoas mainly for the spinal degenerative diseases is relatively limited, and its relevance to spinal degenerative diseases and the treatment related to iliopsoas muscle are currently used.Acupuncture and other treatment programs are summarized to promote clinical applications.
引文
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[5]韦以宗,谢冰,谭树生,等.腰大肌作用力与脊柱伸展应力关系的生物力学实验研究[J].中国临床解剖学杂志,2008,26(5):543-546.
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[11]白玉,李沛.腰腹部联合手法治疗腰椎间盘突出症的MRI影像学评价[J].风湿病与关节炎,2014,3(5):33-36.
[12]陈进军,唐华平,陈武.腰椎间盘突出与腰大肌横断面积关系的CT探讨[J].中国现代医学杂志,2003,13(4):45-47.
[13]田媛,敖国昆,李红,等.髂腰肌病变的影像特点及临床特征[J].医学影像学杂志,2012,22(4):635-638.
[14]赵明宇,黄桂成,王凯,等.腰腹部联合手法治疗腰椎间盘突出症的疗效观察[J].新中医,2012,44(5):109-111.
[15]吴国良.深刺骼腰肌针灸方法治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(5):667-669.
[16]付涛,冯希,杨颖婷.黄氏理伤手法治疗骼腰肌劳损临床观察[J].实用中医药杂志,2017,33(7):834-835.
[17]侯毅,肖丹.髂腰肌松解术在腰痛按摩治疗中的应用[J].中医外治杂志,2011,21(2):58-59.
[18]姚亚杰.针刀治疗腰大肌损伤性腰腿痛43例临床分析[J].中国社区医师,2015,31(21):99-100.
[19]张佳信,叶新苗.针刀治疗腰大肌损伤28例[J].中国中医骨伤科杂志,2017,25(8):50-55.
[20]曲天义,刘仍军.中药熏洗微波配合手法治疗腰大肌紊乱症100例[J].辽宁中医药大学学报,2011,13(6):202-203.
[21]乔梁,李晨光,王拥军,等.以脊柱稳定性理论阐释下背痛的脊柱失稳因素相关研究进展[J].世界科学技术一中医药现代化,2015,17(8):1715-1720.
[22]宁兴明,何栩,虞亚明,等.五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究[J].中医正骨,2015,27(11):25-28.
[2]林一峰,牛维.脊柱退行性疾病从督脉论治探讨[J].安徽中医学院学报,2002,21(5):4-6.
[3]单大卯,伍勰.髂腰肌对髋关节功能的实验性研究[J].西安体育学院学报,2006,23(1):67-70.
[4]刘建,王玉洁,刘艳枚.人髂腰肌的构筑学研究[J].遵义医学院学报,2013,36(6):515-517.
[5]韦以宗,谢冰,谭树生,等.腰大肌作用力与脊柱伸展应力关系的生物力学实验研究[J].中国临床解剖学杂志,2008,26(5):543-546.
[6]张睿.谈谈髂腰肌劳损的诊断(附25例临床报告)[J].中国中医骨伤科杂志,2010,18(7):42-43.
[7]Rackwitz B,Limm H,Wessels T,et a1.Practicability of segmental stabilizing exercises in the context of a group program for the secondary prevention of low back pain.Anexplorativepilotstudy[J].Europa Medicophysica,2007,43(3):359-367.
[8]Standaert CJ,Herring SA,Pratt TW.Rehabilitation of the athlete with low back pain[J].Current Sports Medicine Reports,2004,3(1):35-40.
[9]郑星,蒋伟,黄玲.骶骨偏位合并腰大肌痉挛致脊椎侧弯120例分析[J].中国美容医学,2012,21(7):49-50.
[10]毛科丽.针刺腰大肌治疗腰椎间盘突出症的疗效观察[J].中国中医药科技,2016,23(5):581-582.
[11]白玉,李沛.腰腹部联合手法治疗腰椎间盘突出症的MRI影像学评价[J].风湿病与关节炎,2014,3(5):33-36.
[12]陈进军,唐华平,陈武.腰椎间盘突出与腰大肌横断面积关系的CT探讨[J].中国现代医学杂志,2003,13(4):45-47.
[13]田媛,敖国昆,李红,等.髂腰肌病变的影像特点及临床特征[J].医学影像学杂志,2012,22(4):635-638.
[14]赵明宇,黄桂成,王凯,等.腰腹部联合手法治疗腰椎间盘突出症的疗效观察[J].新中医,2012,44(5):109-111.
[15]吴国良.深刺骼腰肌针灸方法治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(5):667-669.
[16]付涛,冯希,杨颖婷.黄氏理伤手法治疗骼腰肌劳损临床观察[J].实用中医药杂志,2017,33(7):834-835.
[17]侯毅,肖丹.髂腰肌松解术在腰痛按摩治疗中的应用[J].中医外治杂志,2011,21(2):58-59.
[18]姚亚杰.针刀治疗腰大肌损伤性腰腿痛43例临床分析[J].中国社区医师,2015,31(21):99-100.
[19]张佳信,叶新苗.针刀治疗腰大肌损伤28例[J].中国中医骨伤科杂志,2017,25(8):50-55.
[20]曲天义,刘仍军.中药熏洗微波配合手法治疗腰大肌紊乱症100例[J].辽宁中医药大学学报,2011,13(6):202-203.
[21]乔梁,李晨光,王拥军,等.以脊柱稳定性理论阐释下背痛的脊柱失稳因素相关研究进展[J].世界科学技术一中医药现代化,2015,17(8):1715-1720.
[22]宁兴明,何栩,虞亚明,等.五禽戏配合核心肌力训练治疗非特异性腰痛的临床研究[J].中医正骨,2015,27(11):25-28.