脊柱疾病悬吊-培训课件.pptVIP

下交叉综合症 下腰痛的悬吊治疗 核心稳定训练 胸腰筋膜 也称胸背筋膜，是一强健的复合结构，它像一条巨大的韧带连结肋、椎骨、髂骨和骶骨之间，还连结后椎骨间韧带系统和三块躯干肌。这筋膜系统提供提举重物越过头和用高速投掷物体时稳定躯干的特殊能力 核心 （core） “核心”这个名词最早在康复医学和运动医学领域广泛讨论有10多年。 Behm在2010年提出：解剖的“核心”为中轴骨（包括脊柱、肩带和骨盆带）以及与中轴骨相关的所有的软组织（韧带、肌腱和肌肉等）。 3、Behm, D.G.B.D.G., et al., The use of instability to train the core musculature. 何为“核心（core）” 核心肌群的分类 5、Bergmark, A., Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl, 1989. 230: p. 1-54. 近来很多研究认为腹横肌与多裂肌是脊柱稳定的最主要的肌肉[7, 8] 7.Cholewicki J, Simons AP, Radebold A. Effects of external trunk loads on lumbar spine stability. J Biomech. 2000; 33(11): 1377. 8.Fredericson M, Moore T. Core stabilization training for middle and long distance runners. New Stud Athl. 2005; 20: 25-37. 核心稳定(Core Stability) “核心稳定”就是指身体控制中轴骨上各关节链的机械稳定能力[2, 4]。 脊柱受到干扰后帮助恢复平衡的能力 可在运动中稳定和维持人体脊柱、骨盆、髋关节牢固性3 核心稳定性的优劣取决于位于核心部位的肌肉、韧带和结缔组织的力量以及它们之间的协作。 2.Hodges, P.W. and C.A. Richardson, Inefficient muscular stabilization of the lumbar spine associated with low back pain: a motor control evaluation of transversus abdominis. 3、杨宇, 马继政, 张仁祥, 韩峰. 关于体育运动中核心稳定性训练之研究. 南京体育学院学报: 自然科学版. 2008; (2): 25. The beliefs That certain muscles are more important for stabilisation of the spine, in particular transverses abdominis (TA). That weak abdominal muscles lead to back pain That strengthening abdominal or core muscle can reduce back pain That a strong core will prevent injury. Passive stability Active stability Serge Gracovetsky’s “controlled instability” Serge Gracovetsky 2005 Stability or controlled instability? Evolution at work. In: Movement, Stability and Lumbo Pelvic Pain 2nd Edition – Ch14? “It was also proposed that the width of the neutral zone was related to the stability of the joint. These conclusions were drawn from cadaver experiments and mathematical models on which an extensive amount of damage had to be inflicted to the joint before an unstable response was obtained. So far, the neutral zone argument has remained academic.” Dur