意大利整骨Cervical spine中英文宣讲培训.ppt

* * * * Then... the anteriority of C1 corresponds to an extension; the posteriority corresponds to a flexion 所以，寰椎的前部契合伸展运动，后部契合屈曲运动 * * * NEVER The VERTEBRAL ARTERY !!! 别忘了椎动脉！！！ 基底动脉 左椎动脉 右椎动脉 右锁骨下动脉 * 寰椎 椎动脉 * ROTATION: takes place around a vertical axis passing through the odontoid apophysis. The two joints are moved forward and backward, falling due to the convexity of the articular surfaces. 旋转：绕着经过齿状突起的垂直轴发生。两个关节向前和向后运动，在关节凸状面处突然下坠 In this movement there is no tilt! the amplitude of rotation of the atlas is about 12 °. The rotation provides for a reduction of about 3 mm of the height because the superior articular are convex. 在这个运动过程中没有倾斜！寰椎旋转的幅度约为12度 由于上关节为凸面，旋转提供了大约3毫米高度的下降 * A flex-extension of C1 on C2 is of approximately 5 °. 颈1在颈2上的屈伸活动幅度大约为5度 The restriction of movement is given by the ligament tension and bone contact. 韧带的张力及骨骼的接触会对此运动产生生理限制 In physiology any movement of C1 on C2 try to keep in line the vertebral arteries to not alter the vascular dynamics . 生理上，任何颈1相对于颈2的运动都会与颈动脉保持在一条线上，为的是不影响血管的活动 During execution of techniques is important to maintain the alignment of the foramen for the passage of the vertebral artery ; a block would create a disturbance . 在施展技术时，维持椎间孔的线性排列，保证椎动脉的通行空间非常重要；任何的阻塞都会导致功能紊乱 When C1 is dysfunction can create a permanent change on the vascular dynamic. 颈1的功能失常可以对椎动脉的活动产生永久性的改变 * Osteopathic DYSFUNCTION 整骨的功能失常 Can be:可以是： - Symmetrical:对称性的 (anteriority and posteriority bilateral) （双侧向前和向后） - Asymmetrical:非对称性的 * unilateral posterior right. The inferior right joint of C1 remains locked rear on the upper joint of C2: 单侧后右.颈1的右下关节被锁住于颈2的上关节后方的位置 ? rotation right右旋 ? downhill of right joint右关节的下降 ? an inclination to the right向右倾斜 FLEX + ROTATION. DX + RIGHT BENDING 屈曲 + 右旋 + 右侧屈 also we appreciate a right evidence, on the side of the locked joint 同样我们会在锁住的关节的侧方发现确切的迹象 * 2) anterior unilateral left. The left inferior joint of C1 remains locked on the upper joint