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限制位
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  “限制位”译为未确定词的双语例句
     In the process of manipulation,the extension of the cervical vertebrae ensures the anatomical recovery of the joints. It is a safe and effective measure in treating cervical spondylopathy and protecting vertebral discs.
     操作过程中 ,在拔伸状态下 ,颈椎前屈位斜扳可较好地在关节的弹性限制位和解剖限制位之间调整后关节突力线 ,纠正颈椎力线 ,从而安全、有效地治疗颈部疾患和保护椎间盘
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     When turned to the limited position, lesion segment was taken as the pulling fulcrum and just given a short and delicate push.
     当腰部转到限制位时,病变节段处于扳动的支点,给予一短促轻巧的推冲力即可。
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Cervical rotating manipulation is based on the extrinsic active system and intrinsic support system.Only when the former system is relaxed,can the motive force of rotating manipulation reach the latter system to extend the vertebral discs and regulate the posterior joints.In the process of manipulation,the extension of the cervical vertebrae ensures the anatomical recovery of the joints.It is a safe and effective measure in treating cervical spondylopathy and protecting vertebral discs.

颈椎旋转扳法的基础是外源性动力活动系统和内源性静力支持系统。在前者肌群放松时 ,旋转扳法的作用力可直达后者功能单位的力线上 ,并拔伸椎间盘力线 ,调整后关节突力线。操作过程中 ,在拔伸状态下 ,颈椎前屈位斜扳可较好地在关节的弹性限制位和解剖限制位之间调整后关节突力线 ,纠正颈椎力线 ,从而安全、有效地治疗颈部疾患和保护椎间盘

AIM: To observe the clinical effect of modified massage in treatment of acute lumbar sprain and explore the optimized massage therapy for acute lumbar sprain, with the expectation to further increase the reliability and effectiveness of the massage therapy.METHODS: Totally 120 patients with acute lumbar sprain (psoas muscle sprain and lumbar vertebra back joint disorder), including 83 males and 37 females, were selected from the outpatient clinic of Department of Rehabilitation Medicine, Affiliated Hospital...

AIM: To observe the clinical effect of modified massage in treatment of acute lumbar sprain and explore the optimized massage therapy for acute lumbar sprain, with the expectation to further increase the reliability and effectiveness of the massage therapy.METHODS: Totally 120 patients with acute lumbar sprain (psoas muscle sprain and lumbar vertebra back joint disorder), including 83 males and 37 females, were selected from the outpatient clinic of Department of Rehabilitation Medicine, Affiliated Hospital of Ningxia Medical College between January 2004 and April 2005.They were divided into three groups according to the diagnosed sepuence: modified massage group, traditional massage group and drug treatment group, with 40 cases in each group.①Modified massage therapy: To relieve the spasm in lumbosacral area: In prone position, the patient was firstly pressed and rubbed on Weizhong(BL40) for 2 minutes, and then turned to around the pain spot for 15 minutes with poking channels manipulation. To adjust the back joint of lumbar vertebra in modified inclined pulling manipulation: The patient was in side-lying position (diseased side up) with the lower limbs of lower area straightening naturally and lower limbs of upper area flexing coxa and benting knee. Facing the patient, the doctor put one hand at the anterior part of the patient's should while the other hand flexed the elbow to put on the patient's iliac area with the inner side of elbow, with thumb on the lesion segment. The lumbar part was shaked gently in the narrow range and turned to shake gradually until two hands were face-to-face. When turned to the limited position, lesion segment was taken as the pulling fulcrum and just given a short and delicate push. To eliminate blood stasis and remove obstruction of lumbosacral area: In prone position, the patient was given friction manipulation in and around the pain spot or lumbosacral area, taking heat penetration as the standard.②Traditional massage therapy: The treatments were adopted and provided by Chinese Tuina Therapeutics edited by Li Ye-fu, including treatment principles, method, acupoint choice, locus and operation.③Drug treatment: The oral administration of 600 mg Fenbid was given twice one day, and simple lumbar fixation was arranged to the patient with severe pain (with the height of 30 cm and two hard laminas in back to have the immobilizating effect).Course: Once one day, three days as a course in massage groups Seven days as a course in drug treatment. All the three groups were treated for a course. The changes of clinical symptom, physical sign and score of patients before and after treatment were observed, and instant effect for acute lumbar sprain were detected.RESULTS: All the 120 patients of acute lumbar sprain were involved in the result analysis, without drop.①Difference was significant in the effect scores of three groups before and after treatment (t=1.96,1.665,1.99,P < 0.01)It was higher in massage groups than that in drug treatment group (t=13.225,11.355,P < 0.01) There was no significant difference between the scores of modified massage group and traditional massage group (t =1.32,P > 0.05). ②The number of patients, whose ameliorating rate were excellent, differed significantly among three groups(39/97.5%, 28/70.0%, 5/12.5%, χ2=58.178, P < 0.01).The number in traditional massage group was lower than in modified massage group, and higher than in drug treatment group.③The effective rate of modified massage group was higher than that of traditional massage group, and it was also significantly higher in traditional massage group than in drug treatment group, with the significant difference (28/70.0%,25/62.5%,5/12.5%;χ2=30.399,P < 0.01). ④The difference was significant between the complete effective rates of modified massage group and traditional massage group(15/37.50%,4/10.00%χ2=8.107,P < 0.05) CONCLUSION: Both massage therapy and drug treatment have effects on acute lumbar sprain, and massage therapy is better than drug treatment The complete effective rate, total effective rate and ameliorating rate are better in modified massage therapy than in traditional massage therapy.

目的:观察改良后推拿手法治疗急性腰扭伤的临床疗效,探索推拿治疗急性腰扭伤的优化手法方案,以期进一步提高推拿治疗急性腰扭伤的安全性、有效性。方法:选择2004-01/2005-04宁夏医学院附属医院康复医学科门诊就诊的急性腰扭伤(腰肌扭伤和腰椎后关节紊乱)患者120例,男83例,女37例,按就诊顺序分成改良手法治疗组、传统手法治疗组和药物治疗组各40例。①推拿改良手法:解除腰骶部肌肉痉挛:患者呈俯卧位,先按揉委中穴2min,再在痛点周围施以按揉、弹拨法15min。改良斜扳法调整腰椎后关节:患者呈侧卧位(患侧在上),下位下肢自然伸直,上位下肢屈髋曲膝。医生面对患者,一手置于患者肩前部,而另一手屈肘以肘内侧置于患者髂部而拇指置于病变节段。先同一方向轻缓地小幅度摇动腰部并逐渐过渡到两手相对。当腰部转到限制位时,病变节段处于扳动的支点,给予一短促轻巧的推冲力即可。腰骶部化瘀通络:患者呈俯卧位,在痛点及周围或腰骶部施以擦法,透热为度。②传统手法治疗:采用李业甫主编的《中国推拿治疗学》中提供的治疗方法,包括治则、方法、取穴、治疗部位和操作。③药物治疗:口服芬必得600mg,每天2次,痛甚者简易腰围固定(腰围高约...

目的:观察改良后推拿手法治疗急性腰扭伤的临床疗效,探索推拿治疗急性腰扭伤的优化手法方案,以期进一步提高推拿治疗急性腰扭伤的安全性、有效性。方法:选择2004-01/2005-04宁夏医学院附属医院康复医学科门诊就诊的急性腰扭伤(腰肌扭伤和腰椎后关节紊乱)患者120例,男83例,女37例,按就诊顺序分成改良手法治疗组、传统手法治疗组和药物治疗组各40例。①推拿改良手法:解除腰骶部肌肉痉挛:患者呈俯卧位,先按揉委中穴2min,再在痛点周围施以按揉、弹拨法15min。改良斜扳法调整腰椎后关节:患者呈侧卧位(患侧在上),下位下肢自然伸直,上位下肢屈髋曲膝。医生面对患者,一手置于患者肩前部,而另一手屈肘以肘内侧置于患者髂部而拇指置于病变节段。先同一方向轻缓地小幅度摇动腰部并逐渐过渡到两手相对。当腰部转到限制位时,病变节段处于扳动的支点,给予一短促轻巧的推冲力即可。腰骶部化瘀通络:患者呈俯卧位,在痛点及周围或腰骶部施以擦法,透热为度。②传统手法治疗:采用李业甫主编的《中国推拿治疗学》中提供的治疗方法,包括治则、方法、取穴、治疗部位和操作。③药物治疗:口服芬必得600mg,每天2次,痛甚者简易腰围固定(腰围高约30cm,腰背部有两片硬性薄片,起制动作用)。疗程:推拿组1疗程3d,1次/d;药物组1疗程7d。3组均治疗1疗程,通过观察患者治疗前后临床症状、体征及评分的变化,判定对急性腰扭伤患者的即刻疗效。结果:急性腰扭伤患者120例全部进入结果分析,没有脱落。①改良手法治疗组、传统手法治疗组、药物治疗组治疗后疗效评分与治疗前比较差异均有显著性(t=1.96,1.665,1.99,P<0.01);且推拿治疗后评分高于药物治疗后评分(t=13.225,11.355,P<0.01);改良手法与传统手法治疗急性腰扭伤治疗后评分相差不大(t=1.32,P>0.05)。②改良手法治疗组、传统手法治疗组、药物治疗组3组改善率为优的患者比较差异有显著性(39/97.5%,28/70.0%,5/12.5%,χ2=58.178,P<0.01);改良手法治疗组高于传统手法治疗组,传统手法治疗组明显高于药物治疗组。③3组治愈率比较差异有显著性(28/70.0%,25/62.5%,5/12.5%;χ2=30.399,P<0.01),改良手法治疗组优于传统手法治疗组,传统手法治疗组明显优于药物治疗组。④改良手法治疗组、传统手法治疗组1次的治愈率差异比较有显著性(15/37.50%,4/10.00%;χ2=8.107,P<0.05)。结论:无论是推拿还是药物治疗急性腰扭伤均有疗效,推拿治疗好于药物治疗;推拿改良手法在1次治愈率、总治愈率和优改善率方面好于传统手法。

 
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