林定坤以“筋骨并重”理念干预青少年轻度特发性脊柱腰段侧弯  

Lin Dingkun Intervening with Adolescent Mild Idiopathic Scoliosis of Lumbar Spine with Concept of "Treating Bone and Muscle"

作　　者：陈彥均 林定坤[2] CHEN Yanjun;LIN Dingkun(The Second Clinical Medical Institute of Guangzhou University of Chinese Medicine,Guangzhou Guangdong China 510405;Guangdong Provincial TCM Hospital,Guangzhou Guangdong China 510120)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院,广东广州510120

出　　处：《中医学报》2020年第2期319-322,共4页Acta Chinese Medicine

基　　金：中国中医科学院自选项目(ZZ0908048-11)。

摘　　要：青少年轻度特发性脊柱腰段侧弯主要伴随脊旁肌肉的薄弱及脊椎椎体旋转,筋骨失衡。林定坤教授以"筋骨并重"理念为基础,以"筋伤-节错-骨偏"轴为纲要,干预以"疗筋-调节-稳骨"为法。"疗筋"主要运用"鱼摆手法"放松腰背部肌肉。调整"节错"需要格外注意椎体旋转偏向情况,可结合Nash-Moe椎体旋转分级法观察,采用弓步转身探手和俯卧向后伸腿方法,着重利用对侧腰大肌,通过其对椎体及横突的拉力,将旋转的椎体尽可能地拉回原位,缓解引起侧弯的关键问题,调整侧歪情况。"稳骨"主要是锻炼腰段肌肉,采用仰卧交替直蹬腿和双足并腿直抬高等锻炼方式。配合后期体态锻炼,达到"筋强骨正"的目的,以综合疗法干预青少年轻度特发性脊柱侧弯。Mild idiopathic spinal lumbar scoliosis in adolescents is mainly accompanied by weakness of paraspinal muscles,spinal vertebral body rotation,and imbalance of tendons and bones. Professor Lin Dingkun is based on the concept of "treating muscles and bones",and uses the axis of "muscle injury-knot error-bone deflection" as the outline. The intervention is based on the method of "treating muscles-regulating-stabilizing bones". In " treating muscles," fish swing technique" is used to relax the lower back muscles. In adjusting the " knot error",special attention should be paid to the vertebral body rotation deflection. It can be combined with the Nash-Moe vertebral body rotation grading method to observe,using lunge turns to turn the hand and prone to stretch the legs backwards,focusing on the use of the contralateral psoas muscle,The tension of the vertebral body and the transverse process will pull the rotating vertebral body back to its original position as much as possible,alleviate the key problems that cause side curvature,and adjust the lateral distortion. "Bone stabilization" is mainly to exercise the lumbar muscles,using alternate supine legs and feet with legs straight up. Cooperate with the later postural exercise to achieve the purpose of achieving "strong muscles and strong bones",and use comprehensive therapy to intervene in adolescents with mild idiopathic scoliosis.

关 键 词：青少年轻度特发性脊柱腰段侧弯 “筋骨并重” “筋伤-节错-骨偏”轴 “鱼摆手法” “疗筋” Nash-Moe椎体旋转分级法 林定坤 名医经验 

分 类 号：R249.27[医药卫生—中医临床基础]