张振宇精点力学四步手法结合运动康复治疗颈源性肩周痛经验  

Experience of ZHANG Zhenyu in the treatment of cervicogenic pain with four-step precise point manipulation combined with exercise rehabilitation

作　　者：冉明山[1] 徐耀[2] 郑亦斌 徐佳音[4] 范肃[4] 胡芊 张振宇[4] RAN Mingshan;XU Yao;ZHENG Yibin;XU Jiayin;FAN Su;HU Qian;ZHANG Zhenyu(Department of Rehabilitation Medicine,Shougang Hospital,Peking University,Beijing 100144,China;Department of Traditional Chinese Medicine,Aerospace Center Hospital,Beijing 100049;Tuina Department of Changping District Hospital of Traditional Chinese and Western Medicine,Beijing 102208;Characteristic Diagnosis and Treatment Center of Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102)

机构地区：[1]北京大学首钢医院康复医学科,北京100144 [2]航天中心医院中医科,北京100049 [3]北京市昌平区中西医结合医院推拿科,北京102208 [4]中国中医科学院望京医院特色诊疗中心,北京100102

出　　处：《北京中医药》2024年第7期738-741,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：第六批北京市级中医药专家学术经验继承工作项目(京中医科字〔2021〕169号);北京市朝阳区中医重点专科(推拿科)建设项目(朝卫通字〔2023〕233号)。

摘　　要：颈源性肩周痛是临床常见疾病,因其症状与肩关节周围炎相似,临床易被误诊误治。张振宇教授认为颈5神经背根神经节受刺激后引起肩周不适,从该病理机制入手,利用精点力学四步手法结合康复训练方案治疗本病,能够从根本上解决颈椎及周围结构退变导致的颈源性肩周疼痛症状及活动功能受限,临床疗效满意。Cervicogenic shoulder pain is a common clinical disease,and its symptoms are similar to those of shoulder periarthritis,making it prone to misdiagnosis and mistreatment in clinical practice.Professor ZHANG Zhenyu started with the pathological mechanism of shoulder discomfort caused by stimulation of the dorsal root ganglion of the fifth cervical nerve to treat this disease.The combination of four-step precise point manipulation with rehabilitation training programs can fundamentally solve cervicogenic shoulder pain and limited mobility caused by degeneration of cervical vertibra and surrounding structure with satisfactory clinical efficacy.

关 键 词：精点力学手法 颈源性肩周痛 脊背根神经节 临床经验 

分 类 号：R244.1[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]