{"title":"Continuing electric stimulation with acupuncture for low back pain","authors":"Masaaki Shitara","doi":"10.3753/YOTSU.12.143","DOIUrl":"https://doi.org/10.3753/YOTSU.12.143","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116212008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Basic studies relevant to discogenic low back pain","authors":"Yuzuru Takahashi","doi":"10.3753/YOTSU.13.10","DOIUrl":"https://doi.org/10.3753/YOTSU.13.10","url":null,"abstract":"腰椎椎間板の感覚神経に関する基礎研究の成果について解説し，椎間板性腰痛の臨床を考察した.肉眼解剖学的には椎間板に枝を出す末梢神経は洞椎骨神経，灰白交通枝，交感神経幹である.組織学的・免疫組織化学的・電気生理学的に線維輪最外層に侵害受容線維が存在し，椎間板病変が急性痛の原因となることが証明された.感覚線維が由来する後根神経節は，椎間板背側部では当該分節，腹側部ではL2，をそれぞれ中心とし，支配レベルは腹側部で7分節，背側部で9分節に及ぶ.本構造は神経ブロックや手術に際しては考慮すべきである.交感神経性の感覚線維が主に椎間板背側部に分布し，炎症時の痛みに関与する.椎間板を支配する小型神経細胞では，皮膚に比較してNGF感受性細胞の比率が高い.炎症モデルでは，椎間板炎症部位でNGF感受性線維の発芽，後根神経節でNGF感受性細胞内の神経ペプチドの増加が惹起され，椎間板性疼痛の慢性化に関与すると考えられる.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121212947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"非特異的腰痛の日整会腰痛評価質問票(JOABPEQ)による評価","authors":"松井 誠一郎","doi":"10.3753/YOTSU.15.157","DOIUrl":"https://doi.org/10.3753/YOTSU.15.157","url":null,"abstract":"日整会腰痛評価質問票(以下JOABPEQ)により107名の非特異的腰痛について調査を行った．非特異的腰痛患者はコントロール群に比して，すべての重症度スコアが有意差をもって低値であった．JOABPEQの各重症度スコアは互いに中等度以上の正の相関があり，腰痛のVASとの間にも中等度の負の相関が認められた．疼痛部位別に検討すると，多裂筋はいずれのレベルにおいても疼痛の有無によって疼痛関連障害に有意差を生じた．また上位の脊柱起立筋の疼痛の有無によってJOABPEQのすべての重症度スコアで有意差を認めた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133132545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic support tool for lumbar spinal stenosis","authors":"S. Konno","doi":"10.3753/YOTSU.15.32","DOIUrl":"https://doi.org/10.3753/YOTSU.15.32","url":null,"abstract":"腰部脊柱管狭窄の診断のゴールドスタンダードは存在しない．腰部脊柱管狭窄は画像のみでは診断できない．そこで，腰部脊柱管狭窄の診断サポートツールが開発された．医師用と自記式の患者用質問票の2種類ある．両者とも高い感度と特異度を有している．これらの診断サポートツールを使用することにより，患者の自己診断が可能であり，プライマリケアにおいて腰部脊柱管狭窄の診断に役立つと考えられる．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114770330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical study of 197 patients operated by percutaneous endoscopic lumbar discectomy","authors":"F. Ito","doi":"10.3753/YOTSU.15.180","DOIUrl":"https://doi.org/10.3753/YOTSU.15.180","url":null,"abstract":"経皮的内視鏡下腰椎椎間板ヘルニア摘出術は局麻下での7mm切開の一泊手術であり，3手術法手順と適応について検討する．2007.4月以降2008.3月末で197例．男136例，女61例，平均48.8歳であった．L2/3～L5/S1；経椎間孔法112例，High iliac crestのL5/S1；経椎弓間法64例，外側ヘルニア；椎間孔外法21例を行った．移動上下各1.0 cm以上，不安定性存在，外側陥凹狭窄3mm以下，分離部骨増殖などは除外した．JOA scoreは術前（N=197）11.1，1 M後20.5，3 M後22.2，6 M後22.0，臀部下肢痛VASは術前7.2，1 M後2.1，3M後1.6，6 M後1.5と改善した．再手術は16名（8％）になされた．レベル誤認1例，出血による視野不明1例，血圧低下1例，疼痛強度のため全麻への変更2例，取り残し4例，再脱出4例（2％），術後発生の神経癒着3例であった．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117199181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Segawa, M. Kanamori, T. Yasuda, S. Nogami, Kayo Suzuki, Y. Doki
Many small nerve fibers and nociceptors that contribute to pain transmission were found in the lumbar facet joint and adjacent tissues. Acute inflammation of the facet joint induced prolonged excitation of the mechanoreceptors and a decrease in the mechanical thresholds of receptors. A recent report revealed that inflammatory reactions spread to nerve roots and increased the expression of TNF-α in the DRG.Mechanical noxious stimulation and chemical factors produced by inflammation of the facet joint and/or degeneration of the intervertebral disc may excite nociceptors in the facet joint and adjacent tissues and generate acute or chronic low back pain. Inflammation and degeneration of the facet joint may also induce radiculopathy.
{"title":"Malignant peripheral nerve sheath tumor in a patient with neurofibromatosis 1","authors":"T. Segawa, M. Kanamori, T. Yasuda, S. Nogami, Kayo Suzuki, Y. Doki","doi":"10.3753/YOTSU.13.104","DOIUrl":"https://doi.org/10.3753/YOTSU.13.104","url":null,"abstract":"Many small nerve fibers and nociceptors that contribute to pain transmission were found in the lumbar facet joint and adjacent tissues. Acute inflammation of the facet joint induced prolonged excitation of the mechanoreceptors and a decrease in the mechanical thresholds of receptors. A recent report revealed that inflammatory reactions spread to nerve roots and increased the expression of TNF-α in the DRG.Mechanical noxious stimulation and chemical factors produced by inflammation of the facet joint and/or degeneration of the intervertebral disc may excite nociceptors in the facet joint and adjacent tissues and generate acute or chronic low back pain. Inflammation and degeneration of the facet joint may also induce radiculopathy.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115135526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes of blood flow in the spine erector muscles by physical therapy","authors":"S. Soeta","doi":"10.3753/YOTSU.12.162","DOIUrl":"https://doi.org/10.3753/YOTSU.12.162","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123223235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validation study for the clinical diagnosis support tool and the usefulness of a new self-report instrument to identify lumbar spinal stenosis","authors":"Kimiaki Sato","doi":"10.3753/YOTSU.14.17","DOIUrl":"https://doi.org/10.3753/YOTSU.14.17","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124930017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Approach for prevention of the work-relayed low back pain; point of view from the therapist","authors":"Chikanori Sakamoto","doi":"10.3753/YOTSU.12.39","DOIUrl":"https://doi.org/10.3753/YOTSU.12.39","url":null,"abstract":"作業関連性腰痛 (職業性腰痛) は各種の業務や労働作業によって発症するものであり, 労働に関連して発症する疾病のなかで最も多く, 現在もなお社会的・経済的に大きな問題である. セラピストとして作業関連性腰痛の予防に対してアプローチするには, ただ単に体幹, 下肢の筋力や関節可動域といった身体機能について着目するだけではなく, 職場の環境整備, 作業姿勢の指導, 労働衛生教育などが必要となる. そこで理学療法士や作業療法士は医師, 看護師, メディカルソーシャルワーカーなどの多くの専門職と連携を図りながら, 作業関連性腰痛の予防に関するチームアプローチを行っていくことが重要である.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123065126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship among symptoms, depression and health-related quality of life in the patients with lumbar canal stenosis: ―症状と抑うつおよび健康関連QOLの関係―","authors":"Matsudaira Ko, 浩 松平, 淳司 岸本, 慶宏 原, 太郎 森井, 和人 星, 耕三 中村","doi":"10.3753/YOTSU.13.192","DOIUrl":"https://doi.org/10.3753/YOTSU.13.192","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126237238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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