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The Journal of Japanese Society of Lumbar Spine Disorders最新文献

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Malignant peripheral nerve sheath tumor in a patient with neurofibromatosis 1 神经纤维瘤病患者周围神经鞘恶性肿瘤1例
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.104
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.
在腰椎关节突关节和邻近组织中发现了许多促进疼痛传递的小神经纤维和伤害感受器。关节突关节的急性炎症引起机械感受器的长时间兴奋和感受器机械阈值的降低。最近的一份报告显示,炎症反应扩散到神经根,并增加了DRG中TNF-α的表达。小关节炎症和/或椎间盘退变产生的机械有害刺激和化学因素可刺激小关节和邻近组织中的伤害感受器,产生急性或慢性腰痛。小关节的炎症和退变也可引起神经根病。
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引用次数: 1
Changes of blood flow in the spine erector muscles by physical therapy 物理治疗对脊柱竖肌血流的影响
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.12.162
S. Soeta
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引用次数: 0
Calcification in a thoracic neurilemmoma: A case report 胸椎神经鞘瘤的钙化1例
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.204
M. Miyamoto, R. Tsunoda, Y. Gembun, Shunsuke Konno, A. Makino, Hiromoto Ito
It is unusual for a spinal tumor to reveal shadows of calcification on X-rays, although this sometimes occurs with spinal meningioma. Spinal neurilemma is a benign tumor that often originates from a dorsal spinal nerve root and sometimes forms a dumbbell-shaped tumor. It is rare that these tumors show calcification, and we could find out only six such cases have been reported. Here we present a case of radiographically calcified thoracic spinal neurilemmoma.
脊柱肿瘤在x射线上显示钙化阴影是不寻常的,尽管脊膜瘤有时会出现这种情况。脊神经鞘膜是一种良性肿瘤,常起源于脊神经根背侧,有时形成哑铃状肿瘤。这些肿瘤很少出现钙化,我们只发现了6例这样的病例。我们在此报告一例胸椎脊髓神经鞘瘤的影像学钙化。
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引用次数: 2
Sacroiliac joint arthrodesis for chronic sacroiliac joint pain 骶髂关节融合术治疗慢性骶髂关节疼痛
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.197
Eiichi Murakami
仙腸関節ブロックや骨盤ベルトなどの保存療法の効果が持続せず,日常生活や就労に著しい障害のある仙腸関節性疼痛例に対して仙腸関節前方固定術を行った.男6例,女9例の15例で,年齢は平均49歳(30~86歳),罹病期間は平均3.9年(1~7年),術後経過期間は平均2.3年(6カ月~5年)であった.片側前方固定術を14例に,両側固定術(骨盤輪固定術)を1例に施行した.これらの症例について,関節癒合をCTで,また臨床症状をJOAスコア,VASによる疼痛の変化,Roland-Morris disability questionnaire(RDQ)で評価した.関節癒合は15例全例で得られていた.JOAスコアが術前平均5.6点(4~9点)から術後平均18点(7~24点)に,VASが84(70~93)から40(10~75)に,RDQ得点が21.1(17~23)から6.9(1~14)に改善した.仙腸関節前方固定術の成績は良好であり,保存療法に抵抗する症例には有効な治療法と考えられる.
对骶髂关节阻滞和骨盆带等保守疗法效果不持久,对日常生活和就业有明显障碍的骶髂关节性疼痛例,进行了骶髂关节前方固定术。男6例,女9例共15例,年龄平均为49岁(30 ~ 86岁),患病时间平均为3.9年(1 ~ 7年),术后时间平均为2.3年(6个月~ 5年)。单侧前向固定术为14例,双侧固定术(骨盆轮固定术)为1例。对这些病例,通过CT评价了关节愈合情况,并通过JOA评分、VAS引起的疼痛变化、Roland-Morris disability questionnaire (RDQ)评价了临床症状。15例都得到了关节愈合。JOA得分从术前平均5.6分(4 ~ 9分)改善至术后平均18分(7 ~ 24分),VAS从84(70 ~ 93)改善至40 (10 ~ 75),RDQ得分从21.1(17 ~ 23)改善至6.9(1 ~ 14)。骶髂关节前向固定术的治疗成绩良好,对于抵抗保守疗法的病例是有效的治疗方法。
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引用次数: 1
Validation study for the clinical diagnosis support tool and the usefulness of a new self-report instrument to identify lumbar spinal stenosis 临床诊断支持工具的验证研究和一种新的自我报告工具识别腰椎管狭窄的有效性
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.14.17
Kimiaki Sato
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引用次数: 0
Treatment preferences of the low back pain judging from musculoskeletal rehabilitation 从肌肉骨骼康复看腰痛的治疗偏好
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.58
K. Fujino
平成18年4月の診療報酬改定でリハビリテーションの枠組みが従来の施設規準,人員配置による分類から,疾患・疾病別による分類へと大きく変更された.1人の患者に対し診断から治療まで,それぞれの分野の専門医のもとで責任を持って行うことになったことで,その治療効果の評価が出しやすくなった反面,責任もより重大となった.腰痛は男女ともにわが国では非常に頻度の高い疾患であり,その原因も器質的,病理学的所見のはっきりしたものから,社会的,精神的要因の強いものまでさまざまである.また患者が治療に対して期待することと,医師が考える治療選択は必ずしも一致しない.リハビリテーションの選択はそれぞれの原因,症状,個人特性,さらには地域特性,家族構成までを考慮する必要がある.
根据平成18年4月的诊疗报酬修改,康复治疗的框架从原来的根据设施标准、人员配置的分类大幅变更为根据疾病、疾病的分类。对一名患者从诊断到治疗,在各自领域的专门医生的指导下负责进行,虽然容易得出治疗效果的评价,但责任也变得更重大。腰痛无论男女在我国都是非常频繁的疾病,其原因也有各种各样,有器质性的,病理学的明确的,也有社会性的,精神性的强烈的因素。而且患者对治疗的期待,和医生考虑的治疗选择不一定一致。康复治疗的选择需要考虑各种原因、症状、个人特点,甚至地区特点、家庭结构等。
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引用次数: 0
Risk factor on low back pain in the nurses and care workers 护士和护工腰痛的危险因素
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.113
Kinuka Bono
本研究の目的は,弘潤会野崎東病院および老人保健施設(以下当院)における腰痛の実態をアンケート調査により把握し,予防,改善策を考案することである.はじめに,看護師・介護福祉士・看護助手(118名)を対象に調査を行った結果,75%の職員に何らかの腰痛を認めた.さらに詳細に腰痛の原因を評価,分析するため対象を看護師(72名)にしぼり,第2回調査を行った.なお統計学的手法を用いて要因を検討した結果,有意に腰痛有り群(現在保有者,以下P群)の睡眠時間が短かった.今回の調査から,作業現場である環境面への配慮,勤務体制の見直しの必要性が示唆された.また,看・介護従事者自身が状況を把握し,動作指導が受けられる機会が必要であると思われる.
本研究的目的是通过问卷调查掌握弘润会野崎东医院及老人保健设施(以下简称本院)的腰痛状况,设计预防及改善对策。首先,以护士、护理人员、助理护士(118名)为对象进行调查的结果显示,75%的职员承认有某种腰痛。为了更加详细地评价和分析腰痛的原因,以护士(72名)为对象进行了第2次调查。另外,用统计学的方法探讨了原因,结果显示有腰痛的人群(现在的人群,以下简称P组)睡眠时间明显短。从这次的调查来看,考虑到作业现场的环境方面,提示了重新审视工作体制的必要性。另外,看护、护理人员自身需要把握状况,并有机会接受动作指导。
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引用次数: 2
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― 腰椎管狭窄症患者症状、抑郁与健康相关生活质量的关系
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.192
Matsudaira Ko, 浩 松平, 淳司 岸本, 慶宏 原, 太郎 森井, 和人 星, 耕三 中村
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引用次数: 3
Approach for prevention of the work-relayed low back pain; point of view from the therapist 职业性腰痛的预防方法治疗师的观点
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.12.39
Chikanori Sakamoto
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.
职业性腰痛是由于各种业务和劳动作业而引起的腰痛,是劳动相关疾病中最常见的,作为一名心理治疗师,要想预防工作相关性腰痛,不仅要关注躯干、下肢的肌肉力量和关节可动区域等身体机能,工作场所的环境整顿,工作姿势的指导,劳动卫生教育等是必要的。因此,物理疗法师和工作疗法师与医生,护士,医疗社会工作者等很多专门职业谋求合作,关于工作相关性腰痛的预防,采取团队方法是很重要的。
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引用次数: 0
Clinical results of new soft Flexion Brace for lumbar spinal canal stenosis 新型柔性屈曲支具治疗腰椎管狭窄的临床效果
Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.12.184
A. Honda
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引用次数: 0
期刊
The Journal of Japanese Society of Lumbar Spine Disorders
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