肩部活動困難的傷科與針灸治療

Manual And Acupuncture Therapy For Functional Shoulder Movement

林舜穀(Shun-Gu Lin) ； 陳朝宗(Chao-Tsung Chen)

《中醫骨傷科醫學雜誌》 10期 (2011/12) Pp. 24-34

https://doi.org/10.30098/JCOT.201112.0005

摘要

肩關節是主宰上肢活動最重要的關節，一旦肩關節的活動能力受損，會直接損害日常活動的能力，嚴重者甚至連伸手拿東西、穿衣服或褲子、上廁所等基本活動都無法自行完成。因此，有效的恢復肩關節的活動幅度與力量，是每一位中醫師必須要具備的能力。本文分析肩關節主要的八種動作－後伸、前屈、內旋、外旋、內收、外展、水平外展、水平內收，分析其原動肌與拮抗肌群，針刺治療的穴位、補瀉方法、傷科治療手法和肌力鍛練。希望作為臨床中醫師治療肩部疾病的參考。

關鍵字

五十肩 ； 肩旋轉袖 ； 針灸治療 ； 肩凝

並列摘要

The shoulder is the most important joint in the arm activity. Limited shoulder motion took away patients ability in daily activity, including taking things, clothe, and even toilet. Therefore, every practitioners should have the ability to help disabled patients return to normal shoulder mobility. In this article, we analyze eight major shoulder motion - inculding extension, internal rotation, flexion, horizontal adduction, external rotation, abduction, horizontal abduction, adduction. We describe agonist and antagonist muscle, and advance treatment acupuncture points. We also explore the Manual therapy of the shoulder activity limitations, and try to propose treatment recommendations.

並列關鍵字

Acupuncture ； Frozenshoulder ； Rotator Cuff ； Muscles Dialectics ； Manual therapy.