應用動態小面關節鬆動術治療脊椎相關病變

“透穴刺法”始見於《黃帝內經》，在《靈樞．官針》篇有九刺、十動態小面關節鬆動術（ＳＮＡＧＳ）意思是說持續的給予脊椎小面關節一個原來就應該有的滑動。ＳＮＡＧＳ可以用來治療頸椎關節、胸椎關節、腰椎關節、肋椎關節、薦髂關節，具有治療效果，又很容易學習及操作。ＳＮＡＧＳ治療脊椎關節非常有效，而且是一個全新的治療方法，都是在身體載重的情況下操作，是在病人主動做動作的同時，治療師跟著給予關節一個被動性的滑動。在病人動到最後角度時，治療師要再施加一點壓力，可增加更多的關節活動度。應用ＳＮＡＧＳ時，要遵守治療平面原則，只要適合病症，操作過程病人就不會痛。可直接治療關節活動度受限，病人疼痛馬上消失。

關鍵字

小面關節；脊椎錯位；滑動手法；脊椎平面調整手法

並列摘要

Sustained Natural Apophyseal Glides (SNAGS) is a maneuver that involves a sustained facet glide with active motion that restores the original natural movement of the spine. SNAGS can be applied for the treatment of disorders of the cervical, thoracic, lumbar, costovertebral, and sacroiliac spinal joints. It has proven clinical efficacy and is easy to learn and perform. SNAGS is an effective and completely new treatment method that can be performed while the patient is a weight-loaded position sitting upright. The maneuver entails having the patient engage in active motion as the practitioner passively applies a sliding force continuously and parallel to the pain-free limit of the affected joints followed by the application of pressure. This maneuver will increase the amount of joint mobility. When performing SNAGS the practitioner must apply the facet joint mobilization along the plane of treatment. If this maneuver is done correctly for the treatment of the appropriate pathoconditions it will effectively relieve pain. This maneuver directly treats limited joint mobility and the patient receives immediate pain relief.