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ҡûǴѧ Low back pain
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ҡûǴѧҡ˹觷繡ѹ ҳ 4/5 ͧ˭ԴҡûǴѧҨ ҡҧºҧ鹡ѺçͧСôŵͧ ҡûǴѧ 50 2 ѻ 90 3 о 5-10 ä Ǵѧ ÷ҡûǴѧ¤Ҩա÷ͧ͢ҧ ûǴѧ §Դѡʺ鹷çҧͧѧ ҡ÷Ӥѭʴ鹻ҷ١ ͧᾷ´ǹ
- 鹻ب
- çͧ
СǶ֧䡡ԴäǴѧ ûͧѹ ѡ
ǹСͺͧѧͧ |
ѧͧСͺ¡д١Сͺ仴¡ ١ѹѧ 24 鹷¡ vertebrae ҧѹ д١⾡֧š ҧд١Ъ鹨 ͧӢ鹡ҧ¡ͧд١觨Ѻçᷡ ͧд١ͧ㹡ǡд١ѹѧ ˹ҷҧͧҧ¡д١ж١ִԴ ¡ ˴秡ѧзԴ
˹աҧ˹觢ͧд١ѹѧ繷ҧҹͧҷ ѹѧ (spinal cord) 鹨ҡͧ㹡šŧ ͧдءѹѧ 鹻ҷ( spinal nerve ) ͡dz ͵ͧ͢д١§ѧеҧ
ᾷ觡д١ѧ͡ǹ cervical ,thoracic, lumbar,sacrum ,coccyx ǹҡشǹ (lumbar) ǹԴҡûǴѧҡش зԴҡûǴѧ
- ҡҷ͡ҡѹѧҨж١е鹷ҡûǴ
- »ҷ§ѹѧҨж١е鹷ҡûǴ
- ѧҨʹҷԴҡûǴ
- д١ѹѧ Т͵͡д١ѹѧҨԴäǴ -äԴҧд١д١Ѻ鹻ҷ | | |
ѧ鹡÷ǹçҧͧд١ѹѧз˵ 䡡ԴҡûǴ 駡ѡ ǹСͺӤѭСͺ繡д١ѹѧ
- Vertebral bodies
- Vertebral discs
- Spinal cord and nerve roots
- Muscles
Ѻ˹觷ѡзԴҡûǴ
- dzд١ cervical
- dzд١˹͡ thorax
- dzд١ lumbar
ǹд١ sacrum 繡д١ 5 Դѹе͡ѺСд١⾡¡ sacroiliac joint
˵آͧҡûǴѧ
˵آͧäǴѧǹ˭çѡԴҡ˴秢ͧ ҡûǴѡԴ ѹ ǺҧҨзǴҡ˵ط辺
- ù觼Դ ùѧ 觺Դ
- 觢Ѻöѧ
- Դ
- ¡ͧԴ
- ùԹ
- ҧç
- ӧҹҡ
͡ѧзաѧзѧ㹷ҷ١ͧԴô֧駡 ͢ҧ˹觨֧ԴҡûǴѧ ҡûǴҨлǴҡзö͡ ͡ҡ 鹡ǷԴԸա˵ӤѭͧäǴѧ
觪ԴͧäǴѧ
äǴѧҨ觪ԴҷԴҡâͧäǤ ǴѧẺºѹҡ ѡԹ 6 ѻ ҡûǴҡ 12 ѻ¡ǴѧѧǹҷǴ ҧ 6-12 ѻ¡ Subacute ÷ͧҡͨк͡ôԹͧä
äǴѧͧ駻ѵúҧ
ԹԨäǴѧͧ»ѵԷ´ԹԨ˵
- ѵ ҡҹҨѡǵͧᾷҺҨ Ш
- ˹ѡŴŧ·
- ҡԤѹ
- steroid ҡҹҨзԴäд١ع
- õԴʾԴ
- õԴͷҧԹ
- ;ѡҡûǴ
-
- غѵ˵طԴѺѧ ٧ غѵ˵䫴 ¡ͧ˹ѡ
- äд١ع
- 鹻ب
õǨҧ
ѧҡѡѵᾷеǨҧ˵آͧäǴѧ
- СԹ Gait and Posture ҨзҾ˵ ѧ д١ѧ ԹǢҡ(д١Ѻ鹻ҷ)
- Ǣͧѧ Range of Motion ¡ ѧ §ѧ͡ҹҧ Դ ҡ˹ǻǴѡԴҡѧ ҡǻǴҨԴҡѹѧպ
- ҵ˹觷纺д١ѹѧ Palpation or Percussion of the Spine ҡ纺 д١ѹѧҨԴäçdz õԴ д١ѡ
- Թء Heel-Toe Walk and Squat and Rise ¡Թͧ ء ҡö֧֡áҷѧ
- õǨ Straight Leg Raising Test ¡¹¡ҢҡûǴѴ ҧ鹡Ѻ ҡԹ 60 ͧҡ֧֡äд١Ѻ鹻ҷ
- õǨ Reflexes and Motor and Sensory Testing ᾷйͧͤ¤ dzТ ͺ֡ͧ
õǨѧ
äǴѧ繵ͧ x-ray ء͡仵ѵСõǨҧ ҧáѡоԨó x-ray 㹼µ仹
- ҡ 50
- Ѻغѵ˵طѧ
- ҡêç
- չ˹ѡŴ·˵
- ԴʾԴʹ
- ѵ
- steroid
- ҡ 37.8 ͧ
- ҡҡ 1 ѧ»Ǵ
ûͧѹäǴѧ
ûͧѹäǴѧշش͡͡ѧлͧѹѧѺغѵ˵
1. ҧçСѧ ͡ѧ ¨зç ͡ѧеͧҧç駡˹ҷͧ ѧ Шеͧաբ͵Դ ͡ѧҨз¡ Թ âѡҹ ¹Өзѧç
2. ѡҹ˹ѡࡳǹ¡Ѻзҹ÷դسҾ ͡ѧẺ aerobic 蹡 ѡҹ
3. ù١ Сù͡ԴҨзԴҡûǴѧ
- èǵçѧͤ ǵ Т⾡鹵ç ҹԹͧҷ鹤èͧ ҡͧҹշѡѺ ѡ
- ù觨繡çѹ͡д١ѧҡش èоѡԧѧdz è عͻͧѹúԴͧ շѡͧᢹз觾ѡҤ٧дѺ ⾡硹 ͧ èͧdz ͡١ͧ
- âѺöСâѺöҧ йͻͧѹçѧ ѧǹҧ èоԧѺ §Թ 30 ͧ й觤è¡ҹ˹٧Ҵҹѧ硹 ҡѺöҧŤèоѡԹء ¡ͧ˹ѡѹѧشѺ
- ù èйԹ èҧ˹ 1/4 ҧʻԧп١ҷդ ᤧСҧ ˧ͧ ù˧· ˹ع ᤧҧ
- ù觷١ͧ ͧѧçѧԧѡ ͧ٧Թ дѺҤè٧ дѺ⾡ Ҩͧҹ
- ҹ èҧҢҧ˹
ͤûԺѵͻͧѹäǴѧ
1. ա§ҡç ͢⾡
2. ա§ҡ¡ͧ˹ѡзԹ
3. ѹ˹觢ͧء駷¡ͧ
4. ͧ͢˹ѡԴ
5. ¡;ѡͧ˹ѡԹ
6. ա§¡ͧչ˹ѡҡѹ
7. ա§ҧǴ
8. ¹Һ
9. öپ ٴ âشԹ èжͧ Ժͧ
10. ا ͧ ҢҧͧͶا
11. ͧ
12. ա§ͧѧ 蹡ѧ仢ҧѧ͡ҹͨô
13. ͨͨЪѺѧЧ
14. һ§ء
ѡ
繡ҡѺ·лԹҡûǴѧԴҡԴҡäբ ҤèоѺᾷҡҡҹ
- Ӻҡ
- ҡêҺdzѧͺdz
- ҡêçҢҧ˹
- ҡûǴ꺷Ңҧ㴢ҧ˹ͷͧҧ
- Թ
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͢ͺس : http://www.siamhealth.net
Ѵ͡ҡ : http://www.siamhealth.net/Health/good_health_living/LBP/index.htm
ҾСͺҡԹ
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