脊骨神經醫學

小智常常覺得腰痠以及大腿後側拉扯感,尤其是重訓之後

經過檢診後,發現其L4/5及L5/S1(腰椎第四節到薦椎第一節)的關節活動度不足,

經過脊骨神經醫學的脊背調理手法後,不只恢復了腰椎的活動度也改善大腿後側肌肉的功能

調整之後給予腰部運動,要求小智重訓之外還要天天加強基本的核心運動

脊骨神經醫學的概念從結構,營養,情緒三大支點由人體的點線面延伸至全身,

而不是頭痛醫頭腳痛醫腳的治標手法,由根本下手,由源頭解決,

恢復身體自癒力才是脊骨神經醫學的中心思想

研究指出:

腰椎第四節與第五節的關節鬆動可以增加腰椎與大腿後側肌肉的活動度與肌肉放鬆

Effects of spinal mobilisations on lumbar and hamstring ROM and sEMG: A randomised control trial

DOI: 10.3233/PPR-160081

Journal: Physiotherapy Practice and Research, vol. 38, no. 1, pp. 17-25, 2017

Published: 30 December 2016

Abstract.

INTRODUCTION: This study aimed to compare the immediate effects of Posterior Anterior (PA) L4 and L5 mobilisations on range of motion and muscle activity measures in the lumbar and hamstring regions of asymptomatic individuals.

METHODS: Thirty-eight participants were randomly allocated to a mobilisation (n = 20) or control (n = 18) group. The mobilisation group received central PA mobilisations to the L4 and L5 vertebrae, three times for two minutes. The control group received no mobilisation. Pre- and post-test measures included lumbar range of motion, measured by the modified Schober test and hamstring extensibility by the active knee extension test. Local Erector Spinae and Biceps Femoris muscle activation were also measured by surface Electromyography. Data were analysed using magnitude-based inferences.

RESULTS: Lumbar mobilisations had a most likely beneficial effect on active lumbar flexion 18.6% (90% CL 11.8±25.8%) and active knee extension range 22.8% (–29.6±15.2%). Mobilisations had a possible beneficial effect in sEMG activation reduction of the Erector Spinae –4.7% (–10.5±1.4%) and Bicep Femoris –6.1% (–13.1%±1.6%) during lumbar flexion. Likely beneficial effects of reduced sEMG were found following mobilisations during the active knee extension test for the Erector Spinae –18.3% (–27.7–7.6%) and Biceps Femoris muscle activity –20.8% (–30.9±9.2%).

DISCUSSION: L4 and L5 mobilisations increase lumbar and hamstring range of motion in the immediate term. Our unique finding was that, in this sample population, muscle activity in both local Erector Spinae and Biceps Femoris reduced, most likely due to the mobilisations applied.

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