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Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

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The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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腰痛 腰痛

Nebojsa Nick Knezevic1, Kenneth D Candido1, Johan W S Vlaeyen2

  • 1Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA; Department of Anesthesiology, University of Illinois, Chicago, IL, USA; Department of Surgery, University of Illinois, Chicago, IL, USA.

Lancet (London, England)
|June 11, 2021
PubMed
まとめ
この要約は機械生成です。

腰痛は複雑で 多種多様な痛みや 脊髄の構造を伴うものです 効果的な診断と治療には 生物学的,心理的,社会的要因を考慮した 多様性,学際的なアプローチが不可欠です

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科学分野:

  • 整形外科
  • 痛みの管理
  • リハビリテーション医学

背景:

  • 腰痛 (LBP) は,様々な腰椎の要素と痛みタイプ (ノシセプティブ,神経疾患,ノシプラスティック) に起因する多面的な状態です.
  • 痛みの種類が重複し,現在のイメージングと注射技術の特異性が低いため,診断の課題は残っています.
  • バイオサイコ社会的モデルは,LBPにおける社会的,心理的,および生物学的要因の相互作用を強調し,統合された治療計画を必要とします.

研究 の 目的:

  • 腰痛の複雑性とその様々な病因と診断上の困難性について検討する.
  • 低腰痛の管理に 多様性,学際的なアプローチの必要性を強調する
  • 腰痛の診断の正確性と治療戦略を改善するための将来の研究分野を特定する.

主な方法:

  • 腰痛の病理生理学,診断,治療に関する現在の理解に関する文献レビュー.
  • 現在の診断方法と治療方法の限界を分析する.
  • 生体心理社会モデルと学際的ケアを支持する証拠の統合

主要な成果:

  • 腰痛は重複する痛みの種類を含み 複数の脊髄構造を巻き込み 診断を困難にします
  • 現在の治療法はしばしば単一の原因に対応し,包括的で学際的な戦略の必要性を強調しています.
  • 将来の研究によって診断の正確性と治療の成果を向上させる大きな可能性が存在します.

結論:

  • 低腰痛の複雑さを効果的に管理するには 多様性的で学際的なアプローチが不可欠です
  • 将来の研究は客観的な診断方法と 個別化された治療アルゴリズムを優先すべきです
  • 様々な腰痛管理戦略の有効性と費用対効果を確立するには,高品質の試験が必要です.