{"id":7195,"date":"2022-06-01T09:00:01","date_gmt":"2022-06-01T00:00:01","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7195"},"modified":"2023-12-25T12:14:48","modified_gmt":"2023-12-25T03:14:48","slug":"menu_39","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_39\/","title":{"rendered":"Menu 39\u3000\u8170\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8170\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

\u300c\u8170\u75db<\/strong>\u300d\u306f\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b\u7fd2\u5f97\u3059\u3079\u304d37\u75c7\u5019\u306e\u4e2d\u3067\u3082\u7279\u306b\u983b\u5ea6\u306e\u9ad8\u3044\u75c7\u72b6\u306e\u4e00\u3064\u3067\u3059\u3002\u3057\u304b\u3057\u3044\u3056\u305d\u306e\u8a3a\u5bdf\u3092\u82f1\u8a9e\u3067\u3084\u3063\u3066\u307f\u3088\u3046\u3068\u3059\u308b\u3068\u3001\u300c\u304e\u3063\u304f\u308a\u8170<\/strong>\u300d\u3084\u300c\u810a\u690e\u3059\u3079\u308a\u75c7<\/strong>\u300d\u306a\u3069\u306e\u82f1\u8a9e\u8868\u73fe\u3067\u6238\u60d1\u3046\u65b9\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u300c\u8170\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u308f\u304b\u308a\u3084\u3059\u304f\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u201chunchback\u201d \u3084 \u201cswayback\u201d \u3063\u3066\u4f55\u306e\u3053\u3068\uff1f<\/strong><\/span>
\r\n\u300c\u8170\u75db<\/strong>\u300dlow back pain<\/strong><\/span>\uff08\u3082\u3057\u304f\u306f lower back pain<\/strong>\uff09\u3092\u8003\u3048\u308b\u524d\u306b\u3001\u307e\u305a\u306f\u300c\u80cc\u9aa8<\/strong>\u300d\u306b\u3064\u3044\u3066\u5fa9\u7fd2\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/span><\/p>\r\n

\u300c\u80cc\u9aa8<\/strong>\u300d\u306f\u4e00\u822c\u7684\u306b\u306f backbone<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u3084\u3084\u5c02\u9580\u7684\u306b\u306f\u300c\u810a\u690e<\/strong>\u300dspine<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u3069\u3061\u3089\u3082\u300c\u810a\u67f1<\/strong>\u300dvertebral<\/strong><\/span>\/spinal column<\/strong><\/span> \u3092\u610f\u5473\u3057\u3001\u666e\u901a\u306f\u5358\u6570\u5f62\u3067\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u82f1\u8a9e\u306e backbone<\/strong> \u306f\u300c\u5927\u9ed2\u67f1<\/strong>\u300d\u3084\u300c\u5c4b\u53f0\u9aa8<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u304c\u300c\u89e3\u5256\u5b66<\/strong>\u300danatomy<\/strong> \u3067\u5b66\u3070\u308c\u305f\u901a\u308a\u3001\u3053\u306e vertebral column \u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a33\u500b\u306e\u300c\u690e\u9aa8<\/strong>\u300dvertebrae<\/strong><\/span>\uff08\u5358\u6570\u5f62\u306f vertebra<\/strong><\/span>\uff09\u3067\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

33<\/strong> (7<\/strong> + 12<\/strong>+ 5<\/strong> + 5<\/strong> + 4<\/strong>) vertebrae<\/strong>
\r\n\u300c\u981a\u690e<\/strong>\u300dCervical<\/span> vertebrae: C1-7<\/strong>
\r\n\u300c\u80f8\u690e<\/strong>\u300dThoracic<\/span> vertebrae: T1-12<\/strong>
\r\n\u300c\u8170\u690e<\/strong>\u300dLumbar<\/span> vertebrae: L1-5<\/strong>
\r\n\u300c\u4ed9\u690e<\/strong>\u300dSacral<\/span> vertebrae: Sacrum<\/span><\/strong> (5 fused<\/strong>)
\r\n\u300c\u5c3e\u690e<\/strong>\u300dCoccygeal<\/span> vertebrae: Coccyx<\/span><\/strong> \u201cTailbone<\/strong><\/span>\u201d (4 fused<\/strong>)
\r\n<\/span>
\r\n\u307e\u305f\u300c\u8170\u690e<\/strong>\u300dlumbar vertebrae<\/strong> \u306e lumbar<\/strong> \u306f\u3001\u300c\u6728\u6750<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b lumber<\/strong> \u3068\u306f\u7db4\u308a\u3068\u767a\u97f3\u304c\u6975\u3081\u3066\u4f3c\u3066\u3044\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3053\u306e vertebral column \u306e\u4e2d\u3092\u300c\u810a\u9ac4<\/strong>\u300dspinal cord<\/strong><\/span> \u304c\u8d70\u884c\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u306e\u9060\u4f4d\u7aef\u306f L1<\/strong>\/L2<\/strong> \u306e\u30ec\u30d9\u30eb\u3067\u3001\u305d\u3053\u304b\u3089\u9060\u4f4d\u306f\u300c\u99ac\u5c3e<\/strong>\u300dcauda equina<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u300c\u8170\u690e\u7a7f\u523a<\/strong>\u300dlumbar puncture<\/strong> (\u201cspinal tap<\/strong>\u201d) \u306f\u3001\u901a\u5e38 L3<\/strong>\/L4<\/strong> \u30ec\u30d9\u30eb\u3067\u884c\u308f\u308c\u308b\u308f\u3051\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u3053\u306e spine \u306f\u771f\u3063\u76f4\u3050\u3067\u306f\u306a\u304f\u3001\u524d\u5f8c\u306b\u300c\u6e7e\u66f2<\/strong>\u300dcurvature<\/strong> \u306e\u3042\u308b\u69cb\u9020\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u300c\u524d\u6e7e<\/strong>\u300dlordosis<\/strong><\/span> \u3068\u300c\u5f8c\u6e7e<\/strong>\u300dkyphosis<\/strong><\/span> \u304c\u4ea4\u4e92\u306b\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002<\/span>
\r\n
\r\n\u2022<\/strong> Cervical vertebrae: Lordosis<\/strong>
\r\n\u2022<\/strong> Thoracic vertebrae: Kyphosis<\/strong>
\r\n\u2022<\/strong> Lumbar vertebrae: Lordosis<\/strong>
\r\n\u2022<\/strong> Sacral & coccygeal vertebrae: Kyphosis<\/strong>
\r\n<\/span>
\r\n\u300c\u59ff\u52e2<\/strong>\u300dposture<\/strong> \u306b\u3064\u3044\u3066\u8a71\u3092\u3059\u308b\u5834\u5408\u3001\u3053\u306e thoracic kyphosis<\/strong> \u3068 lumbar lordosis<\/strong> \u304c\u7279\u306b\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u524d\u8005\u306e thoracic kyphosis \u304c\u5f37\u304f\u306a\u3063\u305f\u72b6\u614b\u3092 round back<\/strong> \u3084 hunchback<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u65e5\u672c\u3067\u306f\u300c\u30ce\u30fc\u30c8\u30eb\u30c0\u30e0\u306e\u9418<\/strong>\u300d\u3068\u3044\u3046\u90a6\u984c\u3067\u77e5\u3089\u308c\u3066\u3044\u308b\u30c7\u30a3\u30ba\u30cb\u30fc\u6620\u753b\u306e\u82f1\u8a9e\u540d\u306f\u3001 \u201cThe Hunchback<\/strong> of Notre Dame\u201d \uff08\u539f\u4f5c\u306e\u90a6\u984c\u306f\u300c\u30ce\u30fc\u30c8\u30eb\u30c0\u30e0\u306e\u305b\u3080\u3057\u7537<\/strong>\u300d\uff09\u3068\u3044\u3046\u3082\u306e\u3067\u3057\u305f\u3002\u307e\u305f\u3001\u5f8c\u8005\u306e lumbar lordosis\u304c\u5f37\u304f\u306a\u3063\u305f\u72b6\u614b\u306f\u4e00\u822c\u7684\u306b\u306f swayback<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u305d\u3057\u3066 \u3001spine \u306b\u6a2a\u306e curvature \u304c\u73fe\u308c\u305f\u3082\u306e\u3092\u300c\u5074\u6e7e<\/strong>\u300dscoliosis<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u306e lordosis, kyphosis<\/strong>, and scoliosis<\/strong> \u306e3\u3064\u306f\u3069\u308c\u3082\u533b\u5b66\u751f\u306b\u306f\u5fc5\u9808\u306e\u533b\u5b66\u82f1\u8a9e\u3067\u3059\u306e\u3067\u3001\u77e5\u3089\u306a\u304b\u3063\u305f\u65b9\u306f\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u300c\u304e\u3063\u304f\u308a\u8170\u300d\u3063\u3066\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\uff1f<\/strong><\/span>
\r\n\u3067\u306f\u3053\u3053\u304b\u3089 low back pain \u306e\u9451\u5225\u75be\u60a3\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span>
\r\n
\r\n\u5b66\u751f\u3055\u3093\u306b low back pain \u306e\u539f\u56e0\u3092\u5c0b\u306d\u308b\u3068\u3001\u300c\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u300d\u3084\u300c\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u300d\u3068\u3044\u3063\u305f\u3082\u306e\u304c\u3059\u3050\u306b\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u6319\u304c\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u308c\u3089\u306f\u5b9f\u969b\u306b\u306f\u305d\u308c\u307b\u3069\u983b\u5ea6\u304c\u9ad8\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u6587\u732e\u306b\u3082\u3088\u308a\u307e\u3059\u304c\u3001low back pain \u306e\u539f\u56e0\u306e\u304a\u3088\u305d 90%<\/strong> \u306f\u300c\u7b4b\u8089\u306e\u904e\u5270\u306a\u53ce\u7e2e<\/strong>\u300d\u3067\u3042\u308b muscle strain<\/strong><\/span> \u306b\u3088\u308b non-specific low back pain<\/strong><\/span> \u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span>
\r\n
\r\n\u3053\u306e strain \u3068\u3044\u3046\u5358\u8a9e\u306b\u306f\u300c\u9177\u4f7f\u3055\u308c\u3066\u8d77\u3053\u308b\u5916\u50b7<\/strong>\u300d\u3068\u3044\u3046\u30cb\u30e5\u30a2\u30f3\u30b9\u304c\u3042\u308b\u305f\u3081\u3001muscle strain \u306f\u300c\u8089\u96e2\u308c<\/strong>\u300d\uff08\u3053\u308c\u306f pulled muscle \u3068\u3082\u547c\u3070\u308c\u307e\u3059\uff09\u3068\u3044\u3046\u610f\u5473\u306b\u3082\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u300c\u7b4b\u8089\u304c\u3064\u3063\u305f<\/strong>\u300d\u72b6\u614b\u306f muscle spasm<\/strong> \u3068\u8868\u73fe\u3055\u308c\u308b\u305f\u3081\u3001\u300c\u304e\u3063\u304f\u308a\u8170<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f lower back spasms<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

non-specific low back pain \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u300c\u91cd\u3044\u3082\u306e\u3092\u6301\u3061\u4e0a\u3052\u308b<\/strong>\u300d lifting heavy objects<\/strong> \u3084\u300c\u60aa\u3044\u59ff\u52e2\u3067\u5ea7\u308b\u3053\u3068<\/strong>\u300d poor sitting posture<\/strong> \u306e\u4ed6\u306b\u3082\u3001\u300c\uff08\u30c7\u30b9\u30af\u30ef\u30fc\u30af\u4e2d\u5fc3\u3067<\/strong>\uff09\u5ea7\u3063\u3066\u3070\u304b\u308a\u306e\u751f\u6d3b\u7fd2\u6163<\/strong>\u300dsedentary lifestyle<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e non-specific low back pain \u306e\u6539\u5584\u306b\u306f\u300c\u80cc\u7b4b\u904b\u52d5<\/strong>\u300dback extension<\/strong><\/span> \u3084\u300c\u30d4\u30e9\u30c6\u30a3\u30b9<\/strong>\u300dPilates<\/strong><\/span> \u306a\u3069\u306e\u904b\u52d5\u306e\u4ed6\u306b\u300c\u6e7f\u5e03<\/strong>\u300d\u3082\u6709\u52b9\u3067\u3059\u3002\u3053\u306e\u6e7f\u5e03\u306f\u82f1\u8a9e\u3067\u306f pain relief<\/strong>\/relieving patch<\/strong><\/span> \u306e\u4ed6\u3001\u300c\u30b5\u30ed\u30f3\u30d1\u30b9<\/strong>\u300dSalonpas<\/strong> \u3068\u3044\u3046\u5546\u54c1\u540d\u3067\u8868\u73fe\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u611f\u67d3\u75c7\u3084\u60aa\u6027\u816b\u760d\u3092\u793a\u5506\u3059\u308b Red Flags \u3068\u306f\uff1f<\/strong><\/span>
\r\n\u3053\u306e\u3088\u3046\u306b\u3001 low back pain \u306e\u7d0490%\u304c muscle strain \u306b\u3088\u308b non-specific low back pain \u306a\u306e\u3067\u3059\u304c\u3001\u6b8b\u308a 10%<\/strong> \u306f\u300c\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u5371\u967a\u306a\u8170\u75db<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u3067\u3082\u7e70\u308a\u8fd4\u3057\u3054\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u300c\u5371\u967a\u306a\u75c7\u72b6\u30fb\u6240\u898b\u30fb\u75be\u60a3<\/strong>\u300d\u3092\u82f1\u8a9e\u3067\u306f red flags<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u4e0b\u8a18\u306b\u4ee3\u8868\u7684\u306a low back pain \u306e red flags \u3092\u793a\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

Red-Flag Low Back Pain
\r\n\u2022 Infection
\r\n\u2022 Malignancy
\r\n\u2022 Fracture
\r\n\u2022 Ankylosing Spondylitis
\r\n\u2022 Spondylolisthesis
\r\n\u2022 Spinal Stenosis
\r\n\u2022 Disc Herniation
\r\n\u2022 Aortic Abdominal Aneurysm Rupture
\r\n\u2022 Nephrolithiasis
\r\n\u2022 Pancreatitis
\r\n<\/strong><\/span><\/span>
\r\n\u307e\u305a\u306f\u300c\u611f\u67d3\u75c7<\/strong>\u300dinfection<\/strong><\/span> \u3067\u3059\u3002\u3053\u306e infection \u3092\u793a\u5506\u3059\u308b\u3082\u306e\u3068\u3057\u3066\u306f\u300c\u767a\u71b1<\/strong>\u300dfever<\/strong>\/pyrexia<\/strong> \u3084\u300c\u611f\u67d3\u75c7\u306e\u65e2\u5f80<\/strong>\u300dhistory of infection<\/strong> \u306e\u4ed6\u3001\u300c\u8170\u690e\u7a7f\u523a<\/strong>\u300dlumbar puncture<\/strong> \u3084\u300c\u786c\u819c\u5916\u9ebb\u9154<\/strong>\u300depidural anesthesia<\/strong> \u306e\u65e2\u5f80\u3082\u91cd\u8981\u3067\u3059\u3002<\/span><\/p>\r\n

\u6b21\u306b\u300c\u60aa\u6027\u816b\u760d<\/strong>\u300dmalignancy<\/strong><\/span> \u306b\u95a2\u3059\u308b red flags \u3067\u3059\u304c\u3001\u3053\u308c\u306b\u306f\u300c\u9ad8\u9f62<\/strong>\u300dage<\/strong> > 50 years old<\/strong> \u3084\u300c\u610f\u56f3\u3057\u306a\u3044\u4f53\u91cd\u6e1b\u5c11<\/strong>\u300dunintentional weight loss<\/strong> \u306e\u4ed6\u3001\u300c\u98df\u6b32\u4e0d\u632f<\/strong>\u300danorexia<\/strong> \u3084\u300c\u7d99\u7d9a\u3059\u308b\u8170\u75db<\/strong>\u300dprolonged low back pain<\/strong> \u3082\u6291\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u307e\u305f\u300c\u9aa8\u6298<\/strong>\u300dfracture<\/strong><\/span> \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u300c\u9aa8\u7c97\u9b06\u75c7<\/strong>\u300dosteoporosis<\/strong><\/span> \u306b\u3088\u308b\u300c\u5727\u8feb\u9aa8\u6298<\/strong>\u300dcompression fracture<\/strong><\/span> \u304c\u6700\u3082\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001\u3053\u3061\u3089\u3082\u7a4d\u6975\u7684\u306b\u5c0b\u306d\u308b\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u899a\u3048\u3066\u304a\u304d\u305f\u3044 \u201cspondylo-\u201d \u3067\u59cb\u307e\u308b\u533b\u5b66\u82f1\u8a9e<\/strong><\/span>
\r\n\u6b21\u306b\u899a\u3048\u3066\u304a\u3044\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u306e\u304c\u300c\u5f37\u76f4\u6027\u810a\u690e\u708e<\/strong>\u300dankylosing spondylitis<\/strong><\/span> \u3068\u300c\u810a\u690e\u3059\u3079\u308a\u75c7<\/strong>\u300dspondylolisthesis<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u304a\u305d\u3089\u304f\u8aad\u8005\u306e\u7686\u3055\u3093\u306f\u300cspondylo-\u2026 \u4f55\uff1f\u300d\u3068\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u3067\u3057\u3087\u3046\u3002\u3053\u306e spondylo- \u3092\u4f7f\u3046\u533b\u5b66\u82f1\u8a9e\u306b\u306f\u3053\u308c\u30892\u3064\u4ee5\u5916\u306b\u3082\u3044\u304f\u3064\u304b\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u3053\u3053\u3067\u3057\u3063\u304b\u308a\u3068\u6574\u7406\u3057\u3066\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u307e\u305a spondylo<\/strong><\/span>– \u306f\u300c\u810a\u690e<\/strong>\u300dvertebra<\/strong>\/vertebrae<\/strong> \u3092\u610f\u5473\u3059\u308b\u300c\u63a5\u982d\u8f9e<\/strong>\u300d prefix<\/strong> \u3067\u3059\u3002\u3053\u308c\u306b\u69d8\u3005\u306a\u300c\u63a5\u5c3e\u8f9e<\/strong>\u300dsuffix<\/strong> \u304c\u3064\u3044\u3066\u4e0b\u8a18\u306e\u3088\u3046\u306a\u533b\u5b66\u82f1\u8a9e\u3068\u306a\u308a\u307e\u3059\u3002<\/span>
\r\n
\r\nSpondylosis<\/strong><\/span>\u300c\u810a\u690e\u75c7<\/strong>\u300d: -osis = degeneration
\r\nSpondylitis<\/strong><\/span>\u300c\u810a\u690e\u708e<\/strong>\u300d: -itis = inflammation
\r\nSpondylolysis<\/strong><\/span>\u300c\u810a\u690e\u5206\u96e2\u75c7<\/strong>\u300d: -lysis = loosening
\r\nSpondylolisthesis<\/strong><\/span>\u300c\u810a\u690e\u3059\u3079\u308a\u75c7<\/strong>\u300d-olisthesis = slipping\/sliding
\r\n<\/span>
\r\n\u300c\u810a\u690e\u75c7<\/strong>\u300dspondylosis<\/strong><\/span>\uff08\u300c\u30b9\u30dd\u30f3\u30c7\u30a3\u30ed\u30a5<\/strong>\u30b7\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u810a\u690e\u304c\u52a0\u9f62\u306a\u3069\u3067\u5909\u6027<\/strong>\u3057\u305f\u72b6\u614b\u3092\u6307\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u810a\u690e\u708e<\/strong>\u300dspondylitis<\/strong><\/span>\uff08\u300c\u30b9\u30dd\u30f3\u30c7\u30a3\u30e9\u30a3<\/strong>\u30c6\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u810a\u690e\u306b\u708e\u75c7<\/strong>\u304c\u751f\u3058\u305f\u72b6\u614b\u3067\u3059\u3002\u3053\u306e\u3046\u3061\u300c\u5f37\u76f4\u6027\u810a\u690e\u708e<\/strong>\u300dankylosing spondylitis<\/strong><\/span> \u306f\u3001\u82e5\u5e74\u5c64\u306b\u591a\u3044\u539f\u56e0\u4e0d\u660e\u306e\u75be\u60a3\u3067\u3001\u300c\u6162\u6027\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u300drheumatoid arthritis \u306e\u3088\u3046\u306b\u5b89\u9759\u6642\u306b\u75db\u307f\u304c\u5f37\u304f\u306a\u308a\u307e\u3059\u3002\u9032\u884c\u3059\u308b\u3068\u690e\u9aa8\u3068\u690e\u9aa8\u304c\u304f\u3063\u3064\u3044\u3066\u300c\u7af9\u72b6\u306e\u4e00\u672c\u306e\u9aa8<\/strong>\u300d\u306e\u3088\u3046\u306b\u898b\u3048\u308b bamboo spine<\/strong> \u304c\u751f\u3058\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u810a\u690e\u5206\u96e2\u75c7<\/strong>\u300dspondylolysis<\/strong><\/span>\uff08\u300c\u30b9\u30dd\u30f3\u30c7\u30a3\u30ed\u30a5\u30e9\u30a3<\/strong>\u30b7\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f\u300c\u95a2\u7bc0\u9593\u90e8<\/strong>\u300dpars interarticularis<\/strong> \u304c\u300c\u75b2\u52b4\u9aa8\u6298<\/strong>\u300dstress fracture<\/strong> \u3067\u5206\u96e2\u3057\u305f\u72b6\u614b\u3092\u6307\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u300c\u95a2\u7bc0\u9593\u90e8\u306e\u75b2\u52b4\u9aa8\u6298<\/strong>\u300d\u3092 pars stress fracture<\/strong> \u3068\u3082\u8868\u73fe\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u810a\u690e\u3059\u3079\u308a\u75c7<\/strong> \u300dspondylolisthesis<\/strong><\/span>\uff08\u300c\u30b9\u30dd\u30f3\u30c7\u30a3\u30ed\u30ea\u30a3\u30b9\u30a3<\/strong>\u30fc\u30b7\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306f spondylolysis \u306a\u3069\u304c\u539f\u56e0\u3067\u3001\u810a\u690e\u304c\u305a\u308c\u3066\u3057\u307e\u3046\u72b6\u614b\u3067\u3059\u3002\u3053\u306e -olisthesis \u306f\u300c\u814e\u7d50\u77f3\u75c7<\/strong>\u300dnephrolithiasis<\/strong>\uff08\u300c\u30cd\u30d5\u30ed\u30ea\u30b5\u30a3<\/strong>\u30a2\u30b7\u30a3\u30b9\u300d\u3084\u300c\u30cd\u30d5\u30ed\u30ea\u30a3\u30b7\u30a3\u30a8\u30a3<\/strong>\u30b7\u30a3\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u306a\u3069\u3067\u4f7f\u308f\u308c\u308b -lithiasis \u3068\u6df7\u540c\u3055\u308c\u3084\u3059\u3044\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u201cpinched nerve\u201d \u3063\u3066\u4f55\u306e\u3053\u3068\uff1f<\/strong><\/span>
\r\n\u8170\u75db\u306e red flags \u306e\u4e2d\u3067\u3082\u3001\u300c\u810a\u690e\u3059\u3079\u308a\u75c7<\/strong>\u300dspondylolisthesis<\/strong> \u3068\u300c\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7<\/strong>\u300dspinal stenosis<\/strong><\/span>\u3001\u305d\u3057\u3066\u7686\u3055\u3093\u304a\u99b4\u67d3\u307f\u306e\u300c\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2<\/strong>\u300dlumbar disc herniation<\/strong><\/span> \u306f\u3001\u795e\u7d4c\u6839\u3092\u5727\u8feb\u3059\u308b\u3053\u3068\u3067\u300c\u795e\u7d4c\u6839\u75c7\u5019\u7fa4<\/strong>\u300dradiculopathy<\/strong><\/span> \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e radiculopathy<\/strong> \u306f\u300c\u795e\u7d4c\u6839\u3092\u5727\u8feb\u3059\u308b<\/strong>\u300d\u3053\u3068\u304b\u3089\u3001\u4e00\u822c\u7684\u306b\u306f \u201cpinched nerve<\/strong><\/span>\u201d \u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u305d\u306e\u72ec\u7279\u306e\u75db\u307f\u306f radicular pain<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u3001\u60a3\u8005\u3055\u3093\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002<\/span>
\r\nRadicular Pain<\/strong><\/span>
\r\n\u2022<\/strong> sharp\/burning\/stabbing\/shooting\/shock-like pain <\/span>
\r\n\u2022<\/strong> pricking\/tingling (pins and needles) sensation <\/span>
\r\n<\/span>
\r\n\u3053\u306e radiculopathy \u306f\u751f\u3058\u308b\u90e8\u4f4d\u306b\u3088\u3063\u3066 cervical<\/strong> radiculopathy\/thoracic<\/strong> radiculopathy\/lumbar<\/strong> radiculopathy\/sacral<\/strong> radiculopathy \u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u3053\u306e\u3046\u3061 lumbar<\/strong> & sacral<\/strong> radiculopathies \u306e2\u3064\u3092\u300c\u5750\u9aa8\u795e\u7d4c\u75db<\/strong>\u300dsciatica<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e\u300c\u5750\u9aa8\u795e\u7d4c\u75db\u300dsciatica \u3067\u306f\u300c\u795e\u7d4c\u6027\u8ddb\u884c<\/strong>\uff08\u306f\u3053\u3046<\/strong>\uff09\u300dneurological claudication<\/strong><\/span> \u3082\u751f\u3058\u307e\u3059\u3002\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u300c\u8ddb\u884c<\/strong>\u300dclaudication<\/strong> \u3068\u306f pain in the legs when walking and relieved by rest \u3068\u3044\u3046\u3082\u306e\u306a\u306e\u3067\u3059\u304c\u3001\u300c\u8840\u7ba1\u6027\u8ddb\u884c\u300dvascular claudication \u3068\u306f\u7570\u306a\u308a\u3001neurological claudication \u306b\u306f\u300c\u524d\u5c48\u3084\u5ea7\u4f4d\u3068\u3044\u3063\u305f\u59ff\u52e2\u306e\u5909\u5316\u3067\u697d\u306b\u306a\u308b<\/strong>\u300d relieved by bending forward<\/strong>\/sitting down<\/strong> \u3068\u3044\u3046\u7279\u8272\u3082\u3042\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u3067\u300c\u30a2\u30bd\u30b3\u300d\u306f\u4f55\u3068\u8a00\u3046\uff1f<\/strong><\/span>
\r\n\u3053\u306e\u3088\u3046\u306b spondylolisthesis\/spinal stenosis\/lumbar disc herniation \u3067\u306f radiculopathy \u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u304c\u3001\u3055\u3089\u306b\u91cd\u7be4\u306a\u3082\u306e\u3068\u3057\u3066\u99ac\u5c3e\u5168\u4f53\u304c\u5727\u8feb\u3055\u308c\u308b\u300c\u99ac\u5c3e\u75c7\u5019\u7fa4<\/strong>\u300dcauda equina syndrome<\/strong> (CES<\/strong>)<\/span> \u3068\u3044\u3046\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e CES\u306b\u306f\u4e0b\u8a18\u306e3\u3064\u306e\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

Cauda Equina Syndrome <\/strong>(CES<\/strong>)<\/span>
\r\n\u2022<\/strong> Saddle Anesthesia<\/strong>
\r\n\u2022<\/strong> Urinary<\/strong>\/Stool Retention<\/strong>
\r\n\u2022<\/strong> Urinary<\/strong>\/Stool Incontinence<\/strong>
\r\n<\/span><\/span>
\r\nsaddle anesthesia<\/strong><\/span> \u3068\u306f\u300c\u978d\u90e8\u300dsaddle \u306b\u4e57\u308b\u969b\u306b saddle \u306b\u89e6\u308c\u308b\u90e8\u5206\u306e\u611f\u899a\u304c\u306a\u304f\u306a\u308b\u3053\u3068\u3067\u3059\u304c\u3001\u3053\u306e\u6709\u7121\u3092\u60a3\u8005\u3055\u3093\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f \u201cDo you have any numbness<\/strong> in the groin<\/strong> or down below<\/strong><\/span>?\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u3002\u3053\u306e down below<\/strong> \u3068\u306f\u300c\u5916\u6027\u5668\u3084\u809b\u9580\u306e\u90e8\u5206<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u6163\u7528\u8868\u73fe\u3067\u3001\u65e5\u672c\u8a9e\u306e\u300c\u30a2\u30bd\u30b3<\/strong>\u300d\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f\u3001urinary<\/strong>\/stool retention<\/strong>\/incontinence<\/strong><\/span> \u306e\u6709\u7121\u3092\u60a3\u8005\u3055\u3093\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f\u5de5\u592b\u304c\u5fc5\u8981\u3067\u3059\u3002\u4e0b\u8a18\u306e\u3088\u3046\u306a\u5c0b\u306d\u65b9\u3060\u3068\u60a3\u8005\u3055\u3093\u306b\u597d\u611f\u3092\u6301\u3063\u3066\u3044\u305f\u3060\u3051\u307e\u3059\u306e\u3067\u662f\u975e\u4f7f\u3063\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/span>
\r\n
\r\n\u2022<\/strong> Urinary<\/strong>\/Stool Retention<\/strong><\/span>: \u201cSometimes people with back pain develop difficulty passing urine or opening their bowels. Has this happened to you?\u201d
\r\n\u2022<\/strong> Urinary<\/strong>\/Stool Incontinence<\/strong><\/span>: \u201cSometimes people with back pain develop difficulty controlling their bladder or bowels, which can lead to unwanted leakage of urine or stools. Has this happened to you?\u201d
\r\n<\/span>
\r\n\u82f1\u8a9e\u3067\u899a\u3048\u308b Low Back Exam<\/strong><\/span>
\r\n\u6700\u5f8c\u306b low back pain \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3059\u308b\u300c\u8eab\u4f53\u8a3a\u5bdf\u300dphysical examination \u306b\u3064\u3044\u3066\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

Stanford University \u3067\u4f5c\u6210\u3057\u3066\u3044\u308b Stanford Medicine 25<\/strong> \u3068\u3044\u3046\u8eab\u4f53\u8a3a\u5bdf\u3092\u5b66\u3076\u305f\u3081\u306e\u3053\u3061\u3089<\/span><\/span><\/a>\u306e\u30b5\u30a4\u30c8\u306b\u3001 Low Back Exam \u306b\u3064\u3044\u3066\u8a73\u7d30\u306a\u8aac\u660e\u304c\u8f09\u3063\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4e2d\u306b\u3042\u308b\u3053\u3061\u3089<\/span><\/span><\/a>\u306e\u52d5\u753b\u304c\u975e\u5e38\u306b\u5f79\u306b\u7acb\u3061\u307e\u3059\u306e\u3067\u3001\u662f\u975e\u8996\u8074\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3053\u3053\u3067\u306f\u3053\u306e Stanford Medicine 25 \u3067\u7d39\u4ecb\u3055\u308c\u3066\u3044\u308b Low Back Exam \u306e\u8981\u70b9\u3092\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u6700\u521d\u306b\u884c\u3046\u306e\u304c\u300c\u8996\u8a3a<\/strong>\u300dinspection<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u3053\u3067\u6ce8\u610f\u3059\u3079\u304d\u306a\u306e\u304c\u3001\u524d\u8ff0\u3057\u305f hunchback<\/strong> \u3068 swayback<\/strong> \u306b\u7e4b\u304c\u308b exaggerated thoracic kyphosis<\/strong><\/span> \u3068 exaggerated lumbar lordosis<\/strong><\/span> \u3067\u3059\u3002\u307e\u305f scoliosis<\/strong><\/span> \u3082 low back pain \u306b\u7e4b\u304c\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u89b3\u5bdf\u3057\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u6b21\u306b\u884c\u3046\u306e\u304c\u300c\u89e6\u8a3a<\/strong>\u300d palpation<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u810a\u690e\u306e\u5727\u75db<\/strong>\u300dspinal tenderness<\/strong><\/span> \u306f\u300c\u690e\u9aa8\u306e\u7570\u5e38<\/strong>\u300dvertebral problem<\/strong><\/span> \u3092\u793a\u5506\u3057\u3001\u300c\u508d\u810a\u690e\u306e\u5727\u75db<\/strong>\u300d paraspinal tenderness<\/strong><\/span> \u306f\u300c\u508d\u810a\u67f1\u7b4b\u306e\u904e\u5270\u306a\u53ce\u7e2e<\/strong>\u300d paraspinal muscle strain<\/strong><\/span> \u3092\u793a\u5506\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u3053\u304b\u3089 sciatica<\/strong> \u3092\u7a4d\u6975\u7684\u306b\u63a2\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e sciatica \u306e\u597d\u767a\u90e8\u4f4d\u306f L4, L5, and S1 \u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2<\/strong>\u300dlumbar disc herniation<\/strong> \u306e\u597d\u767a\u90e8\u4f4d\u306f L4<\/strong>\/L5<\/strong> \u3068 L5\/S1<\/strong> \u3067\u3059\u304c\u3001\u305d\u306e\u30d8\u30eb\u30cb\u30a2\u304c\u300c\u508d\u6b63\u4e2d\u578b<\/strong>\u300dparacentral<\/strong><\/span> \u3067\u3042\u308c\u3070\u305d\u308c\u305e\u308c\u4e0b\u4f4d\u306e L5<\/strong> \u3068 S1<\/strong>\u304c\u3001\u300c\u5916\u5074\u578b<\/strong>\u300dlateral<\/strong> \u3067\u3042\u308c\u3070\u305d\u308c\u305e\u308c\u4e0a\u4f4d\u306e L4 \u3068 L5 \u306b radiculopathy \u304c\u73fe\u308c\u307e\u3059\u3002\u3053\u306e lateral herniation \u306b\u6bd4\u3079\u3066 paracentral herniation \u306e\u65b9\u304c\u983b\u5ea6\u304c\u9ad8\u3044\u305f\u3081\u3001\u521d\u5b66\u8005\u306f\u300cL4<\/strong>\/L5 \u306e\u30d8\u30eb\u30cb\u30a2\u3067\u306f L5\u304c\u3001L5<\/strong>\/S1\u306e\u30d8\u30eb\u30cb\u30a2\u3067\u306f S1 \u304c\u969c\u5bb3\u3055\u308c\u308b<\/strong>\u300d\u3068\u899a\u3048\u3066\u304a\u3044\u3066\u3082\u554f\u984c\u306f\u5c11\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u307e\u305a\u306f\u3053\u308c\u3089\u306e sciatica \u3092\u8a98\u767a\u3059\u308b provocative tests<\/strong><\/span> \u3092\u884c\u306a\u3063\u3066\u3044\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u3082\u3088\u304f\u77e5\u3063\u3066\u3044\u308b straight leg test<\/strong><\/span> \u306fL4<\/strong>\/L5<\/strong> \u306e sciatica \u3092\u8a98\u767a\u3057\u307e\u3059\u3002\u307e\u305f L4\/L5 \u306e sciatica \u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u306e\u811a\u3092\u5ea7\u4f4d\u3067\u5f15\u304d\u4e0a\u3052\u308b\u3068\u3001\u305d\u306e\u75db\u307f\u3092\u304b\u3070\u3046\u305f\u3081\u306b\u4e21\u624b\u3092\u5f8c\u306b\u3064\u304d\u307e\u3059\u304c\u3001\u3053\u308c\u3092 tripod sign<\/strong> \u3068\u547c\u3073\u307e\u3059\u3002\u3053\u308c\u306f\u547c\u5438\u56f0\u96e3\u306e\u60a3\u8005\u3055\u3093\u304c\u4e21\u624b\u3092\u819d\u306b\u3064\u304f tripod posture \u3068\u6df7\u540c\u3055\u308c\u3084\u3059\u3044\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u6700\u5f8c\u306b\u300c\u795e\u7d4c\u5b66\u7684\u8a3a\u5bdf<\/strong>\u300dneurological exam<\/strong><\/span> \u3092\u884c\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u6700\u521d\u306e neurological exam \u306f motor exam<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u300c\u819d\u306e\u4f38\u5c55<\/strong>\u300dknee extension<\/strong><\/span> \u306f L4<\/strong>\u3001\u300c\u8db3\u9996\u306e\u80cc\u5c48<\/strong>\u300ddorsiflexion<\/strong><\/span> \u306fL5<\/strong>\u3001\u305d\u3057\u3066\u300c\u8db3\u9996\u306e\u5e95\u5c48<\/strong>\u300dplantarflexion<\/strong><\/span> \u306f S1<\/strong> \u3067\u652f\u914d\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f dorsiflexion \u306f\u300c\u3064\u307e\u5148\u3092\u6d6e\u304b\u305b\u3066\u8e35\u3067\u6b69\u304f<\/strong>\u300d heel walking<\/strong><\/span> \u3067\u3001\u305d\u3057\u3066 plantarflexion \u306f\u300c\u3064\u307e\u5148\u7acb\u3061\u3067\u6b69\u304f\u300dtip-toe walking<\/strong><\/span> \u3067\u3082\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

2\u756a\u76ee\u306e neurological exam \u306f sensory exam<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u3082\u300c\u8db3\u300dfoot \u306b\u6ce8\u76ee\u3057\u3066 L4, L5, and S1 \u306e\u652f\u914d\u9818\u57df\u3092\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u5177\u4f53\u7684\u306b\u306f\u300c\u8db3\u306e\u5185\u5074<\/strong>\u300dmedial foot<\/strong><\/span> \u306f L4<\/strong>\u3001\u300c\u8db3\u306e\u80cc\u5074<\/strong>\u300ddorsal foot<\/strong><\/span> \u306f L5<\/strong>\u3001\u305d\u3057\u3066\u300c\u8db3\u306e\u5916\u5074<\/strong>\u300dlateral foot<\/strong><\/span> \u306f S1<\/strong> \u3068\u899a\u3048\u3066\u304a\u304f\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u6700\u5f8c\u306e neurological exam \u304c\u3001\u300c\u6df1\u90e8\u8171\u53cd\u5c04<\/strong>\u300d deep tendon reflexes<\/strong> \u3092\u78ba\u8a8d\u3059\u308b reflex exam<\/strong><\/span> \u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u3082\u3001\u300c\u819d\u84cb\u8171\u53cd\u5c04<\/strong>\u300dpatellar tendon reflex<\/strong><\/span> \u304c L4<\/strong><\/span>\u3001\u300c\u5185\u5074\u30cf\u30e0\u30b9\u30c8\u30ea\u30f3\u30b0\u8171\u53cd\u5c04<\/strong>\u300dmedial hamstring reflex<\/strong> \u304c L5<\/strong>\u3001\u305d\u3057\u3066\u300c\u30a2\u30ad\u30ec\u30b9\u8171\u53cd\u5c04<\/strong>\u300dAchilles tendon reflex<\/strong><\/span> \u304c S1<\/strong><\/span> \u3068\u3044\u3046\u3053\u3068\u3092\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u3053\u306e\u899a\u3048\u65b9\u3068\u3057\u3066\u500b\u4eba\u7684\u306b\u306f\u300c\u300e\u3057<\/strong><\/span>\u3064\u304c\u3044\u3051\u3093\u300f\u3060\u304b\u3089L4<\/strong><\/span>\u300d\u3068\u300c\u30a2\u30ad\u30ec\u30b9\u8171\u306f\u6570\u5b57\u306e1<\/strong><\/span>\u306b\u898b\u3048\u308b\u304b\u3089 S1<\/strong><\/span>\u300d\u3068\u3044\u3046\u3082\u306e\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002\u3053\u306e\u899a\u3048\u65b9\u304c\u4f7f\u3048\u308b\u3068\u611f\u3058\u305f\u65b9\u306f\u662f\u975e\u3053\u308c\u3067\u899a\u3048\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u300c\u8170\u75db\u306e\u9451\u5225\u75be\u60a3<\/strong>\u300d\u3068\u300c\u8170\u75db\u306b\u5bfe\u3059\u308b\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Approach to Back Pain<\/strong><\/span>
\r\n\u2022<\/strong> 90%: Non-Specific Low Back Pain<\/strong>
\r\n\u2022<\/strong> 10%: Red-Flag Low Back Pain<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Infection<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Malignancy<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Fracture<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Ankylosing Spondylitis<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Spondylolisthesis<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Spinal Stenosis<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Disc Herniation<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Aortic Abdominal Aneurysm Rupture<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Nephrolithiasis <\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Pancreatitis<\/strong>
\r\n<\/span><\/span>
\r\nLow Back Exam<\/strong><\/span>
\r\n1. Inspection<\/span><\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Exaggerated Thoracic Kyphosis<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Exaggerated Lumbar Lordosis<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Scoliosis<\/strong>
\r\n2. Palpation<\/span><\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Spinal Tenderness \u2192 Vertebral Problem<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Paraspinal Tenderness \u2192 Paraspinal Muscle Strain<\/strong>
\r\n3. Provocative Tests<\/span><\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Femoral Straight Test<\/strong> \u2192 L2-4<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Straight Leg Test<\/strong> \u2192 L4\/L5<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Tripod Sign<\/strong> \u2192 L4\/L5<\/strong>
\r\n4. Neurological Exam<\/span><\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Motor Exam<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Knee Extension<\/strong> \u2192 L4<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Dorsiflexion:<\/strong> \u201cHeel Walking<\/strong>\u201d \u2192 L5<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Plantarflexion:<\/strong> \u201cTip-Toe Walking<\/strong>\u201d \u2192 S1<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Sensory Exam<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Medial Foot<\/strong> \u2192 L4<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Dorsal Foot<\/strong> \u2192 L5<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Lateral Foot<\/strong> \u2192 S1<\/strong>
\r\n\u3000<\/em>\u2022<\/strong> Reflex Exam<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Patellar Tendon Reflex<\/strong> \u2192 L4<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Medial Hamstring Reflex<\/strong> \u2192 L5<\/strong>
\r\n\u3000<\/em>\u3000<\/em>o Achilles Tendon Reflex<\/strong> \u2192 S1<\/strong>
\r\n<\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8170\u75db\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u8170\u75db\u300d\u306f\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5","protected":false},"author":15,"featured_media":6866,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-7195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7195"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7195\/revisions"}],"predecessor-version":[{"id":7196,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7195\/revisions\/7196"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6866"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}