Guogang DAI. Biomechanical analysis of characteristics of tendons and pathological process and clinical management strategy of chronic tendon and bone lesions. [J]. Shanghai Journal of Traditional Chinese Medicine 55(12):12-16(2021)
DOI:
Guogang DAI. Biomechanical analysis of characteristics of tendons and pathological process and clinical management strategy of chronic tendon and bone lesions. [J]. Shanghai Journal of Traditional Chinese Medicine 55(12):12-16(2021) DOI: 10.16305/j.1007-1334.2021.2002005.
Biomechanical analysis of characteristics of tendons and pathological process and clinical management strategy of chronic tendon and bone lesions
Three biomechanical properties of tendons [synchronization and reinforcement(compensatory), segmentation and connectivity, and memorability]ensure the normal physiological function of the bone and joint, and it is the three properties that lead to stress concentration and the development and progression of chronic tendon and bone lesions. In the clinical management, the strategy of "through the tendons to the bones" is emphasized. By orienting targeted adjustments around the three properties, redistribution of stress in the diseased segment can be achieved to stop the process of chronic tendon and bone lesions.
关键词
筋主骨从生物力学慢性筋骨病损同步与强化(代偿)性分割与连接性记忆性临床治疗
Keywords
tendon domination and bone subordinationbiomechanicschronic tendon and bone lesionsynchronization and reinforcement(compensatory)segmentation and connectivitymemorabilityclinical treatment
NATHAN S T, ROBERTS C S, DELIBERATO D. Lumbar paraspinal compartment syndrome[J]. Int Orthop, 2012, 36(6): 1221-1227.
DEMOULIN C, CRIELAARD J M, VANDERTHOMMEN M. Spinal muscle evaluation in healthy individuals and low-back-pain patients: a literature review[J]. Joint Bone Spine, 2007, 74(1): 9-13.
KONG M H, MORISHITA Y, HE W, et al. Lumbar segmental mobility according to the grade of the disc, the facet joint, the muscle, and the ligament pathology by using kinetic magnetic resonance imaging[J]. Spine,2009, 34(23): 2537-2544.
SCHAIRER W W, CARRER A, LU M, et al. The increased prevalence of cervical spondylosis in patients with adult thoracolumbar spinal deformity[J]. J Spinal Disord Tech,2014, 27(8): E305-E308.
STEINBERG N, TENENBAUM S, HERSHKOVITZ I, et al. Lower extremity and spine characteristics in young dancers with and without patellofemoral pain[J]. Res Sports Med, 2017, 25(2): 166-180.
YUKAWA Y, KATO F, SUDA K, et al. Normative data for parameters of sagittal spinal alignment in healthy subjects: an analysis of gender specific differences and changes with aging in 626 asymptomatic individuals[J]. Eur Spine J, 2018, 27(2): 426-432.
SCHWAB F, PATEL A, UNGAR B, et al. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery[J]. Spine, 2010(35): 2224-2231.
FEI H, LI W S, SUN Z R, et al. Analysis of spino-pelvic sagittal alignment in young Chinese patients with lumbar disc herniation[J]. Orthop Surg, 2017, 9(3): 271-276.
JIMBO S, KOBAYASHI T, AONO K, et al. Epidemiology of degenerative lumbar scoliosis: a community-based cohort study[J]. Spine, 2012, 37(20): 1763-1770.
ZHU Z, ZHAO Q, WANG B, et al. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation: its curve pattern and natural history after lumbar discectomy[J]. BMC Musculoskeletal Disorders, 2011(12): 216.
SCHILDER A, HOHEISEL U, MAGERL W, et al. Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain[J]. Pain, 2014, 155(2): 222-231.
HASEGAWA M, CHIN T, OKI S, et al. Effects of methods of descending stairs forwards versus backwards on knee joint force in patients with osteoarthritis of the knee: a clinical controlled study[J]. Sports Med Arthrosc Rehabil Ther Technol, 2010(2): 14.
HEBERT J J, KJAER P, FRITZ J M, et al. The relationship of lumbar multifidus muscle morphology to previous, current, and future low back pain: a 9-year population-based prospective cohort study[J]. Spine, 2014, 39(17): 1417-1425.
A review and commentary on practice and progress of the liver fibrosis treatment with traditional Chinese medicine
Ancient and present diagnosis and treatment of miscellaneous diseases
Clinical observation of extracorporeal shock wave combined with Li’s bone-setting and tendon-regulating manipulation in the treatment of plantar fasciitis
Zhan Hongsheng’s experience in treating chronic diseases related to sinews and bones by resolving stasis and unblocking collaterals method
Understanding ecological principles of tumor formation based on holistic view of traditional Chinese medicine
Related Author
No data
Related Institution
Key Laboratory of Liver and Kidney Diseases, Ministry of Education
Shanghai Key Laboratory of Traditional Chinese Clinical Medicine
Institute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
School of Basic Medical Sciences, Shanghai University of Traditional Chinese Medicine