从生物力学角度探析筋的特性及慢性筋骨病损的病理过程与临床处理策略
Biomechanical analysis of characteristics of tendons and pathological process and clinical management strategy of chronic tendon and bone lesions
- 上海中医药杂志 2021年55卷第12期 页码：12-16
- 作者机构：
1.四川省骨科医院颈肩腰腿痛2科（四川 成都 610041）
- 作者简介：
戴国钢，男，主任医师，硕士研究生导师，主要从事脊柱退行性疾病和运动创伤的临床和科研工作
- 基金信息：四川省卫计委科研项目(16PJ389);中国民族医药学会科研项目(2017KYXM-Z172-40)
DOI：10.16305/j.1007-1334.2021.2002005
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戴国钢. 从生物力学角度探析筋的特性及慢性筋骨病损的病理过程与临床处理策略[J]. 上海中医药杂志, 2021,55(12):12-16.
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, 2021,55(12):12-16.
戴国钢. 从生物力学角度探析筋的特性及慢性筋骨病损的病理过程与临床处理策略[J]. 上海中医药杂志, 2021,55(12):12-16. DOI： 10.16305/j.1007-1334.2021.2002005.
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, 2021,55(12):12-16. DOI： 10.16305/j.1007-1334.2021.2002005.
摘要
筋的三种生物力学特性[同步与强化（代偿）性、分割与连接性、记忆性]保证了正常骨关节的生理功能，同时又是这三种特性导致了应力集中及慢性筋骨病损的发生发展。在临床处理策略上强调以筋带骨，围绕上述三种特性进行针对性调整，达到病损节段的应力再分配，从而阻止慢性筋骨病损的进程。
Abstract
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
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