肌筋膜的生物力學系統用於脊柱相關疾病治療時之觀念與技巧

Approach and Technique of Spinal Diseases Treatment by Myofascial Biomechanical System

目的：西方整骨醫師羅柏特、渥德 ，針對身體的軟組織力學發展出一套評估與治療的系統療法，用於脊柱相關疾病以及四肢關節疼痛臨床使用時需有的觀念與技巧。方法：首先觸診時，可從最痛和受限的地方開始並沿肌筋膜力學走向「系統式觸診」找出影響最重要的地方，再來是層次，最好從淺層到深層逐層調整，第三是速度，速度是敏感的敵人，不宜過快，第四須有三度空間立體的肌肉、骨架、神經的腦內自我影像，加上四度空間的意識帶領讓患者全心放下，讓醫者治療時增加療效與彼此的信賴。結果：通過全身的肌筋膜生物力學系統，對治療脊柱相關疾病時，因為可以作用於全身的骨骼、肌肉、神經、淋巴等系統，所以針對解除各種急慢性軟組織疼痛、神經和動作功能障礙、生產後創傷、消除結構上的功能障礙和機動性，療效明確，沒有不良反應。結論：肌筋膜生物力學系統用於調治脊柱相關疾病及健康，療效確切，沒有不良反應，值得大力推廣。

Subject : Based on soft tissue mechanics, Robert, a western osteopathic physician, developed a sys t ematic treatment for spinal diseases and joint pain of the limbs. It highlighted the approach and technique on clinical evaluation and treatment. Method: The first step of palpation starts from the most painful point or the point which isn’t nimble in action. Following the myofascial mechanics, the systematic palpation is applied to find out where has been impacted the worst. The second step is step-by-step coordination from superficial structures to deep structures. Third, palpation speed is important. Slow is better than fast. Fourth, the physicians need to keep stereo images of muscle, bones and nerve in his mind. In addition, through the 4D consciousness, the physicians lead the patients to relax and release for getting better treatment effects and more trust between physicians and patients. Result: The myofascial biomechanical system treatment for spine-related diseases can effectively release the pain after acute/chronic soft tissue injury as well as resolve neurological/functional/structural disability and birth trauma, and improve structural flexibility. Conclusion: The myofascial biomechanical system treatment for spine-related diseases has obvious curative effect without adverse reaction. Therefore, it is worth popularizing.