“筋骨平衡,以筋为先”理论在肩峰下撞击综合征中的应用探讨

Discussion on Application of“Balance of Tendon and Bones,Regulating Tendon First”Theory in Subacromial Impingement Syndrome

肩峰下撞击综合征是目前临床常见的骨伤疾病。文章旨在从“筋骨平衡,以筋为先”理论出发,探讨肩关节的正常生理功能基础、肩峰下撞击综合征的主要发病机制,突出肩部“筋骨失衡”及“筋与筋失衡”的问题,以此强调“以筋为先”在推拿治疗肩峰下撞击综合征中的重要性。并指出应当结合整体观念,对机体整体的“筋骨失衡”进行评估与纠正,从而达到更好的疗效。

Subacromial impingement syndrome is a common clinical bone injury disease.Starting from the theory of“balance of tendon and bones,regulating tendon first”,this paper aims to explore the normal physiological function basis of the shoulder joint and the main pathogenesis of subacromial impingement syndrome,highlights the problems of“imbalance of tendon and bones”and“tendon-tendon imbalance”in the shoulder,so as to emphasize the importance of“regulating tendon first”in the treatment of subacromial impingement syndrome by Tuina.And it is pointed out that the“imbalance of tendon and bones”of the shoulder should be combined with the overall concept to evaluate and correct as a whole,so as to achieve better efficacy.