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The Journal of Japanese Society of Lumbar Spine Disorders最新文献

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International Collaboration Beyond the Culture Gap 超越文化鸿沟的国际合作
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 2006-10-31 DOI: 10.3753/YOTSU.12.16
S. Kikuchi
{"title":"International Collaboration Beyond the Culture Gap","authors":"S. Kikuchi","doi":"10.3753/YOTSU.12.16","DOIUrl":"https://doi.org/10.3753/YOTSU.12.16","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116877281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
当院における「腰痛クリニック」の治療成績 在本院的“腰痛门诊”的治疗成绩
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 2006-10-31 DOI: 10.3753/yotsu.12.115
章子 池田, 晶子 篠原, 浩二 有福, 洋志 鹿谷, 敬祐 瀬良, 嘉浩 矢部
{"title":"当院における「腰痛クリニック」の治療成績","authors":"章子 池田, 晶子 篠原, 浩二 有福, 洋志 鹿谷, 敬祐 瀬良, 嘉浩 矢部","doi":"10.3753/yotsu.12.115","DOIUrl":"https://doi.org/10.3753/yotsu.12.115","url":null,"abstract":"当院で行っている「腰痛クリニック」の治療効果と理学療法の効果について調査した. 対象者81名において, 初診時と6カ月後の臨床症状 (VAS・JOAのADLスコア・FFD) および理学療法 (運動・生活配慮) の実施状況について比較検討した. 結果, 指導した運動については70.4%, 生活配慮については92.3%が継続していた. 臨床症状においては, VAS・ADLスコア・FFDとも有意に改善がみられた. 運動の影響はADLスコアにみられたが, 生活配慮の影響はみられなかった. 今回の調査結果より, 腰痛患者に対する運動療法はADLの改善に効果があり, また「腰痛クリニック」は患者の腰痛治療に対するモチベーションの向上に効果があり, 目標とする「腰痛の自己管理の習得」がしやすいと推測された.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127602662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
脊髄終糸の過緊張によって発症した腰痛・下肢痛の診断 (TFT誘発テストについて) 因脊髓终丝过度紧张而发作的腰痛、下肢痛的诊断(关于TFT诱发试验)
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 2006-10-31 DOI: 10.3753/YOTSU.12.120
健司 遠藤, 正志 駒形, 大輔 木村, 英俊 田中, 惠子 田中, 謙吾 山本
{"title":"脊髄終糸の過緊張によって発症した腰痛・下肢痛の診断 (TFT誘発テストについて)","authors":"健司 遠藤, 正志 駒形, 大輔 木村, 英俊 田中, 惠子 田中, 謙吾 山本","doi":"10.3753/YOTSU.12.120","DOIUrl":"https://doi.org/10.3753/YOTSU.12.120","url":null,"abstract":"日常診察において, MRIなどの画像診断に異常がないにもかかわらず, 頑固な腰痛や下肢痛を訴える患者に遭遇することがある. それらの1つの原因に脊髄終糸の過緊張によって発症する脊髄終糸症候群 (Tight filum terminale : 以下TFT) があることが報告されている. 今回, TFTの診断の1つとして, 体幹および頚部の前屈動作により疼痛を誘発させるTFT誘発テストについて検討した. TFT患者群において, 立位TFT誘発テスト陽性率は96.4%, 座位TFT誘発テスト陽性率96.4%, 腰椎椎間板ヘルニア患者群において立位で33.3%, 座位で3.3%, 腰部脊柱管狭窄症で立位2.4%, 座位0%, 正常群で立位0.8%, 座位0%であった. これらの結果よりTFT誘発テストがTFTの診断に有用であることが示唆された.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122327000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
McKenzie Therapy (MT) による腰痛の治療とClassificationの試み McKenzie Therapy (MT)治疗腰痛和Classification的尝试
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 2006-10-31 DOI: 10.3753/YOTSU.12.180
弘毅 穴吹
{"title":"McKenzie Therapy (MT) による腰痛の治療とClassificationの試み","authors":"弘毅 穴吹","doi":"10.3753/YOTSU.12.180","DOIUrl":"https://doi.org/10.3753/YOTSU.12.180","url":null,"abstract":"当院を腰下肢痛で来院した106例を対象とした. 男性71例, 女性35例, 年齢は14～72歳 (平均35歳) であった. まず初診時腰椎伸展運動を5回行い, 次に腰椎屈曲運動を5回行った. その都度運動直後の腰痛の変化, 可動域の変化からMcKenzie exercise (ME) を使用し, 腰痛を分類した. Extension exercise (Ext.) にて反応 (+) : 71例 (67%), 反応 (-) : 35例, Ext.にて反応のない35例のうちFlexion exercise (Flex.) にて反応 (+) : 15例 (14%), 反応 (-) : 20例 (19%)であった. Ext.にて効果 (+) の71例全例にMRIにて椎間板変性かLDHを確認できた. Flex.の効果 (+) の15例中, MRIにて7例にLDH (+), 8例にLDH (-) であった. 腰痛の評価・分類・治療にとってMcKenzie法が1つの有用な手段であると確信している.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131297539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A randomized controlled trial of McKenzie therapy for chronic low back pain 麦肯齐疗法治疗慢性腰痛的随机对照试验
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 2006-10-31 DOI: 10.3753/YOTSU.12.174
義人 酒井, 幸弘 松山, 晃榿 岡本, 直樹 石黒
{"title":"A randomized controlled trial of McKenzie therapy for chronic low back pain","authors":"義人 酒井, 幸弘 松山, 晃榿 岡本, 直樹 石黒","doi":"10.3753/YOTSU.12.174","DOIUrl":"https://doi.org/10.3753/YOTSU.12.174","url":null,"abstract":"慢性腰痛患者に対するMcKenzie法の効果をRCTにより評価した. 対象は6カ月以上持続する下肢症状のない男性慢性腰痛患者50例で, ランダムにMcKenzie法を行ったA群25例 (45.1歳) と, 行わなかったB群25例 (43.1歳) に分けた. 2, 4週後に疼痛評価をJOAスコア, VAS, Facial rating scale (FRS), SF-36で評価し, 腰椎伸展・屈曲中の腰背筋酸素化を近赤外分光器 (NIRS) で評価した. 治療前JOAはA, B群でおのおの21.3/19.6点, VAS : 45.0/46.7と差を認めず, FRS, SF-36でも差は認められなかった. JOA改善率は有意差は認めなかったが4週後のVASではA群13.9, B群28.4とA群で改善を認めた (p<0.05). FRS, SF36では有意な改善は認めなかった. NIRSではOxy-Hb, Deoxy-Hb, SdO2いずれも治療前後で有意差を認めなかった. 1カ月での疼痛評価および腰背筋酸素化におけるMcKenzie法の有効性は, VAS以外ではSF36をはじめ疼痛およびADLの改善は差を認めず, 腰痛の改善とともにみられる酸素化改善も認めないことから, ケアの対する満足度を示している可能性が高いと考えられる.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115947908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical problems associated with pedicle screw wire fixation for lumbar spondylolysis; results of 2 new surgical method/technique 椎弓根螺钉固定治疗腰椎峡部裂的临床问题2种新手术方法/技术的效果
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1999-10-29 DOI: 10.14898/YOTSU1995.5.55
F. Suetsuna, 明男 牧野, 英治 毛糠, 誠之 和田, 倫子 中井
{"title":"Clinical problems associated with pedicle screw wire fixation for lumbar spondylolysis; results of 2 new surgical method/technique","authors":"F. Suetsuna, 明男 牧野, 英治 毛糠, 誠之 和田, 倫子 中井","doi":"10.14898/YOTSU1995.5.55","DOIUrl":"https://doi.org/10.14898/YOTSU1995.5.55","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"6 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1999-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123685270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improvement of lumbar traction for low back pain with a rectangular pillow 矩形枕改善腰牵引治疗腰痛的疗效
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1999-10-29 DOI: 10.14898/YOTSU1995.5.38
H. Sekiya, 秀男 萩原, 直哉 杉本, 裕成 刈谷, 雄一 星野
{"title":"Improvement of lumbar traction for low back pain with a rectangular pillow","authors":"H. Sekiya, 秀男 萩原, 直哉 杉本, 裕成 刈谷, 雄一 星野","doi":"10.14898/YOTSU1995.5.38","DOIUrl":"https://doi.org/10.14898/YOTSU1995.5.38","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1999-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125852220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical outcomes of lumbar disc herniation treated with microdiscectomy. 显微椎间盘切除术治疗腰椎间盘突出症的临床疗效。
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.8.141
Hashiguchi Hiroshi, Shirai Yasumasa, Nakayama Yoshihito, Miyamoto Masabumi, Ito Hiromoto
{"title":"Clinical outcomes of lumbar disc herniation treated with microdiscectomy.","authors":"Hashiguchi Hiroshi, Shirai Yasumasa, Nakayama Yoshihito, Miyamoto Masabumi, Ito Hiromoto","doi":"10.3753/YOTSU.8.141","DOIUrl":"https://doi.org/10.3753/YOTSU.8.141","url":null,"abstract":"Microdiscectomy was performed on 75 patients (54 males and 21 females with an average age of 35.0 years at operations) diagnosed with lumbar disc herniation. The disc herniations were located as follows: L1-2; 1, L2-3; 2, L3-4; 9, L4-5; 46, and L5-S1; 17. All patients exhibited herniation at a single level. The average follow-up period was 64.4 months. The postoperative outcomes were evaluated according to the Japanese Orthopaedic Association scoring system for lumbar disease and Hirabayashi’s improvement rate. Postoperatively, the average JOA score improved from 12.1 to 26.7 points. Hirabayashi’s improvement rate was 86.4%. A recurrence of same level disc herniation was observed in 3 patients. We conclude that microdiscectomy provided satisfactory postoperative outcome in majority cases. Average intraoperative blood loss was 36.5g. Postoperatively, only 6.7% complained of low back pain, suggesting that this procedure was less invasive. Microdiscectomy has some problems such as a postoperative treatment program and possible recurrence of herniation. However, since microdiscectomy is less invasive and obtains satisfactory postoperative outcomes, it is still considered to be an effective procedure.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123111647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatments of pyogenic vertebral osteomyelitis with psoas abscess: Fow Cases Report 化脓性椎体骨髓炎合并腰肌脓肿的治疗[j]
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.12.130
Y. Kusano
{"title":"Treatments of pyogenic vertebral osteomyelitis with psoas abscess: Fow Cases Report","authors":"Y. Kusano","doi":"10.3753/YOTSU.12.130","DOIUrl":"https://doi.org/10.3753/YOTSU.12.130","url":null,"abstract":"腸腰筋膿瘍は, 抗生物質の進歩や栄養状態の改善により比較的稀な疾患とされている. 今回われわれは化膿性脊椎炎からの続発性と考えられる4例の治療に難渋した腸腰筋膿瘍を経験した. 症例は女性2例, 男性2例, 平均年齢は57歳であった. 起炎菌としては, MSSA 1例, MRSA 1例, 肺炎球菌1例, 同定不能例1例であった. 治療は全例に腸腰筋膿瘍の掻爬を行ったが, そのうち3例は椎体病巣掻爬と固定術の追加手術を必要とした. 化膿性脊椎炎からの続発性と考えられる腸腰筋膿瘍は, 渉猟し得た限り本邦での報告は51例であった. 20%に椎体の病巣掻爬が必要であった. 自検例においても, 3例が椎体の病巣掻爬を加えなければならなかった. 易感染性宿主で敗血症に陥った症例, 再発例や遷延例, 保存療法の無効例や進行性の麻痺の存在, 単純x線上病巣周辺に著しい骨硬化を示すような症例に対しては椎体, 椎間板の郭清および固定術が必要であると考える.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121127972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical strategy for lumbar degenerative spondylolisthesis 腰椎退行性椎体滑脱的手术治疗策略
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.10.46
N. Kawahara
{"title":"Surgical strategy for lumbar degenerative spondylolisthesis","authors":"N. Kawahara","doi":"10.3753/YOTSU.10.46","DOIUrl":"https://doi.org/10.3753/YOTSU.10.46","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126939084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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