465K-002C 臨床肌動學與解剖

Page 1


ௐ̣‫֏݈ۍ‬ Preface to Fifth Edition

ௐ̣‫ۍ‬ᄃͽ‫ۍـ‬Ѩ౵̂۞̙ТߏĂາᆧೈᒖր

ώ३۞எ‫׶ޘ‬ቑᘞჯ޺̙តĂࢦᕇдૻአૄᖂ

௚˘ౢĄ͕ҕგ‫͐୽׶‬ր௚д‫ۏ‬நᄃᖚਕ‫ڼ‬ᒚăྻ

҉જጯ‫׶‬ྋ࣠Ăᖎಏ‫ٽ‬ጯ۞ೡࢗ‫׶‬ྋᛖؕ௣ߏώ३

જ੊ቚ‫޷׶‬ᇝ‫ڼ‬ᒚ۞ᓜԖຍཌྷĂ͟ᔌࢦࢋĂᄃ‫΁׎‬

۞८͕Ą̙֭ߏٙѣጯࡊౌᅮࢋ఺ώ३۞Бొۢ

ᗁᒚᅳા˘ᇹĄາ۞‫ڼ‬ᒚԫఙᅮࢋ၆఺ֱր௚ѣૄ

ᙊćͧтĂѣֱጯࡊ̙ᅮጯ௫ᙯ༼ྻજጯٕ㝅˭ᗠ

ώ۞நྋĄ

ᙯ༼ĂٕߏՎၗĄᆷ఺ώ३ߏࠎ˞ឰିर̙Ҍ‫ٺ‬Я ࠎ࠷ர఺ֱٕ‫΁׎‬ໄ‫ه‬ॡĂ҃၆ጯϠᒢྋ‫̰΁׎‬ट

၆‫ٺ‬ഇ୕ଂᓜԖ֎‫ޘ‬၆҉જጯ‫׶‬ྋ࣠ѣૄώᒢ ྋ۞ˠĂ఺ώ३૟‫ܧ‬૱ѣϡĄ૱֍ঽந়ঽ۞ྋ࣠ ࣧந࠰ໄࢗ‫ٺ‬кᇴౢ༼Ă֭ඕЪᓜԖࢦࢋّĄధк ౢ༼۞Ķೇ௫ᗟķ˵‫ؼ‬ҩΑਕ߿જ‫׶‬ᓜԖྻજ͞ࢬ ۞௫ᗟĄ

ౄј̙։۞ᇆᜩĄೡࢗЧ჌̙Тᙯ༼۞ౢ༼ౌߏЧ ҋ፾ϲ۞Ăٙͽዦ᝝۞ึԔΞͽᐌຍԼតĄ̙υଂ ˯۳ᙯ༼ฟؕĂ˵Ξͽଂ˭۳ٕ̚ค੻ฟؕĂ̙ᙱ நྋĄ

Lynn S. Lippert

vii


viii

ᓜԖ҉જጯᄃྋ࣠ Ъ੃ဦ३΍‫ ۤۍ‬൴Җ

ௐα‫֏݈ۍ‬

ௐˬ‫֏݈ۍ‬

Preface to the Fourth Edition

Preface to the Third Edition

15 ѐ݈Ăྍ΍‫ࢍۍ‬൪ؕ‫ྏٺ‬ဦࠎ‫ۏ‬ந‫ڼ‬ᒚጯր ̝ጯϠĂ೩ֻ˘ώྻજ፟ਕ‫׶‬ྋ࣠۞ૄᖂିࡊ३Ą Jean-Francois Vilain Ă F.A.Davis ̳Φ۞΍‫ۍ‬થĂຍ ᙊ‫఺ז‬ЊᅮՐĂ΍‫˞ۍ‬ώ३Ă఺ߏௐ˘ώࠎ‫ۏ‬ந‫ڼ‬ ᒚϠٙᆷ۞ିࡊ३Ą༊‫ܐ‬ᏴፄĮClinical Kinesiology for Physical Therapist Assistantsį఺࣎ব࿢۞३ ЩĂߏࠎ˞ခᐽ̂छᆷ΍ՀѣᅮՐ۞३Ăခᐽ΍‫ۍ‬ થֽ΍‫ۍ‬Ą༊ᆷ˞ధк३̝‫ޢ‬Ă̪ѣֱ३ᚱ‫إ‬ϏᎷ ҌĂਕឰጯϠଂ̚ќৈĄۡҌѩॡĂԧࣇ۞̍үព ൒՟ѣԆјĄ ᔵ΍‫ۍ‬થᛇ଀ྍߏॡ࣏ԯ఺ώ३۞ЩфԼࠎ ĮᓜԖ҉જጯᄃྋ࣠į ĂтѩΞͽχฟ‫΁׎‬૞ຽ۞ξ ಞĂҭώ३̪ߏ˘ώૄᖂିՄĄ߇ຐࢋଂᓜԖ֎‫ޘ‬ ၆҉જጯ‫׶‬ྋ࣠ѣૄώநྋ۞ጯϠĂົ൴ன఺ώ३ ‫ޝ‬ѣᆊࣃĄቑּă߿જ‫ྻ׶‬જᙷ‫่̙ౌݭ‬Ϊ඾ࢦд ‫ۏ‬ந‫ڼ‬ᒚ૞ຽĂ҃ߏᕖण‫ז‬ᖚਕ‫ڼ‬ᒚăྻજ੊ቚă ޷ᇝᒚ‫΁׎׶ڱ‬ᅮࢋ၆఺ֱѣૄώ˞ྋ۞ᅳાĄ

ᔵ൒఺˘‫ۍ‬ѣ˞˘ֱԼតĂᆧΐ˞˘ֱາໄ ‫ه‬ćҭ఺ώ३۞எ‫׶ޘ‬ቑಛ֭՟ԼតĄ‫੼ޝ‬Ꮈ˵‫ޝ‬ ၷ‫ض‬Ă̙ᕝ᝘‫̂ז‬छа㒝ώ३౵̂۞ᐹᕇĂಶߏᖎ ಏ‫ٽ‬ᑖ۞ೡࢗ‫׶‬ྋᛖĄ ҉҇ր௚۞ౢ༼ᆧΐฟᙥ‫ౕ׶‬ᙥࣧ‫۞݋‬ྋᛖĄ Վၗ˘ౢனд˵ӣ߁ధк૱֍ঽநՎၗሀё۞ྋ ᛖĂధк೧ဦ˵ࢦາ൪଀Հΐ୻೽Ą ҃ͷᔘᆧΐ˞ 5 ࣎າౢ༼ĄૄᖂϠ‫˧ۏ‬ጯ۞ౢ ༼೩ֻ‫ۏ‬ந‫ڼ‬ᒚ૱ֹϡ۞Ч჌Ϡ‫˧ۏ‬ጯࣧந۞ྋᛖ ‫׶‬ቑּĄࠎ˞ຐࢋᒢྋ㝅˭ᗠ‫׹࠴׶‬ඕၹᄃΑਕ۞ ˠĂາᆧೡࢗ఺ֱᙯ༼۞ౢ༼ĄĮClinical Kinesiology for Physical Therapist Assistantsįٙঘ̈́۞ϒ૱‫ݻ‬ ๕‫׶‬ᙯ༼ྻજጯĂ˵д఺࣎‫ۍ‬ώѣ̬ٙ௜‫ؼ׶‬ҩĄ ϫ݈‫ۏ‬ந‫ڼ‬ᒚࠧ၆‫ۏ‬ந‫ڼ‬ᒚϠ۞ᖚຽቑಛĂ֭ ՟ѣ྿ј˘࡭۞ຍ֍Ą೼࿆ᄮࠎᙯ༼ᗫજఙ̙֭ߏ ˘࣎ˢ‫ܝ‬৺۞ԫਕĂԧ̙֭ߏ̙Тຍ఺˘ᄲ‫ڱ‬Ąҭ

тТ࿅Ν۞‫ۍ‬ώ˘ᇹĂࢦᕇд‫҉ٺ‬જጯ‫׶‬ྋ࣠ ૄᖂĄᖎಏ‫ٽ‬ጯ۞ೡࢗ‫׶‬ྋᛖؕ௣ߏ఺ώ३۞८ ͕ĄᖣϤᆧΐͽ˭̰टֽ೩੼ᓜԖ࠹ᙯّĈ(1) ౅ ࿅ྋ࣠Ҝཉ۞͞ёĂᖎࢋ‫ؠ‬ཌྷ֭ໄࢗ૱֍۞়ঽć (2) ੵ˞˘ਠྋ࣠ೇ௫ᗟγĂΩາᆧΑਕ߿જ‫׶‬ᓜ Ԗྻજ̶‫۞ژ‬௫ᗟĄ

ߏĂ‫ۏ‬ந‫ڼ‬ᒚϠົତᛈ֭ણᄃ‫ז‬ଈ۰۞‫ڼ‬ᒚ̚Ă҃

̙֭ߏٙѣጯࡊౌᅮࢋώ३۞Бొ̰टćͧ тĂѣֱጯࡊΞਕ̙ԯࢦᕇ‫ٸ‬дᙯ༼ྻજጯ۞পᇈ ˯Ąጐგ३̚ѣᇤࢗĂҭጯ௫ॡΞͽԯᙯ༼ྻજጯ ౢ༼࠷ரĄᙯ‫࣎఺ٺ‬͹ᗟ۞ቑּ‫׶‬௫ᗟ˵ΞͽӁ ΝĂ̙҃Ҍ‫ٺ‬၆ጯϠநྋ‫̰΁׎‬टౄј̙։ᇆᜩĄ ώ३۞̰ट̶јధкᙯ༼ᇤᆷĂଂ˯۳ฟؕĂซण ‫̚ז‬ค੻ĂГ‫˭ז‬۳Ą̙࿅ĂЯࠎ఺ֱౢ༼‫ك‬ѩ̝ มౌߏ፾ϲ۞ĂٙͽΞͽԼតึԔዦ᝝Ąт‫ڍ‬ଂ˭ ۳ٕ̚ค੻ฟؕ۞ྖĂ˵̙ົᙱͽநྋĄ

к‫ޙ‬ᛉĄ఺࣎૞ຽᅮࢋр۞ିՄĂਕஉᄏధк‫ۏ‬ந

ᔵ൒ѣధкିՄ၆఺ֱ̰टѣՀஎˢ۞̶‫ژ‬Ă ҭĮᓜԖ҉જጯᄃྋ࣠įߏࠎ˞೩ֻ˘࣎ᖎಏ‫ٽ‬ᑖ ۞ૄώ̬௜Ą

Ϗυ˘࡭Ăҭౌ၆ώኳᄃٙдҜཉѣ˘࡭۞ВᙊĄ

Lynn S. Lipper

д‫ֹົ̚׎‬ϡ‫ֱ఺ז‬ԫਕĄٙͽĂ΁ࣇᅮࢋ၆˘ֱ ఙᄬ‫݋ࣧ׶‬ѣૄώ۞நྋĂ҃఺ώ३ಶ೩ֻ˞఺ֱ ྤੈĄ ఺‫ۍ‬ĮClinical Kinesiology for Physical Therapist Assistantsįຉะିֈ۰ăጯϠ‫׶‬ᓜԖ̍үˠࣶ۞ధ ‫ڼ‬ᒚϠିֈ̝γ۞ᅳાĄԧԓ୕૟ֽ౅࿅ௐα‫ۍ‬Ă ώ३ਕᄃᇤᆷ̚۞ିՄ˘੓ҫѣ˘य̝гĄ

Lynn S. Lippert

ௐ˟‫֏݈ۍ‬ Preface to the Second Edition

кᇴᇤᆷٕି଱ྋ࣠ጯ۞ˠĂጐგֹϡ۞ЩჍ ఼૱ˠវྻજጯ૞छ၆൴Ϡ۞જүᙷ‫ݭ‬ѣВᙊĂҭ ၆‫ࣹٺ‬๴҉҇யϠજүăͽ̈́જү̚Ч࣎҉҇үϡ ۞ࢦࢋّĂ‫֍׎‬ྋ൑‫࡭˘ڱ‬Ą


ௐ̣‫֏݈ۍ‬ Ъ੃ဦ३΍‫ ۤۍ‬൴Җ

ĮClinical Kinesiology for Physical Therapist

‫ۏ‬ந‫ڼ‬ᒚϠିֈྖᗟॡĂ৿ͻЪዋ۞ିՄؕ௣ߏ౵

Assistantsį̚Ăࢦᕇߏૄᖂ҉જጯĄдೡࢗᙯ༼ྻ

ࢵࢋ۞યᗟĄ‫ځޝ‬ពĂࡶ఺჌ିՄхдâ‫ߏؠ‬ᅮ

જ‫߿҇҉׶‬જॡĂԧ඾ࢦೡࢗ೼࿆ᄮТ۞͹જ҉Ă

ࢋϤ‫ۏ‬ந‫ڼ‬ᒚϠ۞ିֈ۰ֽበᆷ఺ώିՄĄ

ֹϡ‫ۏ‬ந‫ڼ‬ᒚࠧ౵ᇃࠎତ‫۞צ‬ఙᄬĄధкனхିՄ ྎྶ˞ϒ૱‫׶‬ள૱ଐ‫۞˭ڶ‬Ч჌ྻજ‫҇҉׶‬Ąࡶຐ எˢ̶‫ྖ۞ژ‬ĂጯϠࣇᑕྍ࠻఺ֱ३Ą

ĮClinical Kinesiology for Physical Therapist Assistantsįಶߏ఺ֱ੅ኢ۞ඕ‫ڍ‬Ąԧԓ୕ιߏிк ିՄ̚ௐ˘ώૻአ‫ۏ‬ந‫ڼ‬ᒚϠିֈ۞३Ą

ᆷ˘ώ‫ۏ‬ந‫ڼ‬ᒚϠֹϡ۞҉જጯିՄĂ఺࣎ຐ ‫̏ڱ‬хдధкѐĄ̙ۢࠎңĂᓁߏ‫זצ‬ॡมࢨ‫ٕט‬ ‫ࢍ΁׎‬൪ᑅ˧۞‫ܡ‬ᇦĄ༊ିֈ۰ჸ‫˘ז‬੓੅ኢᙯ‫ٺ‬

Lynn S. Lippert

ix


ϫᐂ Contents

ௐ˘ొ̶

ᓜԖ҉જጯᄃྋ࣠ጯ̝ૄᖂ

CHAPTER 5

҉҇ր௚

39

҉҇‫ܢ‬඾ᕇƟ 39 CHAPTER 1

ૄᖂۢᙊ

3

ೡّࢗఙᄬƟ 4

҉ញჯଵЕƟ 41

֗វ༼߱Ɵ 5

҉҇௡ᖐ۞ΑਕপᕇƟ 42

ྻજᙷ‫ݭ‬Ɵ 6

҉҇௡ᖐ۞‫ޘܜ‬ůૺ˧ᙯܼƟ 42 ͹જ‫׶‬జજ̙֖ 43

ᙯ༼ྻજĞ੻ྻજጯğƟ 7

҉҇ќᒺ۞ᙷ‫ݭ‬Ɵ 45

ೇ௫ᗟƟ 11 CHAPTER 2

੻ᐪր௚

҉҇۞֎ҒƟ 48

13

ٛ˧۞֎‫ޘ‬Ɵ 48

੻ᐪ۞ΑਕƟ 13

ྻજᙥƟ 49

੻ᐪ۞ᙷ‫ݭ‬Ɵ 13

੃ጸࢋᕇƟ 50

੻۞ၹјƟ 13

ೇ௫ᗟƟ 51

੻۞ඕၹƟ 14

CHAPTER 6

੻۞ᙷ‫ݭ‬Ɵ 16

ᙯ༼ր௚

ཝ 55 ʔ ਖល 58

21

ᙯ༼۞ᙷ‫ݭ‬Ɵ 21

̚ᇽৠགྷր௚۞૱֍ঽநጯ 71 ‫׹‬ᙝৠགྷ۞૱֍ঽநጯ 71

ҋϤ‫ޘ‬Ɵ 28

ೇ௫ᗟƟ 73

૱֍ঽநఙᄬƟ 28 ೇ௫ᗟƟ 29

CHAPTER 7

31

ᙯ༼มྻજƟ 31 ௣ϐຏ 31

ᙯ༼ࢬྻજƟ 32 ‫ܢ‬ᛳྻજఙᄬ 32 ʔ ᙯ༼ࢬγԛ 32 ᙯ༼ࢬྻજ۞ᙷ‫ ݭ‬33 ʔ ΌΎ‫ ޠؠ‬34 ᙯ༼ࢬҜཉĞᙯ༼˘࡭ّğ 35 ʔ ‫ܢ‬ᛳྻજ۞˧ 36

੃ጸࢋᕇƟ 37 ೇ௫ᗟƟ 37

្ৠགྷ 60 ʔ ਖৠགྷ 60 ਖល༼Ҝ۞Αਕຍཌྷ 63 ʔ ৠགྷᕍ۞ԛј 64

ࢬ‫׶‬คƟ 27

ᙯ༼ྻજጯ

‫׹‬ᙝৠགྷր௚Ɵ 60

̚ᇽ‫׹׶‬ᙝৠགྷր௚۞૱֍ঽநጯƟ 71

ᙯ༼۞ඕၹƟ 24

CHAPTER 4

53

̚ᇽৠགྷր௚Ɵ 55

ೇ௫ᗟƟ 19 CHAPTER 3

ৠགྷր௚

ৠགྷ௡ᖐĞৠགྷ̮ğƟ 54

૱֍੻ᐪঽநጯƟ 17

xii

҉҇ЩჍƟ 40

ೈᒖր௚

75

͕ҕგր௚Ɵ 75 ͕᝙ 76 ʔ ҕგ 79

୽͐ր௚Ɵ 87 Αਕ 87 ʔ а߹͞ё 89

૱֍ঽநጯƟ 90 ೇ௫ᗟƟ 91 ͕ҕგր௚ 91 ʔ ୽͐ր௚ 92 CHAPTER 8

ૄᖂϠ‫˧ۏ‬ጯ

ྻજ‫ޠؠ‬Ɵ 94

93


˧Ɵ 95

˘ਠྋ࣠௫ᗟ 144 ʔ Αਕ߿જ௫ᗟ 144

˧৏Ɵ 97

ᓜԖྻજ௫ᗟ 145

ᘦ‫ّؠ‬Ɵ 99 CHAPTER 11

ᖎಏጡୠƟ 102

օᙯ༼

147

ᙯ༼ඕၹ‫ྻ׶‬જƟ 147

ၸ୛ 102 ʔ ໣዇ 108 ʔ ዇ค 109 ʔ ୆ࢬ 109

੃ጸࢋᕇƟ 110

੻‫׶‬ᇾ੃ᕇƟ 149

ೇ௫ᗟƟ 111

ิ૲‫΁׎׶‬ඕၹƟ 151 օ‫݈׶‬ᓖ۞҉҇Ɵ 152 ྋ࣠ᙯܼ 155 ʔ ҉҇જүᓁፋ 156

ௐ˟ొ̶

҉҇ৠགྷ͚੨ᓁፋ 156 ʔ ૱֍օᙯ༼ঽநጯ 156

੃ጸࢋᕇƟ 158

˯۳ᓜԖ҉જጯᄃྋ࣠ጯ CHAPTER 9

۷૲

ೇ௫ᗟƟ 159 ˘ਠྋ࣠௫ᗟ 159 ʔ Αਕ߿જ௫ᗟ 159

115

ᓜԖྻજ௫ᗟ 160

ఙᄬᗃ୻Ɵ 115 CHAPTER 12

੻‫׶‬ᇾ੃ᕇƟ 116

ඦᙯ༼

ᙯ༼‫૲ิ׶‬Ɵ 117

ᙯ༼ඕၹƟ 161

ᙯ༼ྻજƟ 119

ᙯ༼ྻજƟ 162

۷ᙯ༼‫׶‬۷‫۞׹‬ҡᐌྻજ 120 ʔ ۷ࡨ۟۴༼‫ ޠ‬120

੻‫׶‬ᇾ੃ᕇƟ 162

ٛ˧֎ 121

ิ૲‫΁׎׶‬ඕၹƟ 163

۷૲۞҉҇Ɵ 121

ඦొ۞҉҇Ɵ 164

҉҇ೡࢗ 121 ʔ ྋ࣠ᙯܼ 125 ʔ ˧ઊ 126

ྋ࣠ᙯܼ 166 ʔ ҉҇߿જᓁፋ 167

҉҇ͅШྻજ 126 ʔ ҉҇ৠགྷ͚੨ᓁፋ 127

҉҇ৠགྷ͚੨ᓁፋ 167

੃ጸࢋᕇƟ 127

੃ጸࢋᕇƟ 168

ೇ௫ᗟƟ 128

ೇ௫ᗟƟ 169

˘ਠྋ࣠௫ᗟ 128 ʔ Αਕ߿જ௫ᗟ 128

˘ਠྋ࣠௫ᗟ 169 ʔ Αਕ߿જ௫ᗟ 169

ᓜԖྻજ௫ᗟ 128

ᓜԖྻજ௫ᗟ 170

CHAPTER 10

۷ᙯ༼

131

CHAPTER 13

͘

ᙯ༼ྻજƟ 131

‫۞޽٭‬ᙯ༼‫ྻ׶‬જƟ 171

੻‫׶‬ᇾ੃ᕇƟ 132

͘޽۞ᙯ༼‫ྻ׶‬જƟ 173

ิ૲‫΁׎׶‬ඕၹƟ 134

੻‫׶‬ᇾ੃ᕇƟ 174

۷ᙯ༼۞҉҇Ɵ 135

ิ૲‫΁׎׶‬ඕၹƟ 174

ྋ࣠ᙯܼ 140 ʔ ۟۴ྻજ 141

γд҉ 176 ʔ ̰д҉ 181 ʔ ྋ࣠ᙯܼ 185

૱֍۷ᙯ༼ঽந 142

૱֍ඦ‫۞͘׶‬ঽநጯ 186 ʔ ҉҇જүᓁፋ 187

ೇ௫ᗟƟ 144

171

‫҇҉۞޽͘׶޽٭‬Ɵ 176

҉҇߿જᓁፋ 142 ʔ ҉҇ৠགྷ͚੨ᓁፋ 142

੃ጸࢋᕇƟ 144

161

҉҇ৠགྷ͚੨ᓁፋ 187

͘ΑਕƟ 189

xi


Թ೪ 189

CHAPTER 16

੃ጸࢋᕇƟ 192

‫ײ‬ӛր௚

235

਒၏Ɵ 235

ೇ௫ᗟƟ 192

ᙯ༼ 236 ʔ ਒၏۞ྻજ 236

˘ਠྋ࣠௫ᗟ 192 ʔ Αਕ߿જ௫ᗟ 193

‫ײ‬ӛඕၹƟ 237

ᓜԖྻજ௫ᗟ 193

‫ײ‬ӛ፟‫ ט‬238

‫ײ‬ӛ‫ې‬ၗƟ 239 ‫ײ‬ӛ҉Ɵ 239

ௐˬొ̶

ፖჽ҉ 239 ʔ ҈ม҉ 240 ʔ ᅃӄӛঈ҉ 241

ᖻ຅ᓜԖ҉જጯᄃྋ࣠ጯ

ᅃӄ‫ײ‬ঈ҉ 242 ʔ ྋ࣠ᙯܼ 242 ፖჽĞཛёğvs. ਒ё‫ײ‬ӛ 244

CHAPTER 14

㝅ᗠᙯ༼

197

‫ײ‬ӛ҉۞ৠགྷ͚੨ᓁፋ 244 ʔ ॒ᆄౕᆜ‫ײ‬ӛ‫ ڱ‬244 ૱֍‫ײ‬ӛ়ঽٕঽநጯ 245

ᙯ༼ඕၹ‫ྻ׶‬જƟ 197

ೇ௫ᗟƟ 245

੻‫׶‬ᇾ੃ᕇƟ 198

˘ਠྋ࣠௫ᗟ 245 ʔ Αਕ߿જ௫ᗟ 246

ิ૲‫΁׎׶‬ඕၹƟ 201

ᓜԖྻજ௫ᗟ 246

ྻજ፟‫ט‬Ɵ 202 TMJ ۞҉҇Ɵ 203

CHAPTER 17

ྋ࣠ᙯܼ 207 ʔ ҉҇߿જᓁፋ 208

ৌ઄੻࠴Ɵ 248

੃ጸࢋᕇƟ 208

ᖧ㎪ᙯ༼ 248 ʔ ऺ੻ᓑЪ 252 ʔ ཕᖧᙯ༼ 252

ೇ௫ᗟƟ 209

੻࠴૲۞ྻજƟ 253

˘ਠྋ࣠௫ᗟ 209 ʔ Αਕ߿જ௫ᗟ 209

҉҇ଠ‫ ט‬256

ᓜԖྻજ௫ᗟ 209

ᐚ‫׶‬ᖻ຅

247

ඕၹᄃΑਕƟ 247

҉҇ৠགྷ͚੨ᓁፋ 208

CHAPTER 15

੻࠴૲

ೇ௫ᗟƟ 257

211

˘ਠྋ࣠௫ᗟ 257 ʔ Αਕ߿જ௫ᗟ 258 ᓜԖྻજ௫ᗟ 258

ਖഛѡቢƟ 211 ఙᄬᗃ୻Ɵ 211 ᙯ༼ྻજƟ 212

ௐαొ̶

੻‫׶‬ᇾ੃ᕇƟ 213

˭۳ᓜԖ҉જጯᄃྋ࣠ጯ

ᙯ༼‫૲ิ׶‬Ɵ 217 ᐚ‫׶‬ᖻ຅۞҉҇Ɵ 219 ᐚഛ۞҉҇ 219 ʔ ᖻ຅۞҉҇ 222 ʔ ྋ࣠ᙯܼ 227

xii

CHAPTER 18

។ᙯ༼

҉҇߿જᓁፋ 229 ʔ ҉҇ৠགྷ͚੨ᓁፋ 229

ᙯ༼ඕၹ‫ྻ׶‬જƟ 262

૱֍ਖߗঽநጯ 229

੻‫׶‬ᇾ੃ᕇƟ 262

੃ጸࢋᕇƟ 231

ิ૲‫΁׎׶‬ඕၹƟ 265

ೇ௫ᗟƟ 231

។ᙯ༼҉҇Ɵ 267

˘ਠྋ࣠௫ᗟ 231 ʔ Αਕ߿જ௫ᗟ 231

ྋ࣠ᙯܼ 274 ʔ ૱֍។ᙯ༼ঽநጯ 275

ᓜԖྻજ௫ᗟ 232

҉҇જүᓁፋ 277 ʔ ҉҇ৠགྷ͚੨ᓁፋ 277

261


ௐ̣ొ̶

੃ጸࢋᕇƟ 278 ೇ௫ᗟƟ 279

ˠវᓜԖ҉જጯᄃྋ࣠ጯ

˘ਠྋ࣠௫ᗟ 279 ʔ Αਕ߿જ௫ᗟ 280 ᓜԖྻજ௫ᗟ 281

CHAPTER 21 CHAPTER 19

ተᙯ༼

283

‫ݻ‬๕

329

ਖഛଵЕƟ 329 ‫ݻ‬๕ѡቢ۞ԛј 330

ᙯ༼ඕၹ‫ྻ׶‬જƟ 283

৭‫ݻ‬Ɵ 332

੻‫׶‬ᇾ੃ᕇƟ 286

઎ࢬ៍ 332 ʔ ݈ࢬ៍ 333 ʔ ‫ ៍ࢬޢ‬333

ิ૲‫΁׎׶‬ඕၹƟ 287

ӱ‫ݻ‬Ɵ 334

ተᙯ༼҉҇Ɵ 289

Ј‫ۻ‬ҜƟ 336

݈͞҉҇ 290 ʔ ‫ ҇҉͞ޢ‬291 ʔ ྋ࣠ᙯܼ 293

૱֍‫ݻ‬๕ள૱Ɵ 336

҉҇જүᓁፋ 294 ʔ ҉҇ৠགྷ͚੨ᓁፋ 294

ೇ௫ᗟƟ 337

૱֍ተᙯ༼ঽநጯ 294

˘ਠྋ࣠௫ᗟ 337 ʔ Αਕ߿જ௫ᗟ 337

੃ጸࢋᕇƟ 296

ᓜԖྻજ௫ᗟ 337

ೇ௫ᗟƟ 296

CHAPTER 22

˘ਠྋ࣠௫ᗟ 296 ʔ Αਕ߿જ௫ᗟ 297

Վၗ

339

‫ؠ‬ཌྷƟ 339

ᓜԖྻજ௫ᗟ 298

৭ϲഇ̶‫ژ‬Ɵ 342 CHAPTER 20

ኺᙯ༼ᄃ֖

੻ᄃᇾ੃ᕇƟ 302 ֖۞Αਕࢬ 303

ᙯ༼‫ྻ׶‬જƟ 304 ኺ۞ྻજ 304 ʔ ኺᙯ༼ 305 ʔ ֖۞ᙯ༼ 307

ิ૲‫΁׎׶‬ඕၹƟ 308 ֖̕ 308

ኺ‫҇҉۞ొ֖׶‬Ɵ 310 γд҉ 310 ʔ ̰д҉ 317 ʔ ྋ࣠ᙯܼ 317

301

ᕚજഇ̶‫ژ‬Ɵ 346 Վၗ۞‫ࢋ΁׎‬৵Ɵ 347 ѐ᛬࠹ᙯ۞ՎၗሀёƟ 348 ள૱Ğ‫ݭ׏ܧ‬ğՎၗƟ 349 ҉҇൑˧ƟឨႼ 349 ʔ ᙯ༼Ɵ҉҇߿જቑಛ‫ ࢨצ‬351 ৠགྷ‫צ‬ຫ 352 ʔ ূ൭ 353 ʔ ˭۳‫̙ޘܜ‬ඈ 354

੃ጸࢋᕇƟ 354 ೇ௫ᗟƟ 355 ˘ਠྋ࣠௫ᗟ 355 ʔ Αਕ߿જ௫ᗟ 355 ᓜԖྻજ௫ᗟ 355

҉҇ৠགྷ͚੨ᓁፋ 321 ʔ ૱֍ኺᙯ༼ঽநጯ 322

੃ጸࢋᕇƟ 324 ೇ௫ᗟƟ 324

ણ҂͛ᚥƟ 357

˘ਠྋ࣠௫ᗟ 324 ʔ Αਕ߿જ௫ᗟ 324

ೇ௫ᗟඍ९Ɵ 361

ᓜԖྻજ௫ᗟ 324

৶͔Ɵ 377 xiii


ௐ˘ొ̶

ᓜԖ҉જጯ ᄃྋ࣠ጯ̝ૄᖂ Basic Clinical Kinesiology and Anatomy


CHAPTER

1

ૄᖂۢᙊ Basic Information

ೡّࢗఙᄬ (Descriptive Terminology)

֗វ༼߱

‫ؠ‬ཌྷ˯Ăྻજ፟ਕጯ (kinesiology) ߏࡁտྻજ۞˘‫ܝ‬ጯ ࡊĄҭ఺࣎‫ؠ‬ཌྷ࿅‫ٺ‬ᇃ‫ھ‬Ă̙‫ֹٽ‬ϡĄྻજ፟ਕጯტЪྋ࣠

(Segments of the Body)

ጯăϠநጯă‫ۏ‬நጯͽ̈́ೀңጯᅳાĂ֭૟̝ᄃˠᙷྻજ࠹

ྻજᙷ‫ݭ‬

ඕЪĄЯѩĂྻજ፟ਕጯᑕϡ˞˧ጯă҉҇੻ᐪྋ࣠ጯ‫׶‬ৠ

(Types of Motion)

གྷ҉҇Ϡநጯ۞ࣧநĄ

ᙯ༼ྻજĞ੻ྻજጯğ [Joint Movements (Osteokinematics)]

ೇ௫ᗟ (Review Questions)

Ϡ‫˧ۏ‬ጯ (biomechanics) ྻϡᄃˠវ૜̷࠹ᙯ۞˧ጯࣧ நĄϤ‫ٺ‬ԧࣇΞਕົϡ‫ז‬஧ă஧‫ٮ‬ă٫Շͽ̈́ཌྷ۳ඈ‫΁׎‬ങ ˢ‫ۏ‬ĂЯѩυื૟఺ֱ˘‫׀‬҂ᇋ‫ז‬Ϡ‫˧ۏ‬ጯ۞࠹̢үϡ̚Ą ఺Β߁៍၅Ч჌߿જ۞ᐖၗĞ̙ྻજğ‫׶‬ƟٕજၗĞྻજğ ր௚Ąજၗր௚Ξ̶ࠎજ˧ጯ‫ྻ׶‬જጯĄજ˧ጯ (kinetics) ޽ ۞ߏౄјજү൴Ϡ۞˧Ă҃ྻજጯ (kinematics) ߏ޽ྻજր ௚̰۞ॡมă۩ม‫׶‬ኳณˬ࣎͞ࢬĄ఺ֱໄ‫ه‬ᄃ‫΁׎‬Ϡ‫˧ۏ‬ ጯૄώໄ‫ه‬૟‫ٺ‬ௐ 8 ౢ੅ኢĄ ώౢ඾ࢦ̬௜҉҇੻ᐪ۞ྋ࣠௡јĂЯࠎ఺ߏநྋ‫׶‬ᑕϡ ‫۞̶ొ΁׎‬ᙯᔣĄధкጯϠ˘೩̈́ྻજ፟ਕጯಶ‫ޝ‬ঐໂęę‫׌‬ ீ൴ۡĂ̂ཝ۩ϨĄΞਕૄ‫ٺ‬࿅Νጯ௫ྋ࣠۞གྷរĂ΁ࣇᛇ ଀઱˘۞ԓ୕ಶߏѪ੃ർࡦĄҭ఺൑Ⴗߏ࣎ᑅ˧‫̂ޝ‬Ă၆‫ܜ‬ ഇ੃ጸ˫൑ᑒӄ۞ઇ‫ڱ‬Ą ٙͽĂ༊Ұዦ᝝ώౢॡĂኛᖰ੃ೀ࣎ᖎಏໄ‫ه‬Ąௐ˘Ă ˠវͽ˘჌‫ܧ‬૱Ъந۞͞ёଵЕĄҭтТϠ߿۞Ч࣎ࢬШĂ ˵ᓁѣּγĄѣॡ఺ֱּγព҃‫֍ٽ‬Ăѣॡ˫Ξਕ่дྵ੼ ۞ᆸ৺̖ព֍Ą̙ኢтңĂҰౌࢋ‫ڦ‬ຍּγĂ֭ᚶᜈ݈ซĄ ௐ˟Ăт‫ڍ‬Ұਕሢቚгೠ೪ೡّࢗఙᄬĂ֭ਕ૟ໄ‫ٕه‬ᇈ෪ ‫׍‬វ̼Ă֤ᆃಶ̙ᅮࢋѪ੃ർࡦĄͧтĂт‫ڍ‬Ұਕ̂ໄۢ྽

3


CHAPTER

2

੻ᐪր௚ Skeletal System

੻ᐪ۞Αਕ (Functions of the Skeleton)

੻ᐪ۞ᙷ‫ݭ‬ (Types of Skeletons)

੻۞ၹј

NJ੻ᐪ۞Αਕ Functions of the Skeleton

੻ᐪր௚ĂϤிк੻௡јĂߏˠវ۞ർ੻ߛĄι͚ᇣ֗

(Composition of Bone)

វĂኬ̟‫׎‬ԛ‫ې‬Ă᜕ܲϠ‫׻‬ጡ‫ء‬тཝăਖល‫͕׶‬᝙Ă֭೩ֻ҉

੻۞ඕၹ

҇կ‫ܢ۞׽‬඾ᕇ‫׶‬ၸ୛ֽᅃӄྻજĄ੻ᐪր௚۞ధкొҜᔘਕ

(Structure of Bone)

ౄҕĂ͹ࢋౄҕᕇд㎪੻ăਖഛă਒੻‫੻҈׶‬Ăкᇴдπ੻̰

੻۞ᙷ‫ݭ‬ (Types of Bones)

ԛјĄถ‫΁׎׶‬ᚩ‫ۏ‬ៃᐼхд੻ᐪր௚ٙѣ۞੻௡ᖐ̰Ą

૱֍੻ᐪঽநጯ (Common Skeletal Pathologies)

ೇ௫ᗟ (Review Questions)

NJ੻ᐪ۞ᙷ‫ݭ‬ Types of Skeletons

֗វ੻ᐪ̶ࠎ‫ᙷ̂׌‬Ĉ̚คᄃα۳Ğဦ 2-1ğ Ą̚ค੻ᐪ (axial skeleton) ௡ј֗វ۞ۡϲొ̶Ąᐝă਒‫׶‬ᖻ຅̂ࡗϤ 80 ๴੻௡јĄα۳੻ᐪ (appendicular skeleton) ‫ܢ‬඾‫̚ٺ‬ค੻ ˯ĂΒ߁۳វ۞ 126 ๴੻Ą֗វВѣ 206 ๴੻ĂΞਕᔘѣ˘ֱ ჌̄੻Ăͧтд̂ཙశ‫҉ئ̝޽٭׶‬པ̚۞੻Ą ܑ 2-1 Е΍˞јѐˠٙѣ۞੻Ą㥑੻ăԍ੻‫׶‬។ᙯ༼۞੻ ӮϤк๴੻ᏉЪ҃јĄ។ᙯ༼۞੻Ϥ㎪੻ăӱ੻‫੻ऺ׶‬ᏉЪ ҃јĄ

NJ੻۞ၹј Composition of Bone

੻˵Ξ࠻үጡ‫ء‬ĂЯࠎιࣇ˵ߏϤк჌̙Тᙷ‫۞ݭ‬௡ᖐ ٙၹјĞញჯăహ੻ă੻ăৠགྷ‫׶‬ҕგğ ĂВТ൴೭੻ᐪր௚ ۞үϡĄ

13


CHAPTER

3

ᙯ༼ր௚ Articular System

ᙯ༼۞ᙷ‫ݭ‬ (Types of Joints)

ᙯ༼۞ඕၹ

ᙯ༼ߏ੻ᄃ੻̝ม۞ాତĄጐგᙯ༼ѣ‫ޝ‬кΑਕĂҭֹ જү଀ͽซҖΞਕߏ౵ࢦࢋ۞Ąᙯ༼˵ᑒӄٚ‫֗צ‬វࢦณĂ

(Joint Structure)

೩ֻᘦ‫ّؠ‬Ą఺჌ᘦ‫ّؠ‬ΞਕкᇴᕩЯ‫ٺ‬௡јᙯ༼۞੻ԛ

ࢬ‫׶‬ค

‫ې‬Ăͧт។ᙯ༼ćٕ۰ᕩЯ‫ٺ‬హ௡ᖐ۞পᇈĂͧт۷ᙯ༼‫׶‬

(Planes and Axes)

ተᙯ༼Ąᙯ༼̰ӣѣ໣୵Ăͽማ໣ᙯ༼֭೩ֻహ੻ዳ̶Ą

ҋϤ‫ޘ‬ (Degrees of Freedom)

૱֍ঽநఙᄬ (Common Pathological Terms)

ೇ௫ᗟ (Review Questions)

NJᙯ༼۞ᙷ‫ݭ‬ Types of Joints

ᙯ༼ΞซҖ̂ቑಛજүĂͧт۷ᙯ༼ćٕߏ಼̈‫ޘ‬જ үĂͧт਒ᗆᙯ༼Ąϒтٙѣ۞मள˘ᇹĂѣ଀υѣεĄ߿ જ‫۞̂ྵޘ‬ᙯ༼Ăᘦ‫ྵّؠ‬मć࠹ͅĂྵᘦ‫۞ؠ‬ᙯ༼Ă߿જ ‫̈ྵ݋ޘ‬ĄೡࢗТ˘ᙯ༼۞ఙᄬ఼૱̙ͤ˘࣎Ą఺ֱఙᄬ૱ ϡֽೡࢗᙯ༼ඕၹĂٕߏೡࢗᙯ༼۞߿જ඀‫ޘ‬Ą ញჯాඕ (fibrous joint) д੻ᄃ੻̝มѣ˘ᆸᓠ۞ញჯ੻ ቯĂт្੻۞ᓀĄញჯాତѣˬ჌ᙷ‫ݭ‬Ĉ̙જᙯ༼ăิ૲ా ඕ‫׶‬ಷЪᙯ༼Ğ੪‫ې‬ᓀЪğ Ą̙જᙯ༼ (synarthrosis)Ăٕᓀᅩ ᓑЪĂ੻ᄃ੻̝มѣ˘ᆸᓠ۞ញჯ੻ቯĂт្੻۞ᓀĄ੻۞ ᙝቡΞͽ࠹̢ӚЪĞဦ 3-1Ağ Ą఺჌ᙷ‫۞ݭ‬ᙯ༼Ă੻ᄃ੻̝ม ՟ѣЇңྻજĄΩ˘჌ᙷ‫۞ݭ‬ញჯాඕߏิ૲ాඕ (syndesmosis)Ăѣ̂ณ۞ញჯ௡ᖐĂͧтิ૲‫੻׶‬มቯĂ૟ᙯ༼ ᘦ‫ؠ‬д˘੓Ğဦ 3-1Bğ Ą఺჌ᙷ‫۞ݭ‬ᙯ༼Ξ൴Ϡ͌ณ۞Ԯᖼ‫׶‬ ஝ٛྻજĄኺᙯ༼఍۞ᅈბ∧දᙯ༼Ăͽ̈́ᅈბ፠͎ᙯ༼࠰ ᛳѩᙷĄௐˬ჌ᙷ‫۞ݭ‬ញჯాඕჍઇಷЪᙯ༼Ğ੪‫ې‬ᓀЪğ (gomphosis)Ăԓᘷᄬ۞ຍ‫ߏޥ‬Ķ࿠‫˘ז‬੓ķ Ă˯˭ዱ੻۞Ͱጎ

21


CHAPTER

4

ᙯ༼ྻજጯ Arthrokinematics

ᙯ༼มྻજ (Osteokinematic Motion)

௣ϐຏ (End Feel) ᙯ༼ࢬྻજ (Arthrokinematic Motion)

‫ܢ‬ᛳྻજఙᄬ

NJᙯ༼มྻજ Osteokinematic Motion

ிٙ࠰ۢĂᙯ༼ྻજߏ˘๴੻дΩ˘๴੻˯۞જүĂய Ϡт˭۞ྻજĈ‫ئ‬ѡăҩۡăγणă̰ќͽ̈́୊ᖼĄ఺ֱΞ

(Accessory Motion Terminology)

ᐌຍଠ‫ྻ۞ט‬જâਠ޽۞ߏ‫ݭ׏‬જү (classical)ă֗វજү

ᙯ༼ࢬγԛ (Joint Surface Shape)

(physiological) ٕᙯ༼มજү (osteokinematic motion)Ą఺჌

ᙯ༼ࢬྻજ۞ᙷ‫ݭ‬

ᙷ‫ྻ۞ݭ‬જΞͽඈ‫ܜ‬ăඈૺٕඈిྻજ۞ԛёԆјĄ༊͹જ

(Types of Arthrokinematic Motion)

ԆјॡĂ҉҇૲જᙯ༼఼࿅˘‫߿۞ؠ‬જቑಛ (ROMs)Ąԧࣇ˘

ΌΎ‫( ޠؠ‬Convex-Concave Rule) ᙯ༼ࢬҜཉĞᙯ༼˘࡭ّğ

ፋ͇ౌд߿જᙯ༼Ă఺ಶߏ͹જซҖᙯ༼มྻજĄ఺ֱྻજ ̏дௐ 1 ౢೡࢗ࿅Ą༊జજԆјᙯ༼߿જቑಛॡĂ఺఼૱ߏࠎ

[Joint Surface Positions (Joint Congruency)]

˞ᑒӄჯ޺Бቑಛ۞߿જĂٕߏࠎ˞ᒢྋᙯ༼߿જϐბ۞‫ܡ‬

‫ܢ‬ᛳྻજ۞˧

ԩّኳĄ‫ޢ‬۰ӈٙᏜᙯ༼௣ϐຏ (end feel)Ą

(Accessory Motion Forces)

੃ጸࢋᕇ (Points to Remember)

ೇ௫ᗟ (Review Questions)

௣ϐຏ (End Feel) ௣ϐຏ (end feel) ޽дᙯ༼జજ߿જቑಛϐბ߉ΐᅅ຋ᑅ ˧ॡĂ၆ຏᛇপّ (quality) ۞˘჌͹៍ෞҤĄ Cyriax (1983) ࢵѨ೩΍ྍෟĂ΁ૻአᑭߤ۰‫ٺ‬జજ߿જॡĂຏ‫צ‬௣ϐຏ۞ ࢦࢋّĄ ௣ϐຏΞਕϒ૱ٕள૱Ąϒ૱۞௣ϐຏхд‫ٺ‬ᙯ༼྿‫ז‬ Бቑಛ ROM ॡĂЯϒ૱ྋ࣠ඕၹĞт੻ăᙯ༼ᝃă҉ٕ҇҉ ҇‫ޘܜ‬ğ҃ઃͤྻજĄள૱۞௣ϐຏхд‫ূٺ‬൭ă҉҇ღ ᒿăཚණĂٕߏள૱ྋ࣠ඕၹ‫ྻͤܡ‬જॡĄ ˬ჌ϒ૱۞௣ϐຏࠎ੻ّăహ௡ᖐ஝ૺĂͽ̈́హ௡ᖐᑟ ᑅĄ੻ّ (bony) Ξϡ‫ٺ‬ೡࢗϒ૱‫׶‬ள૱۞௣ϐຏĄϒ૱੻ّ ௣ϐຏ (bony end feel) ۞পᕇߏർ۞ăࡎ൒гࢨ‫ט‬ᙯ༼జજ

31


CHAPTER

5

҉҇ր௚ Muscular System

҉҇‫ܢ‬඾ᕇ (Muscle Attachments)

҉҇ЩჍ (Muscle Names)

҉ញჯଵЕ

NJ҉҇‫ܢ‬඾ᕇ Muscle Attachments

҉҇ќᒺॡĂҋ̙֭֗ۢ྽͞ШĂΪߏᖎಏ۞ᒺൺĄࡶ

(Muscle Fiber Arrangement)

҉҇‫׌‬ბ՟ѣ‫ܢ‬඾ᕇĂᎸጬॡĂ‫׌‬ბಶົШ̚มྻજĄҭ҉

҉҇௡ᖐ۞Αਕপᕇ

҇‫׌‬ბߏ‫ܢ‬඾‫۞˯੻ז‬Ăͷྭ࿅Ҍ͌˘࣎ᙯ༼ĂЯѩ༊҉҇

(Functional Characteristics of Muscle Tissue)

ќᒺॡĂᙯ༼۞˘ბШΩ˘ბያ‫ܕ‬Ąொજّྵр۞֤๴੻Ă

҉҇௡ᖐ۞‫ޘܜ‬ůૺ˧ᙯܼ

఼૱Ⴭࠎ҉҇۞೧ˢᕇ (insertion)Ă࠹၆‫֤۞ؠ׽‬๴੻ĂჍࠎ

(Length-Tension Relationship in Muscle Tissue)

҉҇۞੓ᕇ (origin)ĄͧтĂो‫̄ړ‬ಅͪॡĂ۴˟ᐝ҉ќᒺĂ

͹જ‫׶‬జજ̙֖ (Active and Passive Insufficiency)

݈ᓖШ۴੻ྻજĞဦ 5-1Ağ Ą۴੻ྵᘦ‫ؠ‬ĂЯࠎ۷ᙯ༼ాତ‫ٺ‬ ̚ค੻Ą݈ᓖொજّ‫ྵ݋‬рĂЯࠎιాତ‫͘۞߿ីٺ‬ĄЯ

҉҇ќᒺ۞ᙷ‫ݭ‬ (Types of Muscle Contraction)

҉҇۞֎Ғ (Roles of Muscle)

ٛ˧۞֎‫ޘ‬ (Angle of Pull)

ྻજᙥ (Kinetic Chains)

੃ጸࢋᕇ (Points to Remember)

O

ೇ௫ᗟ (Review Questions)

I

A ೧ˢᕇШ੓ᕇྻજ (Insertion moves toward origin)

ဦ 5-1.

(A) ۴˟ᐝ҉‫ܢ‬඾ᕇ۞ྻજ͞ШĄ

39


6

CHAPTER

ৠགྷր௚ Nervous System

ৠགྷ௡ᖐĞৠགྷ̮ğ [Nervous Tissue (Neurons)]

̚ᇽৠགྷր௚ (The Central Nervous System)

ৠགྷր௚ߏˠវ੼‫ޘ‬ኑᗔ۞྅ཉĂιଠ‫ט‬ă‫ו‬፬‫ם׶‬አ ֗វ‫΁׎‬ր௚۞߿જĄтဦ 6-1 ೡࢗ۞ĂιΞֶྋ࣠Ҝཉ̶ ࠎĈΒ߁ཝ‫׶‬ਖល۞̚ᇽৠགྷր௚ (CNS)ăਖលγٙѣৠགྷ

ཝ (Brain)

۞‫׹‬ᙝৠགྷր௚ (PNS)Ăͽ̈́ଠ‫̂ט‬кᇴ̰᝙ඕၹ۞ҋ͹ৠགྷ

ਖល (Spinal Cord)

ր௚ (ANS)Ą ANS ۞̶͚ߏϹຏৠགྷ‫׶‬ઘϹຏৠགྷր௚Ą఺

‫׹‬ᙝৠགྷր௚

ֱր௚̝ม࠹̢ᑭߤ‫׶‬πᏊĄϹຏր௚ᄃᑅ˧‫ו׶‬፬ѣᙯĂ

(The Peripheral Nervous System)

ઘϹຏր௚ᄃਕณܲхѣᙯĄ

្ৠགྷ (Cranial Nerves) ਖৠགྷ (Spinal Nerves) ਖល༼Ҝ۞Αਕຍཌྷ (Functional Significance of Spinal Cord Level)

ώ३̙ົপҾೡࢗՏ࣎ր௚۞ٙѣ௡ј̈́‫׎‬ΑਕĂҭߏ ૟ົ̬௜ CNS ‫ ׶‬PNS ᖎࢋ۞ྋ࣠‫׶‬ΑਕĂͽ̈́၆҉҇ྻજ۞ ᇆᜩĄ఺˘ೡࢗ૟඾ࢦдλ៍˯Ă҃‫ܧ‬௟ࡪ඀‫ޘ‬Ą

ৠགྷᕍ۞ԛј (Plexus Formation) ̚ᇽ‫׹׶‬ᙝৠགྷր௚۞૱֍ঽநጯ (Common Pathologies of the Central and Peripheral Nervous Systems)

̚ᇽৠགྷր௚۞૱֍ঽநጯ (Common Pathologies of the Central Nervous System)

ҋ͹ৠགྷր௚

‫׹‬ᙝৠགྷր௚

[Autonomic nervous system (ANS)]

[Peripheral nervous system (PNS)]

̚ᇽৠགྷր௚ [Central nervous system (CNS)]

‫׹‬ᙝৠགྷ۞૱֍ঽநጯ (Common Pathologies of the Peripheral Nerves)

ೇ௫ᗟ (Review Questions)

Ϲຏৠགྷր௚

្ৠགྷ

(Sympathetic NS)

(Cranial nerves)

(Brain)

ઘϹຏৠགྷր௚

ᓖᕍৠགྷ

(Parasympathetic NS)

ਖល

(Brachial plexus)

(Spinal cord)

ਖৠགྷ (Spinal nerves)

ཕᖧৠགྷᕍ (Lumbosacral plexus)

ဦ 6-1.

ৠགྷր௚Ą

53


CHAPTER

7

ೈᒖր௚ Circulatory System

͕ҕგր௚ (Cardiovascular System)

͕᝙ (Heart)

ҕგ (Blood Vessels)

୽͐ր௚ (Lymphatic System)

Αਕ

ೈᒖր௚Β߁‫ྻᙷ׌‬Ꮾր௚Ĉ(1) ͕ҕგր௚‫( ׶‬2) ୽͐ ր௚Ą ͕ҕგր௚ (cardiovascular system) Β߁ҕგĞજਔ‫׶‬ᐖ ਔğ‫͕׶‬᝙Ă࢑యྻᏮБ֗۞ҕ୵Ąજਔ‫׶‬ᐖਔ࢑య૟຋ҕ გ̚۞ҕྻᏮ‫ז‬۱̚Ă૟˟উ̼჆ೱࠎউঈĂГ౅࿅຋ҕგ ྻаБ֗Ă૟উঈೱࠎ˟উ̼჆Ą͕᝙࢑య૟ҕ୵ᑒ঒‫ז‬જ ਔ‫׶‬ᐖਔ̚Ąҕ୵‫ۏߏ͐୽׶‬ኳϹೱ۞୵ၗಫ̬Ą

(Functions)

а߹͞ё (Drainage Patterns)

૱֍ঽநጯ (Common Pathologies)

ೇ௫ᗟ (Review Questions)

͕ҕგր௚

ᄃೈᒖր௚‫׶‬Һࠪր௚ۡତ࠹ᙯ۞୽͐ր௚ (lymphatic system)ĂϤ୽͐გ‫͐୽׶‬ඕ௡јĄιќะ௟ࡪγ࿅к۞୵វ үࠎ୽͐୵ĂГ૟‫׎‬ଂ‫׹‬ᙝྻ‫ז‬ᐖਔր௚ĂЯѩĂΞᑒӄ͕ ҕგր௚ჯ޺֖ૉ۞୵វटณ‫׶‬ᑅ˧ĄѩγĂ୽͐ր௚Ξᑒ ӄҺࠪր௚ᕭ࿅௟ෂăঽ߲ăᆿ‫΁׎׶ۏ‬γֽ‫ۏ‬ኳĂ֭ᖣϤ யϠপ‫ؠ‬ԩវᑒӄҺࠪր௚‫ٯ‬ԩ௟ෂ‫׶‬γֽ‫ۏ‬ኳ۞ˢ‫ܬ‬Ą

(Cardiovascular System)

୽͐ր௚ (Lymphatic System)

NJ͕ҕგր௚ Cardiovascular System

Яࠎҕ୵ଂ̙ᗓฟ֗វજਔăᐖਔ‫׶‬຋ҕგ఺࣎შྮĂ ٙͽ͕ҕგր௚૱జෛࠎ˘इ‫۞ౕދ‬ր௚Ą‫ྻ׎‬ү‫̙࣎׌ٺ‬ Т۞ਫ਼ྮęę۱ೈᒖ‫׶‬វೈᒖĞဦ 7-1ğ Ą۱ೈᒖ (pulmonary circuit) ྻᏮజ֗វঐਈ࿅উঈ۞ҕ୵ĞᖡҒğ Ă఼࿅Π઎͕ ᝙ĞΠ͕ٗ‫׶‬Π͕‫ވ‬ğགྷ۱જਔ‫ז‬۱ొĄҕ୵྿‫ז‬۱ొ̝ ‫ޢ‬Ă˟উ̼჆ᄃউঈϹೱĂГགྷ۱ᐖਔа‫ז‬ν઎͕᝙Ąវೈ ᒖ (systemic circuit) ఼࿅ν઎͕᝙Ğν͕ٗ‫׶‬ν͕‫ވ‬ğ Ăགྷ͹

75


CHAPTER

8

ૄᖂϠ‫˧ۏ‬ጯ Basic Biomechanics

ྻજ‫ޠؠ‬ (Laws of Motion)

˧

ଂధк͞ࢬֽᄲĂˠវΞ࠻ү˘࣎߿۞፟ୠĄдጯ௫֗ វтң (how) ྻજĞྻજ፟ਕጯğ Ăͽ̈́˧үϡд֗វ˯тң

(Force)

யϠ (cause) ྻજॡĂ఺˘ᕇߏ‫ܧ‬૱ࢦࢋ۞Ąтဦ 8-1 ٙϯĂ

˧৏

˧ጯ (mechanics) ߏ‫ۏ‬நጯ۞˘̶͚࣎Ăࡁտ˧̈́‫׎‬үϡ˭ٙ

(Torque)

யϠ۞ྻજĄϠ‫˧ۏ‬ጯ (biomechanics) ֹϡ˧ጯ۞ࣧந‫͞׶‬

ᘦ‫ّؠ‬

‫ڱ‬Ăྻϡ‫ז‬ˠវ۞ඕၹ‫׶‬Αਕ˯Ąтௐ 1 ౢٙࢗĂ˧ጯΞ̶ࠎ

(Stability)

ᖎಏጡୠ

‫̂׌‬ᅳાĈᐖၗ‫׶‬જၗĄᐖၗ (statics) ࡁտ̙ྻજٕೀͼ̙

(Simple Machines)

ྻજ۞ր௚̚۞࠹ᙯЯ৵Ąྻજ (dynamics) ࡁտྻજ۞ր௚

ၸ୛ (Levers)

̚۞࠹ᙯЯ৵ĂΞ̶ࠎજ˧ጯ‫ྻ׶‬જጯĄજ˧ጯ (kinetics) ࡁ

໣዇ (Pulleys)

տր௚̚யϠྻજ۞˧Ă҃ྻજጯ (kinematics) ࡁտྻજր

዇ค (Wheel and Axle)

௚̚۞ॡมă۩ม‫׶‬ኳณඈĄྻજጯΞ̶ࠎ੻ྻજጯ‫׶‬ᙯ༼

୆ࢬ (Inclined Plane)

ྻજጯĄ੻ྻજጯٕჍᙯ༼มྻજ (osteokinematics)Ă඾ࢦ੻

੃ጸࢋᕇ (Points to Remember)

ೇ௫ᗟ

д۩ม̚۞ྻજ͞ёĂ̙҃҂ᇋᙯ༼ࢬ۞ྻજĂт۷ᙯ༼‫ئ‬ ҩĄᙯ༼ྻજጯٕჍᙯ༼ࢬྻજ (arthrokinematics)Ăࡁտ࠹

(Review Questions) ˧ጯƟϠ‫˧ۏ‬ጯ (Mechanics/ Biomechanics)

ᐖၗ (Statics)

જၗ (Dynamics)

ྻજጯ (Kinematics)

ဦ 8-1.

જ˧ጯ (Kinetics)

੻ྻજጯ

ᙯ༼ྻજጯ

(Osteokinematics)

(Arthrokinematics)

˧ጯƟϠ‫˧ۏ‬ጯ۞ᙯܼ߹඀ဦĄ

93


ௐ˟ొ̶

˯۳ᓜԖ҉જጯ ᄃྋ࣠ጯ Clinical Kinesiology and Anatomy of the Upper Extremities


CHAPTER

9

۷૲ Shoulder Girdle

ఙᄬᗃ୻ (Clarification of Terms)

੻‫׶‬ᇾ੃ᕇ (Bones and Landmarks)

ᙯ༼‫૲ิ׶‬

NJఙᄬᗃ୻ Clarification of Terms

۷ᙯ༼‫׶‬ፋ࣎˯۳۞Αਕߏࠎ˞ឰ͘఍‫̙ٺ‬ТҜཉĂֹ

(Joints and Ligaments)

‫׎‬ਕԆјЧ჌ЇચĄ۷ᙯ༼Ăٕ۟۴ᙯ༼ĂߏБ֗౵̂۞Ξ

ᙯ༼ྻજ

જᙯ༼ĂਕૉԆј̂ณ۞ྻજĄҭд੅ኢ۷ᙯ༼ྻજॡĂԧ

(Joints Motions)

ࣇυืᄮᙊ‫ྻז‬જ˵൴Ϡд‫࣎ˬ΁׎‬ᙯ༼ٕડાĄ۷ᙯ༼ኑ

۷ᙯ༼‫׶‬۷૲۞ҡᐌྻજ (Companion Motions of the Shoulder Joints and Shoulder Girdle)

۷ࡨ۟۴༼‫ޠ‬ (Scapulohumeral Rhythm)

ٛ˧֎ (Angle of Pull) ۷૲۞҉҇ (Muscles of the Shoulder Girdle)

Ъវ (shoulder complex) ۞ఙᄬĂѣॡϡ‫ٺ‬ӣ߁ᄃ۷ᙯ༼ྻજ ѣᙯ۞ٙѣඕၹĄ۷ᙯ༼ኑЪវ (shoulder complex) Ϥ۷ࡨ ੻ăᗆ੻ă਒੻ă۴੻‫׶‬਒၏௡јĂΒ߁਒ᗆᙯ༼ă۷पᗆ ੻ᙯ༼ă۟۴ᙯ༼‫׶‬Ķ۷ࡨ਒၏ᙯ༼ķ Ğဦ 9-1ğ ĄೱήྖᄲĂ ιΒ߁۷૲Ğ۷ࡨ੻‫׶‬ᗆ੻ğͽ̈́۷ᙯ༼Ğ۷ࡨ੻‫׶‬۴੻ğ Ą ۷ࡨ਒၏ᙯ༼ (scapulothoracic articulation) дфຍ˯̙֭ߏ

҉҇ೡࢗ (Muscle Descriptions) ྋ࣠ᙯܼ (Anatomical Relationships) ˧ઊ (Force Couples)

਒ᗆᙯ༼ (Sternoclavicular joint)

۷पᗆ੻ᙯ༼ (Acromioclavicular joint)

҉҇ͅШྻજ (Reversal of Muscle Action)

҉҇ৠགྷ͚੨ᓁፋ

۟۴ᙯ༼

(Summary of Muscle Innervation)

(Glenohumeral joint)

੃ጸࢋᕇ (Points to Remember)

ೇ௫ᗟ

۷ࡨ਒၏ᙯ༼

(Review Questions)

(Scapulothoracic articulation)

˘ਠྋ࣠௫ᗟ (General Anatomy Questions)

Αਕ߿જ௫ᗟ (Functional Activity Questions)

ᓜԖྻજ௫ᗟ (Clinical Exercise Questions)

ဦ 9-1.

۷ᙯ༼ኑЪវĞ݈ࢬ៍ğ Ą

115


CHAPTER

10

۷ᙯ༼ Shoulder Joint

ᙯ༼ྻજ (Joint Motions)

੻‫׶‬ᇾ੃ᕇ

۷ᙯ༼ (shoulder joint) ߏ˘࣎‫ڙ‬ҍᙯ༼Ăдˬ࣎πࢬ˯ ᖒˬ࣎คྻજĞဦ 10-1ğ ĄЯѩĂᙯ༼ѣˬ࣎ҋϤ‫ޘ‬Ą۴੻ᐝ

(Bones and Landmarks)

ᄃ۷ࡨ੻۞۟჏ԛј۷ᙯ༼ĄιߏБ֗౵ី߿۞ᙯ༼̝˘Ă

ิ૲‫΁׎׶‬ඕၹ

ЯѩĂ˵ߏᘦ‫ّؠ‬౵म۞̝˘Ą

(Ligaments and Other Structures)

۷ᙯ༼۞҉҇ (Muscles of the Shoulder Joint)

ྋ࣠ᙯܼ (Anatomical Relationships)

۟۴ྻજ

NJᙯ༼ྻજ Joint Motions

۷ᙯ༼ѣα௡Ξਕ۞ྻજĞဦ 10-2ğĈ(1) ‫ئ‬ѡăҩۡ‫׶‬

(Glenohumeral Movement)

࿅ҩć(2) γण‫̰׶‬ќć(3) ̰୊‫׶‬γ୊ćͽ̈́ (4) ͪπγण‫׶‬

҉҇߿જᓁፋ

ͪπ̰ќĄ‫ئ‬ѡăҩۡ‫׶‬࿅ҩĂ࠰൴Ϡдϭ‫ࢬې‬ͷᖒ඾݄‫ې‬

(Summary of Muscle Action)

҉҇ৠགྷ͚੨ᓁፋ (Summary of Muscle Innervation)

૱֍۷ᙯ༼ঽந (Common Shoulder Pathologies)

੃ጸࢋᕇ (Points to Remember)

ೇ௫ᗟ (Review Questions)

˘ਠྋ࣠௫ᗟ (General Anatomy Questions)

Αਕ߿જ௫ᗟ (Functional Activity Questions)

ᓜԖྻજ௫ᗟ (Clinical Exercise Questions)

ဦ 10-1.

۷ᙯ༼Ğ݈ࢬ៍ğ Ą

131


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