刘守国-下交叉综合征
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• 下交叉综合征（LCS），又称为骨盆交叉综合征，由肌肉 系统的失平衡而引起的骨盆及下肢的运动链受损而导致的 症候群，常常会累及下腰部、骨盆、髋、膝及踝关节。
2012-7-22
Liu Shouguo
• This syndrome can be found in individuals who sit for prolonged periods, continuously perform tasks for extending periods of time utilizing poor posture, or have been immobilized.
Lower crossed syndrom 下交叉综合征
Liu Shouguo
2012-7-22
Liu Shouguo
Lower crossed syndrom
2012-7-22
Liu Shouguo
Lower crossed syndrom
• Lower Crossed Syndrome (LCS), also known as pelvic crossed syndrome, is described as a muscle imbalance pattern that affects the lower kinetic chain which includes the lumbopelvic hip complex, knee, and ankle.
• 腰椎与骨盆的运动方向相反，称为反向腰 盆节律
• 反向腰盆节律，对于维持上身的稳定直立 有重要意义
2012-7-22
Liu Shouguo
The Anterior and Posterior Pelvic Tilt
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
• 骨盆与腰椎的运动方向一致，称之为同向 腰盆节律
2012-7-22
Liu Shouguo
• it is useful for activities such as extending the reaching capacity of the upper extremities.
• 同向腰盆节律，对于增加上肢的活动空间 有重要意义
2012-7-22
Liu Shouguo
腰盆节律
• 腰椎通过骶髂关节与骨盆连接，当骨盆与 髋关节发生运动时，骨盆位置的改变同样 会引起腰椎的运动，腰椎与骨盆在运动中 的节律性关系称为腰盆节律。
2012-7-22
wenku.baidu.com
Liu Shouguo
ipsi-directional lumbopelvic rhythm
• the pelvis and lumbar spine rotate in the same direction. This movement maximizes the angular displacement of the entire trunk relative to the lower extremities
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 下腰痛(Lower back pain, LBP)
– 回顾腰椎骨盆运动学
2012-7-22
Liu Shouguo
PELVIC-ON-FEMORAL OSTEOKINEMATICS
• Lumbopelvic Rhythm The lower, caudal end of the axial skeleton is firmly attached to the pelvis by way of the sacroiliac joints. As a consequence, rotation of the pelvis over the femoral heads typically changes the configuration of the lumbar spine. This important kinematic relationship is known as lumbopelvic rhythm.
– 髂腰肌 – 股直肌 – 竖脊肌 – 腰方肌 – 阔筋膜张肌（TFL） – 梨状肌
• 力量减退的肌肉
– 腹肌 – 臀大肌 – 臀中肌
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 腰-盆肌肉系统失衡
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 姿势
– 骨盆前倾（anterior tilt） – 腰椎后伸 – 髋关节屈曲外旋
2012-7-2步2 行中支撑侧下肢
Liu Shouguo
下侧方台阶
2012-7-22
Liu Shouguo
下交叉综合征--LBP
• 髂腰肌、竖脊肌紧张 • 腹肌、臀肌力量减退 • 骨盆顺时针方向运动：
下交叉综合征
• 顺时针方向运动：
– 骨盆前倾（anterior rotation） – 腰椎后伸（extension）
• 逆时针方向运动
– 骨盆后倾（posterior rotation） – 腰椎前屈（flexion）
2012-7-22
Liu Shouguo
腰-盆肌肉系统失衡
• 紧张而短缩的肌肉
• LCS常发生于长时间伏案工作、姿势较差的人群。 • 以腰-盆肌肉系统的失平衡为显著特征。
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
下交叉综合征
• 顺时针方向运动：
– 髂腰肌 – 竖脊肌
• 逆时针方向运动
– 腹肌 – 臀大肌
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
contra-directional lumbopelvic rhythm
• In contrast, during contra-directional lumbopelvic rhythm, the pelvis rotates in one direction while the lumbar spine simultaneously rotates in the opposite direction.
2012-7-22
Liu Shouguo
• This syndrome can be found in individuals who sit for prolonged periods, continuously perform tasks for extending periods of time utilizing poor posture, or have been immobilized.
Lower crossed syndrom 下交叉综合征
Liu Shouguo
2012-7-22
Liu Shouguo
Lower crossed syndrom
2012-7-22
Liu Shouguo
Lower crossed syndrom
• Lower Crossed Syndrome (LCS), also known as pelvic crossed syndrome, is described as a muscle imbalance pattern that affects the lower kinetic chain which includes the lumbopelvic hip complex, knee, and ankle.
• 腰椎与骨盆的运动方向相反，称为反向腰 盆节律
• 反向腰盆节律，对于维持上身的稳定直立 有重要意义
2012-7-22
Liu Shouguo
The Anterior and Posterior Pelvic Tilt
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
• 骨盆与腰椎的运动方向一致，称之为同向 腰盆节律
2012-7-22
Liu Shouguo
• it is useful for activities such as extending the reaching capacity of the upper extremities.
• 同向腰盆节律，对于增加上肢的活动空间 有重要意义
2012-7-22
Liu Shouguo
腰盆节律
• 腰椎通过骶髂关节与骨盆连接，当骨盆与 髋关节发生运动时，骨盆位置的改变同样 会引起腰椎的运动，腰椎与骨盆在运动中 的节律性关系称为腰盆节律。
2012-7-22
wenku.baidu.com
Liu Shouguo
ipsi-directional lumbopelvic rhythm
• the pelvis and lumbar spine rotate in the same direction. This movement maximizes the angular displacement of the entire trunk relative to the lower extremities
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 下腰痛(Lower back pain, LBP)
– 回顾腰椎骨盆运动学
2012-7-22
Liu Shouguo
PELVIC-ON-FEMORAL OSTEOKINEMATICS
• Lumbopelvic Rhythm The lower, caudal end of the axial skeleton is firmly attached to the pelvis by way of the sacroiliac joints. As a consequence, rotation of the pelvis over the femoral heads typically changes the configuration of the lumbar spine. This important kinematic relationship is known as lumbopelvic rhythm.
– 髂腰肌 – 股直肌 – 竖脊肌 – 腰方肌 – 阔筋膜张肌（TFL） – 梨状肌
• 力量减退的肌肉
– 腹肌 – 臀大肌 – 臀中肌
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 腰-盆肌肉系统失衡
2012-7-22
Liu Shouguo
下交叉综合征的表现
• 姿势
– 骨盆前倾（anterior tilt） – 腰椎后伸 – 髋关节屈曲外旋
2012-7-2步2 行中支撑侧下肢
Liu Shouguo
下侧方台阶
2012-7-22
Liu Shouguo
下交叉综合征--LBP
• 髂腰肌、竖脊肌紧张 • 腹肌、臀肌力量减退 • 骨盆顺时针方向运动：
下交叉综合征
• 顺时针方向运动：
– 骨盆前倾（anterior rotation） – 腰椎后伸（extension）
• 逆时针方向运动
– 骨盆后倾（posterior rotation） – 腰椎前屈（flexion）
2012-7-22
Liu Shouguo
腰-盆肌肉系统失衡
• 紧张而短缩的肌肉
• LCS常发生于长时间伏案工作、姿势较差的人群。 • 以腰-盆肌肉系统的失平衡为显著特征。
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
下交叉综合征
• 顺时针方向运动：
– 髂腰肌 – 竖脊肌
• 逆时针方向运动
– 腹肌 – 臀大肌
2012-7-22
Liu Shouguo
2012-7-22
Liu Shouguo
contra-directional lumbopelvic rhythm
• In contrast, during contra-directional lumbopelvic rhythm, the pelvis rotates in one direction while the lumbar spine simultaneously rotates in the opposite direction.