Туннельные компрессионно-ишемические невропатии

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8.C.JIOB3HH, A.P. PAXHMiJ;JlCAHOB, H.M.JltYJIEB TYHHEnbHblE KOMnPECCHOHHO· HEBPOnATHH TaWKCllT 'I:,\<\CAIIUIlIl<l» Y.ICCP 1988 Повышение квалификации массажистов - www.medical-massage.co.il

Transcript of Туннельные компрессионно-ишемические невропатии

Page 1: Туннельные компрессионно-ишемические невропатии

8.C.JIOB3HH, A.P. PAXHMiJ;JlCAHOB,H.M.JltYJIEB

TYHHEnbHblEKOMnPECCHOHHO·HWEMH~ECKHE

HEBPOnATHH

TaWKCllT 'I:,\<\CAIIUIlIl<l» Y.ICCP 1988

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Page 2: Туннельные компрессионно-ишемические невропатии

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Page 3: Туннельные компрессионно-ишемические невропатии

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Page 8: Туннельные компрессионно-ишемические невропатии

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Page 9: Туннельные компрессионно-ишемические невропатии

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Page 10: Туннельные компрессионно-ишемические невропатии

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Page 17: Туннельные компрессионно-ишемические невропатии

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Page 20: Туннельные компрессионно-ишемические невропатии

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Page 29: Туннельные компрессионно-ишемические невропатии

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Page 30: Туннельные компрессионно-ишемические невропатии

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Page 31: Туннельные компрессионно-ишемические невропатии

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Page 32: Туннельные компрессионно-ишемические невропатии

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Page 33: Туннельные компрессионно-ишемические невропатии

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Page 35: Туннельные компрессионно-ишемические невропатии

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Page 40: Туннельные компрессионно-ишемические невропатии

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Page 60: Туннельные компрессионно-ишемические невропатии

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Page 67: Туннельные компрессионно-ишемические невропатии

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76Повышение квалификации массажистов - www.medical-massage.co.il

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17Повышение квалификации массажистов - www.medical-massage.co.il

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28-33% OT Bcex rOCflIlTaJIII3J'pOOallllhl:X (JonbllblX. KaK ca·MOCTOflTeJThll.Oe 311l50JTl~Ballllc "eupuT mll..l.cooro ll.CpBa 11.J·BeCTeH co opeMeli AOllUellllbl, HMC'IOTCH TaKJKC CHe..l€Il11H,liTO'" 1798 rOllY Cf)pJlD.pciix flullpu(JlIU UHIICH,l 3 C.l)·'IJH

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78

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Jlcpoa OTCyTCTBylOT C/tltHhlC 1l3r:lltllbl H3 3T1IO:lOrIllO II lIaro­rCll~j. IlaIlOo,rICC pncnpOCTpallClfllblMl1 tlB.'ItiIOTCH 1l111!lCKlUI­

ultlla\{, .'1I1M$orelllllHl II ll111eMIlIJC'CIHHI (lIciipOCOCYI\IICTIIR)1cupllil JljloUCXO>KACHIU( :3a60.1Icllallllfl. Cor,'1JCIlO III1q>Cl<llll.DIII(.'1l lcupllll, 3aUUJlCBilJlllC Ilcpua I.HICCM<lTPIID<lCTCJl Kt\KC.1C.:J,CTUllC UUK'fCIJIlUJIIJIlOto IlJIIi 4ilw,C J)IIPYCIlOro npo­I~l!ccua. OAlIUKU lIUTOMOptPU.IUl'UIH:CKIIC IIcc.'lCAOnallllR DOHce~ C.'ly'lilRX IH.lMUJl}IIOT IlCUOCIlUJlltTC.'11>1l0C uOlJpCit<ACililC

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H3 OCII0031H1I1 pCJy.'1hTarou IIMMYllo.'10rll'lCCKtIX /lCClIe­40U'::11I1I1 A. 6. fpllllUlTcfiu (1980) paccMSTplll:JtlCT ucapUT.'lIlLH:.JUro /lepus He "aK .l:llIlITOMlI'IE?CI\Il orp<Ulll'ICIIHIJIII IlS·

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HCI\OTOpble llCC!I(',Il,oa3Te.111 (Jlo63111J B. C., 1%3; Kop­'let.tHt.li, B. A., 1970: Abraham-Inpijn Z" Devricsc P., 1982)YK1l1bCBam Ila POlib IlWeMl1It IICpBa OcneAcf811C COCYAUCTO·ro CO!ll3Mll it 113cTynalOl.JJ.Cro 33TCM O'l'eKa. B. 0, l\anllua,M. A. JUYCTep (1970), "PUCOC.llllllSiliCI> K MllellillO B. C.)\06311118 (1963), CQU'laIOT AII:-Jpcry.lllilJ,1I1O COCYAIIC10rO TO·1I}l:t1 I) Clll.:feMC uupYIKJluil t:ulllluii apTep"" npJlllIlllOR BTO·plI'IHoii JtweMmf JlUu.cuu"'u llcflua. 01111 P3ccM<l:TI)lIl:JilIOTIl~BPIlI .'IIlLlCI)OrO ttt:pua KH" MOllonHTOrClIenl'lCCKOe " B TOH.,c U!JcMli IIOJIU;,)TUU.'lurll'ICCKoe :iHj)OJleU::IIIIIC.

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Ou IIUJNlll'l('Ci\OM IIlJOIlCXO>Ki1.Clllll{ (:i0.'lC3Ifll CBII.Jl n'Jlh·CTUYtOl' JUtC I'PYlillbi q,aKTopUB: 31l3TOMO·<IlIlJIl0.l0rlPI({',\lleCKcAClllIH (Buxter A.. 1971; Proctor B., Nager G. T.,1918) II KJlIlIIIl'CCCKIlC lluClIIKJ,!l,CllllJ.l. AIl<atOMO·<pIl:}llo.~Ofll­

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paCTeQpa 'IIlKOTltlJ()uOil I<IICJlOTLI (JJ~CiSIllI fl. <,;:., j\\aTOCCBG. 1-1" 1967; J1o/53111l B. C.. UIIllUBo(l n. E.. 1973) Y60.~hllblX n:lp:lJlII'IOM 6eJIJHI lUI cmpolli' 11l>o3unJlCrllll o61ti1­py}t{IlB,lI;!TCfI Il{l lPoue HpKOii rllJlCpeMll1I KOlKll .'1IlUil Ci.1(·,ll­IIOC nRnla, no o~epTIHIlBtM TO'1lI0 C110TsCtCTOylOW,cC 3uIIClIacKy.'HlpI13illlllll Jilt IU'ROi! (11:1 py"'::llllll Helix IlC'ICJlIUC"lloii)ilportpllll II ec beToefl.

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TaUIIOIIII)'1O II cocYitopaClJlllpnlOlIl)'K1 Tt'panlllO. E. Sl~nnert(1982) OT,..('I4OI('1' lIo.10H<1lTf'.1bltbll'J 3~~(,li:f Of npIIMCIIClIlIR

lICl{C'Tpa1l3, nCIIToKclI4>II.'T.111I1a, IWpTIlJOlia. B. C. J]O(JJIIIl0963. 1985) c ue.'1blO .1ItKDII.laUIIIJ allrllOClla3~ta II OTt'K3uCI'Ha npCJVIoiKlI.'l II ncpuhlc AIlII aaGo.'tcB<JIIIUl IIU311a'il:lTbIIUKOTlllluuylO I\IIC.10TY, IluuOKallHuublc 6.'10KSJ1,b1 38P3..1.'13­

"Iuro )I:t.18, .'Hl:ml\C.I b !Jlu:tllonpancuTII'IL-Cl\IIX MeTOJl.OR .1e'lellllSt HeOplITlt

-'HllleRoro lI('poa lIaIlOO.'I('(" '1IlCTO np"\IPIUTH)T no.:1YM3CXY5{'prnllhc, "!t3pll, CO.'lK11\C, 3c1CI\TPO$OPE'3 .1eKapcToellllop'o

HCIJICCTOlt. n('lIcOuylO rllMllaCTlIKY, M!lCC;I>K, Y..lbTP338YKOO),1OTPplllllllQ. IlPIIIl~M lIeJJ.Il4l4lep~1I11llpOB3111l0.'lTO. 110 MIICIiIiIOK. r. YM,wcKoro (19U:l). IlaCTO IIC ,/lacr nO/to>t\IlTC.'Ilillbl"(

PI1'J)'_'1bTilTOD.CnOplIlJMIt OCTalOTCU Tcl,()f(c 80npOCLf IIplIMcllellllR .;I.1l?K­

Tporll 101 lI<1CTliKII. oow('ro Macca >Kil. II r,lIOpe<f!JJCKCOTepa nUll.T3K. no MllellillO A. r. KOPUCli'IYKlJ, B. 5. 311I1rppr.tan:1(1968). nOC.'lCAIlIOIO MO>KIIO flPOBOJlUTh .'11111110 IJ .rlerKlIX CJlY­

1l<lllX, lJ Ti.lIOKC IIlllI IUIJIlI'lIHI llPOTIIROnOil:!l3311I1n 1\0 UCC\l.apyrltM MCTOA8M ..1("ICIIIlK (!IJ1JH'rrUlleomc PC<Jil:UHlf. (Jepe·MCllIIOtn.). 3. n. TblKO'IIIIlCK:Hl (1%9), i'. B, KanaUIItIl­KOIJ (1972). 1I1l060rOT, C'IIIT:HOT ('c s4l<peKTIIDIlIlM MCTOjlO\1111)11 JUllllloi! nIlTOJJOrllll,

B. 0, K;lJlIlIW, M, A. IIlycf('!) (1970), A. K. nouns(1968), SIR;t] 1/ can nT, (1979) II AI)yrllc 00.111)00110 ClIIIIC!l.'111XllpYPrllllPCKIlC MCTOllLl JlC'ICIIIU1. KOTOPlJiC CROjJ.fITCfl l~ no­IIhlTK!1M KOppCKUltll aCIlMM('TI)llli J111l~1l JIlI60 K II<JCTIlI1l10MY

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l}oCC13nonnCIIIIIO $YIlKUml napanll30e311llhiX MhllUll allC'W! IlIlUCTuMuJOIJ C JlI)yrIlMIt JJepnaMl1.

nOKll::lti II H" K pa3Jill l l1l6lM allAn M .tle'/CUIH! \I aCTO 8lJpa6n·ThllH1IOTCH U 3f1IJIICUMUC'111 tlT jl,.lIlTCJIt.JlOCTIi II DI"paa<eIlIlOC''Til I1llpUJlIl'l;l JoII1Mll'lecKIlX MUlllU, 6e:i upOIJCnClIlISI narorCHC·TII1leCKliX cnoco60B JlIIIJrIlOCTllKIl, 'ITO IifJ.1HcrCIl nplIlJlllloA:

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KIlK nOCTIIcopIITIIIICCK3n KOIlTpllKTypa MlI\lIl'lCCKIlX MI..WlllII naT().'TOrlllJCCf\lIe ClfllKIlIle3l111,

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ro ut>!'nll RCTpeTIlJlIlCI, II 4 (2,3%) CJly'I:1HX. B UJl.llUM 113II1IX 60Jl('JlI' My>K, )f(CII:1, IIX AO'lh II RllyK. PCI~IlAlIllllPYK)lU.IIC

1If'IlPIlThi OTMe'ICHbi y III I')O.'lhllf,IX, IIC"!pMI\C'llllC' IIp:1110rO

Jlllllcooro uepJJ<l 1I<l6n101l:t.'lOCIo y 74 (43%) OOJlhllhl.'<, JlCllO­fO - Y 85 (57%), qTO corJl<lcYC'TCfl C lUlllIthlMll A. 11. rpllll­IIITenUfl (1980), llOyC10pOltllC',(" 1I01)<l}l{CllIlC (jhIJlO YII (li,4 %)(iO.lJbllblX, \{TO COOTlJcTcTnyc"t JHIlIII .... M T, II. KOHCf<lIlTH1l0­nUll (1971). Y 134 (79%) UU,'llllll.olX J~lll}llocTb 3<l60,IJClJlllllfRCOCT80JlRJlli OT 3 AIlCil An 3 MCC; Y 36 (21 %) - OT 3 MCC40 10 MT.

nu MIlClutlO n. M. Am.ncpmuilia II COllBT. (1918),n. A. D,OHYll.Q811 (1981), M. M. Kopllll<l II CO:1BT. (1!l81),(I.C. YliHIKORfl, II.A. PYCCKIlX (1981), 1131160.1ee'I:'I;TO'-'IIpll'1I11l0li B03111lKIlOBCIIIISI IICOP"TOB .'lltlH."80ro lIf'pM Sl8JlM­

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IIC nOlnBep>Kll31OT :noro nOJlO)K('IlIHL~' fi2 (35,3%) UollbllLlX ~Il()oJl('oaIlJ1C P33IU1B<lJlOCll ll<l

<polle 1I0BloIWCIIIIOro apTCpllam,1I0ro JUIMCllIUI (II~ llUX 45I;TpalVtJIll 1'lIl1CpTOIIJlllCCKuii (lOIIC3111,1O). y 23 (14,5%)SMOUIIOltaJlhllOrO Ila npA>KCIIIlH. l1cnucpCJl.CTBClllluii 1111111111­

lion 3360JlCIHIIIIlH y 53 (37.1%) 60JlhllhlX 6h1!IO JlCIWIl,\:­

.'T3)f{Jt('IIIIC COOTDCl'CTBYiOUlCli 1I0JlORIIHhI JlIlU8, Y 18(10,5%) -1)(:CIlIlPilT0I'IlIlSl IlIIt~CKI(IIJ1 II «lIpocTYll.:1:t, y 2(1,1%) npCAilOllarflJl3C4 CIl;J13h I; ROCn,'1J1elllleM CpellllerO

y.till, y G (3,5%) - C TpllllMOA (CJleJ:t:CTRIIC nepe,10Mon nn­lJilMl1jlJ01 1I11CO'11I0(r ImcTII) TI )' 20 60,'lbHblX npnttllllY ~(l(5o­

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I)OCcr3.nODJlCIlIIIO tPYllKUlI1I napaJ11130031111hlX MbllIIll S3C'H!T tllll.lCmMu301J C JlPYflIMl1 ItCpDJMll,

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XO,aII.'10Cb 170 6oJllolllllX llCOPlITQM .'Jllll('l}nrO lI<>pDtI (.tlltllmCUCKoro nO."3 - lOG, MYiKCKoro - G'l). B BOJp3CTC llO 20.'leT CiUlIu 24 6om,llblx. 20-29 .ICT - 40. 30-39 .'1eT - 45.40-49 J]CT - 18. 50 59 JICT 20. CTapllJC 60 .'leT 23.DO.'1bWlIllcTOO GO/lbllLlX couaU.HI.'1l1 ... IItHI \IU.JO..J,Oro II cpC'tI.­IIC'ro [I0::'IHIC1'a. 'ITO COUIlH,lUlcT C A:IIlIIl"~1I1 n. M. AJn,IlC'­JlOBllllB II COBUT. (1978) II All. CCMcillll>l{, m'uIJlITl>I .'1I1UCUO·TO llepHIl RCTPCTHJlIICI. R 4 (2,3%) C.')"IIlRX. B OAIIOM Il~

IImc fio.,eJlII M)/m, mCIlI!. lIit .'to'lh II RllYK. PClI.llJJ.IIRlIpYlOlIUICHPBpllTbl OTMCllellbl y IG 60.'1011101)( n~pamE'llIl(' npaRoro.'11111eRoro llepna lInO.'1IO/lIl.1OCh Y 74 (4~%) OOJIhllLlX, .'IeBO·ro -)/ 85 (57%). IlTO cormlC)'('TCJI C J1<UlIIbI\lll A. I'). fpll'"IllTeAIl8 (1980). 'uByCTOpOllll(,(' 1101>3 )f\elt IIC Ghl.'10 Y II «i,4 %)OO,ilbllblX, liTO COOTOCTCTO)'CT A31l1ll.lM T II. KOIlCr311T11110·DIIII (1971). Y 134 (79%) Go.n.llb/x JlilUllucTb 3i160.'lCUaltllll~OC:TaOJlRJta OT 3 Allcii Ao 3 MCC; Y 36 (21 %) -OT 3 ML'C

At> IOM:T.no MlICIllllO n. M. AJll'IlCpORII'I3 II COURT. (1978).

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~! 1'i2 (35,:1%) (;OnbllLlx 3<l(;O.'fCB<llflte pa31JllfliJnOCt. Ill!qlOliC 1100Lfwelllloro npTcpllnnbllol'o .nan/lcmHf (II~ 1111:< 45cTpalHIJlIl I'ltnCpTolllllfCCKOii 60JIC:lllblO). y 23 (14.5%) ­SMOllllouant.lloro 1I1lfllHDKCIIlUI. IlcIlOCPC1I.CTllCIlHOi"t nptl'lIl­lion 3a6oJ]('uilllllH )' 53 (37.1 %) (jOJlhllhiX 6hl.10 llCpI'OX'

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Page 89: Туннельные компрессионно-ишемические невропатии

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Page 91: Туннельные компрессионно-ишемические невропатии

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Page 108: Туннельные компрессионно-ишемические невропатии

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Page 109: Туннельные компрессионно-ишемические невропатии

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112Повышение квалификации массажистов - www.medical-massage.co.il

Page 110: Туннельные компрессионно-ишемические невропатии

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Page 136: Туннельные компрессионно-ишемические невропатии

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Page 137: Туннельные компрессионно-ишемические невропатии

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Page 143: Туннельные компрессионно-ишемические невропатии

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Page 144: Туннельные компрессионно-ишемические невропатии

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Page 145: Туннельные компрессионно-ишемические невропатии

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Page 146: Туннельные компрессионно-ишемические невропатии

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'40Повышение квалификации массажистов - www.medical-massage.co.il

Page 147: Туннельные компрессионно-ишемические невропатии

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Page 148: Туннельные компрессионно-ишемические невропатии

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Page 150: Туннельные компрессионно-ишемические невропатии

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Page 151: Туннельные компрессионно-ишемические невропатии

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Page 152: Туннельные компрессионно-ишемические невропатии

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Page 154: Туннельные компрессионно-ишемические невропатии

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Page 155: Туннельные компрессионно-ишемические невропатии

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Page 167: Туннельные компрессионно-ишемические невропатии

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Page 168: Туннельные компрессионно-ишемические невропатии

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