代償有非常多不同的形式
其中一種常見的模式為相鄰關節的代償
建基於區域相依理論之上
In the previous article, we mentioned that there are many different types of compensation.
One common compensation type is joint to adjacent joint.
Mainly base on the concept of regional interdependence (RI).
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人體的各個關節都需要保持在正常範圍內活動的能力
不過有些地方需要更多的穩定性, 其他則需要更多的活動性
當該穩定的地方失去穩定性時
勢必得藉由其他區域增加穩定來補足
此時就會有代償的產生
我們反而會見到的是其他區域的障礙而非問題的源頭
Every joint should have the ability to move in their full range without problem.
Some joints require more stability, others need more mobility.
Once we lose the stability at the area that needs to be secured,
others will take the responsibility for it.
And you'll see the compensation.
Most of time we'll find the pain or dysfunction on those compensated areas that hinder the original problem.
最常見的例子即為腰椎的不穩定
會造成胸椎以及髖關節活動能力減少去代替需要穩定的腰椎
可能造成潛在的髖關節夾擠以及後彎功能喪失
One very common clinical finding is lumbar instability.
The thoracic spine and hip joint will decrease mobility to meet the requirement of stability.
It can lead to potential hip impingement and lack of multi-segmental extension.
這就是為何整體評估如此重要
特別針對慢性或反覆發作的傷害
也許你一直都沒有處理到真正造成問題的區域
That's why the whole assessment is so important, especially to the chronic or repetitive symptom.
Maybe you put your eyes on the wrong spot.
如果你對區域相依理論有更多興趣
可以參考下面連結內的文章
If you have further interest about RI, check the link below.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649356/table/jmt-21-02-090-t02/
本著作由I-Chen Liu, PT, MS製作，以創用CC 姓名標示-非商業性-相同方式分享 4.0 國際 授權條款釋出。
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