arthrokinematic neurological approach :...
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Arthrokinematic Neurological Approach : ANA
한국관절신경도수치료의학회 PT학회
회장 안 승 우
SRS
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ANA?- Sliding, Rolling, Spin-
• 관절운동학에 기초한 치료법으로관절의 움직임, 관절면의 (그림a)활주(Sliding), (그림b)회전(Rolling),(그림c) 회선(Spin) 등관절낭내 운동의 이상을 치료하는방법이라고 정의하고 있다.
• Mennell(1960), Kaltonborn(1976)
• Joint mobilization을 참고하여 개발되었다.
• AKA의 기초인 관절운동학은Macconail & Basmajian(1977)이그 기초를 체계화하였다.
• 특징은 관절낭내 운동과 통증 진단및 치료수단이다.
Seungwoo, AhN
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기본적인 관절면상
A. 난형 관절면 : 관절면 전체가 오목면 또는 볼록면을 가지고있다.
B. 안장형 관절면 : 동일관절면내에서 오목면과 이를 가로지르는 불록면을 가지고 있다.
Seungwoo, AhN
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Concave-Convex(요철의 법칙)
• A. Concave(오목법칙) : 관절면은 뼈의 운동과 같은 방향으로 활주한다.
• B. Convex(볼록법칙) : 관절면은 뼈의 운동과 반대 방향으로 활주한다.
Seungwoo, AhN
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상지 관절
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하지 관절
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• 흉쇄 관절
• 견갑상완 관절
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팔꿈치 관절과 운동
Seungwoo, AhN
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전완 관절의 운동
Seungwoo, AhN
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수관절 운동
Seungwoo, AhN
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모지 중수관절(우측)운동
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시지관절 운동
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거퇴관절과 오목법칙
Seungwoo, AhN
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거골하 관절
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환추후두관절 및 환축관절
Seungwoo, AhN
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천장관절 운동
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고관절(좌 전면)과 운동
Seungwoo, AhN
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운동분절과 운동자유도
Seungwoo, AhN
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추간관절의 형태
Seungwoo, AhN
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늑추관절
Seungwoo, AhN
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수동 구동운동, 저항구성-골운동보조운동
Seungwoo, AhN
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ANA에 의해 없어지는 통증
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