枕下肌群研究进展

doi:10.16098/j.issn.0529-1356.2020.01.026

摘要/Abstract

摘要：

枕下肌群目前越来越受到康复界的重视，其特殊的连接部位以及特殊的结构，使很多疾病及症状都与其有重要的关联。本文中我们将从枕下肌群解剖、生理功能特性、常见损伤原因和临床应用4部分介绍枕下肌群研究进展，以便更好地总结枕下肌群的特点，为临床提供依据。

关键词: 枕下肌群, 生理功能特性, 常见损伤原因, 临床应用, 解剖学

Abstract:

The suboccipital muscle group has been paid more and more attention by the rehabilitation community. Its special junction and special structure make many diseases and symptoms have important association with it. This article will introduce the research progress of suboccipital muscle group from four parts: anatomy, physiological function, common cause of injury and clinical application.

Key words: Suboccipital muscle, Physiological functional characteristics, Common cause of injury, Clinical application, Anatomy

中图分类号:

R322

裴飞陈国平王艳. 枕下肌群研究进展[J]. 解剖学报, 2020, 51(1): 150-152.

PEI Fei CHEN Guo-ping WANG Yan. Advances in research on the suboccipital muscles[J]. Acta Anatomica Sinica, 2020, 51(1): 150-152.

参考文献

［1］ Wang HQ, Guo KH, Mai QA. Functional Anatomy: Musculoskeletal Anatomy, Kinesiology, and Palpation for Manual Therapists［M］. Tianjin:Tianjin Publishing Media Group, 2013: 231-244. (in Chinese)

汪华侨, 郭开花, 麦全安, 译. 功能解剖——肌与骨骼的解剖、功能及触诊［M］.天津，天津出版传媒集团，2013:231-244

［2］ Kahkeshani K, Ward PJ. Connection between the spinal dura mater and suboccipital musculature: evidence for the myodural bridge and a route for its dissection - a review［J］. Clin Anat, 2012, (25):415-422.

［3］ Pontell ME, Scali F, Enix DE, et al. Histological examination of the human obliquus capitis inferior myodural bridge［J］.Ann Anat, 2013, 195 (6):522-526.

［4］ Scali F, Pontell ME, Enix DE, et al. Histological analysis of the rectus capitis posterior major’s myodural bridge［J］. Spine J, 2013, 13 (5):558-563.

［5］ Liu HR, Huang Q, Peng W, et al. Microanatomy of the distal occipital transforaminal approach［J］.Chinese Journal of Minimally Invasive Neurosurgery, 2004, 9(3): 122-125. (in Chinese)

柳浩然，黄勤，彭蔚，等.枕下远外侧经髁入路的显微解剖学研究［J］.中国微侵袭神经外科杂志，2004，9（3）：122-125.

［6］ Zhang ZhQ, Pan JX, Ma BR, et al. Microscopic anatomy of the distal lateral approach［J］. Chinese Journal of Neurosurgery, 2016, 32(2): 166-171. (in Chinese)

张占权，潘建勋，马宝瑞，等.远外侧入路的显微解剖研究［J］.中华神经外科杂志，2016，32（2）：166-171.

［7］ Peng ZhQ, Xu DCh, Tian GY. Anatomical study of endoscopically assisted distal occipital occlusion locking surgical approach［J］. Chinese Journal of Clinical Medicine, 2008, 15(1): 31-34. (in Chinese)

彭志强，徐达传，田广永. 内镜辅助下枕下远外侧经髁锁锁控手术入路的解剖学研究［J］.中国临床医学，2008，15（1）：31-34.

［8］ Xu QY. Ge’s Anatomy. Anatomical Basis of Clinical Practice［M］. 39th ed. Beijing: Peking University Press, 2008:860-861. (in Chinese)

徐群渊译. 格氏解剖学.临床实践的解剖学基础［M］. 第39版. 北京：北京大学出版社. 2008：860-861.

［9］ Schomacher J, Falla D. Function and structure of the deep cervical extensor muscles in patients with neck pain［J］. Man Ther, 2013, 18 (5): 360-366.

［10］Lin JZh. Musculoskeletal System, Kinesiology and Rehabilitation Medicine［M］. 2nd ed. Taipei: Taiwan Elsevier, 2013: 401-405. (in Chinese)

林居正，注译.肌肉骨骼系统肌动学与复健医学基础［M］. 第2版. 台北: 台湾爱思唯尔有限公司，2013:401-405.

［11］Guan L, Zhou WJ, Weng ChSh. Translated Train［M］. 3rd ed. Beijing: Beijing Science and Technology Press, 2016: 97-99. (in Chinese)

关玲，周维金，翁长水，译. 解剖列车［M］. 第3版. 北京科学技术出版社，2016: 97-99.

［12］Guo YL, Li YQ. Musculoskeletal Palpation Guidelines-Trigger Point, Transfer Mode and Stretch［M］.Taipei: Taiwan Elsevier Co, Ltd, 2011: 215. (in Chinese)

郭怡良，李映琪译. 肌肉骨骼触诊指引-扳机点、转移模式和牵张［M］. 台北: 台湾爱思唯尔有限公司，2011: 215. 

［13］Guan DSh. Handbook of Myofascial Pain and Dysfunction［M］.Taipei: Hutchison Publishing House, 2010: 472-477. (in Chinese)

官大绅,译. 肌筋膜疼痛与机能障碍激痛点手册［M］. 台北: 合记图书出版社，2010: 472-477.

［14］Lin Y, Zou YC, Li YK. Effect of upper cervical spine manipulation on masseteric tenderness threshold and maximum mouth opening limit in patients with temporomandibular joint disorders［J］. Chinese Journal of Rehabilitation Medicine, 2014, 29(1): 51-54. (in Chinese)

林友，邹宇聪，李义凯. 上颈椎手法治疗对颞下颌关节紊乱症患者咬肌压痛阈值及最大张口限度的影响［J］. 中国康复医学，2014，29（1）：51-54.

［15］Joshi DG, Balthillaya G, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals- A randomized clinical trial［J］. J Bodyw Mov Ther, 2018,22(3):832-837.

［16］Beardsley C, ?karabot J. Effects of self-myofascial release: a systematic review［J］. J Bodyw Mov Ther, 2015,19(4): 747-758.

［17］Heredia Rizo AM, Pascual-Vaca áO, Cabello MA, et al. Immediate effects of the suboccipital muscle inhibition techinque in craniocerivcal posture and greater occipital nerve mechanosensitivity in subjects with a history of orthodontia use: a randomized trial［J］. J Manipulative Physiol Ther, 2012, 35(6):446-453.

［18］Kim BB, Lee JH, Jeong HJ, et al. Effects of suboccipital release with craniocervical flexion exercise on craniocervical alignment and extrinsic cervical muscle activity in subjects with forward head posture［J］. J Electromyogr Kinesiol, 2016, 30:31-37.

［19］Escaloni J, Butts R, Dunning J. The use of dry needling as a diagnostic tool and clinical treatment for cervicogenic dizziness: a narrative review & case series［J］. J Bodyw Mov Ther, 2018, 22(4):947-955.

［20］Zhao XJ, Fu ZhJ, Song WG. Muscle chain and trigger point - the new concept and application of manual analgesia［M］.Jin’an: Shandong Science and Technology Press, 2012: 105. (in Chinese)

赵学军，傅志俭，宋文阁译.肌肉链与扳机点-手法镇痛的新理念及应用［M］. 济南: 山东科学技术出版社，2012:105.

［21］Fernández-de-Las-Pe?as C, Alonso-Blanco C, Cuadrado ML,et al. Myofascial trigger points in the suboccipital muscles in episodic tension-type headache［J］. Man Ther, 2006,11(3):225-230.

［22］Sedighi A, Nakhostin Ansari N, Naghdi S.Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache［J］. J Bodyw Mov Ther, 2017, 21(4):810-814.

［23］Espí-López GV, Gómez-Conesa A, Gómez AA, et al. Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: a double-blind, randomized, placebo-controlled clinical trial［J］. J Bodyw Mov Ther, 2014,18(4):576-585.

［24］Wannaprom N, Treleaven J, Jull G, et al. Neck muscle vibration produces diverse responses in balance and gait speed between individuals with and without neck pain［J］. Musculoskelet Sci Pract, 2018,35: 25-29.

［25］Sui HJ. Myocardial bridge and cerebrospinal fluid circulation［J］.Journal of Dalian Medical University, 2017, 39(3): 209-213. (in Chinese)

隋鸿锦. 肌硬膜桥与脑脊液循环［J］.大连医科大学学报，2017，39（3）：209-213.

［26］Jiang P, Tong XK, Wang HM, et al. The influence of hierarchical anatomy on the teaching and research development of human anatomy today［J］.Acta Anatomica Sinica,2017,48(4):493-496. (in Chinese)

姜平，童鑫康，王鹤鸣，等. 层次解剖学对当今人体解剖学教学和科研发展的影响［J］.解剖学报，2017，48（4）：493-496.

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