치료적 맞춤운동, 비타미네, 영성 연구소

드디어 발 촉진의 기준점, 반드시 기억해야할 landmark를 찾았다.대박 panic bird.... lower leg 14개의 근육 5 extensor2 peroneals7 flexor  <img src="https://t1.daumcdn.net/cfile/cafe/2613103852BFABC513" class="txc-image" actualwidth="567" hspace="1" vspace="1" border="0" width="567" exif="{}" style="clear:none;float:none;" id="A_2613103852BFABC51366F5"/> lower leg의 5 extensor1) tibialis anterior2) extensor hallucis longus3) extensor digitorum longus4) peroneus tertius msucle5) extensor digitorum brevis 주요 촉진 가능한 부위talus, navicualr tuberosity, calcaneous sustentaculum tali, 1st cuneiform, 1st metasal bone and cuneiform joint line<img src="https://t1.daumcdn.net/cfile/cafe/2516E13F52BFB82D0B" class="txc-image" actualwidth="501" hspace="1" vspace="1" border="0" width="501" exif="{}" style="clear:none;float:none;" id="A_2516E13F52BFB82D0B8FE4"/> <img src="https://t1.daumcdn.net/cfile/cafe/241F703F52BFB82E2D" class="txc-image" actualwidth="508" hspace="1" vspace="1" border="0" width="508" exif="{}" style="clear:none;float:none;" id="A_241F703F52BFB82E2DBC96"/> 거골의 촉진 <img src="https://t1.daumcdn.net/cfile/cafe/2252D03952BFDA5708" class="txc-image" actualwidth="507" hspace="1" vspace="1" border="0" width="507" exif="{}" style="clear:none;float:none;" id="A_2252D03952BFDA5708CEAA"/> 전경골근과 장무지신근anterior tibial artery 촉진 가 능장무지신근과 장지신근 사이에 deep peroneal nerve 촉진 <img src="https://t1.daumcdn.net/cfile/cafe/210C663F52BFDC1F2A" class="txc-image" actualwidth="494" hspace="1" vspace="1" border="0" width="494" exif="{}" style="clear:none;float:none;" id="A_210C663F52BFDC1F2AF649"/> <img src="https://t1.daumcdn.net/cfile/cafe/2644784E52BFAD3237" class="txc-image" actualwidth="648" hspace="1" vspace="1" border="0" width="648" exif="{}" style="clear:none;float:none;" id="A_2644784E52BFAD323782EB"/> tibialis anterior 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/264A633952C173E311" class="txc-image" actualwidth="582" hspace="1" vspace="1" border="0" width="582" exif="{}" style="clear:none;float:none;" id="A_264A633952C173E3114E03"/> <img src="https://t1.daumcdn.net/cfile/cafe/212B124E52BFAD3340" class="txc-image" actualwidth="625" hspace="1" vspace="1" border="0" width="625" exif="{}" style="clear:none;float:none;" id="A_212B124E52BFAD334006DD"/> extensor hallucis longus촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/265FF53352C1759803" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_265FF53352C1759803EF3A"/> <img src="https://t1.daumcdn.net/cfile/cafe/22640A4E52BFAD3301" class="txc-image" actualwidth="650" hspace="1" vspace="1" border="0" width="650" exif="{}" style="clear:none;float:none;" id="A_22640A4E52BFAD3301EEBA"/> extensor digitorum longus 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/2136463C52C174E20C" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_2136463C52C174E20C2B64"/> <img src="https://t1.daumcdn.net/cfile/cafe/23544D4E52BFAD3330" class="txc-image" actualwidth="603" hspace="1" vspace="1" border="0" width="603" exif="{}" style="clear:none;float:none;" id="A_23544D4E52BFAD333077B3"/> <img src="https://t1.daumcdn.net/cfile/cafe/2746724E52BFAD3433" class="txc-image" actualwidth="613" hspace="1" vspace="1" border="0" width="613" exif="{}" style="clear:none;float:none;" id="A_2746724E52BFAD3433DD02"/> 전방구획(anterior compartment)deep peroneal nerve의 지배를 받는 구획을 가진 부위(근막)전방구획증후군이 흔하게 발생하는 부위. <img src="https://t1.daumcdn.net/cfile/cafe/2238153E52BFAE202D" class="txc-image" actualwidth="643" hspace="1" vspace="1" border="0" width="643" exif="{}" style="clear:none;float:none;" id="A_2238153E52BFAE202D5C52"/> <img src="https://t1.daumcdn.net/cfile/cafe/2755A43E52BFAE2123" class="txc-image" actualwidth="521" hspace="1" vspace="1" border="0" width="521" exif="{}" style="clear:none;float:none;" id="A_2755A43E52BFAE212306D9"/> lower leg의 2 peroneal muscle peroneal longus and brevis msuclesuperficial peroneal nerve의 지배를 받는 구획 발목바깥쪽 촉진의 landmarklateral mallelous peroneal tubercle of calcaneous5th metatarsal head <img src="https://t1.daumcdn.net/cfile/cafe/2508263C52BFD8CB0A" class="txc-image" actualwidth="521" hspace="1" vspace="1" border="0" width="521" exif="{}" style="clear:none;float:none;" id="A_2508263C52BFD8CB0A81B0"/> <a href="http://cafe.daum.net/panicbird/OUdz/71" target="_blank" class="tx-link">중요한 촉진 landmark(클릭)</a>tarsal canal - 족근동증후군의 위치- 종골과 거골이 만나 이루는 발의 내외측으로 이어지는 canal- 내측으로는 sustentaculum tali위쪽으로 이어짐. - interosseous talocalcaneal ligament가 있어 신경이 많이 지배하는 부위 The subtalar or talocalcaneal joint consists of two separate parts, divided by the tarsal canal (Fig. 80.8), which is funnel shaped with the wide portion at its lateral end. The lateral end of the canal is easily palpated in front of the fibular malleolus between talus and calcaneus, especially when the foot is inverted. The canal runs posteromedially, to have its medial opening just behind and above the sustentaculum tali. In the canal a strong ligament, the interosseous talocalcaneal ligament, binds the two bones. <img src="https://t1.daumcdn.net/cfile/cafe/2221ED4452BFD95818" class="txc-image" actualwidth="506" hspace="1" vspace="1" border="0" width="506" exif="{}" style="clear:none;float:none;" id="A_2221ED4452BFD95818B7F6"/> <img src="https://t1.daumcdn.net/cfile/cafe/210BB64A52BFD99107" class="txc-image" actualwidth="1020" hspace="1" vspace="1" border="0" width="1020" exif="{}" style="clear:none;float:none;" id="A_210BB64A52BFD99107CFD8"/> <img src="https://t1.daumcdn.net/cfile/cafe/24358B4952BFD9AF22" class="txc-image" actualwidth="503" hspace="1" vspace="1" border="0" width="503" exif="{}" style="clear:none;float:none;" id="A_24358B4952BFD9AF22D19C"/> <img src="https://t1.daumcdn.net/cfile/cafe/236EAE4E52BFD6F134" class="txc-image" actualwidth="1023" hspace="1" vspace="1" border="0" width="1023" exif="{}" style="clear:none;float:none;" id="A_236EAE4E52BFD6F134E958"/> peroneal tublecle = trochlear process of calcareous 는 중요한 촉진 landmark. <img src="https://t1.daumcdn.net/cfile/cafe/2577174F52BFD78612" class="txc-image" actualwidth="399" hspace="1" vspace="1" border="0" width="399" exif="{}" style="clear:none;float:none;" id="A_2577174F52BFD78612D861"/> <img src="https://t1.daumcdn.net/cfile/cafe/225EAD4852BFD87E2C" class="txc-image" actualwidth="498" hspace="1" vspace="1" border="0" width="498" exif="{}" style="clear:none;float:none;" id="A_225EAD4852BFD87E2C6E0B"/> <img src="https://t1.daumcdn.net/cfile/cafe/2706044852BFD87E20" class="txc-image" actualwidth="512" hspace="1" vspace="1" border="0" width="512" exif="{}" style="clear:none;float:none;" id="A_2706044852BFD87E201478"/> <img src="https://t1.daumcdn.net/cfile/cafe/277FD84B52C177092A" class="txc-image" actualwidth="631" hspace="1" vspace="1" border="0" width="631" exif="{}" style="clear:none;float:none;" id="A_277FD84B52C177092A9CFE"/> <img src="https://t1.daumcdn.net/cfile/cafe/244D6C4152BFAF960B" class="txc-image" actualwidth="633" hspace="1" vspace="1" border="0" width="633" exif="{}" style="clear:none;float:none;" id="A_244D6C4152BFAF960BCAE1"/> <img src="https://t1.daumcdn.net/cfile/cafe/2451074152BFAF9731" class="txc-image" actualwidth="591" hspace="1" vspace="1" border="0" width="591" exif="{}" style="clear:none;float:none;" id="A_2451074152BFAF973181F0"/> peroneus longus and brevis촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/26784C4352C1778128" class="txc-image" actualwidth="584" hspace="1" vspace="1" border="0" width="584" exif="{}" style="clear:none;float:none;" id="A_26784C4352C1778128EAA9"/> <img src="https://t1.daumcdn.net/cfile/cafe/255EB14A52BFAED037" class="txc-image" actualwidth="651" hspace="1" vspace="1" border="0" width="651" exif="{}" style="clear:none;float:none;" id="A_255EB14A52BFAED037A65A"/> lower leg의 7 flexor muscle1) gastronemius 2) soleus3) plantaris msucle4) popliteus muslce5) tibialis posterior6) flexor hallucis longus7) flexor digitorum longus <img src="https://t1.daumcdn.net/cfile/cafe/2114244C52BFB1720C" class="txc-image" actualwidth="621" hspace="1" vspace="1" border="0" width="621" exif="{}" style="clear:none;float:none;" id="A_2114244C52BFB1720CAD9D"/> gastrocnemius 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/273BF34052C1784B0D" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_273BF34052C1784B0DE673"/> <img src="https://t1.daumcdn.net/cfile/cafe/245F844052C1784E34" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_245F844052C1784E34EC60"/> <img src="https://t1.daumcdn.net/cfile/cafe/237E944C52BFB17313" class="txc-image" actualwidth="614" hspace="1" vspace="1" border="0" width="614" exif="{}" style="clear:none;float:none;" id="A_237E944C52BFB173136F1F"/> soleus촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/2245734B52C1790E21" class="txc-image" actualwidth="890" hspace="1" vspace="1" border="0" width="890" exif="{}" style="clear:none;float:none;" id="A_2245734B52C1790E214192"/> <img src="https://t1.daumcdn.net/cfile/cafe/2271C84C52BFB17318" class="txc-image" actualwidth="618" hspace="1" vspace="1" border="0" width="618" exif="{}" style="clear:none;float:none;" id="A_2271C84C52BFB17318029C"/> plantaris 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/21560A3F52C178AF26" class="txc-image" actualwidth="859" hspace="1" vspace="1" border="0" width="859" exif="{}" style="clear:none;float:none;" id="A_21560A3F52C178AF2699B0"/> <img src="https://t1.daumcdn.net/cfile/cafe/2770A04C52BFB17419" class="txc-image" actualwidth="612" hspace="1" vspace="1" border="0" width="612" exif="{}" style="clear:none;float:none;" id="A_2770A04C52BFB174196224"/> popliteus muscle 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/26256B3752C179B433" class="txc-image" actualwidth="586" hspace="1" vspace="1" border="0" width="586" exif="{}" style="clear:none;float:none;" id="A_26256B3752C179B433094C"/> <img src="https://t1.daumcdn.net/cfile/cafe/2328C34D52C17A5605" class="txc-image" actualwidth="548" hspace="1" vspace="1" border="0" width="548" exif="{}" style="clear:none;float:none;" id="A_2328C34D52C17A5605A190"/> <img src="https://t1.daumcdn.net/cfile/cafe/26198A4D52C17A560C" class="txc-image" actualwidth="594" hspace="1" vspace="1" border="0" width="594" exif="{}" style="clear:none;float:none;" id="A_26198A4D52C17A560C8207"/> <img src="https://t1.daumcdn.net/cfile/cafe/264D7F4C52BFB17426" class="txc-image" actualwidth="614" hspace="1" vspace="1" border="0" width="614" exif="{}" style="clear:none;float:none;" id="A_264D7F4C52BFB1742642F7"/> tibialis posterior 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/22037C4B52C17B591B" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_22037C4B52C17B591BBEE9"/> <img src="https://t1.daumcdn.net/cfile/cafe/266F104C52BFB1741A" class="txc-image" actualwidth="631" hspace="1" vspace="1" border="0" width="631" exif="{}" style="clear:none;float:none;" id="A_266F104C52BFB1741AA388"/> flexor digitorum longus촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/2342603652C17BC91E" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" exif="{}" style="clear:none;float:none;" id="A_2342603652C17BC91EFC44"/> <img src="https://t1.daumcdn.net/cfile/cafe/215D004C52BFB1751F" class="txc-image" actualwidth="620" hspace="1" vspace="1" border="0" width="620" exif="{}" style="clear:none;float:none;" id="A_215D004C52BFB1751F6ACE"/> flexor hallucis longus 촉진법 <img src="https://t1.daumcdn.net/cfile/cafe/2354EC4D52C17C212D" class="txc-image" actualwidth="887" hspace="1" vspace="1" border="0" width="887" exif="{}" style="clear:none;float:none;" id="A_2354EC4D52C17C212DA228"/> 7개의 굴곡근은 후방구획으로 나뉘고 tibial nerve가 지배함.후방구획은 superficial compartment와 deep compartment로 두개의 구획으로 나뉨.  <img src="https://t1.daumcdn.net/cfile/cafe/232ECB3A52BFB1DE2B" class="txc-image" actualwidth="651" hspace="1" vspace="1" border="0" width="651" exif="{}" style="clear:none;float:none;" id="A_232ECB3A52BFB1DE2B779D"/> 이 구조를 내측에서 다시 분석1) tibialis posterior2) flexor digitorum longus3) flexor hallucis longus4) soleus5) gastronemius  <img src="https://t1.daumcdn.net/cfile/cafe/2668C63E52BFB53713" class="txc-image" actualwidth="552" hspace="1" vspace="1" border="0" width="552" exif="{}" style="clear:none;float:none;" id="A_2668C63E52BFB537139766"/> <img src="https://t1.daumcdn.net/cfile/cafe/2219E03B52BFB29807" class="txc-image" actualwidth="637" hspace="1" vspace="1" border="0" width="637" exif="{}" style="clear:none;float:none;" id="A_2219E03B52BFB298079D87"/> <img src="https://t1.daumcdn.net/cfile/cafe/2751BA4552BFB7212E" class="txc-image" actualwidth="637" hspace="1" vspace="1" border="0" width="637" exif="{}" style="clear:none;float:none;" id="A_2751BA4552BFB7212EF70D"/> 주상골 tuberoritiy와 종골의 sustentaculum tali를 기준으로 tibialis posterior tendon은 주상골 tuberosity에 부착함. flexor digitorum longus는 사이로 지나감flexor hallucis longus는 sustentaculum tali아래에서 촉진 <img src="https://t1.daumcdn.net/cfile/cafe/2540D03552BFB4E811" class="txc-image" actualwidth="497" hspace="1" vspace="1" border="0" width="497" exif="{}" style="clear:none;float:none;" id="A_2540D03552BFB4E8112265"/> <iframe width="420" height="315" src="//www.youtube.com/embed/tnsKC7ldKIs" frameborder="0" allowfullscreen=""></iframe>