Swinkels R., Beeton K., Alltree J.
Faculty of Experimental Anatomy and Manual Therapy, Free University of Brussels, Brussels, Belgium
Man Ther. 1996 Jun;1(3):127-132. doi: 10.1054/math.1996.0260.
SUMMARY. The purpose of this article is to review the pathogenesis of upper cervical instability. Instability can arise from inflammatory, congenital and traumatic causes. The commonest causes of atlanto-axial dislocation are rheumatoid arthritis and Down's syndrome. The review revealed much less information about the relatively minor instabilities that are probably responsible for a number of chronic complaints of the type seen by manual therapists. The potential involvement of passive (ligamentous), active (musculotendinous) and neural control subsystems in maintaining the stability of the spine may go some way to explaining the spectrum of conditions included under the term clinical instability. Copyright 1996 Harcourt Publishers Ltd.
摘要。本文旨在综述上颈椎不稳的发病机制。不稳可由炎症、先天性及创伤性原因引起。寰枢椎脱位最常见的病因是类风湿关节炎和唐氏综合征。该综述显示，对于一些可能导致手法治疗师所见到的多种慢性病症的相对轻微的不稳，相关信息要少得多。被动（韧带）、主动（肌肉肌腱）和神经控制子系统在维持脊柱稳定性方面的潜在作用，在一定程度上或许可以解释临床不稳这一术语所涵盖的一系列病症。版权所有1996年哈考特出版有限公司。
