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下枕部肌肉、头前伸姿势与颈源性头晕。

Suboccipital Muscles, Forward Head Posture, and Cervicogenic Dizziness.

机构信息

Department of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon 51767, Republic of Korea.

出版信息

Medicina (Kaunas). 2022 Dec 5;58(12):1791. doi: 10.3390/medicina58121791.

Abstract

Dizziness or vertigo can be caused by dysfunction of the vestibular or non-vestibular systems. The diagnosis, treatment, and mechanism of dizziness or vertigo caused by vestibular dysfunction have been described in detail. However, dizziness by the non-vestibular system, especially cervicogenic dizziness, is not well known. This paper explained the cervicogenic dizziness caused by abnormal sensory input with references to several studies. Among head and neck muscles, suboccipital muscles act as stabilizers and controllers of the head. Structural and functional changes of the suboccipital muscles can induce dizziness. Especially, myodural bridges and activation of trigger point stimulated by abnormal head posture may be associated with cervicogenic dizziness.

摘要

头晕或眩晕可由前庭或非前庭系统功能障碍引起。前庭功能障碍引起的头晕或眩晕的诊断、治疗和机制已详细描述。然而,非前庭系统引起的头晕,特别是颈源性头晕,尚未被很好地认识。本文参考了几项研究,解释了异常感觉输入引起的颈源性头晕。在头颈部肌肉中,枕下肌作为头部的稳定剂和控制器。枕下肌的结构和功能变化可引起头晕。特别是肌筋膜桥和异常头位刺激触发点的激活可能与颈源性头晕有关。

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本文引用的文献

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Nonvestibular Dizziness.
Otolaryngol Clin North Am. 2021 Oct;54(5):999-1013. doi: 10.1016/j.otc.2021.05.017.
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Upper cervical spine dysfunction and dizziness.上颈椎功能障碍与头晕。
J Exerc Rehabil. 2020 Oct 27;16(5):385-391. doi: 10.12965/jer.2040612.306. eCollection 2020 Oct.
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Plausible impact of forward head posture on upper cervical spine stability.头部前倾姿势对上颈椎稳定性的可能影响。
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