THE STABILIZING SYSTEM OF THE SPINE .1. FUNCTION, DYSFUNCTION, ADAPTATION, AND ENHANCEMENT
THE STABILIZING SYSTEM OF THE SPINE .1. FUNCTION, DYSFUNCTION, ADAPTATION, AND ENHANCEMENT
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DOI：
10.1097/00002517-199212000-00001
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发表时间：
1992-12-01
期刊：
影响因子：
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通讯作者：
PANJABI, MM
中科院分区：
文献类型：
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作者：
PANJABI, MM
这里提出的是脊柱稳定系统由三个子系统组成这一论断的概念基础。椎骨、椎间盘和韧带构成被动子系统。脊柱周围的所有肌肉和肌腱可以向脊柱施加力，构成主动子系统。神经和中枢神经系统包括神经子系统，其通过监测各种换能器信号来确定脊柱稳定性的要求，并指导主动子系统提供所需的稳定性。任何一个子系统的组件的功能障碍可能导致以下三种可能性中的一种或多种：（a）来自其他子系统的立即响应以成功补偿，（B）一个或多个子系统的长期适应响应，以及（c）任何子系统的一个或多个组件的损伤。概念上，第一种反应导致正常功能，第二种反应导致正常功能但脊柱稳定系统改变，第三种反应导致整体系统功能障碍，产生例如腰痛。在预期有额外负荷或复杂姿势的情况下，神经控制单元可能会改变肌肉募集策略，暂时的目标是增强脊柱稳定性，使其超出正常要求。
Presented here is the conceptual basis for the assertion that the spinal stabilizing system consists of three subsystems. The vertebrae, discs, and ligaments constitute the passive subsystem. All muscles and tendons surrounding the spinal column that can apply forces to the spinal column constitute the active subsystem. The nerves and central nervous system comprise the neural subsystem, which determines the requirements for spinal stability by monitoring the various transducer signals, and directs the active subsystem to provide the needed stability. A dysfunction of a component of any one of the subsystems may lead to one or more of the following three possibilities: (a) an immediate response from other subsystems to successfully compensate, (b) a long-term adaptation response of one or more subsystems, and (c) an injury to one or more components of any subsystem. It is conceptualized that the first response results in normal function, the second results in normal function but with an altered spinal stabilizing system, and the third leads to overall system dysfunction, producing, for example, low back pain. In situations where additional loads or complex postures are anticipated, the neural control unit may alter the muscle recruitment strategy, with the temporary goal of enhancing the spine stability beyond the normal requirements.