{"id":6775,"date":"2025-02-28T15:13:08","date_gmt":"2025-02-28T07:13:08","guid":{"rendered":"https:\/\/morethanphysio.com.hk\/?p=6775"},"modified":"2025-02-28T15:17:35","modified_gmt":"2025-02-28T07:17:35","slug":"itb-syndrome","status":"publish","type":"post","link":"https:\/\/morethanphysio.com.hk\/zh\/itb-syndrome\/","title":{"rendered":"\u9ac2\u811b\u675f\u7d9c\u5408\u75c7"},"content":{"rendered":"\t\t
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\u4ec0\u9ebc\u662f\u9ac2\u811b\u675f(ITB)\uff1f<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\ud83e\uddb5\u9ac2\u811b\u675f(ITB: iliotibial band)\u662f\u5927\u817f\u5916\u5074\u4e00\u689d\u8f03\u7c97\u539a\u7684\u7b4b\u819c\u5e36\uff0c\u5f9e\u9ad6\u90e8\u7684\u9ac2\u7b4b\u819c\u5f35\u808c(tensor fascia latae)\u548c\u81c0\u5927\u808c(gluteus maximus)\uff0c\u7d93\u904e\u5927\u817f\u5916\u5074\uff0c\u518d\u9023\u5230\u811b\u9aa8(\u5c0f\u817f)\u5916\u5074\u4f4d\u7f6e\u3002\u5b83\u4e3b\u8981\u7528\u4ee5\u7a69\u5b9a\u819d\u95dc\u7bc0\uff0c\u5728\u5074\u5411\u6216\u8f49\u5411\u7684\u52d5\u4f5c\u6642\u4fdd\u8b77\u819d\u95dc\u7bc0\u3002<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u26a0\ufe0f\u9ac2\u811b\u675f\u7d9c\u5408\u75c7\u7684\u6210\u56e0\uff1a\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u9ac2\u811b\u675f\u7d9c\u5408\u75c7\u8207ITB\u7684\u904e\u5ea6\u4f7f\u7528(\u819d\u95dc\u7bc0\u4e0d\u505c\u5f4e\u66f2\u548c\u4f38\u76f4)\u6709\u95dc\uff0c\u7279\u5225\u5728\u884c\u8def\u6216\u8dd1\u6b65\u8e29\u529b(heel strike)\u4e00\u523b\u5c0f\u817f\u7de9\u901f\uff0c\u819d\u95dc\u7bc0\u5c48\u66f230\u00b0\u6216\u4ee5\u4e0b\uff0c\u9ac2\u7b4b\u819c\u5f35\u808c\u548c\u81c0\u5927\u808c\u96e2\u5fc3\u6536\u7e2e(eccentric contraction)\uff0cITB\u6b64\u6642\u7684\u5f35\u529b\u6703\u6700\u70ba\u7e43\u7dca\uff0c\u7e43\u7dca\u7684ITB\u5728\u80a1\u9aa8(\u5927\u817f\u9aa8)\u5916\u5074\u4e0d\u505c\u6ed1\u52d5\u6469\u64e6\uff0c\u5f15\u81f4\u5468\u908a\u7684\u8edf\u7d44\u7e54\u767c\u708e\u53ca\u75bc\u75db\u3002

\u800c\u9ac2\u811b\u675f\u7684\u904e\u5ea6\u4f7f\u7528\u53ef\u80fd\u8207\u4ee5\u4e0b\u56e0\u7d20\u6709\u95dc\uff1a<\/p>


\u274c\u81c0\u90e8\u808c\u8089\u7121\u529b\uff0c\u53ef\u80fd\u5f15\u81f4\u4e0d\u826f\u8dd1\u6b65\u59ff\u52e2\u3002
\u274c\u9577\u6642\u9593\u6216\u9577\u8ddd\u96e2\u8dd1\u6b65\uff0c\u4f46\u808c\u8089\u8010\u529b\u4e0d\u8db3\u3002
\u274c\u7a7f\u8457\u4e0d\u5408\u9069\u7684\u8dd1\u978b\u3002
\u274c\u819d\u95dc\u7bc0\u6216\u9ad6\u95dc\u7bc0\u66fe\u7d93\u53d7\u50b7\u3002<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u9ac2\u811b\u675f\u7d9c\u5408\u75c7\u7684\u5fb5\u72c0\uff1a\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

\ud83d\udea8\u819d\u90e8\u5916\u5074\u75bc\u75db(\u751a\u81f3\u5927\u817f\u5916\u5074\u626f\u75db\u6216\u9ad6\u90e8\u5916\u5074\u75bc\u75db)\u3001\u816b\u8139\u3002
\ud83d\udea8\u6d3b\u52d5\u6642\u819d\u90e8\u51fa\u73fe\u5f48\u97ff\u8072(snapping)\u3002
\ud83d\udea8\u8173\u8e29\u529b\u6642\u75db\uff0c\u5982\u884c\u8def\u8e29\u529b\u3001\u8dd1\u6b65\u3001\u843d\u6a13\u68af\u8e29\u529b\u3002<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u5feb\u901f\u6aa2\u67e5\u53ca\u8a3a\u65b7<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

\ud83d\udd0eOber\u2019s Test (Sensitivity ~80%\uff1bSpecificity ~70%)
\u9996\u5148\u60a3\u8005\u5074\u81e5\u53ca\u75db\u8173\u5728\u4e0a\u65b9\uff0c\u5c07\u75db\u8173\u7684\u819d\u95dc\u7bc0\u5f4e\u66f2\u81f390\u00b0\uff0c\u7136\u5f8c\u6162\u6162\u5c07\u75db\u8173\u964d\u4f4e\u3002
\u203c\ufe0f\u967d\u6027\uff1a\u75db\u8173\u7121\u6cd5\u4e0b\u5782\u3001\u6216\u5f15\u8d77\u75bc\u75db\u3002

\ud83d\udd0eNoble’s Test (Sensitivity ~60%\uff1bSpecificity ~70%)
\u9996\u5148\u60a3\u8005\u4ef0\u81e5\uff0c\u5c07\u75db\u8173\u819d\u95dc\u7bc0\u5f4e\u66f2\u81f390\u00b0\uff0c\u7528\u62c7\u6307\u65bd\u52a0\u58d3\u529b\u65bc\u80a1\u9aa8\u5916\u5074\u9ac1(lateral epicondyle)\uff0c\u4fdd\u6301\u8457\u65bd\u52a0\u58d3\u529b\uff0c\u518d\u6162\u6162\u4f38\u76f4\u819d\u95dc\u7bc0\u3002
\u203c\ufe0f\u967d\u6027\uff1a\u819d\u95dc\u7bc0\u5f4e\u66f2\u81f330-40\u00b0\u6642\uff0c\u65bd\u52a0\u58d3\u529b\u8655\u6709\u75bc\u75db\u6216\u4e0d\u9069\u3002<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t

\u7269\u7406\u6cbb\u7642\u6539\u5584\u9ac2\u811b\u675f\u7d9c\u5408\u75c7\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

\u26a1\ufe0f\u96fb\u7642\uff1a\u5982\u96fb\u78c1\u7642\u3001\u5e72\u64fe\u6ce2\u3001\u8d85\u8072\u6ce2\u3001\u6fc0\u5149\u7b49\uff0c\u4ee5\u653e\u9b06\u808c\u8089\u53ca\u6e1b\u8f15\u708e\u75c7\u53cd\u61c9\u3002
\u270b\u624b\u6cd5\u6cbb\u7642\u3001\u7b4b\u819c\u653e\u9b06\u6280\u8853\u3001\u91dd\u7078\uff1a\u653e\u9b06ITB\u7e43\u7dca\u7684\u60c5\u6cc1\u3002
\ud83e\udd38\u200d\u2642\ufe0f\u4f38\u5c55\u904b\u52d5\uff1a\u4f38\u5c55\u9ac2\u7b4b\u819c\u5f35\u808c\u548c\u81c0\u5927\u808c\uff0c\u6e1b\u4f4e\u9ac2\u811b\u675f\u7684\u808c\u8089\u5f35\u529b\u3002
\ud83c\udfcb\ufe0f\u5f37\u5316\u904b\u52d5\uff1a\u4e3b\u8981\u91dd\u5c0d\u5f37\u5316\u6838\u5fc3\u808c\u8089\u53ca\u81c0\u90e8\u808c\u8089(\u5982\u81c0\u4e2d\u808c)\uff0c\u6e1b\u4f4e\u9ac2\u811b\u675f\u7684\u58d3\u529b\u3002<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t

\u63a8\u85a6\u5ef7\u4f38\u95b1\u8b80\uff1a<\/p>

  1. MTP\u7269\u7406\u6cbb\u7642 – \u9838\u75db\u7b49\u65bc\u4e0a\u659c\u65b9\u808c\u904e\u7dca\uff1f<\/a><\/li>
  2. MTP\u7269\u7406\u6cbb\u7642 – \u8209\u9ad8\u624b\u5c31\u75db\uff0c\u4f60\u8981\u8a8d\u8b58\u80a9\u95dc\u7bc0\u593e\u64ca\u7d9c\u5408\u75c7\uff01<\/a><\/li>
  3. MTP\u7269\u7406\u6cbb\u7642 – \u8170\u75db\u9577\u671f\u5514\u65b7\u5c3e\uff1f<\/a><\/li><\/ol>

    \u6309\u6b64\u700f\u89bd\u6240\u6709\u6587\u7ae0<\/a><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\u56de\u5230\u4e3b\u9801<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\u7acb\u5373\u9810\u7d04<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t
    \n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t

    \ud83d\udcdaReferences:
    Magee, D. J. Orthopedic Physical Assessment, 7th Edition

    Rosenthal, M. D. (2008). Clinical testing for extra-articular lateral knee pain. A modification and combination of traditional tests. North American journal of sports physical therapy: NAJSPT, 3(2), 107.

    Van der Worp, M. P., van der Horst, N., de Wijer, A., Backx, F. J., & Nijhuis-van der Sanden, M. W. (2012). Iliotibial band syndrome in runners: a systematic review. Sports medicine, 42, 969-992.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

    \n\t\t\t\t
    \n\t\t\t\t\t
    \n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tInstagram<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tWhatsapp<\/span>\n\t\t\t\t\t\t<\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

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