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8.C.JIOB3HH, A.P. PAXHMiJ;JlCAHOB, H.M.JltYJIEB TYHHEnbHblE KOMnPECCHOHHO· HEBPOnATHH TaWKCllT 'I:,\<\CAIIUIlIl<l» Y.ICCP 1988 Повышение квалификации массажистов - www.medical-massage.co.il

Туннельные компрессионно-ишемические невропатии

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Page 1: Туннельные компрессионно-ишемические невропатии

8.C.JIOB3HH, A.P. PAXHMiJ;JlCAHOB,H.M.JltYJIEB

TYHHEnbHblEKOMnPECCHOHHO·HWEMH~ECKHE

HEBPOnATHH

TaWKCllT 'I:,\<\CAIIUIlIl<l» Y.ICCP 1988

Повышение квалификации массажистов - www.medical-massage.co.il

Page 2: Туннельные компрессионно-ишемические невропатии

J\ElllHHHUHR H KflACCHlllHKAUHR TYHHEflbHblXHEBPOnmR

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110 ~lllu.'IOrllll .:J<1UU.JCRlIllilii llC!HUlblx CTlm.l06 }lU.1HlTCR

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CClflIllFOM 3anfiCTIlOrO K11I1<1.'Ia», «CllII.!lPO~j np01l3T01'1l» IIT. n. lllur.lil. YTOlllIsnOT u00311allCllilc C Yl\a3allllc", I' rRa.n01l8epralOWCI'OCfl KO\InPCCCllll, Uanpll\tCp, c.J11n"1 rnaHTYllIIc.'ILllaJl KuMnpCCClI" Cp(,1l1l1l1l01'U IlCpB:t 11.111 c~,.' 'I:lp­lIuA ClIlIllPO\1 Jil.nRCTbR~, T('P\III11 cKmmpt'CCIIOllllhll; ;;('R­PIITLl~ (6pall~1'lall';l JI. II IIp., 1968: Ilpt'I[Klhl ,\\. H II

lip., 1970) 11.'111 «lIcuplll uC.1(,.'lCTBIlr.: uap)WE'IlII)( llepllt"' pll­'ll'CIWru K!'OUOOOP3lUCI1IIll. (JlapbKoH B..\, rl'paCll\l "rHO

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12

Повышение квалификации массажистов - www.medical-massage.co.il

Page 3: Туннельные компрессионно-ишемические невропатии

TUH. '-l~)'C:IO[l.ICIIII we 'I yll HCJlI.Il 1.1 MIt CJlllllPO~1<lMII» (A nepol"KIlIt.\ /1" Ill'ry:lllM31l1l. p" IgSI), Uyllll(,Jll>Ill>IC 1I0pai+\r.WIll fTl'jHHpCj)Il,{l'CKllX flcpnoK» (BCp.lll11hU1 10. ;':)., IlllIIHp­COIf(' 1-'. T .• 1981), CIIC1IH1UMiJTll'leCKJI(' MCXalllltlCCKItC no.

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13Повышение квалификации массажистов - www.medical-massage.co.il

Page 4: Туннельные компрессионно-ишемические невропатии

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Повышение квалификации массажистов - www.medical-massage.co.il

Page 5: Туннельные компрессионно-ишемические невропатии

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n I1CPRhfx pn60T3X M, H. IIpc~l<on II C0311T. (1970) KCMII/T01l3IlCCTIII,H! 1110(1\111/>1 lIeBpllTORJO Obl,lll OTlICCCIILI RO'ce"'b T)'IHlE'JlhIlLl'= Il('Rpon~T1lll C YK<l331111CM 113 MCCTu .'10'I\1I,11hllOrO nOlJpC>KJ\CllllR, J1.u nopllm:eIllU~ CPC/Ullllloro IICp'601 )'K<l3:lIlhi CJlE'JlYlOllllle )"HlCTKII KOlofnpecCIIII: 3i)llHCTlIhli'lK3lWA, OOlt3CTI> n(lOII<lTOP3 II J1('nOCTOHlillbu"i I1Jl(,IlCROitK31111,1T (1l31lM hlUlCll KOOoe tcOJI bUO); .'10KTeROro - Kfillc!o1rKliiOIl<l II K)'OIlHl.'lhllbli'l K31l1l.'l, ,')'IlCRoro - CnJ11HI.1hIlLliiK31111.'1 n.'l('\{COOn KOCiIl II 06,'l<lCTh cynllll3TO(l3, BOCb\IOnlpollMOn. OOtlCtllltlOfi <lOTOp<lMll, OLI.'I CIIU11P0;o.t Tap:JlI.'1bIlQrOK311:l.'13, B 1982 rOllY D K31111ltll<lTCKOl\ llIlCCCP1:lUtlll ,\\ B.Ilpt'llK<lH K 5'TII\t (~OPMiI\I 1106<lBII.'l<l ClllIJlpOM Ku;o.lnl)('CCllll113J1)10n<lTO\{1I0ro lIep03 (CIlIl11PO\l 10\ICOIIOI 1\.01lf'.1:UI),CllllIlpu\l KOMnpcccll1I M<l.1u(}epuuDoru HcpDa, KIJ\lIl(l"('CUIO.1)llE'6oro IICpRa 1101 nJlelJC 11 napCCT('TIl11eCI\YIO M('I)il,lrlllOP013,

n pil6oT3X II. Kopell, \\I. Thompson (19;)8 1963,1976) A3113 nOilpoOn3fl X"I'3K'fepUCTlIKa (/OJtc\: I\('M 18 oc·1l0611L1A IPOpM CJlUU)IU~lJllblX IlCOP0I13TIli'lJO. B cuu6WcII1I1IXOTC\{eCTO('III1L1X auropol) U 3<lIJllcllMOCTIl UT ypOBIIH Ku\m·PCCCIlII II IIclIlM('tlOA<lllllli uepDa on1lCblB3.lItCL 11 11C'{11111111l'I\OIH>lX no TonllKe (/JOPM (l~exT U, /1\, II lip" 1985).7 (Ane·POIlKlltl A, II .• IlhYJlbM311 Jt p .. 1(81), 11 p,n,'lll\JHt>l:(10ml4CCKliX UapIl<lllTOU (liCp3HllbW 10, 3.. UIHI<lpCOHCp, 1,,1981: TltKK I'. A, BIII1I>o 1.3.. 1981), 10 cltll11puMon«yllt('MJI('H1H1JO (lIol1cJIlulCKUn ~,IO" 1982), 23 IlwpM!>1«Tylllll',If>IIL..l;'; IWI)i!lKl'lIlin ncplHllcPllllCCI\It,'\ IIcl>BulIJo (IJep­;.\11111,11110, ::) .. .LlyM6cl)C P, T .• 198G), B yl{;]331l1lL..l(, qlOPMLIliKJllo'.n,'1ltCI, I'JlilllllL..lM u6pa:loM IlCol)On,l'IJlll IICPBlll~X CTlIO­~1Ull KOIIC4Ilucl'cli. OJlll3KU llCKu1'ul)blc <I IHUPbl ontOCllmlCIOJliI II IlcilpotutYJllICTl>lC I\OMIlI'CCCllOllllL!{' CllllJq)UMl>l 11<1

15Повышение квалификации массажистов - www.medical-massage.co.il

Page 6: Туннельные компрессионно-ишемические невропатии

11I('l' (TUKK A 1\., BJ!l)po T. 3., 1981), llcill'unaTllll "UlDO­l'u llu}lCa lDl'pJlllll.>UI 10.3.. \\.p'lua.lc 11. ,\., 1985), mBpO'1Ii..lllllU JJlII~CUOro IICjllHI lllullCJIl.lllCJ(I[ii 51. 10., 19t'\2J II.!J.UlKc IlCUI'UIHllltlO PCCiCl'llOro IlCpUl.l (ujlauAi.I, 1\ o.1'IU\t

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Page 8: Туннельные компрессионно-ишемические невропатии

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Page 9: Туннельные компрессионно-ишемические невропатии

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Page 10: Туннельные компрессионно-ишемические невропатии

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Page 11: Туннельные компрессионно-ишемические невропатии

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Page 17: Туннельные компрессионно-ишемические невропатии

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Page 20: Туннельные компрессионно-ишемические невропатии

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Page 25: Туннельные компрессионно-ишемические невропатии

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Page 27: Туннельные компрессионно-ишемические невропатии

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Page 28: Туннельные компрессионно-ишемические невропатии

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Page 29: Туннельные компрессионно-ишемические невропатии

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Page 31: Туннельные компрессионно-ишемические невропатии

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Page 33: Туннельные компрессионно-ишемические невропатии

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Page 35: Туннельные компрессионно-ишемические невропатии

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Page 40: Туннельные компрессионно-ишемические невропатии

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Page 57: Туннельные компрессионно-ишемические невропатии

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Page 60: Туннельные компрессионно-ишемические невропатии

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76Повышение квалификации массажистов - www.medical-massage.co.il

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B ;TIIX pa60TBx o606IUellhl lIa6.11011CIIIIH p83-1111I11bl:<RIIP)"CHb(X ueiipoIlH!peJ<ullfl, B 1l3CTlIOCTIf OCBeUUi!1I0 Kmum­'fPC!>.' ~ Te'l(!IfIIC snllJ1Nollllfecl\oro UapOTlITa y '1000 00.11,>­

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17Повышение квалификации массажистов - www.medical-massage.co.il

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IlCK,l1"h \lIlC CWCphl DliPYCHLlX III1q,eKUlIii II DblWC D~';Olt,:l

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28-33% OT Bcex rOCflIlTaJIII3J'pOOallllhl:X (JonbllblX. KaK ca·MOCTOflTeJThll.Oe 311l50JTl~Ballllc "eupuT mll..l.cooro ll.CpBa 11.J·BeCTeH co opeMeli AOllUellllbl, HMC'IOTCH TaKJKC CHe..l€Il11H,liTO'" 1798 rOllY Cf)pJlD.pciix flullpu(JlIU UHIICH,l 3 C.l)·'IJH

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Ilaphuru JlllM$OOTTU"S (KpU.1h M. B., 1933; nUllou A. K.,, ,196':)'. Niksic-lvandc M. ct a1. , 19BO).

H3 OCII0031H1I1 pCJy.'1hTarou IIMMYllo.'10rll'lCCKtIX /lCClIe­40U'::11I1I1 A. 6. fpllllUlTcfiu (1980) paccMSTplll:JtlCT ucapUT.'lIlLH:.JUro /lepus He "aK .l:llIlITOMlI'IE?CI\Il orp<Ulll'ICIIHIJIII IlS·

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HCI\OTOpble llCC!I(',Il,oa3Te.111 (Jlo63111J B. C., 1%3; Kop­'let.tHt.li, B. A., 1970: Abraham-Inpijn Z" Devricsc P., 1982)YK1l1bCBam Ila POlib IlWeMl1It IICpBa OcneAcf811C COCYAUCTO·ro CO!ll3Mll it 113cTynalOl.JJ.Cro 33TCM O'l'eKa. B. 0, l\anllua,M. A. JUYCTep (1970), "PUCOC.llllllSiliCI> K MllellillO B. C.)\06311118 (1963), CQU'laIOT AII:-Jpcry.lllilJ,1I1O COCYAIIC10rO TO·1I}l:t1 I) Clll.:feMC uupYIKJluil t:ulllluii apTep"" npJlllIlllOR BTO·plI'IHoii JtweMmf JlUu.cuu"'u llcflua. 01111 P3ccM<l:TI)lIl:JilIOTIl~BPIlI .'IIlLlCI)OrO ttt:pua KH" MOllonHTOrClIenl'lCCKOe " B TOH.,c U!JcMli IIOJIU;,)TUU.'lurll'ICCKoe :iHj)OJleU::IIIIIC.

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Ou IIUJNlll'l('Ci\OM IIlJOIlCXO>Ki1.Clllll{ (:i0.'lC3Ifll CBII.Jl n'Jlh·CTUYtOl' JUtC I'PYlillbi q,aKTopUB: 31l3TOMO·<IlIlJIl0.l0rlPI({',\lleCKcAClllIH (Buxter A.. 1971; Proctor B., Nager G. T.,1918) II KJlIlIIIl'CCCKIlC lluClIIKJ,!l,CllllJ.l. AIl<atOMO·<pIl:}llo.~Ofll­

'H!CKIlC JUlIlIlt.lC yKu3t.11lalOT ll<a UCOUCllllOCTli paCIIOJIOitl.t'H1hiII KpUUOCIIU{J;I\ClIllIl IICPlJil lJ tPa.I.'lOIIIIC'IlUM KiJllaJle. OIL)'30K II IHI BCCM npUTMif\Cllllll Ill! A.lllllllllKY II IlUllcpC"IlhlrlyBhlCT.mll nm)T1lOiI 4!1l6pUJlIUil CUC;t,IIIII1TC.'1L,lIUII n;aIlLtO.H,'CIIO CllilnllllOil C <:Jl1llllC'llpllI'M. KpOROClla6if\ClIllC Hlj>UIJCK)'J1.1I0C. KaMC'IIIlCTBR apTcpllH (BCTUh cpeAHcii 060.1U·U"I­noil) nllTIICT rOpIlJOIITI'I.'hll)·1O II;lCTh lICPB3 R <f!a.,.lOITlU'IWMK31ll1.'te \1 KO.1C'UIl3Thlli rallr.luii, a 1lI11_10COCl1eBlt;1,lI::lfl <lpn'·pUf! (RefBb llapY>KlIoA colltloA) - OepTlIl(aJlbllhlA (.ll1e·TaJlbllhlA) oTpe30K llC,'pBa y OblX01l3 U3 4>aJlJlOnllC,'8a )\tliltlJla, HII ODoHa "3 nux oC'Tl3cA lie OT6C,'TCTI}C,'1I1111 311 ),POl1u·clla6if\C,'llItc occro lIcpoa, CoCiCToellllblC,' COC)'llt.l IIC'PO.l fiB·.'UIIOTCfI I<Olll1C'OI,lMIl apTCpllfl\lll, lie IlMelOw.lIMII B ),<H13.1e.1I1UC'Ouro Ilcpoa lwaCTOM030B,

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npil UllPCj1C'JlClIlIUi, CTCIll'IUl II jI.'1IlTl',1bIlOCTlI IIU1CMIIIl YtlC·JlH'IIlDacTCM llpUHlIUaCMOCl'1. CTClIUK K31111.'J.1HpUH. npOIlL"W­AliT 'tpaucCYAIIUIlH II OTCfo: TK81lcii BH),TpU K3118,13, H:lpy­watOTCH UCllOJHOe KPOKOO6p::lIlU~\II1e: 11 JlIIM4>OOTTOK, CA::lR·.'"HaCTCH llCpB. TOKIIM 06p3:lOM, pellh lIJ1.eT 0 KOMnp£,cclI­UIlIlO-IIl11CMIl'ICCKOM npouecce 6 )'3KO'I KOCTIIOM 4>tlJl.l0nll{'­HUM fo:lIllaJlC, liTO np"SOIlIlT K n<lptlJlllqy _"Il111cooii MyCK)'.'l(\'TypLl. C.'leAORilTc.'lhIlO. 3at'iQJlCOallIlC no OTTlOCllTClI I< rpyn·IIC 'l'yIllICJa,lIhlX IICRponaTllir. oCi)'CJlOOJle11IlbiX OCTpoA IIlUe.

MIlCil IlCpRa Uplf npOiKJlClflloA yJOCTII 4>aJlJlonlleoa l<<Ht:lJl3II IIUJlII'lIlll ApyrllX cnocoCicToylOlUlIX 4>aKTopOB.

B nOJlb3)' POilU IlWCMIIII CBIIACTCJlbcTBYIOT II KJlHlIll'leCI<JltlIaCimOllellllR: Cnil3M nllCOllilOfi apTepllH " nOBhlLUCHIlCllaSJlelllUI 11 U.CllTpOllbllOir spTepllll ceTllsTKlI Ha CTOpOIlE na·POJllf'IO JUIU.CBblX MLlWU, aa;JOtdOTOPHblll pIfHTlT" Jl1I611p"lI·TH·t Ilti. 3TOii if\C cTopoHe (Hilger J. A., 1949); Crt33~f ap·Tcpllon ceT'llITKlI 1Ill, 01llfOIl)lelilioft cTopone. YMclIblllNlJleII IIC'IC31l0aelllle cro rt3palllleJlbllO C nOSlBJlClIlICM OKTIIBllblXIlR1J)KeHlIA JlllucnoA MycKyJlaTypbl (JIOCi3111l B. C., HJ63).

nOK3a3no T3K){\C. liTO IIpll nuy"pllliClIllOM Ime:.ll.el-lllll

80Повышение квалификации массажистов - www.medical-massage.co.il

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.'1lI1~CUOI'O 11CPB3 llO nOC.'lCJ~\lIlX JICT I1CPC()I~CUllIlll.'ll1Ch Mllll·

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OG IIwNlIl'lC'Ct\OM IflJOIlC,\O>Ki1.CIlIlI{ 60.1C31111 CBlI.J.l H'llh·CTUytO'l AUC I'pylllfbi q,<lI\TOPUB: 3113TOMO·<lJrtJItO.10rlt4((·)\1leCHcAC'IlIUI (Buxter A.. 1971; Proctor B., N3ger G. T.,1918) II KJllllIll'CCeKIlC IlUGJllOAClllHI. AII<lTOMO·<lJU3Ilo.'lOfll­'ICCKlIC JUIIIIIIJIC yKU31J11l11IOT 11<1 uCOoC'II11OCTIi paCIIO.'lOitl.t'H1HI

n KPUHOCIIOUiI\ClIlll1 IIcl'lJa IJ tPa.I.HHrll(·IlUM KilllaJle, allY30K II lHl BeCM npUTHiI\CIIlI1I 1111 ..... IIlIIllItKy II lIUlICPCl.\1l1IrlYBhlCT.mll n.1C)T1lOiI qJII6pUJIIUit CUC,I,IIIIIITC.ll.oIlUIl TKaIlLtO,

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B nOJlb3Y POJlII IlWCMIIII CDIIACTCJlbcTBYIOT II K.nHIIII'ICCKJltlIaCiJlIO/teIlIlJl: Cna3M IUtCOIIIIO(i aprepllH " nOBhlLUl'HIlC1130JlellllA: B U.CIlTpOJlbIlOir apTepll1l ceTllBTKII H;l CTOpOHE na·

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TH'r 110 !:Iroii il\C cTopoHe (Hilger J. A" 1949); cn3S~f 3p'TCptlOJt ceT'IRTKlI 113 01l.lfOliMelllloft CTopone. YMCllbllJ{'}\lICII IIC'IC31l0aelllle ero nrlpOJlJleJlbllO C nOSlOJlClIIlCM OKTIIBllblXJ\.RlI)f(eHIIA JlllijCDoA MyCKyJlftTypbl (JIOG:Jllll B, C. t HJ63).

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80Повышение квалификации массажистов - www.medical-massage.co.il

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paCTeQpa 'IIlKOTltlJ()uOil I<IICJlOTLI (JJ~CiSIllI fl. <,;:., j\\aTOCCBG. 1-1" 1967; J1o/53111l B. C.. UIIllUBo(l n. E.. 1973) Y60.~hllblX n:lp:lJlII'IOM 6eJIJHI lUI cmpolli' 11l>o3unJlCrllll o61ti1­py}t{IlB,lI;!TCfI Il{l lPoue HpKOii rllJlCpeMll1I KOlKll .'1IlUil Ci.1(·,ll­IIOC nRnla, no o~epTIHIlBtM TO'1lI0 C110TsCtCTOylOW,cC 3uIIClIacKy.'HlpI13illlllll Jilt IU'ROi! (11:1 py"'::llllll Helix IlC'ICJlIUC"lloii)ilportpllll II ec beToefl.

B 3HUIlCIlMOCTIl OT B3rJln/tOfl 1It1 3TIIO.1{lrlIIO II ll:norPIU'.f

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fCpfiIlCKTII'ICCKllC) " Xllp}'prllllCCKlI(', T,n:. npll II('OP"TtlXillllll'ROro ItCpHH "IH\)C"UIiOllllOH '!tTHO.'lorlllt npllMCIunOTCffRIITlI6I1KTPp"a.'T"II:lM "CplillllH It Ca,llltUII.1oDl:.IC IlI)Cll<Jpa1b1(A6acofta X. II.. 1971; XUlIJ\K<JPII<J1I o. 1\.. 3<ilJ3.'lltUJIl1lII. J\ .. 1974); roP\lOllOTt'pcllllUI (B<JluCln(O M. A.. 1961:\.1>1111,'8 ~1. M.. 1%5; nOllOH A. K.. 1968). i-\. r. Kopllcil'lYK(191.7) np~IlJlOil(lIn M('CTlIl)(' RHPJlC'IlIf(> ro[)\IOIIOH: lIC'plllltS­

p<t.'1hllbl(, rllJlpOI<QPTlI301l0Rb!(' t).'1nt.:lljJ,hl.\.TnpOlllllllm COC)'JlIICTOrl T('f':mllll 11:\311:\113101' Jl~rll.'p"­

TaUIIOIIII)'1O II cocYitopaClJlllpnlOlIl)'K1 Tt'panlllO. E. Sl~nnert(1982) OT,..('I4OI('1' lIo.10H<1lTf'.1bltbll'J 3~~(,li:f Of npIIMCIIClIlIR

lICl{C'Tpa1l3, nCIIToKclI4>II.'T.111I1a, IWpTIlJOlia. B. C. J]O(JJIIIl0963. 1985) c ue.'1blO .1ItKDII.laUIIIJ allrllOClla3~ta II OTt'K3uCI'Ha npCJVIoiKlI.'l II ncpuhlc AIlII aaGo.'tcB<JIIIUl IIU311a'il:lTbIIUKOTlllluuylO I\IIC.10TY, IluuOKallHuublc 6.'10KSJ1,b1 38P3..1.'13­

"Iuro )I:t.18, .'Hl:ml\C.I b !Jlu:tllonpancuTII'IL-Cl\IIX MeTOJl.OR .1e'lellllSt HeOplITlt

-'HllleRoro lI('poa lIaIlOO.'I('(" '1IlCTO np"\IPIUTH)T no.:1YM3CXY5{'prnllhc, "!t3pll, CO.'lK11\C, 3c1CI\TPO$OPE'3 .1eKapcToellllop'o

HCIJICCTOlt. n('lIcOuylO rllMllaCTlIKY, M!lCC;I>K, Y..lbTP338YKOO),1OTPplllllllQ. IlPIIIl~M lIeJJ.Il4l4lep~1I11llpOB3111l0.'lTO. 110 MIICIiIiIOK. r. YM,wcKoro (19U:l). IlaCTO IIC ,/lacr nO/to>t\IlTC.'Ilillbl"(

PI1'J)'_'1bTilTOD.CnOplIlJMIt OCTalOTCU Tcl,()f(c 80npOCLf IIplIMcllellllR .;I.1l?K­

Tporll 101 lI<1CTliKII. oow('ro Macca >Kil. II r,lIOpe<f!JJCKCOTepa nUll.T3K. no MllellillO A. r. KOPUCli'IYKlJ, B. 5. 311I1rppr.tan:1(1968). nOC.'lCAIlIOIO MO>KIIO flPOBOJlUTh .'11111110 IJ .rlerKlIX CJlY­

1l<lllX, lJ Ti.lIOKC IIlllI IUIJIlI'lIHI llPOTIIROnOil:!l3311I1n 1\0 UCC\l.apyrltM MCTOA8M ..1("ICIIIlK (!IJ1JH'rrUlleomc PC<Jil:UHlf. (Jepe·MCllIIOtn.). 3. n. TblKO'IIIIlCK:Hl (1%9), i'. B, KanaUIItIl­KOIJ (1972). 1I1l060rOT, C'IIIT:HOT ('c s4l<peKTIIDIlIlM MCTOjlO\1111)11 JUllllloi! nIlTOJJOrllll,

B. 0, K;lJlIlIW, M, A. IIlycf('!) (1970), A. K. nouns(1968), SIR;t] 1/ can nT, (1979) II AI)yrllc 00.111)00110 ClIIIIC!l.'111XllpYPrllllPCKIlC MCTOllLl JlC'ICIIIU1. KOTOPlJiC CROjJ.fITCfl l~ no­IIhlTK!1M KOppCKUltll aCIlMM('TI)llli J111l~1l JIlI60 K II<JCTIlI1l10MY

6-26 "Повышение квалификации массажистов - www.medical-massage.co.il

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l}oCC13nonnCIIIIIO $YIlKUml napanll30e311llhiX MhllUll allC'W! IlIlUCTuMuJOIJ C JlI)yrIlMIt JJepnaMl1.

nOKll::lti II H" K pa3Jill l l1l6lM allAn M .tle'/CUIH! \I aCTO 8lJpa6n·ThllH1IOTCH U 3f1IJIICUMUC'111 tlT jl,.lIlTCJIt.JlOCTIi II DI"paa<eIlIlOC''Til I1llpUJlIl'l;l JoII1Mll'lecKIlX MUlllU, 6e:i upOIJCnClIlISI narorCHC·TII1leCKliX cnoco60B JlIIIJrIlOCTllKIl, 'ITO IifJ.1HcrCIl nplIlJlllloA:

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KIlK nOCTIIcopIITIIIICCK3n KOIlTpllKTypa MlI\lIl'lCCKIlX MI..WlllII naT().'TOrlllJCCf\lIe ClfllKIlIle3l111,

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ro ut>!'nll RCTpeTIlJlIlCI, II 4 (2,3%) CJly'I:1HX. B UJl.llUM 113II1IX 60Jl('JlI' My>K, )f(CII:1, IIX AO'lh II RllyK. PCI~IlAlIllllPYK)lU.IIC

1If'IlPIlThi OTMe'ICHbi y III I')O.'lhllf,IX, IIC"!pMI\C'llllC' IIp:1110rO

Jlllllcooro uepJJ<l 1I<l6n101l:t.'lOCIo y 74 (43%) OOJlhllhl.'<, JlCllO­fO - Y 85 (57%), qTO corJl<lcYC'TCfl C lUlllIthlMll A. 11. rpllll­IIITenUfl (1980), llOyC10pOltllC',(" 1I01)<l}l{CllIlC (jhIJlO YII (li,4 %)(iO.lJbllblX, \{TO COOTlJcTcTnyc"t JHIlIII .... M T, II. KOHCf<lIlTH1l0­nUll (1971). Y 134 (79%) UU,'llllll.olX J~lll}llocTb 3<l60,IJClJlllllfRCOCT80JlRJlli OT 3 AIlCil An 3 MCC; Y 36 (21 %) - OT 3 MCC40 10 MT.

nu MIlClutlO n. M. Am.ncpmuilia II COllBT. (1918),n. A. D,OHYll.Q811 (1981), M. M. Kopllll<l II CO:1BT. (1!l81),(I.C. YliHIKORfl, II.A. PYCCKIlX (1981), 1131160.1ee'I:'I;TO'-'IIpll'1I11l0li B03111lKIlOBCIIIISI IICOP"TOB .'lltlH."80ro lIf'pM Sl8JlM­

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<polle 1I0BloIWCIIIIOro apTCpllam,1I0ro JUIMCllIUI (II~ llUX 45I;TpalVtJIll 1'lIl1CpTOIIJlllCCKuii (lOIIC3111,1O). y 23 (14,5%)SMOUIIOltaJlhllOrO Ila npA>KCIIIlH. l1cnucpCJl.CTBClllluii 1111111111­

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Page 77: Туннельные компрессионно-ишемические невропатии

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At> IOM:T.no MlICIllllO n. M. AJll'IlCpORII'I3 II COURT. (1978).

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Page 79: Туннельные компрессионно-ишемические невропатии

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Page 81: Туннельные компрессионно-ишемические невропатии

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Page 89: Туннельные компрессионно-ишемические невропатии

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Page 136: Туннельные компрессионно-ишемические невропатии

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Page 142: Туннельные компрессионно-ишемические невропатии

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Page 143: Туннельные компрессионно-ишемические невропатии

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Page 145: Туннельные компрессионно-ишемические невропатии

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Page 146: Туннельные компрессионно-ишемические невропатии

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Page 147: Туннельные компрессионно-ишемические невропатии

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Page 148: Туннельные компрессионно-ишемические невропатии

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Page 149: Туннельные компрессионно-ишемические невропатии

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Page 150: Туннельные компрессионно-ишемические невропатии

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Page 151: Туннельные компрессионно-ишемические невропатии

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Page 154: Туннельные компрессионно-ишемические невропатии

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Page 156: Туннельные компрессионно-ишемические невропатии

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Page 157: Туннельные компрессионно-ишемические невропатии

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Page 158: Туннельные компрессионно-ишемические невропатии

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Page 165: Туннельные компрессионно-ишемические невропатии

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