Page 77 - วารสารปีที่16ฉบับที่2
P. 77

249





                 μ”·Àπàß∑“ß°“¬«‘¿“§¢Õß≈”μ—«∑’Ëμ√ß°—∫·π«‡ âπæ◊Èπ∞“π·≈–®ÿ¥ —≠≠“≥¢Õß°“√
                 𫥉∑¬
                                *, ‡
                 ≥√ߧ廗°¥‘Ï ®—π∑–«—ß , °ƒ…≥“ ÀÕ¡«ÿ≤‘«ß»å*, ª√‘≠≠å ™ÿª«“ †
                 *§≥–·æ∑¬»“ μ√å ¡À“«‘∑¬“≈—¬¡À“ “√§“¡ ∂πππ§√ «√√§å μ”∫≈μ≈“¥ Õ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¡À“ “√§“¡ 44000
                 †
                  §≥–«‘»«°√√¡»“ μ√å ¡À“«‘∑¬“≈—¬¡À“ “√§“¡ μ”∫≈¢“¡‡√’¬ß Õ”‡¿Õ°—π∑√«‘™—¬ ®—ßÀ«—¥¡À“ “√§“¡ 44150
                 ‡
                  ºŸâ√—∫º‘¥™Õ∫∫∑§«“¡: narongsak.c@msu.ac.th

                                                   ∫∑§—¥¬àÕ

                      °“√𫥉∑¬·∫∫√“™ ”π—°‡ªìπ°“√√—°…“∑’ˇπâπª√– ‘∑∏‘º≈μàÕ°“√∫”∫—¥‚√§∑“ß√–∫∫°≈â“¡‡π◊ÈÕ·≈–‚§√ß √â“ß
                 (musculoskeletal system) ´÷Ëß¡’‡ âπ·≈–®ÿ¥∑’Ë®”‡æ“–μàÕ°“√π«¥¥â«¬·√ß°¥≈÷° ‚¥¬„™â®—ßÀ«–°“√·μàß√ ¡◊Õ¢≥–π«¥
                 °“√»÷°…“π’È®÷ß¡’«—μ∂ÿª√– ß§å‡æ◊ËÕ‡ª√’¬∫‡∑’¬∫μ”·Àπàß·≈–‚§√ß √â“ß∑“ß°“¬«‘¿“§∫√‘‡«≥≈”μ—«μ“¡·π«‡ âπæ◊Èπ
                 ∞“π·≈–®ÿ¥ —≠≠“≥ ¥â«¬°“√øíß °“√‡§“– °“√§≈” °“√°¥ °“√π«¥ √«¡∂÷ß°“√„™â™ÿ¥∑¥ Õ∫°“√°¥®ÿ¥ ”À√—∫
                 °“√𫥉∑¬·∫∫√“™ ”π—°‡æ◊ËÕ«—¥¢π“¥¢Õß·√ߢ≥–π«¥μ“¡·π«‡ âπæ◊Èπ∞“π·≈–®ÿ¥ —≠≠“≥∫√‘‡«≥≈”μ—«„πºŸâ
                 ‡¢â“√à«¡«‘®—¬ª°μ‘æ√âÕ¡∫—π∑÷°º≈ ·≈–°“√™”·À≈–„π»æ¥Õß º≈°“√»÷°…“æ∫«à“ ‡¡◊ËÕøíßÀ√◊Õ‡§“–∫√‘‡«≥∑âÕß„πºŸâ
                 ‡¢â“√à«¡«‘®—¬¡’‡ ’¬ß‚ª√àß ¢≥–∑’ˇ§“–∫√‘‡«≥À≈—ß¡’‡ ’¬ß∑÷∫ ®“°°“√§≈”æ∫·π«°≈â“¡‡π◊ÈÕ„π∫√‘‡«≥∑—Èß Õß „π
                 ¢≥–∑’˺≈°“√„™â™ÿ¥∑¥ Õ∫°“√°¥®ÿ¥¢≥–π«¥¥â«¬π‘È«¡◊Õ∫√‘‡«≥∑âÕß, À≈—ß ·≈–∫à“„πºŸâ‡¢â“√à«¡«‘®—¬¡’§à“‡©≈’ˬ‡∑à“°—∫
                 5.32 ± 1.28 °‘‚≈°√—¡, 11.6 ± 1.45 °‘‚≈°√—¡ ·≈– 8.5 ± 0.36 °‘‚≈°√—¡ μ“¡≈”¥—∫ º≈°“√™”·À≈–»æ¥Õßæ∫«à“
                 ·π«‡ âπæ◊Èπ∞“π·≈–®ÿ¥ —≠≠“≥∑âÕßμ√ß°—∫Õ«—¬«–μà“ß Ê ¿“¬„π™àÕß∑âÕß À≈Õ¥‡≈◊Õ¥∑’ˇ≈’ȬßÕ«—¬«–¢Õß√–∫∫
                 ∑“߇¥‘πÕ“À“√√«¡∂÷ßÀ≈Õ¥‡≈◊Õ¥·¥ß abdominal aorta ·≈–À≈Õ¥‡≈◊Õ¥¥” inferior vena cava ¥â«¬ „π¢≥–∑’Ë
                 ·π«‡ âπæ◊Èπ∞“π·≈–®ÿ¥ —≠≠“≥∫√‘‡«≥À≈—ßμ√ß°—∫μ”·Àπàß®ÿ¥‡°“–μâπ¢Õß°≈â“¡‡π◊ÈÕ¢â“ß°√–¥Ÿ° —πÀ≈—ß (paraver-
                 tebral muscles) ·≈–æ∫«à“‡ªìπ∫√‘‡«≥∑’Ë·¢πߪ√– “∑ (posterior rami) ¢Õ߇ âπª√– “∑‰¢ —πÀ≈—ß (spinal nerves)
                 ·∑߇¢â“°≈â“¡‡π◊ÈÕ (motor points) À√◊Õ∑–≈ÿ°≈â“¡‡π◊ÈÕ¢÷Èπ‰ª¬—ߺ‘«Àπ—ß  à«π·π«‡ âπæ◊Èπ∞“π∫à“Õ¬Ÿàμ√ß°—∫μ”·Àπàß
                 ¢Õß¡—¥°≈â“¡‡π◊ÈÕ∑√“ªï‡´’¬  (Trapezius) æ∫À≈Õ¥‡≈◊Õ¥·≈–‡ âπª√– “∑«“ßμ—«Õ¬Ÿà„μâμàÕ¡—¥°≈â“¡‡π◊ÈÕπ’È ®–‡ÀÁπ
                 ‰¥â«à“·π«‡ âπæ◊Èπ∞“π ·≈–®ÿ¥ —≠≠“≥¢Õß°“√𫥉∑¬·∫∫√“™ ”π—°∫√‘‡«≥≈”μ—« Õ¥§≈âÕß°—∫‚§√ß √â“ß∑“ß
                 °“¬«‘¿“§¢Õß°≈â“¡‡π◊ÈÕ À≈Õ¥‡≈◊Õ¥ ‡ âπª√– “∑ ·≈–Õ«—¬«–¢Õß√–∫∫∑“߇¥‘πÕ“À“√ ´÷Ëߺ≈°“√»÷°…“¥—ß°≈à“«
                  ”§—≠μàÕª√– ‘∑∏‘º≈·≈–§«“¡ª≈Õ¥¿—¬„π°“√√—°…“ºŸâªÉ«¬¥â«¬°“√𫥉∑¬·∫∫√“™ ”π—°

                      §” ”§—≠:  °“√𫥉∑¬, ·π«‡ âπæ◊Èπ∞“π, ®ÿ¥ —≠≠“≥, §à“¢Õß·√ß°¥







                           Introduction                   massage in a momentary sustained compres-

                   Court-type Thai traditional massage    sion on the points and lines into the thera-
              (CTTM) or Nuad Thai Raja Sum Nak is a pro-  peutic target area and according to the imagi-
                                                                                    [1-5]
              cedure practiced for musculoskeletal diseases  nary lines or çSen Prathan sibé  The imagi-
              in Thailand with a gentle and deep pressure  nary lines have been described as hypoth-
   72   73   74   75   76   77   78   79   80   81   82