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°“√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√– ߧå‡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
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‡¢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-