{"id":2334,"date":"2022-06-03T17:54:48","date_gmt":"2022-06-03T14:24:48","guid":{"rendered":"http:\/\/physiotherapy-drkazemi.com\/?p=2334"},"modified":"2026-01-02T20:10:27","modified_gmt":"2026-01-02T16:40:27","slug":"%da%a9%d9%85%d8%b1%d8%af%d8%b1%d8%af-%da%86%d8%a7%d9%84%d8%b4-%d9%81%db%8c%d8%b2%db%8c%d9%88%d8%aa%d8%b1%d8%a7%d9%be%db%8c%d8%b3%d8%aa%d9%87%d8%a7","status":"publish","type":"post","link":"https:\/\/physiotherapy-drkazemi.com\/?p=2334","title":{"rendered":"\u06a9\u0645\u0631\u062f\u0631\u062f \u0686\u0627\u0644\u0634 \u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc\u0633\u062a\u0647\u0627 LUMBAR PAIN"},"content":{"rendered":"\t\t
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\u06a9\u0645\u0631\u062f\u0631\u062f \u060c \u0634\u0627\u06cc\u0639 \u062a\u0631\u06cc\u0646 \u0639\u0627\u0631\u0636\u0647 \u0627\u0633\u06a9\u0644\u062a\u06cc \u062f\u0646\u06cc\u0627\u06cc \u0627\u0645\u0631\u0648\u0632<\/p>\n

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LUMBAR PAIN<\/a>\u00a0LOW BACK PAIN<\/p>\n

CYRIAX<\/p>\n

MAITLAND<\/p>\n

MCKENZIE<\/p>\n

SHIRLEY SAHRMANN<\/p>\n

\u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc \u06a9\u0645\u0631 \u062a\u0647\u0631\u0627\u0646\u067e\u0627\u0631\u0633<\/a><\/p>\n

Chapter 1. 1-\u06a9\u0645\u0631\u062f\u0631\u062f \u0628\u0632\u0631\u06af\u062a\u0631\u06cc\u0646 \u0639\u0627\u0631\u0636\u0647 \u0627\u0633\u06a9\u0644\u062a\u06cc<\/h2>\n

\u06a9\u0645\u0631\u062f\u0631\u062f \u0631\u0627 \u0634\u0627\u06cc\u062f \u0628\u062a\u0648\u0627\u0646 \u06af\u0641\u062a \u0628\u0632\u0631\u06af\u062a\u0631\u06cc\u0646 \u0648 \u0645\u0647\u0645\u062a\u0631\u06cc\u0646 \u0639\u0627\u0631\u0636\u0647 \u0627\u0633\u06a9\u0644\u062a\u06cc \u0639\u0636\u0644\u0627\u0646\u06cc \u0627\u0646\u0633\u0627\u0646 \u0627\u0645\u0631\u0648\u0632 \u0627\u0633\u062a.<\/p>\n

\u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc\u0633\u062a\u0647\u0627 \u0627\u0648\u0644\u06cc\u0646 \u062e\u0637 \u062f\u0631\u0645\u0627\u0646 \u0627\u06cc\u0646 \u0646\u0642\u0635 \u062f\u0646\u06cc\u0627\u06cc \u0627\u0645\u0631\u0648\u0632 \u0647\u0633\u062a\u0646\u062f.<\/p>\n

\u06a9\u0645\u0631 \u0634\u0627\u0645\u0644 \u06cc\u06a9 \u0622\u0646\u0627\u062a\u0648\u0645\u06cc \u062f\u0627\u062e\u0644\u06cc \u0627\u0633\u062a \u06a9\u0647 \u0645\u062d\u062f\u0648\u062f\u0647 \u062e\u0648\u062f \u06a9\u0645\u0631 \u0631\u0627 \u0634\u0627\u0645\u0644 \u0645\u06cc\u0634\u0648\u062f .<\/p>\n

\u062f\u0631 \u0645\u0642\u0627\u0628\u0644 \u0639\u0648\u0627\u0645\u0644\u06cc \u06a9\u0647 \u062f\u0631 \u062e\u0627\u0631\u062c \u0627\u0632 \u0645\u062d\u062f\u0648\u062f\u0647 \u06a9\u0645\u0631 \u0642\u0631\u0627\u0631 \u062f\u0627\u0631\u0646\u062f \u06a9\u0647 \u0645\u06cc\u062a\u0648\u0627\u0646\u0646\u062f \u06a9\u0645\u0631 \u0631\u0627 \u062a\u062d\u062a \u062a\u0627\u062b\u06cc\u0631 \u0642\u0631\u0627\u0631 \u062f\u0647\u0646\u062f.<\/p>\n

\u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u062f\u0627\u0646\u0634\u0645\u0646\u062f\u0627\u0646 \u0648 \u0645\u062d\u0642\u0642\u06cc\u0646 \u0639\u0644\u0648\u0645 \u0645\u062e\u062a\u0644\u0641 \u062f\u0631 \u062d\u0648\u0632\u0647 \u0633\u0644\u0627\u0645\u062a \u060c \u062a\u0642\u0633\u06cc\u0645 \u0628\u0646\u062f\u06cc\u0647\u0627\u06cc \u0645\u062e\u062a\u0644\u0641\u06cc \u0628\u0631\u0627\u06cc \u06a9\u0645\u0631\u062f\u0631\u062f \u062a\u0639\u0631\u06cc\u0641 \u06a9\u0631\u062f\u0647 \u0627\u0646\u062f . \u0647\u0631 \u06a9\u062f\u0627\u0645 \u0627\u0632 \u0638\u0646 \u0648 \u0646\u06af\u0627\u0647 \u062e\u0648\u062f \u0628\u0647 \u0627\u06cc\u0646 \u0645\u0642\u0648\u0644\u0647 \u067e\u0631\u062f\u0627\u062e\u062a\u0647 \u0627\u0646\u062f . \u0627\u0632\u06cc\u0646 \u0627\u0646\u0648\u0627\u0639 \u0645\u06cc\u062a\u0648\u0627\u0646 \u06a9\u0645\u0631\u062f\u0631\u062f \u0645\u06a9\u0627\u0646\u06cc\u06a9\u06cc\u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u06a9\u06cc\u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u0631\u0648\u062d\u06cc \u0631\u0648\u0627\u0646\u06cc\u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u0648\u0636\u0639\u06cc\u062a\u06cc \u06cc\u0627 \u067e\u0648\u0633\u0686\u0631\u0627\u0644 \u06cc\u0627 \u067e\u0648\u0632\u06cc\u0634\u0646\u0627\u0644\u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u0646\u0627\u0634\u06cc \u0627\u0632 \u062f\u06cc\u0633\u0641\u0627\u0646\u06a9\u0634\u0646 \u06cc\u0627 \u0628\u062f\u06cc \u0639\u0645\u0644\u06a9\u0631\u062f \u0645\u0641\u0627\u0635\u0644 \u06a9\u0645\u0631 \u0648 \u0645\u0641\u0627\u0635\u0644 \u0622\u067e\u0648\u0641\u06cc\u0632\u06cc\u0627\u0644 \u06cc\u0627 \u0647\u0645\u0627\u0646 \u0641\u0633\u062a\u0647\u0627 \u0648 \u06cc\u0627 \u0639\u0636\u0644\u0627\u062a \u0648 \u0628\u0627\u0641\u062a \u0646\u0631\u0645 \u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u0646\u0627\u0634\u06cc \u0627\u0632 \u062f\u0631\u0646\u062c\u0645\u0646\u062a \u06cc\u0627 \u0647\u0645\u0627\u0646 \u062f\u06cc\u0633\u06a9\u0648\u067e\u0627\u062a\u06cc \u0648 \u0628\u06cc\u0631\u0648\u0646 \u0632\u062f\u06af\u06cc \u062f\u06cc\u0633\u06a9\u0647\u0627 \u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u06a9\u06cc\u0646\u0632\u06cc\u0648\u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u06a9 \u060c \u06a9\u0645\u0631\u062f\u0631\u062f \u067e\u0627\u062a\u0648\u06a9\u06cc\u0646\u0632\u06cc\u0648\u0644\u0648\u0698\u0650\u06cc\u06a9 \u0648……<\/p>\n

\u0627\u0632 \u062f\u0627\u0646\u0634\u0645\u0646\u062f\u0627\u0646 \u0648 \u0645\u062d\u0642\u0642\u06cc\u0646 \u0645\u062e\u062a\u0644\u0641\u06cc \u06a9\u0647 \u062f\u0631 \u0627\u06cc\u0646 \u0632\u0645\u06cc\u0646\u0647 \u06a9\u0627\u0631 \u06a9\u0631\u062f\u0647 \u0627\u0646\u062f \u0645\u06cc\u062a\u0648\u0627\u0646 \u0627\u0632 \u0645\u06a9\u0646\u0632\u06cc\u060c\u0633\u06cc\u0631\u06cc\u0627\u06a9\u0633\u060c \u0634\u0631\u0644\u06cc \u0633\u0647\u0631\u0645\u0646 \u060c\u0645\u06cc\u062a\u0644\u0646\u062f\u060c\u0686\u06cc\u062a\u0648\u060c\u0628\u0627\u062a\u0644\u0631\u060c\u0648\u06cc\u0644\u06cc\u0627\u0645\u0632\u060c\u0641\u0631\u0646\u0627\u0646\u062f\u0632\u060c \u0627\u0633\u062a\u06cc\u0644\u060c\u067e\u0627\u0644\u0645\u0631 \u0648….\u0646\u0627\u0645\u0628\u0631\u062f .<\/p>\n

\u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc \u06a9\u0645\u0631 \u0633\u0645\u062a \u062a\u0647\u0631\u0627\u0646\u067e\u0627\u0631\u0633<\/a><\/p>\n

\u0647\u0645\u0647 \u0627\u06cc\u0646 \u0627\u0641\u0631\u0627\u062f \u0628\u0627 \u0645\u062a\u062f\u0647\u0627 \u0648 \u0631\u0648\u0634\u0647\u0627\u06cc \u0645\u062e\u062a\u0644\u0641 \u0648 \u06cc\u0627 \u062a\u0642\u0631\u06cc\u0628\u0627 \u0628\u0627 \u06cc\u06a9 \u0645\u0628\u0646\u0627 \u0628\u0647 \u0628\u0631\u0631\u0633\u06cc \u06a9\u0645\u0631\u062f\u0631\u062f \u0648 \u0645\u0639\u0627\u06cc\u0646\u0647 \u0648 \u062f\u0631\u0645\u0627\u0646 \u0622\u0646 \u067e\u0631\u062f\u0627\u062e\u062a\u0647 \u0627\u0646\u062f.<\/p>\n

Chapter 2. 2-\u0633\u06cc\u0631\u06cc\u0627\u06a9\u0633<\/h2>\n

\u0628\u0637\u0648\u0631 \u0645\u062b\u0627\u0644 \u0633\u06cc\u0631\u06cc\u0627\u06a9\u0633 \u0628\u06cc\u0634\u062a\u0631 \u0628\u0647 \u0639\u0648\u0627\u0631\u0636 \u0628\u0627\u0641\u062a \u0646\u0631\u0645 \u0645\u06cc\u067e\u0631\u062f\u0627\u062e\u062a . \u0627\u0648 \u062f\u0631 \u0645\u0639\u0627\u06cc\u0646\u0627\u062a\u0634 \u0639\u0646\u0648\u0627\u0646 \u0645\u06cc\u06a9\u0631\u062f \u06a9\u0647 \u0627\u06af\u0631 \u062f\u0631\u062f \u062f\u0631 active range of motion \u0648 passive range of motion tests \u062f\u0631 \u06cc\u06a9 \u062c\u0647\u062a \u0628\u0631\u0627\u0646\u06af\u06cc\u062e\u062a\u0647 \u0634\u0648\u0646\u062f \u0628\u0627\u06cc\u062f \u0628\u0647 \u0639\u0648\u0627\u0645\u0644 \u0639\u0648\u0627\u0645\u0644 \u063a\u06cc\u0631 \u0627\u0646\u0642\u0628\u0627\u0636\u06cc inert \u0645\u062b\u0644 \u0644\u06cc\u06af\u0627\u0645\u0627\u0646 \u0648 \u06a9\u067e\u0633\u0648\u0644 \u0648 \u063a\u0636\u0631\u0648\u0641 \u0634\u06a9 \u06a9\u0631\u062f .\u0627\u06af\u0631 \u062f\u0631\u062f \u062f\u0631 \u062c\u0647\u062a \u0645\u062e\u0627\u0644\u0641 \u062f\u0631 \u0627\u06cc\u0646 \u062a\u0633\u062a\u0647\u0627 \u0628\u0631\u0627\u0646\u06af\u06cc\u062e\u062a\u0647 \u06af\u0631\u062f\u062f \u0628\u0627\u06cc\u062f \u0628\u0647 \u062f\u06cc\u0633\u0641\u0627\u0646\u06a9\u0634\u0646 \u0628\u0627\u0641\u062a\u0647\u0627\u06cc \u0627\u0646\u0642\u0628\u0627\u0636\u06cc \u0634\u06a9 \u06a9\u0631\u062f.<\/p>\n

Chapter 3. 3-\u0645\u06a9\u0646\u0632\u06cc<\/h2>\n

\u062f\u0631 \u0645\u062a\u062f \u0645\u06a9\u0646\u0632\u06cc MDT: MECHANICAL DIAGNOSIS AND THERAPY \u062a\u0627\u06a9\u06cc\u062f \u0628\u06cc\u0634\u062a\u0631 \u0628\u0631 \u0631\u0648\u06cc \u0642\u062f\u0631\u062a \u062f\u0647\u06cc \u0648 \u062e\u0648\u062f\u062f\u0631\u0645\u0627\u0646\u06cc \u0628\u06cc\u0645\u0627\u0631 \u0627\u0633\u062a \u06a9\u0647 \u0628\u0627 \u06cc\u06a9\u0633\u0631\u06cc \u062a\u0645\u0631\u06cc\u0646\u0627\u062a \u0627\u0646\u062c\u0627\u0645 \u0645\u06cc\u06af\u0631\u062f\u062f . \u062a\u0627\u06a9\u06cc\u062f \u0648\u06cc \u0635\u0631\u0641\u0627 \u0628\u0631 \u0639\u0648\u0627\u0645\u0644 \u0622\u0646\u0627\u062a\u0648\u0645\u06cc\u06a9 \u067e\u0627\u06cc\u0647 \u0646\u06cc\u0633\u062a \u0628\u0644\u06a9\u0647 \u0628\u0631 \u0632\u06cc\u0631 \u0645\u062c\u0645\u0648\u0639\u0647 \u0647\u0627\u06cc \u0622\u0646\u0627\u0646 \u0627\u0633\u062a. \u062f\u0631 \u0645\u0648\u0631\u062f \u06a9\u0645\u0631\u062f\u0631\u062f \u062a\u0627\u06a9\u06cc\u062f \u0648\u06cc \u0628\u0631 \u0645\u0631\u06a9\u0632\u06cc \u06a9\u0631\u062f\u0646 \u062f\u0631\u062f \u0627\u0633\u062a (CENTRALIZATION) .<\/p>\n

\u0645\u062a\u062f \u0645\u06a9\u0646\u0632\u06cc \u062f\u0627\u0631\u0627\u06cc \u0686\u0647\u0627\u0631 \u0645\u0631\u062d\u0644\u0647 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc(assesment)\u060c \u0637\u0628\u0642\u0647 \u0628\u0646\u062f\u06cc (Classification)\u060c\u062f\u0631\u0645\u0627\u0646(Treatment)\u060c \u067e\u06cc\u0634\u06af\u06cc\u0631\u06cc(Prevention) \u0645\u06cc\u0628\u0627\u0634\u062f.<\/p>\n

\u062f\u0631\u0645\u0627\u0646 \u062f\u0631 \u0645\u062a\u062f \u0645\u06a9\u0646\u0632\u06cc \u0634\u0627\u0645\u0644 \u062a\u06a9\u0631\u0627\u0631 \u06cc\u06a9\u0633\u0631\u06cc \u062d\u0631\u06a9\u0627\u062a \u0648 \u06cc\u0627 \u062d\u0641\u0638 \u06cc\u06a9\u0633\u0631\u06cc \u0627\u0632 \u067e\u0648\u0632\u06cc\u0634\u0646\u0647\u0627 \u0647\u0633\u062a . \u0622\u0646\u0647\u0627 \u0645\u06cc\u062a\u0648\u0627\u0646\u0646\u062f \u0628\u0627\u0639\u062b \u06a9\u0627\u0647\u0634 \u0639\u0644\u0627\u0626\u0645 \u06af\u0631\u062f\u0646\u062f \u06cc\u0627 \u0639\u0644\u0627\u0626\u0645 \u0631\u0627 \u0645\u0631\u06a9\u0632\u06cc \u06a9\u0646\u0646\u062f. \u062d\u062a\u06cc \u06a9\u0627\u0645\u0644\u0627 \u0645\u062d\u0648 \u06a9\u0646\u0646\u062f.<\/p>\n

\u06a9\u0645\u0631\u062f\u0631\u062f\u0647\u0627 \u062f\u0631 \u0627\u06cc\u0646 \u0645\u062a\u062f \u0628\u0647 \u0686\u0647\u0627\u0631\u0646\u0648\u0639<\/p>\n

1-\u00a0\u0633\u0646\u062f\u0631\u0648\u0645 \u062f\u0631\u0646\u062c\u0645\u0646\u062a ( Derangement Syndrome)<\/strong><\/p>\n

2-\u0633\u0646\u062f\u0631\u0648\u0645 \u062f\u06cc\u0633\u0641\u0627\u0646\u06a9\u0634\u0646(Dysfunction Syndrome)<\/strong><\/p>\n

3-\u0633\u0646\u062f\u0631\u0648\u0645 \u067e\u0648\u0633\u0686\u0631\u0627\u0644 (Postural Syndrome)<\/strong><\/p>\n

4- \u0648 \u062f\u06cc\u06af\u0631 \u0633\u0646\u062f\u0631\u0648\u0645\u0647\u0627\u06cc \u063a\u06cc\u0631 \u0645\u06a9\u0627\u0646\u06cc\u06a9\u06cc \u0627\u0632 \u0642\u0628\u06cc\u0644 \u0645\u0634\u06a9\u0644\u0627\u062a \u0645\u0641\u0627\u0635\u0644 \u0627\u0637\u0631\u0627\u0641 \u06a9\u0645\u0631 \u0648 \u062a\u0631\u0648\u0645\u0627 \u0648 \u0645\u0634\u06a9\u0644\u0627\u062a \u062c\u0631\u0627\u062d\u06cc \u0648 \u0645\u0634\u06a9\u0644\u0627\u062a \u0633\u0627\u062e\u062a\u0627\u0631\u06cc \u0648 \u062f\u0631\u062f\u0647\u0627\u06cc\u06cc \u06a9\u0647 \u0627\u0632 \u0644\u062d\u0627\u0638 \u0645\u06a9\u0627\u0646\u06cc\u06a9\u06cc \u0628\u062f\u0648\u0646 \u0646\u062a\u06cc\u062c\u0647 \u0648 \u0645\u0642\u0627\u0648\u0645 \u0628\u0647 \u062f\u0631\u0645\u0627\u0646 \u0647\u0633\u062a\u0646\u062f.<\/p>\n

\u062f\u0631 \u0645\u062a\u062f \u0645\u06a9\u0646\u0632\u06cc \u0633\u0639\u06cc \u0634\u062f\u0647 \u062a\u0645\u0627\u0645 \u0627\u0646\u0648\u0627\u0639 \u0639\u0648\u0627\u0645\u0644 \u062f\u0631\u062f \u0632\u0627 \u0648 \u0639\u0644\u0627\u0645\u062a \u062f\u0627\u0631 \u0637\u0628\u0642\u0647 \u0628\u0646\u062f\u06cc \u06af\u0631\u062f\u0646\u062f .<\/p>\n

\u0648\u0644\u06cc \u0648\u06cc \u0635\u0631\u0641\u0627 \u06cc\u06a9\u0633\u0631\u06cc \u0645\u062a\u062f \u0648 \u062a\u0645\u0631\u06cc\u0646 \u0648 \u067e\u0648\u0632\u06cc\u0634\u0646 \u0631\u0627 \u0628\u0631\u0627\u06cc \u062f\u0631\u0645\u0627\u0646 \u0627\u0631\u0627\u0626\u0647 \u06a9\u0631\u062f \u06a9\u0647 \u06af\u0631\u0686\u0647 \u0628\u0633\u06cc\u0627\u0631 \u0645\u0648\u062b\u0631 \u0647\u0633\u062a\u0646\u062f \u0648\u0644\u06cc \u062a\u0645\u0627\u0645 \u0627\u0646\u0648\u0627\u0639 \u0639\u0648\u0627\u0645\u0644 \u062f\u0631\u062f\u0632\u0627 \u0648 \u0639\u0644\u0627\u0645\u062a \u062f\u0627\u0631 \u0631\u0627 \u067e\u0648\u0634\u0634 \u0646\u0645\u06cc \u062f\u0647\u062f.<\/p>\n

Chapter 4. 4-\u0645\u06cc\u062a\u0644\u0646\u062f<\/h2>\n

\u062f\u0631 \u0645\u062a\u062f \u0645\u06cc\u062a\u0644\u0646\u062f \u062a\u0627\u06a9\u06cc\u062f \u0628\u06cc\u0634\u062a\u0631 \u0628\u0631 \u062f\u0633\u062a\u06a9\u0627\u0631\u06cc \u0648 \u0645\u062a\u062d\u0631\u06a9 \u0633\u0627\u0632\u06cc \u063a\u06cc\u0631 \u0641\u0639\u0627\u0644(Passive) \u06cc\u0627 \u0627\u0635\u0637\u0644\u0627\u062d\u0627 \u0645\u0648\u0628\u06cc\u0644\u06cc\u0632\u0627\u0633\u06cc\u0648\u0646(Mobilization) \u0648 \u0645\u0627\u0646\u06cc\u067e\u0648\u0644\u0627\u0633\u06cc\u0648\u0646(Manipulation) \u0645\u0641\u0627\u0635\u0644 \u0627\u0635\u0644\u06cc \u0648 \u0622\u067e\u0648\u0641\u06cc\u0632\u06cc\u0627\u0644 \u0648 \u0645\u0641\u0627\u0635\u0644 \u0633\u06cc\u0646\u0648\u0648\u06cc\u0627\u0644 \u0627\u0633\u062a.<\/p>\n

5-\u0633\u0647\u0631\u0645\u0646<\/p>\n

\u062f\u0631 \u0645\u062a\u062f \u0634\u0631\u0644\u06cc \u0633\u0647\u0631\u0645\u0646 \u0648\u06cc \u0628\u062f\u0646\u0628\u0627\u0644 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0646\u0642\u0635\u0647\u0627\u06cc \u062d\u0631\u06a9\u062a\u06cc(Movement Impairment Syndrome<\/a>) \u062f\u0631 \u0627\u0641\u0631\u0627\u062f \u0628\u0631\u0627\u06cc \u0631\u0641\u0639 \u0622\u0646\u0647\u0627 \u062c\u0647\u062a \u0627\u0632 \u0628\u06cc\u0646 \u0628\u0631\u062f\u0646 \u0639\u0644\u0627\u0626\u0645 \u0627\u0633\u062a.<\/p>\n

\u062a\u0626\u0648\u0631\u06cc \u0648\u06cc \u0628\u0631 \u0627\u0633\u0627\u0633 \u0627\u06cc\u0646 \u0645\u0648\u0636\u0648\u0639 \u0647\u0633\u062a \u06a9\u0647 \u0627\u0638\u0647\u0627\u0631 \u0645\u06cc\u062f\u0627\u0631\u062f \u062d\u0631\u06a9\u0627\u062a \u0645\u0645\u062a\u062f \u0648 \u06cc\u0627 \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0646 \u062f\u0631 \u067e\u0648\u0632\u06cc\u0634\u0646\u0647\u0627\u06cc \u062e\u0627\u0635 \u062f\u0631 \u0637\u0648\u0644\u0627\u0646\u06cc \u0645\u062f\u062a \u0628\u0627\u0639\u062b \u06a9\u0627\u0647\u0634 \u06a9\u06cc\u0641\u06cc\u062a \u0648 \u062f\u0642\u062a \u062d\u0631\u06a9\u0627\u062a \u062f\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u06cc\u0634\u0648\u062f. \u06a9\u0647 \u0628\u0627\u0639\u062b \u0645\u06cc\u0634\u0648\u062f \u062a\u0639\u0627\u062f\u0644 \u0628\u06cc\u0646 \u0642\u062f\u0631\u062a \u0648 \u0637\u0648\u0644 \u0639\u0636\u0644\u0647 \u0628\u0647\u0645 \u0628\u0631\u06cc\u0632\u062f\/\u0627\u0644\u06af\u0648\u0647\u0627\u06cc \u06a9\u0627\u0631\u0628\u0631\u06cc \u0633\u06cc\u0633\u062a\u0645 \u062d\u0631\u06a9\u062a\u06cc \u0648 \u0632\u0645\u0627\u0646 \u0628\u0646\u062f\u06cc \u0622\u0646\u0647\u0627 \u062f\u0686\u0627\u0631 \u0627\u062e\u062a\u0644\u0627\u0644 \u0634\u0648\u0646\u062f\/ \u0627\u0632 \u0628\u06cc\u0646 \u0631\u0641\u062a\u0646 \u06a9\u0627\u0631\u0628\u0631\u06cc \u062d\u0631\u06a9\u0627\u062a\/ \u0633\u0641\u062a\u06cc \u0648 \u062e\u0634\u06a9\u06cc.<\/p>\n

\u0627\u0644\u0628\u062a\u0647 \u0628\u0631\u0627\u06cc \u0627\u06cc\u0646 \u0645\u062a\u062f \u0631\u0641\u0631\u0646\u0633\u0647\u0627 \u0648 \u0645\u0634\u0627\u0647\u062f\u0627\u062a \u0648 \u0622\u0632\u0645\u0627\u06cc\u0634\u0627\u062a \u06a9\u0645\u06cc \u062f\u0631 \u0633\u0637\u062d \u0639\u0644\u0645\u06cc \u062c\u0647\u062a \u0645\u0631\u06a9\u0632\u06cc \u06a9\u0631\u062f\u0646 \u062f\u0631\u062f \u0648 \u0639\u0644\u0627\u0626\u0645 \u0648 \u0639\u0648\u0627\u0645\u0644 \u0628\u06cc\u0648\u0633\u0627\u06cc\u06a9\u0648\u0633\u0648\u0634\u06cc\u0627\u0644 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f.<\/p>\n

\u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc \u0633\u0645\u062a \u062a\u0647\u0631\u0627\u0646\u067e\u0627\u0631\u0633<\/a><\/p>\n

\u0647\u0645\u0627\u0646\u0637\u0648\u0631 \u06a9\u0647 \u062f\u0631 \u0628\u0627\u0644\u0627 \u062a\u0648\u0636\u06cc\u062d \u062f\u0627\u062f\u0647 \u0634\u062f \u0646\u06af\u0631\u0634\u0647\u0627 \u0648 \u0645\u062a\u062f\u0647\u0627\u06cc \u06af\u0648\u0646\u0627\u06af\u0648\u0646\u06cc \u0627\u0632 \u062c\u0646\u0628\u0647 \u0647\u0627\u06cc \u0645\u062e\u062a\u0644\u0641 \u062f\u0631 \u062f\u0631\u0645\u0627\u0646 \u06a9\u0645\u0631\u062f\u0631\u062f \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u0646\u062f \u06a9\u0647 \u0647\u0631 \u06a9\u062f\u0627\u0645 \u062f\u0627\u0631\u0627\u06cc \u0645\u0632\u0627\u06cc\u0627 \u0648 \u0646\u0642\u0635\u0647\u0627\u06cc\u06cc \u0647\u0633\u062a\u0646\u062f .<\/p>\n

\u062d\u0627\u0644\u0627 \u0648\u0638\u06cc\u0641\u0647 \u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc\u0633\u062a \u0628\u0639\u0646\u0648\u0627\u0646 \u067e\u06cc\u0634\u0642\u0631\u0627\u0648\u0644 \u062f\u0631 \u062e\u0637 \u0627\u0648\u0644 \u062f\u0631\u0645\u0627\u0646 \u06a9\u0645\u0631\u062f\u0631\u062f \u0686\u06cc\u0633\u062a\u061f<\/p>\n

\u0641\u06cc\u0632\u06cc\u0648\u062a\u0631\u0627\u067e\u06cc\u0633\u062a \u0646\u0628\u0627\u06cc\u062f \u0647\u06cc\u0686\u0648\u0642\u062a \u062e\u0648\u062f \u0631\u0627 \u0645\u062a\u0639\u0635\u0628\u0627\u0646\u0647 \u0648\u0641\u0627\u062f\u0627\u0631 \u0628\u0647 \u06cc\u06a9 \u0645\u062a\u062f \u06cc\u0627 \u0631\u0648\u0634 \u0648 \u0646\u06af\u0631\u0634 \u0648 \u06cc\u0627 \u0645\u062f\u0627\u0644\u06cc\u062a\u0647 \u0642\u0631\u0627\u0631 \u062f\u0647\u062f. \u0628\u0644\u06a9\u0647 \u0635\u0631\u0641\u0627 \u0628\u0627\u06cc\u062f \u0648\u0641\u0627\u062f\u0627\u0631 \u0628\u0647 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0648 \u0627\u0633\u062a\u062f\u0644\u0627\u0644 \u0648 \u0628\u0631\u062f\u0627\u0634\u062a \u062e\u0648\u062f\u0634 \u0627\u0632 \u0647\u0631 \u0628\u06cc\u0645\u0627\u0631 \u0628\u0627\u0634\u062f \u0648 \u0633\u067e\u0633 \u0628\u0627 \u0631\u062c\u0648\u0639 \u0628\u0647 \u0627\u0646\u0648\u0627\u0639 \u0646\u06af\u0631\u0634\u0647\u0627 \u060c \u067e\u0631\u0648\u062a\u06a9\u0644 \u062f\u0631\u0645\u0627\u0646\u06cc \u0627\u0634 \u0631\u0627 \u0637\u0631\u0627\u062d\u06cc \u06a9\u0646\u062f \u0648 \u062f\u0631\u0645\u0627\u0646 \u0631\u0627 \u0627\u0646\u062c\u0627\u0645 \u062f\u0647\u062f .<\/p>\n

\u00a0<\/p>\n

\u0646\u0648\u06cc\u0633\u0646\u062f\u0647 \u0645\u0642\u0627\u0644\u0647 \u062f\u06a9\u062a\u0631 \u062d\u0627\u0645\u062f \u06a9\u0627\u0638\u0645\u06cc \u0635\u0641\u062a<\/p>\n

\u00a0<\/p>\n

LOW BACK PAIN is a challenge for physiotherapists<\/strong><\/pre>\n
\u00a0<\/p>\n
Back pain<\/a> is arguably the biggest and most important musculoskeletal 
complication of humans today.
Physiotherapists are the first line of treatment for this defect in the world today.
The lumbar spine contains an internal anatomy that includes the lumbar spine itself and factors that are outside the lumbar spine.They can affect the lumbar spine.
Research by scientists and researchers in the field of health , have defined different divisions for low back pain.
 Each of which has its own suspicion and view on this category
 such as mechanical low back pain, pathological low back pain, mental low back pain, postural or postural back pain or Positional, low back pain due to dysfunction or poor function of the lumbar joints and apophysial joints or the same facets or muscles and soft tissue, low back pain due to degeneration or discopathy and disc protrusion, kinesiopathological low back pain, pathokinesiological low back pain ..

The various scientists and researchers who have worked in this field. include Mckenzie, Cyriax, Shirley Sahrmann, Maitland, Chaitow<\/a>, Buttler, Williams ,Fernandez, Steel, Palmer, and others.


All of these people have studied, examined and treated for low back pain with different methods and methods or almost on the same basis.
CYRIAX

Cyriax<\/a>, for example, was more concerned with soft tissue complications. arguing that if pain was aroused in the active range of motion and passive range of motion tests in one direction, inert non-contractile agents such as ligaments, capsules, and cartilage should be suspected. If pain is aroused in the opposite direction in these tests, contractile tissue dysfunction should be suspected.
In the Mckenzie method<\/a> MDT: MECHANICAL DIAGNOSIS AND THERAPY, more emphasis is placed on empowerment and self-healing of the patient, which is done with a series of exercises.
 and his emphasis is not only on basic anatomical factors but also on their subsets. In the case of low back pain, his emphasis is on CENTRALIZATION.
The Mckenzie method has four stages: assessment, classification, treatment, and prevention.
Low back pain in this method is divided into four types:
 1- Derangement Syndrome<\/strong> 
2- Dysfunction Syndrome<\/strong>
 3- Postural Syndrome <\/strong>
4- and other non-mechanical syndromes such as problems around the waist and trauma and surgical problems and problems of Structures and pains that are mechanical inconclusive and non-responsive 
In Mckenzie's method, he tried to classify all types of painful and symptomatic factors. but he only provided a set of methods, exercises and positions for treatment, which, although very effective, do not cover all types of painful and symptomatic factors.
In the Maitland<\/a> method, more emphasis is placed on passive manipulation and mobilization, or so-called mobilization and manipulation of the main and apophysical joints and synovial joints.
In Shirley Sahrmann's method<\/a>, she seeks to assess Movement Impairment Syndrome in people to correct them to eliminate the symptoms.
 her theory is based on the fact that continuous movements or being in certain positions in the long run reduces the quality and accuracy of movements in the joints. Which causes the balance between strength and muscle length to be disturbed \/ Movement system usage patterns and timing to be disturbed \/ Movement loss of use \/ Stiffness 

However, for this method, there are few references, observations and experiments at the scientific level to centralize pain and symptoms and biopsychosocial factors.
As explained above, there are different attitudes and methods from different aspects in the treatment of low back pain, each of which has advantages and disadvantages.
Now, what is the role of a physiotherapist as a pioneer in the first line of ?low back pain treatment
The physiotherapist should never be fanatically loyal to a method or methods or attitude or modality. Rather, he simply has to be faithful to his own  assessment, reasoning, and perception of each patient, and then, with reference to a variety of attitudes, design his treatment protocol and perform the treatment.
Author of the article Dr. Hamed Kazemi<\/pre>\n<\/div>\n
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R\u00e9pondre<\/span>Transf\u00e9rer<\/span>\n
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Ajouter une r\u00e9action<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"
\u06a9\u0645\u0631\u062f\u0631\u062f \u06cc\u06a9\u06cc \u0627\u0632 \u0645\u0647\u0645\u062a\u0631\u06cc\u0646 \u0645\u0634\u06a9\u0644\u0627\u062a \u0648 \u0639\u0648\u0627\u0631\u0636 \u0627\u0633\u06a9\u0644\u062a\u06cc \u0627\u0645\u0631\u0648\u0632 \u062f\u0646\u06cc\u0627\u06cc \u0645\u062f\u0631\u0646 \u0627\u0633\u062a \u06a9\u0647 \u062f\u0631 \u0627\u06cc\u0646 \u0645\u0642\u0627\u0644\u0647 \u0628\u0647 \u0622\u0646 \u067e\u0631\u062f\u0627\u062e\u062a\u0647 \u0634\u062f\u0647 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