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Ò¯Ú «“√ “√°“√·æ∑¬ ¬·º√ “ ·≈–°“√ ∑ ¬∑åå∑“߇≈◊Õ° ªï∑’Ë ¯©∫—∫∑’Ë Ú-Û æƒ…¿“§¡-∏—𫓧¡ ÚııÛ
√°“√ ∑ å π‰∑¬
‡
√ “√°“√ ∑¬å·ºπ‰∑¬·≈–°“√ ∑¬å∑ ‡å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°
«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬
(chronic condition) = 1; ¿“«–°÷Ë߇©’¬∫æ≈—π (subacute 𫥉∑¬„π°“√√—°…“Õ“°“√ª«¥§Õμ“¡≈”¥—∫

condition) = 1.5] ı. ºŸâ‡¢â“√à«¡»÷°…“·μà≈–§π‰¥â√—∫°“√«—¥™à«ß°“√
ERA = effective radiating area, ‡§√◊ËÕßÕ—≈μ√“ ‡§≈◊ËÕπ‰À«¢Õß§Õ (cervical range of motion; ROM) ‚¥¬
2
´“«¥å∑’Ë„™â°”Àπ¥§à“ ERA = 5 cm „™âÕÿª°√≥å«—¥°“√‡§≈◊ËÕπ‰À«¢Õß§Õ (CROM) ¥—ß√Ÿª∑’Ë Ù
‡¡◊ËÕ√—°…“‡ √Á®·≈â«∑”§«“¡ –Õ“¥º‘«¥â«¬ºâ“ –Õ“¥ √–¥—∫§«“¡‡®Á∫ª«¥ (visual analogue scale;VAS) ‚¥¬„™â
√“¬≈–‡Õ’¬¥„π°“√√—°…“¥â«¬π«¥‰∑¬¡’¥—ßπ’È π«¥„π∑à“ Õÿª°√≥å«—¥√–¥—∫§«“¡‡®Á∫ª«¥™à«ß -Ò ¥—ß√Ÿª∑’Ë ı ·≈–
π—Ëß‚¥¬π«¥·π«∫à“ Ò, Ú ∑—Èß Õߢâ“ß ·π«°â“π§Õ Ú ¢â“ß °¥ ª√–‡¡‘π§à“§–·π𧫓¡‡®Á∫ª«¥„π¢≥–ªØ‘∫—μ‘°‘®«—μ√ª√–®”«—π

®ÿ¥°”¥âπ Ò ®ÿ¥ ·≈–®ÿ¥„μâ‰√º¡ Ù ®ÿ¥ π«¥·π«¢â“ß°”¥âπ Ú (functional rating index; FRI) ‚¥¬„™â·∫∫ Õ∫∂“¡°àÕπ
·π« ·π«°”¥âπ ·π«∑⓬∑Õ¬ °¥®ÿ¥·π«‡Àπ◊ÕÀŸ °¥®ÿ¥®Õ¡ °“√√—°…“„π§√—Èß·√° ·≈–À≈—ß®“°‡ √Á®°“√√—°…“‡ªìπ‡«≈“ Ù

ª√– “∑ °¥®ÿ¥À—«§‘È« ·π«§‘È« À“ߧ‘È« À“ßμ“ ·≈–°¥®ÿ¥Õÿ≥“‚≈¡ —ª¥“Àå ·≈– ”√«®§«“¡æ÷ßæÕ„®‡¡◊ËÕ ‘Èπ ÿ¥°“√√—°…“
°¥§≈÷ß·π«Àπ⓺“° ‚¥¬„™âπ‘È«À—«·¡à¡◊Õ„π°“√π«¥ ·√ß∑’Ë„™â
«‘∏’°“√«—¥°“√‡§≈◊ËÕπ‰À«¢ÕߧՂ¥¬‡§√◊ËÕß CROM
ª“π°≈“ß ‡πâπ∑’Ë®ÿ¥ trigger point À≈—ß°“√√—°…“∑—Èß Õß«‘∏’
·π–π”°“√ªØ‘∫—μ‘μ—«‡™àπ°“√¬°¢Õß °“√πÕπ ¢≥–√—°…“∂â“ °àÕπ∑”°“√«—¥™à«ß°“√‡§≈◊ËÕπ‰À«¢Õß§Õ ®—¥„À⺟âªÉ«¬Õ¬Ÿà
ª«¥¡“° ºŸâªÉ«¬ “¡“√∂∑“𬓷°âª«¥æ“√“‡´μ“¡Õ≈‰¥â √Ÿª∑’Ë „π∑à“π—ËßÀ≈—ßμ√ß ´÷Ëß∑”‰¥â‚¥¬„À⺟âªÉ«¬‡Õ“¡◊Õ®—∫∑’Ë –‡Õ«∑’Ëμ√ß

Ú ·≈–√Ÿª∑’Ë Û · ¥ß°“√„™â‡§√◊ËÕß¡◊ÕÕ—≈μ√â“´“«¥å ·≈–°“√ °—∫·π« superior border of iliac crest °√–¥°°√–¥Ÿ°‡™‘ß
°√“π‰ª¢â“ßÀπâ“®π ÿ¥·≈â«∂Õ¬À≈—ß°≈—∫ª√–¡“≥ Ò
‡ªÕ√凴Áπμå¢Õß™à«ß tilt °Á®–‰¥â neutral pelvic tilt æÕ¥’

®“°π—Èπ®—¥Õÿª°√≥å¬÷¥μ√÷ß≈”μ—«„Àâ —¡º— °—∫ à«πÀπâ“Õ° ·≈–
∫√‘‡«≥∫—Èπ‡Õ«¥—ß√Ÿª∑’Ë Ù(°) ‡æ◊ËÕ„À⺟â∂Ÿ°∑¥ Õ∫‰¡à‡§≈◊ËÕπ‰À«
≈”μ—«¢≥–«—¥™à«ß°“√‡§≈◊ËÕπ‰À«¢Õß§Õ ®“°π—Èπ„À⺟â∂Ÿ°

∑¥ Õ∫ «¡Õÿª°√≥å«—¥°“√‡§≈◊ËÕπ‰À«¢Õß§Õ (CROM) ¥—ß√Ÿª∑’Ë
Ù(¢)
„π°“√«—¥°“√‡§≈◊ËÕπ‰À«„π√–π“∫ saggital plane „π

∑à“ flexion, extension ·≈– frontal plane „π∑à“ lateral
flexion ®–„™â·√ß‚πâ¡∂à«ß¢Õß‚≈°«—¥°“√«—¥°“√‡ª≈’ˬπ·ª≈ß
√Ÿª∑’Ë Ú · ¥ß°“√„™â‡§√◊ËÕß¡◊ÕÕ—≈μ√â“´“«¥å
μ”·ÀπàߢÕß»’√…– ‚¥¬Àπâ“ªí¥®–‡ª≈’ˬπ·ª≈߉ªμ“¡·√ß
‚πâ¡∂à«ß (gravity goniometer) à«π°“√«—¥„π√–π“∫ hori-
zontal plane „π∑à“ rotation ®–Õ“»—¬ π“¡·¡à‡À≈Á° ∑’Ë«“ß

§“¥∑“ߥâ“πÀπâ“·≈–¥â“πÀ≈—ߢÕߧՂ¥¬¡’μ—«‡™◊ËÕ¡ ¬÷¥æ“¥
∫π∫à“¢ÕߺŸâ∂Ÿ°∑¥ Õ∫¥—ß√Ÿª∑’Ë Ù(¢) ‚¥¬„À⢗ȫ¢Õß π“¡·¡à

‡À≈Á°™’ȉª∑“ß∑‘»‡Àπ◊Õ °àÕπ°“√∑¥ Õ∫„À⺟âªÉ«¬‡§≈◊ËÕπ‰À«
§Õ„π∑à“ °â¡-‡ß¬ ‡Õ’¬ß§Õ ´â“¬ -¢«“ À¡ÿπ§Õ‰ª∑“ߴ⓬ -¢«“
°àÕπ ∑à“≈– Û §√—Èß

∑à“°â¡§Õ „À⺟â∂Ÿ°∑¥ Õ∫ °â¡§Õ ‡°Á∫§“ß æ¬“¬“¡„Àâ
§“ß™‘¥Õ°¡“°∑’Ë ÿ¥ ®“°π—ÈπºŸâ∑¥ Õ∫Õà“π§à“¡ÿ¡°“√
‡§≈◊ËÕπ‰À«¢ÕߧÕ∫π scale ∑’ËÕ¬Ÿà¥â“π¢â“ߢÕß»’√…–∫π‡§√◊ËÕß

√Ÿª∑’Ë Û · ¥ß°“√𫥉∑¬ CROM