【下肢病系列讲座】【第二讲：髋关节的解剖】主讲：周科华博士。主持：冷三华博士。纽约中医论坛

 第二讲：髋关节的解剖
美东时间：5月17日周三晚9：00
北京时间：5月18月周四早9：00
讲员：周科华博士；主持：冷三华博士
主场：纽中理疗针灸群
录音：李麦克
同步转播：孟宪雪。
♦️♦️♦️♦️♦️♦️♦️♦️

周科华简历

Kehua Zhou, MD, DPT 
 
HIGHLIGHTS
Lead physical therapist and licensed acupuncturist at Daemen College Physical Therapy Clinic Clinical Assistant Professor at the Health Promotion Department at Daemen College Clinical researcher with around 30 peer-reviewed publications
 
EDUCATION
2010-2013     Doctor of Physical Therapy    Daemen College 2003-2010     MD and MMed 

Beijing University of Chinese Medicine  LICENSURE AND CERTIFICATES 

 PUBLICATIONS
         1. Yan Ma, Ming Dong, Kehua Zhou, Carol Mita, Jianping Liu, Peter Wayne. Publication trends in acupuncture research: a 20-year bibliometric analysis. Plos One 2016;11(12):e0168123.

2. Kehua Zhou, Peng Jia. Depressive symptoms in patients with chronic wounds: a cross sectional study. Wound Repair Regen. 2016;24(6):1059-1065. (corresponding author)

3. Kehua Zhou, Ronald Schenk, Michael Brogan. The wound healing trajectory and predictors with combined electric stimulation and conventional care: one outpatient wound care clinic's experience. Eur J Clin Invest. 2016;46(12):1017-1023. (corresponding author)
Kehua Zhou, MD, DPT
2/3
        4. Zhishun Liu, Shiyan Yan, Jiani Wu, Liyun He, Ning Li, Guirong Dong, Jianqiao Fang, Wenbin Fu, Lixin Fu, Jianhua Sun,Linpeng Wang, Shun Wang, Jun Yang, Hongxing Zhang, Jianbin Zhang, Jiping Zhao, Wei Zhou, Zhongyu Zhou, Yanke Ai, Kehua Zhou, Jia Liu, Huanfang Xu, Yuying Cai, Baoyan Liu. Acupuncture for chronic severe functional constipation: a randomized controlled trial. Ann Intern Med. 2016;165(11):761-769.

5. Kehua Zhou, Kenneth Krug, Jack Stachura, et al. Silver-Collagen Dressing and High-voltage, Pulsed-current Therapy for the Treatment of Chronic Full-thickness Wounds: A Case Series. Ostomy Wound Manage. 2016; 62(3):36–44. (corresponding author)

6. Arthur Yin Fan, Kehua Zhou, Sherman Gu, Yong Ming Li. Acupuncture is effective for chronic knee pain: a re-analysis of the Australian acupuncture trial by Hinman and her colleagues. Altern Ther Health Med. 2016;22(3):30-34.

7. Kehua Zhou, Arthur Yin Fan, Tong Wang. Acupuncture for chronic knee pain: a critical appraisal of an Australian randomized controlled trial. Medical Acupuncture. 2016;28(1): 40-45. (corresponding author)

8. Zengfu Peng, Ge Nan, Man Nga Cheng, Kehua Zhou. The comparison of trigger point acupuncture and traditional acupuncture. World Journal of Acupuncture-Moxibustion. 2016;26(1):1-6. (corresponding author).

9. Yan Ma, Kehua Zhou, Jing Fan, Shuchen Sun. Traditional Chinese Medicine and: Potential Approaches from Modern Dynamical Complexity Theories. Frontiers of Medicine. 2016;10(1):28-32.  

10. Kehua Zhou, Yan Ma, Michael Brogan. Dry needling verus acupuncture: the ongoing debate. Acupunct Med. 2015;33(6):485-90. (corresponding author)

11. Kehua Zhou, Kenneth Krug, Michael Brogan. Physical therapy in wound care: a cost-effectiveness analysis. Medicine. 2015;94(49):e2202. doi: 10.1097/MD.0000000000002202. (corresponding author)

12. Kehua Zhou, Yan Ma, Michael S. Brogan. Chronic and non-healing wounds: a story of vascular endothelial growth factor. Medical Hypotheses. 2015;85(4):399-404. (corresponding author)  .

13. Kehua Zhou, Kenneth Krug, Michael Brogan. Management of a dehisced hand wound using hydrogen peroxide, electrical stimulation, silver-containing dressings, and compression: a case study. Ostomy Wound Manage. 2015; 61(7):32-7. (corresponding author)

14. Miao Mo, Mi Zhou, Lu Wang, Lin Qi, Kehua Zhou, Long-fei Liu, Zhi Chen, Xiong-Bing Zu. CCL21/CCR7 enhances the proliferation, migration, and invasion of human bladder cancer T24 cells. Plos One. 2015;10(3):e0119506.

15. Jiliang Fang, Danhong Wang, Yang Hong, Yulian Jin, Zhishun Liu, Kehua Zhou, Xianghong Jing, Xiaochun Yu, Hesheng Liu, Bing Zhu. Brain-Gut Axis Modulation of Acupuncture in Functional Dyspepsia: A Preliminary Resting-State fcMRI Study. Evid Based Complementary Altern Med. 2015;2015:860463. 

16. Kehua Zhou, Michael S. Brogan, Chunyan Yang, Justine Tutuska, Laura Edsberg. Oriental medicine and chronic wound care: theory, practice, and research. Ostomy Wound Manage 2013; 59(1):36–46. (corresponding author)

17. Kehua Zhou, Jingxi Jiang, Jiani Wu, Zhishun Liu. Electroacupuncture modulates reproductive hormone levels in patients with primary ovarian insufficiency: results from a prospective observational study. Evid Based Complementary Altern Med. 2013; 2013:657234.

18. Ze-hui Li, Chao An, Kai-wen Hu, Kehua Zhou, Hui-hui Duan, Min-ke Tang. Multidrug resistance
Kehua Zhou, MD, DPT
3/3
reversal activity of total alkaloid from Fritillaria thunbergii on cisplatin-resistant human lung adenocarcinoma A549/DDP cells. Chinese Journal of Pharmacology and Toxicology 2013; 27(3):36-38.

19. Jiliang Fang, Xiaoling Wang, Hesheng Liu, Yin Wang, Kehua Zhou, Yang Hong, Jun Liu, Lei Wang, Chao Xue, Ming Song, Baoyan Liu, Bing Zhu. The Limbic-prefrontal Network Modulated by Electro-acupuncture at CV4 and CV12. Evid Based Complement Altern Med 2012; 2012: 515893. 

20. Kehua Zhou, Jiliang Fang, Xiaoling Wang, Yin Wang, Yang Hong, Jun Liu, Lei Wang, Chao Xue, Ping Wang, Baoyan Liu, Bing Zhu. Characterization of Deqi with Electroacupuncture at Acupoints with Different Properties. J Altern Complement Med 2011; 17(11):1007-1013.

21. Zhishun Liu, Kehua Zhou, Yang Wang, Yanxia Pan. Electroacupuncture improves voiding function in patients with neurogenic urinary retention secondary to cauda equina injury. Acupunct Med 2011; 29:188–192.

22. Jie Wang, Fu-Yong Chu, Ji Li, Kui-Wu Yao, Jing-Bai Zhong, Ke-Hua Zhou, Qing-Yong He, Xiao-Wei Sun. Study on Syndrome Element Characteristics and Its Correlation with Coronary Angiography in 324 Patients with Coronary Heart Disease. Chin J Integr Med 2008; 14(4): 274-80.

PEER-REVIEWED ABSTRACTS

1. Kehua Zhou, Yong Zhang, Gary Wang. Management of the failed long-term intrathecal morphine therapy in two patients. Postgraduate Medicine, 128 (S2);96-97  

2. Yong Zhang, Kehua Zhou, Gary Wang. Management of intractable neuropathic pain in patients with severe plexopathy, a case series report. Postgraduate Medicine, 128 (S2); 97 

  3. Kehua Zhou, Yong Zhang, Gary Wang. A Literature Review and Perspectives in the Management of Chronic Non-Cancer Pain. Postgraduate Medicine, 128 (S2); 97-98  

4. Kehua Zhou, Yong Zhang, Gary Wang. Management of intractable pain in patients on prolonged methadone use: a study of two cases. Postgraduate Medicine, 128 (S2); 98-99  

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讲课课件

课堂讨论

冷三华，理疗，针灸，纽约。 9:45 PM
非常感谢周教授精彩讲座，大家有问题可以问周教授。

jun xu 9:47 PM
请问髋关节与肩关节的异同点？请详细一点，可以用语音，他们都同属于哪一种关节？

waterbuffalo 9:48 PM
谢谢，徐老师！髋关节和肩关节的活动度不一样

Jenny Wang 9:51 PM
内收肌部位的疼痛与腰椎间盘突出症有着什么关系？@周科华 Buffalo 

jun xu 9:53 PM
对，但是髋关节的关节腔深，不大容易脱臼，肩关节关节腔浅，容易受伤，脱臼和半脱位，髋关节在什么情况下会脱臼？

冷三华，理疗，针灸，纽约。 9:55 PM
请问褥疮的理疗方法。

jun xu 9:56 PM
主要是车祸，你对了，为什么车祸会引起脱臼？

针灸人 9:56 PM
改变体位从坐位到站位或从站位到坐位困难，臀腰疼痛增加主要是什么肌肉的问题？

Jenny Wang 9:58 PM

谢谢您的耐心讲解

jun xu 10:00 PM
主要是车祸冲击力，作用于髋臼的后部，引起髋臼后脱位

Sophia Wang 针灸、中医NY 10:01 PM
门诊上会遇到腰中下部痛，一侧腿后上部痛，这应当怎样诊断，处理?
改变体位时痛

jun xu 10:02 PM
髋关节区疼痛有可能有哪些结构需要考虑？

北郭生 10:04 PM
髋关节前屈90度，外展时痛，如何诊断和治疗?痛在前面

jun xu 10:05 PM
很好。如果groin 疼痛，考虑哪些？哪些肌肉？

Jenny Wang 10:09 PM
对于腰椎间盘突出症有压迫神经症状时，在功能锻炼方面建议不建议作仰卧起坐，为什么？@周科华 Buffalo 

Sophia Wang 针灸、中医NY 10:09 PM
谢谢您的耐心讲解

jun xu 10:09 PM
常见损伤？内收肌对了，还有iliopsoas，还有髋关节炎

jia 10:11 PM
CDH 走路与白娘子一样怎么办

waterbuffalo 10:12 PM
iliopsoas是髂腰肌

jun xu 10:12 PM
对了，中文不清楚，谢谢你，非常好！

waterbuffalo 10:12 PM
@于家山 美国 手术吧

冷三华，理疗，针灸，纽约。 10:13 PM
@于家山 美国 白娘子是怎么走路的？

waterbuffalo 10:13 PM
@郭小华 针灸 多伦多 骨性关节病？bursitis？

Jenny Wang 10:14 PM
受教了，谢谢您

北郭生 10:14 PM
@周科华 Buffalo 应该是肌肉的

jun xu 10:14 PM
非常感谢你！也恭喜@周科华 Buffalo 马上进入住院医训练！恭喜！

冷三华，理疗，针灸，纽约。 10:14 PM
请问臀部那块肌肉紧张可出现坐骨神经痛症状？

waterbuffalo 10:15 PM
@郭小华 针灸 多伦多 做肌肉测试，筛查那一块出现问题，然后斜刺痛点。

 梨状肌

jia 10:16 PM
@冷三华，理疗，针灸，纽约。 眼镜蛇立着爬行

Guoping Z, NY 10:16 PM
非常感谢你！也恭喜@周科华 Buffalo 马上进入住院医训练！恭喜！

waterbuffalo 10:16 PM
@徐俊康复纽约 谢谢徐老师

针灸人 10:16 PM
髋关节周围疼痛除了严重骨性关节炎有哪些不是针灸的适应症？

冷三华，理疗，针灸，纽约。 10:16 PM
非常感谢你！也恭喜@周科华 Buffalo 马上进入住院医训练！恭喜！

waterbuffalo 10:17 PM
谢谢邀请@冷三华，理疗，针灸，纽约。 @郑国平 纽约 

针灸人 10:17 PM
臀小肌及梨状肌造成的腿部疼痛如何鉴别？

waterbuffalo 10:19 PM
@何红健美国佛州 疼痛位置不一样？

冷三华，理疗，针灸，纽约。 10:20 PM
@周科华 Buffalo 检查方法不同

针灸人 10:21 PM
@冷三华，理疗，针灸，纽约。 @周科华 Buffalo 能详细一点吗

waterbuffalo 10:21 PM
@冷三华，理疗，针灸，纽约。 谢谢

针灸人 10:22 PM
还有想知道Hip labral tear 针刺及理疗有效吗？

冷三华，理疗，针灸，纽约。 10:25 PM
1. 梨状肌表现为坐骨神经痛症状，臀小肌不是；2. 梨状肌实验时，梨状肌为阳性，臀小肌为阴性；3. 等长对抗外展实验，臀小肌为阳性，梨状肌可能为阴性。

冷三华，理疗，针灸，纽约。 10:25 PM
@何红健美国佛州 见上[NO]

waterbuffalo 10:25 PM
好像主要还是一个加强肌力（锻炼）和耐力和flexibility(牵拉)，改善血液循环（热敷），

针灸人 10:26 PM
非常感谢你！也恭喜@周科华 Buffalo 马上进入住院医训练！恭喜！ 要离开纽约吗？

waterbuffalo 10:27 PM
@何红健美国佛州 谢谢何老师，还是在Buffalo当地州立大学一家附属医院

jun xu 10:27 PM
@冷三华，理疗，针灸，纽约。 学习了！

@周科华 Buffalo 学习了！今天的讲课非常好！

waterbuffalo 10:28 PM
@徐俊康复纽约 谢谢老师的鼓励[愉快]

冷三华，理疗，针灸，纽约。 10:28 PM
周教授讲的太好了，非常感谢。讲座到此结束，周教授可以休息了，大家可以继续讨论。

苏红 10:34 PM
@周科华 Buffalo @冷三华，理疗，针灸，纽约。 谢谢俩位后生才俊的搭档演讲！精彩而受益！辛苦了

针灸人 10:34 PM
谢谢@周科华 Buffalo @冷三华，理疗，针灸，纽约。 @徐俊康复纽约 主讲和主持都非常好

冷三华，理疗，针灸，纽约。 10:34 PM