଼நߦ຾ᆶҶ໕ᆅ౛ᅺγ੤ᅺγፕЎ

୯ҥᆵܿεᏢ!

଼நߦ຾ᆶҶ໕ᆅ౛ᅺγ੤ᅺγፕЎ

ࡰᏤ௲௤Ǻ݅εᙦ!!റγ!



يЈ୏բ௲ػፐำ!

ჹܭׯ๓Πङੵภ஻ޣਏ݀ϐࣴز!

!



ࣴزғǺ໳ើຐ!

ύ๮҇୯!΋ɄΒ!ԃ!Ϥ!Д!

ᖴ!ᜏ!

!

ӣ२ࣴز܌೭ٿԃޑਔӀǴόޕό᝺ޑௗ߈Α׀ᖂǴӣགྷ܌ԖޑᗺᗺᅀᅀǴЈ ύႥགό௭ǴٰډܿεЈ୏سǴ໒௴ΑךΓғќ΋৻ᏢಞޑຎഁǴЈύкᅈΑག ᖴᆶག୏Ƕ!

གᖴس΢܌Ԗ௲௤ӧ೭ٿԃٰޑ௲Ꮲ࣬௤ǴፕЎਜቪၸำǴགᖴऍ੧Դৣک εᙦԴৣόჇځྠޑൻൻ๓ᇨǴ٬ࣴزᐕำૈ୼ܴዴҥۓҞ኱ᆶБӛǴ٠፾ਔ๏

ϒႴᓰᆶޭۓǴќѦΨाགᖴα၂ہ঩ᛏ๮ԴৣගٮΑ೚ӭᝊ຦ޑཀـᆶࡌ᝼Ǵ ᡣፕЎૈ໩ճֹԋǶ!!

؃ᏢਔӀǴନΑፐ཰ѦǴᗋԖ΋ဂࢲዃΞёངޑӕᏢॺǶགᖴԾΕᏢ΋ၡӕ ಔޑუՔǴ௃ӕۆۂޑྷ࠮ǵذޱǵҥەǵ᜽ඁܭᏢಞၸำύ࣬ϕගឫᆶЍ࡭Ǵ ӢࣁԖգॺᡣךӧ೭ٿԃٰкᅈΑז኷ΞᜤבޑӣᏫǶ!

ӧᙍ຾অࢂ΋ঁᖑٌޑᐕำǴӧπբᕷԆਔᗋ໪ঋ៝Ꮲ཰Ϸৎ৥ǴԶᙴଣπ բࢂԆ࿛ޑǴӧԜ੝ձགᖴךޑӕ٣ᓉӵǵ⍌൛ǵ໦ဖޑх৒کᔅԆǴ྽಍ीၶ ډ౟ᓍਔǴల๮ޑᅰЈᅰΚᔅԆǴሎ૶ӧЈǴӢࣁԖΑգॺǴᡣך؃Ꮲϐၡૈ୼

໩ճ༝ფǴԖգॺ੿ӳǼ!

!!!നࡕǴךाགᖴךޑӃғɡ໩⊭Ǵགᖴգ๏ךคज़Ѝ࡭کх৒Ǵᇶշך໩ճֹ

ԋፕЎǴаϷΟঁᝊن࠸ηॺǴ༰༰౥཰ΑǴаࡕ΋ۓӳӳฆ໭๏یॺӞǶ!

നࡕа೭ጇፕЎ᝘๏ךനལངޑৎΓǵৣߏǵӕᏢǵӕ٣ک܌Ԗම࿶ᔅշǵႴ ᓰၸךޑΓǴᖴᖴգॺǼ!

يЈ୏բ௲ػፐำჹܭׯ๓Πङੵภ஻ޣਏ݀ϐࣴز!

ࣴ!ز!ғǺ໳ើຐ!!!

ࡰᏤ௲௤Ǻ݅εᙦ!!

В!ය!Ǻ2013.06

ᄔ!!!!ा!

!

ҁࣴزаيЈ୏բ௲ػޑ౛ۺࣁ୷ᘵǴଞჹΠङੵภ஻ޣጓ௨΋঺يЈ୏բ

௲ػፐำǴڐշ஻ޣගϲيᡏ᝺ჸૈΚǴࡌҥ҅ዴޑيᡏ٬ҔᆶԾךፓ᏾ǵڥ֎

ᆶܫ᚞מѯǴයఈૈׯ๓Πङੵภޑ௃ݩǶ!

ҁࣴزа޸ጪҏٚᄪ҇ᙴଣൺ଼ࣽ؃ບޑߐບੰ஻ࣁࣴزჹຝǴϩࣁჴᡍಔ ᆶჹྣಔӚΖӜǴჴᡍಔჴࡼࣁයΜຼޑيЈ୏բ௲ػፐำǶٿಔϩձܭௗڙፐ ำϐ߻ǵύǵࡕޑၸำύᔠෳيᡏ᙮༸ᜢ࿯ࢲ୏ࡋǵੵภໆ߄ǴаӅᡂኧϩ݋ᔠ

ෳჴᡍಔᆶჹྣಔϐৡ౦Ƕܭၸำύᇆ໣ፐࡕӣ㎸ൂၗ਑Ǵа፦ϯϩ݋ᕕှΠङ

ੵภ஻ޣୖᆶيЈ୏բ௲ػፐำޑགڙᆶჴࡼ௃׎Ƕࣴز่݀ว౜Ǻ!!

΋ǵيЈ୏բ௲ػፐำჹΠङੵภ஻ޣޑჴࡼǴନԖ಄ӝ஻ޣයࡑѦǴ׳ቚуΑ ᙴੰᜢ߯Ƕ!

ΒǵΠङ㢉ภ஻ޣჹيЈ୏բ௲ػፐำޑԾՉᏹբᆶᏢಞ௃׎ؼӳǶ!

ΟǵيЈ୏բ௲ػፐำԖਏफ़եΠङੵภ஻ޣੵภࡰኧȐ

q

ѤǵيЈ୏բ௲ػፐำჹΠङੵภ஻ޣઠ࠮ᡏ߻៻ǵઠ࠮ᡏୁ៻)Ѱ*ǵઠ࠮ᡏୁ

៻)ѓ*!فࡋޑׯ๓ၲډᡉ๱ৡ౦Ȑ

q

!

ᜢᗖຒǺيЈ୏բ௲ػǵΠङ㢉ภ஻ޣǵੵภໆ߄ǵيᡏ᙮༸ᜢ࿯ࢲ୏ࡋ!

A Study of Somatic Movement Education for Improving Patients’ Low Back Pain

GraduateΝLan-Yung Huang AdvisorΝDah-Feng Lin, Ph. D.

M. Ed. Thesis,2013

Abstract

This study, based on the rationale of the somatic movement education, was designed the certain programs to improve the symptoms of low back pain by provoking the patients' physical awareness, building up the appropriate uses of trunk and self adjustment, and practicing the breathing and muscle relaxation. The experiment group of eight subjects came from the out-patient clinics at Yu-Li Veterans Hospital, and received ten-week course of somatic movement education. The control group consisted of eight subjects who didn't receive any treatments other than prescribed interventions by physicians. The differences between both groups of subjects were evaluated in pre-treatment, mid-treatment, and post-treatment by the records of the trunk's bending range of motion and the pain scale. The quantitative statistics was conducted by co-variance analysis. The qualitative analysis was applied to clarify the subjects' impression of the treatment from the feedback sheets while administering the treatment.

The findings included the followings. First of all, the course of somatic movement education was met the subjects' expectation and increased the rapport as well. Secondly, the course could improve the symptoms of low back pain (p<.05). Thirdly, there were significant differences in forwarding bending and both side bending at standing postures (p<.05). Finally, the subjects with low back pain expressed positively impressions on administering the course of somatic movement education, and the learning achievement.

Ҟ!!ԛ!

Ҟԛ ... III ߄ԛ ... V კԛ ... VII

ಃ΋ക ᆣፕ

ಃ΋࿯! ࣴزङඳᆶ୏ᐒ... 1

ಃΒ࿯! ࣴزҞޑ... 5

ಃΟ࿯! ࣴزୢᚒ... 5

ಃѤ࿯! Ӝຒှញ... 6

ಃϖ࿯! ࣴزጄൎᆶज़ڋ... 9

ಃΒക! Ў᝘௖૸

ಃΒ࿯! يЈ୏բ௲ػޑ౛ፕᆶࣴز... 17

ಃΟ࿯ يЈ୏բ௲ػፐำჹܭيᡏੵภϐ࣬ᜢЎ᝘... 28

ಃΟക! ࣴزБݤᆶ؁ᡯ

ಃΒ࿯ ࣴزࢬำ... 42

ಃΟ࿯ ࣴزΓ঩ᆶ൑Ӧ... 44

ಃѤ࿯ ࣴزπڀ... 46

ಃϖ࿯ ፐำጓᔕᆶೕჄ... 52

ಃϤ࿯ ၗ਑ᇆ໣ᆶೀ౛... 79

ಃѤക ࣴزᐕำᆶ่݀૸ፕ

ಃϖക ่ፕᆶࡌ᝼

ಃ΋࿯ ่ ፕ ... 129

ಃΒ࿯ ࡌ ᝼ ... 131

ୖ Ե Ў ᝘

म Ў ೽ ҽ ... 140

ߕ ᒵ

ߕᒵΒ... 144

ߕᒵΟ... 144

ߕᒵѤ... 145

ߕᒵϖ... 147

ߕᒵϤ... 148

ߕᒵΎ ... 149

!

߄!!ԛ!

!

߄ 2-2-1 يЈ୏բ௲ػፐำኳԄ ... 23

߄ 2-3-1 ׯ๓يᡏੵภϐࣴز ... 29

߄ 2-3-2 ڥ֎ܫ᚞ਏૈϐࣴز ... 31

߄ 2-3-3 يᡏ᝺ჸਏૈϐࣴز ... 34

߄ 2-3-4 يᡏᄬკਏૈϐࣴز ... 37

߄ 3-3-1 ࣴزӦᗺᆶ೛ഢ߄ ... 45

߄ 3-5-1 ፐำ໘ࢤჴࡼ߄ ... 56

߄ 3-5-2 ፐำϣ৒ϩ݋߄ ... 59

߄ 3-5-3 ፐำϣ৒εᆜ ... 76

߄ 3-6-1 ၗ਑ጓዸБԄ ... 81

߄ 4-1-1 ፐำϣ৒অ҅߻ࡕჹྣ߄ ... 99

߄ 4-1-2 ፐำ߻ǵࡕ᝺ჸૈΚޑೖፋइᒵჹྣ߄ ... 103

߄ 4-1-3 ፐำ߻ǵࡕ᝺ჸૈΚޑೖፋइᒵჹྣ߄ ... 104

߄ 4-1-4 ፐำ߻ǵࡕ᝺ჸૈΚޑೖፋइᒵჹྣ߄ ... 104

߄ 4-1-5 ፐำ߻ǵࡕ᝺ჸૈΚޑೖፋइᒵჹྣ߄ ... 105

߄ 4-1-6 ፐำ߻ǵࡕ᝺ჸૈΚޑೖፋइᒵჹྣ߄ ... 105

߄ 4-2-1 ஻ޣԾՉᏹբ໨Ҟᆶԛኧ ... 109

߄ 4-2-2 يЈ୏բ௲ػፐำ୺Չ҅ॄӛགڙ ...110

߄ 4-2-3 ჴᡍಔᆶჹྣಔΠङੵภࡰኧ߻ࡕෳϐඔॊ܄಍ीᄔा߄ ...113

߄ 4-2-4 ፐำ߻ǵࡕΠङੵภࡰኧԋჹኬҁt-testᄔा߄ ...114

߄ 4-2-5 ΜຼΒΜԛޑੵภࡰኧѳ֡ᆶ኱ྗৡ ...115

߄ 4-2-6 ჴᡍಔᆶჹྣಔȨੵภࡰኧȩӕ፦܄ᔠۓᄔा߄ ...116

߄ 4-2-7 ჴᡍಔᆶჹྣಔȨੵภࡰኧȩᚈӢηӅᡂኧϩ݋ᄔा߄ ...116 ߄ 4-2-8 ჴᡍಔᆶჹྣಔȨઠ࠮ᡏ߻៻ȩ߻ෳǵύෳǵࡕෳϐඔॊ಍ीᄔा߄118

߄ 4-2-11 ઠ࠮ᡏୁ៻(Ѱ)ϐ߻ෳǵύෳǵࡕෳඔॊ಍ीᄔा߄ ... 120

߄ 4-2-12 ჴᡍಔᆶჹྣಔȨઠ࠮ᡏୁ៻(Ѱ)ȩӕ፦܄ᔠۓᄔा߄... 121

߄ 4-2-13 ઠ࠮ᡏୁ៻(Ѱ)ϐᚈӢηӅᡂኧϩ݋ᄔा߄... 121

߄ 4-2-14 ઠ࠮ᡏୁ៻(ѓ)ϐ߻ෳǵύෳǵࡕෳඔॊ಍ीᄔा߄... 122

߄ 4-2-15 ჴᡍಔᆶჹྣಔȨઠ࠮ᡏୁ៻(ѓ)ȩӕ፦܄ᔠۓᄔा߄... 123

߄ 4-2-16 ઠ࠮ᡏୁ៻(ѓ)ϐᚈӢηӅᡂኧϩ݋ᄔा߄... 123

߄ 4-2-17 ֤࠮ᡏ௽ᙯ(Ѱ)ϐ߻ෳǵύෳǵࡕෳඔॊ಍ीᄔा߄... 124

߄ 4-2-18 ֤࠮ᡏ௽ᙯ(Ѱ)ϐಔϣ଑ᘜ߯ኧӕ፦܄ᔠۓᄔा߄... 125

߄ 4-2-19 όӕಔձȨ֤࠮ᡏ௽ᙯ(Ѱ)ȩᚈӢηӅᡂኧϩ݋ᄔा߄... 125

߄ 4-2-20 ֤࠮ᡏ௽ᙯ(ѓ)ϐ߻ෳǵύෳǵࡕෳඔॊ಍ीᄔा߄... 126

߄ 4-2-21 ֤࠮ᡏ௽ᙯ(ѓ)ϐӕ፦܄ᔠۓᄔा߄... 127

߄ 4-2-22 ֤࠮ᡏ௽ᙯ(ѓ)ϐᚈӢηӅᡂኧϩ݋ᄔा߄... 127

!

კ!!ԛ!

!

კ 3.3.2!يЈᏢሦୱว৖ࢎᄬკ ... 18

კ 3.3.3!يЈ୏բ௲ػፐำϣ৒ኳԄკ ... 24

კ 4.2.2!ࣴزࢎᄬ ... 41

კ 4.3.2!ࣴزࢬำკ ... 43

კ 4.5.2!ᜢ࿯ࢲ୏ෳໆЁᆶҜЁ ... 46

კ 4.5.3!ᡏ߻៻)΋* ... 47

კ 4.5.4!ᡏ߻៻)Β* ... 47

კ 4.5.5!ᡏୁ៻)΋* ... 48

კ 4.5.6!ᡏୁ៻)Β* ... 48

კ 4.5.7!ᡏ௽ᙯ)΋* ... 49

კ 4.5.8!ᡏ௽ᙯ)Β* ... 49

კ 4.5.9!ᡏ௽ᙯ)Ο* ... 50

კ 4.6.2!ፐำࢎᄬკ ... 55

კ 4.6.3!ૉ෎Ҡރय़ޑᔠຎ!)΋* ... 62

კ 4.6.4!ૉ෎Ҡރय़ޑᔠຎ!)Β* ... 62

კ 4.6.5!ૉ෎ᐉϪय़ޑᔠຎ ... 62

კ 4.6.6!ૉ෎Ҡރय़ޑᔠຎ!)Ο* ... 62

კ 4.6.7!Οࡋޜ໔ڥ֎!)΋* ... 64

კ 4.6.8!Οࡋޜ໔ڥ֎!)Β* ... 64

კ 4.6.9!Οࡋޜ໔ڥ֎!)Ο* ... 64

კ 4.6.:!ϏҖڥ֎ ... 65

კ 4.6.21!ङ೽ڥ֎ ... 65

კ 4.6.22!يᡏᘜ႟ ... 66

კ 4.6.23!يᡏறᛤ ... 66

კ 4.6.26!ମࣧਔដ)΋* ... 68

კ 4.6.27!ମࣧਔដ)Β* ... 68

კ 4.6.28!ᆲ೽ᙯ୏ ... 69

კ 4.6.29!֤ମوၡ ... 71

კ 4.6.2:!Πަسӈ)΋* ... 71

კ 4.6.31!Πަسӈ)Β* ... 71

კ 4.6.32!Πަسӈ)Ο* ... 71

კ 4.6.33!Πަسӈ)Ѥ* ... 71

კ 4.6.34!Πަسӈ)ϖ* ... 71

კ 4.6.35!ङ೽وၡ ... 72

კ 4.6.36!ୁ៻՜৖ ... 72

კ 4.6.37!Πङ՜৖ ... 73

კ 4.6.38!ୁيۙܤ ... 73

კ 4.6.39!߈ᆄၮ୏ ... 74

კ 4.6.3:!ਜ਼ᓪᘍ׀ ... 74

კ 4.6.41!ภᗺݯᕍ ... 75

კ 5.3.2!يЈ୏բ௲ػፐำ୺Չ௃׎ϩଛ ... 109

კ 5.3.3!ჴᡍಔᆶჹྣಔΠङੵภࡰኧ߻ࡕෳჹྣკ ...113

კ 5.3.4!ΜຼΒΜԛޑੵภࡰኧᖿጕკ ...115

კ 5.3.5Ȩઠ࠮ᡏ߻៻ȩ߻ෳǵύෳǵࡕෳჹྣკ ...119

კ 5.3.6Ȩઠ࠮ᡏୁ៻)Ѱ*ȩૈΚ߻ෳǵύෳǵࡕෳჹྣკ ... 120

კ 5.3.7!ઠ࠮ᡏୁ៻)ѓ*ϐ߻ෳǵύෳǵࡕෳჹྣკ ... 122

კ 5.3.8!֤࠮ᡏ௽ᙯ)Ѱ*ϐ߻ෳǵύෳǵࡕෳჹྣკ ... 124

კ 5.3.9!֤࠮ᡏ௽ᙯ)ѓ*ϐ߻ෳǵύෳǵࡕෳჹྣკ ... 126

ಃ΋ക!!ᆣ!!!!ፕ!

!

ಃ΋࿯!!ࣴزङඳᆶ୏ᐒ!

!

Πङੵภࢂൺ଼ࣽߐບύനதـޑୢᚒϐ΋ǴΨࢂ΋ᅿวғ౗ཱུଯЪόܰݯ ᘰޑ੯ੰǴऊԖ 71.91&ޑΓ΋ғ྽ύමр౜ၸΠङภǴε೽ϩёӧ΋ຼϣ጗ှځ

ੵภǴ٠Ъ :1&ޑΓёаӧٿঁДϣࡠൺВதғࢲϷπբᐒૈǴՠϝԖ 31.55&ޑ Γ΋ԃϣܭᙍ൑ύ཮ൺวΠङภǴЪ܌ԖΓ΋ғ྽ύӆԛൺวΠङภޑКٯ՞Ԗ 96&ǴЬाޑচӢΏࢂΠङภόܰϩᜪځੱރԋӢǴᜤаჹੱΠᛰǴӢԜዴϪޑϩ ᜪаϷႣٛஒࢂ҂ٰݯᕍΠङภޑख़ᗺȐቅҲ࣑ǵ݅٥ᆺǵླྀᓉើǵЦల޹Ǵ311:ȑǶ!

΋ғ྽ύΠङภޑวғ౗ࢂଯၲ 95&!)Walker, 2000*ǶԶੱރޑ໒ۈ཮วғܭ Μ൳ྃԿѤΜྃ߃ޑԃសቫǴε೽ϩԖե܈ύࡋΠङภวբޑੰΓό཮Ԗࢲ୏΢

ޑज़ڋǴՠࢂԖёૈӧኧԃࡕൺวǴ೯தੱރ཮Ӣࣁݯᕍ܈ؒԖௗڙݯᕍԶ੃ѨǶ!

ླྀγ፣Ȑ311:ȑᇡࣁΠङภȐlow back painȑς࿶ԋࣁޗ཮ޑॄᏼǴΨࢂ೷ԋ ѨૈکѨѐғౢΚޑЬाচӢǴΠङภନΑ཮ቹៜВதғࢲϷ೷ԋπբ΢ޑόߡ ϐѦǴᗋёૈӢੵภԶѨૈǴ೷ԋπբᓸΚǴӧၸѐޑ 36 ԃϐϣǴӢङภѨૈޑ

ੰΓК౗کᙴᕍԋҁޑ޸຤ς࿶և౜΢ϲޑᖿ༈Ƕ!

җ΢ॊӚᜪЎ᝘ளޕǴΠङภࢂวғ౗ཱུଯǵόܰݯᘰǵӆԛൺวКٯଯǵ ቹៜВதғࢲǵ೷ԋπբ΢ޑόߡѦǴΨࢂ೷ԋѨૈکѨѐғౢΚޑЬाচӢǴ

׳ගଯΑᙴᕍ޸຤Ǵफ़եғࢲࠔ፦ѦΨԋࣁΑޗ཮ॄᏼǶ!

ᙴଣύҔٰݯᕍΠङੵภനதҔޑݯᕍБԄϐ΋ࢂނ౛ӢηݯᕍȐ዗ኦǵυ ᘋݢᆶဈ෎౐ЇȑǴᗨฅҞ߻ϝฅલЮΑى୼ޑ᛾ᏵٰЍ࡭ځᕍਏǴՠࢂεӭኧޑ

ੰΓӧௗڙݯᕍࡕǴதԾ᝺ளჹܭੰ௃ࢂԖ܌ׯ๓ޑǴՠࢂ೭٤ނ౛Ӣηݯᕍز ഖჹܭ੯ੰޑব٤य़࣬ࢂԖᔅշǴаϷङࡕޑੰ౛ғ౛ᐒᙯࣁՖǻҞ߻ϝคϼӭ

࣬ᜢޑࣴزǶ!

ΠङภޑݯᕍԿϿх֖௲ػǵғ౛ᆶЈ౛ǵيᡏ૽ግ฻ǴϷ໺಍΢ჹԼโጢ

⍋ඵǴ2:::ǹ׵യ໢Ǵ2::6ǹ!؇प໢Ǵ2::7ǹঞࡌғǴ2::8ǹഋӄტǴ2:77ǹ஭

᐀ܵǵጩ໩๮Ǵ2::7ȑǶՠа΢೭٤ࣴزޑБݤᆶ่݀ࢂவಃΟޣޑفࡋٰݯᕍ

஻ޣޑΠङੵภǴব္ภ൩ݯᕍব္ǴଞჹȨੵภȩޑ೽Տ଺ݯᕍǴᗨฅёаኩ ਔׯ๓ੵภޑރݩ܈ှନੵภǴՠ੿҅ޑୢᚒӧবǴࠅࢂབόమཱǴϝฅؒԖှ

،Ǵջ٬ࣽמޑวၲᆶᙴᕍޑόᘐ຾؁ǴΠङੵภޑୢᚒϝ࡭ុӸӧ๱Ǵӧ໺಍

ᙴᕍ΢ΠङੵภޑੰΓ΋ۓा࿶җᙴଣȐѺଞǵӞᛰǵሺᏔݯᕍȑǴฅԶԆ࿛ޑ ޗ཮ࠠᄊ٠ߚ؂΋ঁΓ೿ૈଛӝᙴଣޑݯᕍਔ໔Ǵѝाั༾ੱރԖ෧ᇸ٤߾ଶЗ ݯᕍǴ೭٤ΨࢂΠङੵภόᘐൺวޑख़ाӢનϐ΋ǶֆЎྷȐ3115ȑ߄Ң :1&Πङ ภ஻ޣǴӧ 4 ډ 5 ঁДϣǴаߥӺݯᕍջёׯ๓ǴՠߥӺݯᕍБԄሡाߏਔ໔࡭

ុݯᕍǴ஻ޣதӢਔ໔ӢનܫకݯᕍǶ݅εᙦȐ3116ȑஒيЈ୏բ௲ػፐำၮҔ ӧԖΠङภޑ 21 Տၮ୏ж߄໗ي΢Ǵ่݀ว౜ၮ୏঩ӧௗڙፐำࡕǴΠङੵภޑ

௃׎Ԗܴᡉׯ๓ǴΨቚуΑᡏୁ៻ᆶᡏ߻៻ޑࢋ೬ࡋǶ!

يЈᏢࢂ΋ߐख़ຎΓᡏԾฅ୏բ࿶ᡍޑࣽᏢǴԶيᡏԖԾךፓ᏾کݯᕍޑૈ

ΚǴςԖ೚ӭࣴزஒيЈ୏բ௲ػፐำၮҔӧ௲ػ΢ǵݯᕍ΢کيᡏ૽ግ΢Ǵ೿

Ԗၲډ҅य़ਏ݀Ƕ݅ۑᅽȐ3115ȑஒيЈ୏բ௲ػፐำᔈҔܭ໒วᏢู᝺ჸૈΚ ᆶׯ๓ૉࢊୁ៻ਏ݀ϐࣴزፐำჹڥ֎ਏૈǵيᡏ᚞ᆙԾ᝺ǵيᡏ٬Ҕǵيᡏ่

ᄬǵόؼ࠮༈ǵيᡏᄊࡋϷ᏾ᡏ᝺ჸૈΚϐ໒วԖؼӳޑշ੻ǹഋࢅةȐ3117ȑ ஒيЈ୏բ௲ػፐำၮҔӧ୯λ௲ৣΠङੵภਏ݀ϐࣴزǴࣴزว౜يЈ୏բ௲ ػፐำჹܭيᡏ᙮༸៻ԔفࡋǵΠङੵภࡰኧΠफ़֡ၲډᡉ๱ৡ౦Ǵӧيᡏ᝺ჸ ޑׯ๓ǵԾךܫ᚞ޑᏢಞǵيᡏ٬ҔޑׯᡂǵԾךፓ᏾ޑၮҔѤঁيЈቫय़֡ᕇ ளගܹǹЦቺ҅Ȑ3118ȑஒيЈ୏բ௲ػፐำҔٰׯ๓εᏢԳౚᒧЋުᜢ࿯ੵภ ϐࣴزǴว౜ૈ୼ׯ๓ੵภ௃ݩϷުᜢ࿯ࢲ୏ࡋᆶԼΚǴૈ׳Ԑ᝺ჸϷፓ᏾ό፾

ޑ೽ՏϷჹيᡏޑ٬ҔԖᔅշǹഋન໦Ȑ3121ȑஒيЈ୏բ௲ػፐำҔܭׯ๓Ϧ

୍Γ঩ުᓍੵภϐՉ୏ࣴزǴว౜ުᓍੵภܴᡉ෧጗ǵ٠Ъૈׯ๓ځيЈᓸΚǵ

ܫ᚞ޑБԄǴ෧ϿੲമޑಕᑈǴ೸ၸيЈ୏բޑፓ᏾Ǵ׳ૈၲډݯᕍيᡏੵภޑ ҞޑǶ!

يЈ௲ػޣుߞ྽΋ঁΓుڅӦ᝺ޕډ੝ۓޑيᡏགڙၸำǴѺ໒Ӄ߻҂ཀ

᛽ډޑཀ᛽᝺ޕȐconscious awarenessȑǴд0Ӵ൩ૈჹԾךޑيᡏǵЈඵک௃䄼Ԗ

܌ ௓ ڋ Ƕ ӧ ೭ ᅿ ي Ј ঋ ៝ ޑ ௲ ػ ၸ ำ Ǵ ࡐ ӭ Γ Ӣ Զ ݯ ᘰ Α ӭ ԃ ޑ ੵ ภ ȐHanna-2:99ǹLin-!3111ǹLiu-2::9ȑǶHannaȐ2:88;62ȑᇡࣁȨΓᜪࢂ΋ঁԖ Ծ ך ፓ ᏾ ǵ Ծ ך অ ҅ ک Ծ ך ׯ ຾ ૈ Κ ޑ Ԗ ᐒ ᡏ ȩǴ Զ ي Ј ୏ բ ௲ ػ )somatic movement educationȑջஒขᗺӣᘜډ೭ঁԖᐒᡏҁيǴ೸ၸ୏բᆶፐำࢲ୏ޑ೛

ीٰᔠຎکᡏჸԾךঁᡏޑ่ᄬᆶфૈǵ୏բᆶགڙǵيᡏᆶЈ౛฻࣬ϕ໔ޑஏ Ϫᜢ߯Ǵ຾ԶΑှԾρǵඓඝԾρǴѬࢂ΋ঁׯ๓يЈރᄊޑӄΓ௲ػȐቅऍ੧ǵ

݅εᙦǴ3112ȑǶيЈ୏բ௲ػፐำ౛ፕǴࢂаيЈᏢ౛ፕࣁ୷ᘵ܌ว৖рٰޑ΋

ᅿፐำኳԄǴѬЬाख़ຎঁΓޑϣӧ࿶ᡍᡏ཮ᆶϸ࣪Ǵ٠ᙖҗيᡏ୏բኳԄ຾Ε ԾךޑϣӧШ္ࣚǴ٠ख़ཥᡏ཮ǵ௲ػيᡏǴ٠Ꮲ཮ჹيᡏ൧ख़ᆶ໼᠋ǶيЈᏢ Ьाࢂаಃ΋ΓᆀޑفࡋࣁЬǴճҔ௲ػࣁЋࢤǴமፓيЈӝ΋ޑᢀᗺǴᔈҔي Јמѯ໒วঁᡏჹԾρيЈޑ᝺ჸૈΚǴ೸ၸӚᅿόӕيЈ୏բ௲ػፐำၟԾρ ޑيᡏ଺ྎ೯Ǵૈ׳మཱᆶᒿਔᡏ཮Ծρيᡏޑϣӧ࿶ᡍǴ٠ёаԾךፓ᏾کܫ

᚞Ǵ٠ӧᕕှيᡏᄬკϐࡕ׳ૈ҅ዴޑ٬ҔيᡏǴᡣيᡏޑ߄౜׳ᆒྗǴЪૈᡣ يᡏԾךܫ᚞ǴቚуԾᡏޑԾᕍૈΚϷ෧ϿόѸाޑၮ୏໾্Ȑቅऍ੧Ǵ3114ȑǶ يЈ௲ػ)somatic education!*ޑБݤ҅ࢂ೸ၸ௲ػޑၸำǵަᡏ୏բޑᏹբǴ൨פ يᡏ٬ҔޑБݤϷय़ჹੵภวғޑၸำǴ຾Զפډׯ๓ੵภޑԖਏБݤȐ݅εᙦǴ 3112ȑǶࢂࡺيЈᏢ౛ۺϷيЈ୏բ௲ػፐำࢂॶளుΕ௖૸ᆶၮҔǶ!

অಞΑȨيЈᏢȩ೭΋ߐፐำǴωᡋ᝺Ծρ೭ 54 ԃٰჹࡑيᡏޑᄊࡋࢂόమ όཱޑǴ׏۵يᡏѝࢂঁѸ໪ܦ๱ډೀາޑՉ׵Ǵ܈ࢂ஑ߐҔٰЍኖᓐ೽ጝΑǴ வٰؒԖᇡ੿ѐ໼᠋ǵᜢЈǵࡘԵيᡏޑགڙᆶሡ؃Ǵߏයޑό྽٬ҔǴ೷ԋΑ يᡏ೚ӭޑό፾Ǵ࿶җيЈמѯޑჴ୍ᏹբǴᡣό๤ܺޑੱރӵުᓍለภǵဈङ

ੵภཀѦޑளډ෧ᇸᆶݯᘰǴӧ Tp.ubj מѯਜύޑ೭΋ࢤ၉όᘐޑӧךတύ଑௽

ᆶࡘԵǺȨࣁϙሶा΋ޔा؃ձΓٰᙴݯԾρǻࣁϙሶԾρόགྷᒤݤٰݯᕍǻԾρ

ঁќᜪჹࡑيᡏޑཥࡘᆢǴȨيЈᏢȩࢂך΋ޔӧ൨೔ޑᢀᗺǵᕍݤǵמѯ׳ޭۓ ޑ֋ນԾρȨ೭൩ࢂךགྷाޑȩǴܭࢂ၁᠐ΑيЈ௖઩سӈਜᝤǴхࡴ٥ᐕξεמ ѯ.ॣ኷ৎޑަᡏ໒วǵيЈჹ၉.Ծฅ୏բᆶيЈၯᔍǵيЈჹ၉.ᆶౚӅᆸǵي Јჹ၉.՜৖ᆶܫ᚞ǵيЈჹ၉.ВҁᏹᥟמѯǴ၂კவಃ΋ΓᆀޑفࡋǴ೸ၸ΋

سӈჹيᡏख़ཥ௖ೖޑࢲ୏ٰᏢಞ໼᠋يᡏޑᖂॣǵᡏᡍόӕޑيᡏགڙǵቚ຾

ԾךᕕှǶӵૈஒ೭ኬޑמݤၮҔӧวғ౗ཱུଯǵόܰݯᘰǵӆԛൺวКٯଯǵ

ੵภਔѝࢂ೏୏ޑௗڙݯᕍޑΠङੵภੰΓي΢ǴჹੰΓԶقࢂ΋εᅽॣǴ׳׆

ఈ࿶җيЈ୏բ௲ػፐำǴ೸ၸख़ཥ໼᠋يᡏޑᐒ཮Ǵख़ཥᏢಞيᡏޑ٬ҔǴ࿶

ᡍيᡏޑԾךϸ࣪ǵԾך௖઩کԾךᇡ᛽ǴᡣԾρيᡏό๤ܺޑੰੱǴளډ෧ᇸ

܈ݯᘰޑਏ݀ǶவЎ᝘ύΑှډҞ߻ۘคଞჹᙴᕍଣ܌ύΠङੵภ஻ޣࣁЬޑ࣬

ᜢޑࣴزǴҁࣴزᔕጓ௨೛ी΋঺يЈ୏բ௲ػፐำၮҔӧߏයΠङੵภ஻ޣي

΢Ǵ࿶җيЈ୏բ௲ػፐำύيᡏᄬკǵڥ֎ᆶܫ᚞ǵ໒วيᡏ᝺ჸǵيᡏ୏բ

௖઩฻ޑግಞǴ௖૸Πङੵภ஻ޣޑਏ݀ǶᙖԜගٮࣴزޣᆶΠङภ஻ޣќᜪޑ ݯᕍϷჹࡑيᡏޑБԄǶ!

ಃΒ࿯!!ࣴزҞޑ!

!

ҁࣴزаيЈ୏բ௲ػޑ౛ۺࣁ୷ᘵǴଞჹΠङੵภ஻ޣ೛ीፐำǴڐշ஻

ޣගϲيᡏ᝺ჸૈΚǴࡌҥ҅ዴޑيᡏ٬ҔᆶԾךፓ᏾ǵڥ֎ᆶܫ᚞מѯǴයఈ

ૈׯ๓Πङੵภޑ௃ݩǴҁࣴزϐࣴزҞޑӵΠǺ!

΋ǵᕕှيЈ୏բ௲ػፐำჹΠङੵภ஻ޣޑჴࡼ௃׎Ƕ!

Βǵᆶ஻ޣӅӕঅ҅΋঺፾ӝԾՉᏹբޑፐำǶ!

Οǵ௖૸يЈ୏բ௲ػፐำჹΠङੵภ஻ޣϐׯ๓ਏ݀Ƕ!!

!!!!!

!

ಃΟ࿯!!ࣴزୢᚒ!

!

٩ൻ΢ॊޑࣴزҞޑǴว৖раΠୢᚒǺ!

!!

΋ǵᕕှيЈ୏բ௲ػፐำჹΠङੵภ஻ޣޑჴࡼ௃׎ࣁՖǻ!!

Βǵаيᡏᄬკǵڥ֎ᆶܫ᚞᝺ჸǵيᡏԾך᝺ჸǵيᡏ୏բ௖઩ࣁ୷ᘵǴᆶ஻

ޣӅӕঅ҅΋঺፾ӝ஻ޣԾՉᏹբޑਏ݀ࣁՖǻ!

Οǵ௖૸ჴᡍಔᆶჹྣಔӧፐำჴࡼࡕΠङੵภࡰኧࢂցԖᡉ๱ৡ౦ǻ!!!

Ѥǵ௖૸ჴᡍಔᆶჹྣಔӧፐำჴࡼࡕيᡏ᙮༸ᜢ࿯ࢲ୏ࡋࢂցԖᡉ๱ৡ౦ǻ!

!

!!!!!

ಃѤ࿯!!Ӝຒှញ!

!

΋ǵيЈᏢȐSomaticsȑ!

يЈᏢࢂ΋ߐ௖زيЈᜢ߯ᆶ໒ว᝺ჸૈΚϐჴ୍πբޑࣴزሦୱǴѬ၂კ வಃ΋ΓᆀޑفࡋǴᙖҗᡏᇡيᡏඵችޑၸำύǴ໒วيᡏ᝺ჸکቚ຾Ծךᕕှ

Ȑ݅εᙦǵቅऍ੧Ǵ3114ȑǶ!

!

ΒǵيЈ୏բ௲ػȐsomatic movement educationȑ!

يЈ୏բ௲ػаيЈ୏բמѯࣁЋࢤǴ೸ၸԖس಍ޑБݤǴ࿶җيᡏག᝺ǵ ϸᔈᆶ୏բޑ߄ၲǴٰፓ᏾يᡏϷቹៜيᡏЈ౛ቫय़ǴаߡගٮᏢಞޣ΋ঁਔޜǴ

ૈ୼׳మཱӦᇡ᛽ԾךǴวචወૈȐቅऍ੧Ǵ3112ȑǶ!

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ΟǵيЈ୏բ௲ػፐำ!

يЈ୏բ௲ػፐำȐsomatic movement educationȑࢂаيЈᏢ౛ፕբࣁ୷ᘵǴ ѬЬाமፓޑࢂаಃ΋Γᆀว৖΋سӈࢲ୏ٰ໒ว܈ჸ᝺يᡏૈΚޑፐำǴЬा

ࢂӧঁΓ࿶ᡍǵ୏բǵ௃ᆣǵ࠮༈ǵགྷݤǵԾךཷۺᆶѦӧᕉნޑϕ୏ϷঁΓԾ Ь܄ᆶঁձৡ౦Ǵ٠೸ၸჴሞޑᏹբၸำǴᡣঁᡏૈख़ཥ௲ػǴගϲيᡏޑ٬Ҕ ਏ౗ᆶפډ҅ዴፓ፾ޑрαǴԶيЈ୏բ௲ػፐำ׳ࢂ΋ঁԾךϸ࣪ǵԾך௖઩

ϷԾךख़ཥᇡ᛽ޑ௲ػၸำȐቅऍ੧Ǵ2:::ȑǶيЈ୏բ௲ػፐำЬाࢂ೸ၸख़ ཥᔠຎǵڀᡏ࿶ᡍǵيᡏ่ᄬǵфૈǵ୏բǵགᢀޕ᝺ǵགڙکཀ᛽ࢲ୏Ǵаၲ

ډፓ᏾ᆶѳᑽيЈޑ΋ঁ௲ػፐำȐቅऍ੧ǵ݅εᙦǴ3114ȑǶ!

ҁࣴزࢂࡰ೸ၸيЈ୏բ௲ػ౛ۺǴᒧ᏷፾Ҕܭׯ๓Πङੵภ࣬ᜢፐำϣ৒

຾Չጓ௨Ǵፐำϣ৒ஒаيᡏᄬკǵԾךيᡏ᝺ჸǵڥ֎ᆶܫ᚞מѯǵيᡏ୏բ

!

Ѥǵيᡏᄬკ!

يᡏᄬკޑЬाཷۺǴࡰޑࢂ΋ঁΓӧတੇύჹܭԾךيᡏ่ᄬཀຝև౜ޑ ރᄊǶӵ݀ӧတੇύ܌ᡉ౜ޑيᡏ่ᄬࢂ҅ዴޑǴ୏բԾฅ൩཮Кၨ಄ӝ҅தᡏ ՏޑБԄև౜ǹӵ݀တੇύჹܭيᡏ่ᄬᇡޕࢂό಄ӝԾฅۓࡓਔǴ୏բ߄౜൩

཮ؒԖਏ౗٠Ъၮ୏໾্ޑК౗൩཮ගଯȐConbale, 2::9ȑǶ!!

ҁࣴز܌ࡰޑيᡏᄬკࢂيЈ୏բ௲ػፐำЬाϣ৒ϐ΋Ǵࢲ୏Ьाϣ৒๱

ख़ܭᓐǵૉ෎Ȑᓍ෎ǵૅ෎ǵဈ෎ǵᙚ෎ǵ׀෎!ȑǵ᙮༸ǵѤަ฻฻೽ՏǶ!

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ϖǵيᡏ᝺ჸ!!

Ȑቅऍ੧Ǵ3114ȑيᡏ᝺ჸЬाࢂǴݙཀΚૈֹӄӦ໣ύӧيᡏϣӧགڙǴ ٠ஒคཀ᛽ޑՉ୏ගܹډཀ᛽ቫय़Ǵ຾Զᡏჸ؂΋ঁ྽ΠǴԶाૈߥ࡭ుڅޑӸ ӧགǴޔډيکЈஏϪ่ӝࣁ΋Ƕቅऍ੧Ȑ3114bȑගډȨ᝺ჸգޑيᡏǴࢲΚǵ ག᝻ǵݢ୏ǵޭۓǵעඝǾǴٗТڅ൩ࢂيᡏ᝺ჸޑుڅᡏᡍǴ܌а྽ךॺஒݙ ཀΚֹӄ໣ύӧيᡏޑϣӧགڙǴࢲӧԾρޑيᡏ္Ǵஒคཀ᛽ޑՉ୏ගϲډཀ

᛽ޑቫय़Ǵ຾Զᡏჸ؂΋ঁ྽Π൩ࢂيᡏ᝺ჸǶȩԶᏢಞޑၸำࢂӧܭȨᡏޕي ᡏޑ౦ӕȩǵȨᕕှԖՖᒧ᏷ȩک຾ՉȨԖཀკׯᡂȩǴவԶ٬Ծρ׳уԖᒧ᏷܄Ǵ

׳уቸ܄Ȑቅऍ੧Ǵ3114cȑǶ!

ҁࣴزيᡏ᝺ჸࡰޑࢂǴঁᡏௗ᝻ǵ࿶ᡍǵݙཀǵΑှԾρيᡏޑރݩǵག

᝺ϷϸᔈޑၸำǴх֖ჹيᡏ٬ҔǵԼԺ஭Κǵيᡏ౦தǵيᡏ௓ڋϷڥ֎ܫ᚞

฻ϖεቫय़ޑޕ᝺Ƕ!

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Ϥǵيᡏ୏բ௖઩!!

يЈ୏բ௲ػख़ຎيЈ᏾ӝǴமፓঁᡏࢂҗϣӧ࿶ᡍѐགڙيᡏᡂϯǴаᕕ

ှيЈ౜ຝǴ٠ૈ೸ၸيᡏ୏բ௖઩ගϲԾךيᡏޑᇡޕᆶ௓ڋǴаගϲ୏բਏ

౗ϷᏢಞܫ᚞ޑБݤǴيᡏ୏բ௲ػፐำǴЬाࢂ೸ၸख़ཥᔠຎȐre-checkȑǵڀ ᡏ࿶ᡍȐembodyȑǵԾךيᡏ่ᄬȐstructureȑǵфૈȐfunctionȑǵ୏բȐmovementȑǵ ག۔ޕ᝺ȐsensingȑǵགڙȐfeelingȑǵཀ᛽ࢲ୏ȐthinkingȑǴаၲډፓ᏾کѳ ᑽيЈޑ΋ঁ௲ػፐำȐቅऍ੧ǵ݅εᙦǴ3112ȑǶ!

ҁࣴز܌ࡰޑيЈ୏բ௲ػፐำ೛ीǴࢂճҔيᡏᄬკǵԾךيᡏ᝺ჸǵڥ

֎ᆶܫ᚞ǵيᡏ୏բ௖઩ޑཷۺǴၲډঁᡏჹܭيᡏ٬Ҕޑ҅ዴ܄ǴׯᡂᙑԖό ؼޑ࠮༈ᆶಞᄍǴаׯ๓ΠङੵภǶ

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ΎǵΠङੵภȐlower back painȑ!

Πङੵภࢂ΋ᅿيᡏޑག᝺Ǵ߫ᆀဈለङภǴ΋૓ԶقǴࢂࡰيᡏङ೽Իମ аΠԿᖊ೽ᐉદϐ໔ޑੵภǴՠԖਔΨ཮ۯ՜ډΠަ܈ځд೽ՏȐᖴᓄ޹Ǵ3116ȑǶ ٩Ᏽ୯ሞΠङภ஑ৎගрΠङภޑບᘐ኱ྗǺаङ೽ΜΒԻମаΠǴډΠᖊጕϐ

ੵภᆀࣁΠङภǶ!

ҁࣴز๱౳ܭዴҥບᘐࣁߚ੝ਸ܄Ϸᐒఓ܄ΠङੵภࣁЬǴӵԖᙴᕍൂՏղ ۓࣁମשǵဍዦ฻Ꮤ፦܄ምᛖǴஒόӈΕҁࣴزϐࣴزჹຝǶ!

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Ζǵނ౛Ӣηݯᕍ!

ނ౛ݯᕍࢂ΋໨่ӝࣽᏢᆶ᛬ೌޑᙴᕍ஑཰Ǵаቚ຾Γᜪ଼நکวචനεф

ૈࣁҞ኱ޑ஑཰ǹឦܭႣٛᙴᏢǵݯᕍᙴᏢکൺ଼ᙴᏢΟεሦୱύޑᙴᕍ஑཰ǹ

୷ܭࣽᏢচ౛ǴճҔӚᅿނ౛Бݤٰຑ՗ϷݯᕍӚᅿ໾্ǵ੯ੰکූምǶނ౛Ӣ

ಃϖ࿯!!ࣴزጄൎᆶज़ڋ!

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΋ǵࣴزጄൎ!

Ȑ΋ȑҁࣴزୖᆶޣаԿ޸ጪҏٚᄪ҇ᙴଣൺ଼ࣽ؃ບޑߐບੰ஻ύǴ࿶஑ࣽᙴৣ

၌ୢੰўǵيᡏຑ՗ǵઓ࿶ᏢᔠࢗᆶYӀᔠࢗϐղ᠐ࡕǴዴҥບᘐࣁߚ੝ਸ܄

Ϸᐒఓ܄ΠङภǴቻ؃٠ᑔᒧрՏΜϤՏԾᜫୖуҁࣴزϐࣴزୖᆶޣǴ᏾

ঁࣴزၸำӧ၀ଣൺ଼ࣽނ౛ݯᕍ೽ߐ຾ՉǶ!

ȐΒȑ៝Ϸࣴز಍ीϐߡճ܄Ǵࡺੵภໆ߄аᜪҞჄ૶БԄǴᕕှڙ၂ޣΠङੵภ ϐׯ๓ਏ݀کჹܭيЈ୏բ௲ػፐำޑيᡏགڙǶ!

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Βǵࣴزज़ڋ!

Ȑ΋ȑ؂ঁΓيᡏޑག᝺ᆶᡏ཮όᅰ࣬ӕǴҁࣴزڙ၂஻ޣԃសၨεǴคݤ௢ፕډ ځдԃសቫǴࡺࣴز܌ԏ໣ϐኧᏵၗ਑Ǵ໻ࣁڙ၂஻ޣ྽ਔϐيᡏགڙǴ่

݀όەբቶݱ௢ፕǶ!

ȐΒȑӧ᏾ঁࣴزၸำύǴ؂ঁ஻ޣԖόӕޑҔᛰ௃׎Ǵࣴزޣ٠֋ޕ஻ޣᏃໆό

଺ځѬݯᕍǴӵ஻ޣϝԖܺҔᛰނ߾ࢂࣴزޣคݤ௓ڋޑ!

)Ο*!ӧ૽ግၸำύǴऩੵภੱރуቃǴࣴزୖᆶޣёૈଏрࣴزԶ٬ୖᆶΓኧ෧!!

!!!!!ϿǶ!!

)Ѥ*!ࣴزୖᆶޣޑғࢲࠠᄊ܈୏բ࠮༈ಞᄍคݤ௓ڋᆶ኱ྗϯǴࢂԜࣴزޑज़ڋǶ!

ಃΒക!!Ў᝘௖૸!

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ҁകࢂӧ௖૸ᆶҁࣴزԖᜢޑ౛ፕϷࣴزǴаЎ᝘௖૸ޑ่݀բࣁҁࣴزޑ

౛ፕ୷ᘵǶӅϩΟ࿯Ǵಃ΋࿯௖૸Πङੵภޑ࣬ᜢࣴزǴಃΒ࿯يЈ୏բ௲ػϐ

࣬ᜢࣴزޑ౛ፕᆶࣴزǴಃΟ࿯يЈ୏բ௲ػፐำӧׯ๓يᡏੵภϐ࣬ᜢЎ᝘Ƕ

׆ఈૈ୼೸ၸЎ᝘ޑϩ݋ᆶࣴزǴᙖҗيЈ୏բ௲ػፐำύȨيᡏ௲ػȩޑ౛ፕ ᢀᗺǴᡣךॺૈ୼ख़ཥᇡ᛽يᡏǵག᝺يᡏǵ௲ػيᡏǵፓ᏾يᡏǴၲډׯ๓Π ङੵภޑਏ݀ǴᙖԜсᡉҁࣴزϐख़ा܄Ϸሽॶ܌ӧǶ!

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ಃ΋࿯!!Πङੵภޑ࣬ᜢࣴز!

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ΠङੵภࢂΓᜪૈઠҥаٰ࿶தܤ࡜ޑ٣໨ϐ΋ǴӵϞѬ׳ԋࣁຝቻ౜жΓ ଯࡋᆙ஭ᕷԆޑ΋ᅿੱংဂǴࡺҁ࿯வ೷ԋΠङੵภޑচӢǴӆவΠङੵภޑݯ ᕍБݤٰ௖૸ǴբࣁҁࣴزϐୖԵǶ!

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΋ǵ೷ԋΠङภޑচӢ!

ම໡ಹȐ3117ȑ٩ྣΠङภޑԋӢǴёஒΠङภϩࣁǺ!

)΋*ߚ੝ਸ܄ӢનȐnonspecific factorsȑ!

ߚ੝ਸ܄Πङภ೷ԋޑচӢόܴዴǴӵ࠮༈όؼǵߏਔ໔πբǵೀ

ܭᓸΚޑᕉნǵࢲ୏ໆόىϷғࢲᆙ஭܌஥ٰޑԼԺᆙᕲǴࢂ౜жΓङ ภதـޑচӢǶ!

)Β*੝ਸ܄ӢનȐspecific factorsȑ!

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)Ο*ᐒఓ܄ӢનȐmechanical factorsȑ!

ࡰဈ೽೬ಔᙃᆶ่ᄬڙډό҅ዴ܈܍ڙၸࡋѦΚ܌ᏤठޑੱރǴத ـޑ໾্хࡴǺ!

2/ԼԺ܎໾Ȑmuscle strainȑǺࡰԼԺό྽٬Ҕ܈ၸࡋ౐஭ӵၮ୏ǵຳॹ

܈ཚख़ނ٬ԼԺᠼᆢ຋໾ǴੵภޑՏ࿼཮߳ज़ӧङ೽ǴΨёૈۯ՜ډ ᖊ೽܈εᆲࡕୁǴ೯தখวғਔၨᝄख़Ǵޮ׉Ҷ৲ёа٬ੱރ෧ᇸǴ

൳Ϻϐࡕջ೴ᅌׯ๓ǴԼԺ܎໾ϐઓ࿶ᏢᆶYӀᔠࢗࣁ҅தǶ!

3/໧஥ס໾Ȑligament sprainȑǺόڀԖቸ܄ޑ໧஥ಔᙃॄೢЍ࡭ᆶᆢ࡭

ૉ෎ᜢ࿯ޑᛙۓ܄Ǵ೯த΋ঁѮεޑѦΚᆶߏਔ໔࠮༈όؼ཮೷ԋ໧

஥ޑס໾ᆶੲЮǶ!

4/෎໔ዬँрȐherniated intervertebral discǹHIVDȑǺՏӧٿঁૉ෎ϐ໔ ޑ෎໔ዬЬाҗڬൎޑᠼᆢᕉϷύѧޑᡎਡಔԋǴڀԖ֎᎜ޑфૈǴ

྽ᡎਡҗઇ຋ޑᠼᆢᕉँрᓸॐډڬൎಔᙃǴ൩཮೷ԋ֤ମઓ࿶ภǵ ΠަԼԺคΚ܈ελߡѨ࿣ϐଭ׀ੱংဂǴ෎໔ዬँрऊԖ91&཮ԖΠ ङภǴऊԖ46&཮Ԗ֤ମઓ࿶ภȐᖴᓄ޹Ǵ3116ȑǴനதวғӧಃ56 ဈ෎ᆶಃ6ဈ෎Ϸಃ2ᙚ෎ϐ໔Ƕ!

5/ဈ෎ଏϯ܄ᜢ࿯ݹȐlumbar spine osteoarthritisȑǺࢂ΋ᅿᄌ܄Ъᅌ຾Ԅ ว৖ޑᜢ࿯ݹǴᆶᜢ࿯ޑԴϯԖᜢǴ཮೷ԋ೬ମޑઇᚯᆶମᓐቚғԶ

׎ԋମڈǴ৒ܰᓸॐډဈ෎ߕ߈ޑઓ࿶ಔᙃǴځύаಃ45аϷಃ56 ဈ෎ޑଏϯനதـǶ!

6/֤ମઓ࿶ภȐsciaticaȑǺ֤ମઓ࿶ࢂΓᡏനεޑ΋చઓ࿶Ǵவಃ56࿯

ဈ෎Ϸಃ24!࿯ᙚ෎ઓ࿶ᄬԋǴ྽֤ମઓ࿶Ӣ෎໔ዬँрǵମڈǵ෎

ᆅ੟ઞǵဈ෎ྖಥ܈ૉ෎ମשڙډᓸॐਔǴੵภᆶለഞޑག᝺཮ݮ๱

֤ମઓ࿶ϩթޑ୔ୱҗΠङ೽ǵᖊ೽ǵεᆲǵλᆲޑࡕୁᆶѦୁϷ۳ Πۯ՜ډဌ೩΋ၡ໺ሀΠٰǶ!

౜жΓΠङภޑচӢǴЬाࢂӢ࠮༈୏բޑό҅ዴ܈લЮၮ୏܌೷

෎ྖಥǵ෎໔ዬँрǵᓸॐ܄ମשаϷགࢉکᕎੱ฻Ǵ྽ךॺޑ࠮༈ό

҅ዴǴ৒ܰ೷ԋԼԺ໾্Ǵ٬ளૉ෎คݤྣ҅தޑᄬ೷௨ӈ<Զླྀࡌד Ȑ3121ȑࡰрલЮၮ୏Ψ཮٬ԼԺѨѐΚໆǴӵ݀ဈ೽کङ೽ޑԼԺؒ

ԖΚໆǴ߾คݤԖਏڰۓဈ෎ǴӢԜуம᙮༸ԼԺΚໆکόؼ࠮༈ޑᗉ խǴჹႣٛΠङภࢂࡐख़ाޑǶ!

ᆕӝа΢ޑЎ᝘ࣴز่݀ёளޕǴΠङੵภวғޑচӢԖࡐӭ٠Ъࡐ ፄᚇǴځύхࡴΑғ౛ޑǵЈ౛ޑǵΚᏢޑǵੰ౛ޑϷ΋٤όܴӢન฻Ǵ ғ౛Ӣન೯தࢂΠङੵภଆྍޑᜢᗖǴԶЈ౛Ӣન۳۳ࢂൾϯΠङੵภఠ ЋǴӢԜቚம᙮༸ޑԼԺΚໆǴமϯૉ෎਒ޑԼΚᆶऐΚǴቚуૉࢊޑᛙ ۓ܄Ǵ࣬ჹԼԺဂޑΚໆૈߥ࡭ѳᑽǴᡣځ׳ӼӄԶЪԖਏӦբфǴ࣬ߞ ӧႣٛᆶݯᕍΠङੵภࢂߚதख़ाޑǶ!

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ΒǵΠङੵภޑݯᕍБݤ!

)΋*ᛰނݯᕍ!

ΠङภதҔޑݯᕍᛰނх֖ԖߚᜪڰᎇלวݹᛰނȐNSAIDsȑǵԼ Ժ᚞ԅᏊᆶЗภᛰǴԖ᛾ᏵᡉҢǴߚᜪڰᎇלวݹᛰނКӼኃᏊԖճܭ

጗ှอයޑ࡚܄܈ᄌ܄ΠङภǴՠؒԖКЗภᛰނparacetamol׳ԖਏǴӧ ӚᅿߚᜪڰᎇלวݹᛰނޑКၨύǴΨؒԖ੝ۓޑᛰނࢂ੝ձԖਏޑǴ ՠᒧ᏷DPY.3!׭ڋᏊࠠޑߚᜪڰᎇלวݹᛰނКଆ໺಍ޑߚᜪڰᎇלว ݹᛰނԖᡉ๱ޑၨϿୋբҔวғȐRoelofs, Deyo, Koes, Scholten, & Van Tulder,!3119ȑǹ྽ߚᜪڰᎇלวݹᛰނᆶЗภᛰނคਏਔǴԼԺ᚞ԅᏊ ё጗ှ࡚܄ΠङภੱރǴՠ٬ҔԼԺ᚞ԅᏊёૈ཮Ԗཀྵ੾ᆶ༐ᅵޑୋբ ҔȐSee & Ginzburg-3119ȑǴՠΨԖൔ֋ࡰрǴ٬ҔԼԺ᚞ԅᏊᆶ࡚܄

Πङภ஻ޣޑфૈזೲࡠൺคᜢȐBernstein, Carey-!'!Garrett-3115*ǴӢ

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)Β*ނ౛Ӣηݯᕍ!

2/዗ኦȐhot packȑ!

Ҕ዗ᕍа෧եੵภǴࢂҗٰςΦޑБԄǴЬाᙖҗڈᐟག᝺ڙᏔǴ ࢲϯΑੵภߐሚᐒڋȐgate control theoryȑቚуੵภ⸣ॶȐpain control thresholdȑǴӢੵภ೷ԋޑԼԺยᠱ཮Ӣ዗Զ෧ᇸǶΨёှញࣁ཮ᙖҗ ෧Ͽgamma)Ȗ*ၮ୏ઓ࿶ϡޑࢲ܄ǵ෧ϿԼఖޑࢲ܄Զ٬ԼԺยᠱΠ फ़ǶΨԖΓᇡࣁǴੵภޑ෧࿶ࢂҗܭቚуՈࢬǴؑࢱ௞Α཮ౢғੵภ ޑжᖴނȐᄃЎࣀ฻ΓǴ3113ǹMcCaffery!'!Wolff-2::3ȑǶ!

3/υᘋݢȐinterferential currentȑ!

ࣴز٬ҔޑύᓎυᘋݢȐmid-frequency interferential currentȑǴΞ ᆀࣁӛໆυᘋݢǴࢂ΋ᅿёаҔٰЗภǴౢғԼԺԏᕭǴϷࡪነਏ݀

ޑႝڈᐟБԄǶѬࢂճҔٿಔόӕᓎ౗ޑύᓎ҅۰ݢڈᐟႝཱུǴ೯த

΋ಔڰۓܭ5111!I{ǴϷќ΋ಔࣁёፓԄ5112!I{!Կ5211!I{Ǵӧޜ໔

΢υᘋǶ྽ٿݢ࣬Տ࣬ӕਔǴౢғࡌ೛܄υᘋǴ྽࣬Տ࣬ৡ291ࡋਔǴ

ౢғઇᚯ܄υᘋǴӝԋݢޑᓎ౗೯தࣁ؂ࣾ2ډ211ԛǶᖏ׉ݯᕍਔǴ ٿಔႝཱུ೯தࠟޔҬΰᘍܫǶ!

ύᓎυᘋݢԖ೚ӭόӕޑᕍਏǴᓎ౗ଯܭ؂ࣾ61ԛਔǴёаυᘋภ᝺

ઓ࿶ޑ໺ᏤԶЗภǶᓎ౗ϟܭ؂ࣾ1ډ6ԛǴЪႝࢬமࡋ୼மਔǴё٬

ԼԺԏᕭǴ຾Զߦ຾ϣᎻТނ፦ޑౢғԶЗภǶᓎ౗ϟܭ41ډ61I{Ǵ ёᡣԼԺౢғமޔԏᕭǴӧԼԺ΋ԏ΋ܫ໔Ǵёౢғᜪ՟ࡪነޑਏ݀Ǵ ߦ຾ՈనൻᕉȐࡼԿᇻǵഋЎ๔ǵߋੀྍǴ3119ȑǶ!

4/ဈ෎౐ЇȐlumbar tractionȑ!

ဈ෎౐ЇݯᕍϐЬाҞޑࣁှନ܈෧Ͽဈ෎ᆶځ࣬ᜢಔᙃӵૉ෎

ઓ࿶ਥȐspinal nerve rootȑڙډᓸॐ܌೷ԋϐੱރǶځᙖаၲډ෧ᇸੱ

ރϐݯᕍਏ੻ϐᐒᙯࣁǺȐ2ȑૉ෎౐Їё܎ߏλय़ᜢ࿯៶Ȑfacet joint capsuleȑǴቚуλय़ᜢ࿯य़࣬ჹྖ୏ᆶ෎໔ᜢ࿯Ȑintervertebral jointsȑ

܎ߏૉ෎਒ϐԼԺဂǴ෧ϿԼԺߥៈϸᔈȐmuscle guardingȑǴ٬ԼԺ ܫ᚞ǴၷЗӢੵภ܈жᖴӢન೷ԋϐԼԺยᠱǵલ਼ǵੵภϐൾ܄ൻ ᕉǶȐ5ȑ྽ૉ෎ମ໔ຯᚆቚߏਔǴё෧Ͽ෎໔ዬϣȐintradiscal pressureȑǴ ҭё܎ޔૉ෎ࡕᕵ໧஥Ȑposterior longitudinalligamentȑǴΒޣࣣёૈ

ஒ෎໔ዬँрϐ೽ϩ֎ӣ܈௢ӣ෎໔ዬϣȐᄃЎࣀǵ஭ఘើǵጰऍЎǵ Цల޹Ǵ3113ǹGupta '!Ramarao-2:89!<!Mathews-2:79!<!Onel et al

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! ȐΟȑၮ୏ݯᕍ!

Πङภаੵภ࡭ុය໔ȐdurationȑёаϩࣁΟයǺவੵภ໒ۈԿಃ

Ѥ ຼ а ϣ ࣁ ࡚ ܄ Π ङ ภ Ȑ acute LBPȑ Ǵ ಃ 523ຼ ࣁ ٥ ࡚ ܄ Π ङ ภ Ȑsub-acute LBPȑǴຬၸ23ຼа΢߾ឦᄌ܄ΠङภȐchronic LBPȑǴ೯ தЬ୏ၮ୏ݯᕍ፾ӝӧ٥࡚܄ය໒ۈϟΕЪݯᕍਏ݀٫ȐKofotolis ' Sambanis-3116ȑǶନΑ೛ഢᇶշޑݯᕍǴ߈ԃٰǴᙴࣚЬ஭Ȩၮ୏ݯᕍȩ ȐactivetreatmentȑǴ೸ၸ஻ޣԾρЬ୏ޑୖᆶၮ୏ٰൺ଼ԾρޑيᡏǴ

྽ΠङภวғਔǴుቫᛙۓૉ෎ޑԼԺӵǺဎᐉԼȐtransversus abdominisȑ ᆶӭ຋ԼȐmultifidusȑǴӢੵภౢғޑϸ৔܄׭ڋբҔȐreflex inhibitionȑ

٬ֽ೽жᖴڙߔǴ٠Ъӭ຋Լр౜๺ᕭޑ౜ຝԶቹៜૉ෎ޑᛙۓࡋǴ೚

ӭ࡚܄Πङภ஻ޣޑੱރᗨฅֹӄ੃ѨǴՠဈ෎ڬൎޑԼԺ௓ڋфૈς

࿶ԖલཞǶ!

!

ȐѤȑ۶܎ගථਡЈၮ୏!

۶܎ගථࢂ΋ᅿԖ਼ǵեፂᔐ܄ޑԼऐΚᆶ՜৖ၮ୏ǴЬा໣ύӧ ဎ೽ǵΠङ೽ǵᢇ೽ǵεᆲᆶᖊ೽ޑ૽ግǴ೸ၸ௓ڋيᡏޑਡЈԼဂٰ

!

ȐϖȑύᛰᑧБ!

ჹܭׯ๓ΠङੵภϐύᛰᑧБ࣬྽ޑ౲ӭǴҁࣴز൩аȨЃඐ׹Ҹ

፜ૉମ෯ȩࣁٯϟಏϐȐഋη߿ǵ׵ࡹػǴ3112ȑǺ!

׷਑ǺЃඐϺѤᒲǵ׹ҸϤᒲǵ࢘׻ηϖᒲǵξᛰϖᒲǵ፜ૉମ΋АǶ!

բݤǺӃஒ፜ૉମ௻༧ࢱృǴᛰ׷ั༾ࢱၸǴฅࡕӄ೽ܫΕᗙύǴу፾ໆ НǶҔεОฆ໒ࡕᙯλОᄌྞΒԿΟλਔǴу፾ໆፓښ਑ջё१ҔǴჹܭ ΠङੵภڀԖׯ๓ޑਏ݀Ƕ!

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ȐϤȑଞء!

ਥᏵ࿶๎౛ፕǴΓᡏϣ೽ԖΜѤచ࿶๎Ǵ؂΋చ࿶๎ϩթ๱όӕޑҤ ՏǴόӕޑҤՏჹᔈ๱όӕޑᏔ۔Ǵᙖ਻ޑБԄቹៜ๱೭٤Ꮤ۔ޑ଼நǶ Զଞءբࣁፓ᏾࿶๎ୢᚒޑБݤϐ΋Ǵ൩ࢂᙖҗፓ᏾ՏܭΓᡏ߄य़Ҝጥᗺ ޑҤՏǴ٬਻ѳᑽǴаၲډݯᕍ੯ੰޑਏ݀ȐഋҏఘǴ2:::ȑǶଞءݯᕍ Πङภࢂ٩Ᏽᒣ᛾ፕݯࣁЬǴਥᏵΠङภޑ೽ՏϷੰӢǴᒣձࢂ࿶โੰ܈

ࢂ࿶๎ੰǴӵ݀ࢂ࿶โੰǴ߾аֽ೽ᔈᐟᗺࣁЬǴӵ݀ࢂ࿶๎ੰ߾а࿶๎

ᒣ᛾ࣁЬǶٯӵىϿ໚࿶ဈภǴੵภаુԻ೽ࣁЬǹىϼ໚࿶ဈภǴੵภ аૉࢊٿ਒ࣁЬǹ࿎ેဈภǴੵภаૉࢊࣁЬǶӧҤՏᒧ᏷΢Ǵத௦ҔȨ൨

࿶ڗҤȩ܈ȨΠ΢ҬݯȩБԄǴᖐҤӵΠǺ!

ىϼ໚࿶ဈภǺஜடȐΠȑǵ๝߲Ȑ΢ȑǶ!

ىϿ໚࿶ဈภǺ!໚ഊࢨȐΠȑǵᕉၢȐ΢ȑǶ!

࿎ેဈภǺဈ໚ᜢȐΠȑǵНྎȐ΢ȑǶ!

ቅλስȐ3115ȑаႝଞଛӝࡪነݯᕍಃ4!ဈ෎ᐉँᆕӝੱǴӧ91Տڙ ၂ޣύǴԖ67ՏȐ81ʘȑݯᘰǴԖ34ՏȐ39/86ʘȑӳᙯǴ໻Ԗ2ՏӢឨ܂

ଞԶύᘐݯᕍ<஭ܴ፥Ȑ3114ȑаଞڈဈภҤݯᕍ࡚܄ဈԼס໾Ǵӧ62ٯύ

ࣣளډݯᘰޑਏ݀ǶҗԜёޕǴа໺಍ύᙴЋݤଞء຾ՉΠङੵภޑݯᕍǴ ځਏ݀ό৒۹ຎǶ!

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ȐΎȑѦࣽ໒Θݯᕍ!

εӭኧޑΠङภ஻ޣȨፋΘՅᡂȩǴ੿҅ሡा໒ΘݯᕍޑੰٯࡐϿǴѸ

ाਔǴٯӵ෎໔ዬँрٳΠަԼԺ๺ᕭǴ܈ੵภόςߥӺݯᕍኧДคਏǴΞ ዴບрੰӢǴ߾Ѹ໪཈ख़ԵቾѦࣽЋೌǶฅԶǴЋೌࡕΨόࢂж߄΋മ҉ຽǴ Ӣࣁόᆅࢂ෎໔ዬǵ෎݈܈ૉ෎໒ΘǴচҁ൩ࢂڙཞಔᙃǴ཮К҅தޑԴϯ ளזǴΨ৒ܰӆࡋڙ໾Ǵр౜ङ೽ЋೌࡕੱংဂǴੱރࣁੵภǴဌഞ฻Ƕ!

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Οǵλ่!

ᆕӝа΢ޑࣴزёаᘜયрǺҞ߻ჹΠङภޑߚᛰނݯᕍޑБԄԖ዗ኦǵࡪ ነǵଞءǵ۶܎ගථکၮ୏ᕍݤ฻ǴՠࢂԿϞϝؒԖ΋ঁݯᕍБԄૈ᛾ჴКќ΋

ᅿݯᕍБݤӳȐKoes et al-!2::7ȑǶฅԶ೭٤ݯᕍ೿ࢂઠӧᙴޣᏹբޑفࡋǴჹ ܭวғ౗ଯǵόܰݯᘰǵӆԛൺวКٯଯޑΠङภ஻ޣǴѸ໪வѳਔᎦԋؼӳޑ

࠮༈܈୏բಞᄍ଺ଆǴႣٛയܭݯᕍޑВதߥ଼ωࢂᗉխΠङภख़ፄวғޑਥҁ ϐၰǴωૈԖਏӦ෧ᇸΠङੵภǶ!

ಃΒ࿯!!يЈ୏բ௲ػޑ౛ፕᆶࣴز!

!

يЈ୏բ௲ػࢂ΋ߐཥᑫޑࣽᏢǴѠܿεᏢ݅εᙦ௲௤ᆶቅऍ੧௲௤ஒيЈ

୏բ௲ػவ௲ػሦୱ๱ЋǴ௢ቶԿӚՉӚ཰ቫय़ǶيЈ୏բ௲ػޑҞޑࢂᙖҗȨ௲ ػȩख़ཥ௲ᏤΓॺჹيᆶЈޑᢀۺǴࢂࡌҥӧيЈᏢޑ౛ፕ୷ᘵǴа୏բ௲ػޑ БԄ௲ػΓॺख़ཥᔠຎيᡏǵڀᡏ࿶ᡍيᡏޑ่ᄬǵфૈǵ୏բǵག᝺฻ၲډي Јѳᑽޑ௲ػၸำȐቅऍ੧ǵ݅εᙦǴ3115ȑǶҁ࿯ᇆ໣᏾౛يЈᏢǵيЈ୏բ

௲ػǵيЈ୏բ௲ػፐำޑ౛ፕᆶࣴزǵ׆ఈ೸ၸЎ᝘ޑ௖૸ǴᕕှيЈ୏բ௲ ػፐำჹܭׯ๓يᡏੵภ܌תᄽޑفՅǴаϷଞჹΠङੵภ࣬ᜢࣴزϐ௃׎Ƕ!

!

΋ǵيЈᏢ౛ፕ!

!!يЈᏢȐSomaticsȑࢂ΋ঁࣴزکᡏჸȹsomaȹ౜ຝޑሦୱǴsomb ࢂ׆ᛪ ЎǴཀࡰֹֹ᏾᏾ࢲғғޑԖᐒᡏȐHanna-2:94ȑǶᗨฅ soma ᆶ body ӧᜏڂ΢ӕ ኬ᝿ࣁȨيᡏȩǴόӕܭ body ஒيᡏނϯޑཷۺǴsoma ࡰޑࢂيЈӝ΋ޑيᡏǴ ೭ঁيᡏԖόӕޑ௃ᆣགڙǴࢂ΋ঁ୏ᄊޑǵࢬ୏ޑ٠ЪόᘐׯᡂޑࢲᡏȐ݅ε ᙦǵቅऍ੧Ǵ3114ȑǴѬࢂ΋ᅿȨӸӧܭ྽Π྽څϐགޕǵԾך᝺ჸکԾךፓ᏾ǵ ׯᡂޑғڮԖᐒᡏȩȐHanna-!2:81ȑǶيЈᏢޑว৖ǴനԐࢂྍԾܭΓॺࣁΑှ،

يᡏ΢ޑୢᚒǴ܈ჹܭيᡏޑӳڻǴ೸ၸჹԾךيᡏޑ௖઩Ǵᄌᄌว৖рόӕࢴ سޑيᡏᕍݤᆶמѯǶޔډ 2:87 ԃ෯ᅦථǸᅇٗȐThomas Hannaȑ᏾ӝӚৎמݤ ޑӅ೯܄Ǵ׎ԋΑ΋ߐख़ຎيЈ᏾ӝǵமፓҗϣӧ࿶ᡍيᡏགڙаᕕှيЈ౜ຝ ޑࣴزࣽᏢȐቅऍ੧Ǵ3115a*ǴࣁၲԜҞޑǴѸ໪೸ၸԖس಍ޑБݤک౛ፕǴ࿶

җيᡏག᝺ǵϸᔈᆶ୏բޑᏹբǴٰፓ᏾يᡏϷቹៜЈ౛ቫय़Ǵ٬Γᜪ׳మཱள ᇡ᛽ԾךǴวචወૈȐቅऍ੧Ǵ3114aȑǶځϣ৒ϩࣁٿεЬືǺ΋ࢂيЈ௲ػȐsomatic educationȑǴமፓيᡏ٬Ҕಞᄍ܈ᢀۺޑӆ௲ػᆶӆᏢಞǴឦܭᑈཱུǵڀႣٛ܄Ƕ

΋ࢂيЈݯᕍȐsomatic therapyȑǴଞჹيᡏੵภ܈ό፾຾ՉݯᕍǴ܈يᡏރݩፓ᏾

ࡕϐЈ౛΢ޑ౫ᘰǴឦܭ੃ཱུǵڀׯ๓܄ǴՠόፕࢂيЈ௲ػ܈يЈݯᕍǴ೿ख़ ຎȨيᡏȩᆶȨ୏բȩޑᐱ੝܄Ȑ݅εᙦǵቅऍ੧Ǵ3118Ǻ274ȑǴӵკ 3.3.2!ي

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౛ۺ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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!!!!!!!!!!!!!!!!!!!!!!!!!!

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! ! !

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Ҟޑ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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Ћࢤ!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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ࠠᄊ!!!!!!!!!!!!!!!!!!!!!

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!!

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! ᘜᜪ!!

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კ 3.3.2!يЈᏢሦୱว৖ࢎᄬკȐЇԾ݅εᙦǵቅऍ੧Ǵ3118Ǻ274ȑ!

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ځ౛ፕ୷ᘵЬाёᘜયраΠΜঁ୷ҁᢀᗺȐ݅εᙦǵቅऍ੧Ǵ3114ȑ!

Ȑ΋*يЈӝ΋Ȑbody & mind are one, not twoȑ!

ϸርيЈΒϡፕǴيᡏ๊ߚЈඵޑѩᗧǴيᆶЈࢂ΋ᡏٿय़Ǵคݤ

يЈ៏᛾ޑϸ࣪! ܿБᆶՋБ!!

يЈᢀᆶБݤ!

يЈᏢᢀ(Somatics)

௲ػ

୏բ

ݯᕍ

Ћמ!

يЈ୏բ௲ػ!

somatic movement education!

يЈ୏բݯᕍ!

tomatic movement therapy

يЈЋמ௲ػ!

tomatic bodywork for

education

يЈЋᕍ!!

tomatic bodywork for

therapy

يЈ௲ػ! يЈݯᕍ!

ȐΒ*ࢲғғޑԖᐒᡏȐthe living bodyȑ!

Ծฅࣚӧϸᙟόଶޑ୏բኳԄΠǴຼԶൺۈޑൻᕉǴԶsomaࢂεӹ

ۖύޑ΋ᕉǴΨ٩ൻ๱εӹۖޑኳԄၮՉǴᒿਔᒿӦ೿ӧࢬ୏Ǵ؂΋څ

೿ӧፓ᏾Ǵڥ֎ޑፓ᏾Ǵ่ᄬޑፓ᏾ǴΏԿܭЈ௃ޑፓ᏾Ǵ೭ঁࢬ୏ޑ يᡏȐflowing bodyȑ೸ၸӚᅿፓ᏾ޑБݤၲډӄΓޑ଼நǶ!

ȐΟ*வಃ΋ΓᆀᢀჸΓᡏȐobserved from a first-person viewpointȑ!

ΓॺಞᄍҔಃΟΓᆀȐдΓȑޑفࡋٰ࣮ࡑيᡏǴԶ۹ౣΑҗಃ΋

ΓᆀȐԾρ*ٰᡏჸيᡏǴيЈᏢЬ஭җಃ΋ΓᆀٰᢀჸيᡏǴமፓԾ ᢀϣ࣪ޑ࿶ᡍࣽᏢǴԶߚҔಃΟΓᆀޑفࡋǴமፓ࠼ᢀࣴزޑΓᡏჴᡍ

ࣽᏢǶ!

ȐѤ*மፓҗԾךϣӧѐ࿶ᡍȐexperienced from withinȑ!

மፓيᡏࢂԖᡫ܄ǵԖځඵችޑԖᐒࢲᡏǴёа೸ၸӛϣ௖઩Ǵ໼

᠋٠ుΕᡏ཮يᡏޑӸӧǴᡣԾρޑيᆶЈᆙஏޑӝԶࣁ΋Ǵ٩ԜԶૈ

ԖԾךፓ᏾کׯ຾ޑૈΚǶ!

Ȑϖ*ख़ຎၸำᏤӛȐprocess-orientedȑ!

மፓϣӧᡏჸޑၸำᆶׯᡂǴขᗺ๱ख़ӧԾך௖઩ၸำύޑׯᡂک ᏢಞǴԶόؕؕܭനࡕ่݀ޑᕇளǶ!

ȐϤ*໒ว᝺ჸૈΚȐawarenessȑ!

மፓӛϣޑ௖઩کᡏᡍǴ໒วيᡏ᝺ჸࢂᏢಞԾך௖઩ޑಃ΋؁Ƕ аيᡏ᝺ჸࣁ୷ᘵǴ຾Զගϲيᡏ᝺ჸȐbody awarenessȑ௃ᆣ᝺ჸ Ȑemotional awarenessȑǵޗ཮ϯ᝺ჸȐsocial awareness*Ϸᕉნ᝺ჸ Ȑenvironmental awareness*ޑૈΚǶ!

ȐΎ*᝺ჸׯᡂȐchangeȑᆶᒧ᏷Ȑchoiceȑ!

ᏢಞޑวғӧܭȨԖཀკޑׯᡂȩࢂࡌҥӧޕၰȨᡂ౦ȩޑ୷ᘵ΢Ƕ

୤Ԗᡏ཮᝺ჸيᡏޑȨᡂȩᆶȨ౦ȩǴΓॺωԖȨᒧ᏷ׯᡂȩޑᐒ཮Ƕ!

ȐΖ*ௗ᝻ȐtouchȑޑΚໆᆶಞᄍ୏բޑख़༟Ȑre-patterningȑ!

ௗ᝻ΏΓᜪख़ाޑྎ೯БԄϐ΋Ƕ೸ၸيᡏޑௗ᝻ЇᏤǴନΑکي

Ȑΐ*൧ख़يᡏޑඵችȐbody wisdomȑ!

ȨЈȩӸӧܭيᡏޑ؂΋ঁಒझϐύǴيᡏ؂ঁ೽ϩନΑ࣬ϕೱ่

ޑᜢ߯ѦǴᗋԖѬԾρᐱҥޑ่ᄬکၮբБԄǴࣁΑ፾ᔈόӕޑᕉნԶ Ծךፓ᏾ᆶׯᡂǶӢԜǴيЈᏢޣ൧ख़يᡏޑඵችǴ࣬ߞѬԖԾךፓ᏾

کԾᘰޑૈΚǴΨ࣬ߞѬࢂૈ୼Γᜪቚ຾Ј᛽ǵ᝺ᒬک໒৴ޑ྅୸Ƕ!

ȐΜ*ԾךᆶѦӧᕉნϐ໔ޑፓکȐthe harmony and balance between the innerwordand the outer wordȑ

يЈᏢޑፕᗺό໻மፓԾךϣӧޑѳᑽǴΨх֖ԾךکдΓǵঁձ ᆶიᡏǵϣӧᆶѦӧǵϦ౲ᆶدΓϐ໔ޑѳᑽǶѸ໪೸ၸԾךޑགڙٰ

ӣᔈѦӧᕉნޑᡂϯǴԶӧځ໔פډکᒋޑ࣬ೀБԄǶ!

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ᆕӝ΢ॊፕᗺǴᡣךుڅޑᕕှډيЈᏢமፓޑࢂيЈӝ΋Ǵيᡏ

๊ჹόࢂЈඵޑѩᗧǴԶيᆶЈࢂ΋ᡏٿय़ǴคݤϩപޑჴᡏǴόࢂך ȨᏱԖȩيᡏǴԶࢂךȨ൩ࢂȩيᡏǴȨيᡏȩޑЬᡏ܄Ѹሡख़ཥڙډ ख़ຎǴѬࢂ฻ӕܭȨЈඵȩޑӦՏǴԶόࢂவឦޑᜢ߯Ǵ୤ԖيЈکᒋ

΋ᡏǴϕ࣬ᇶշǵፓ᏾ǴωૈၲډيЈӝ΋ޑნࣚǶ୤Ԗ೸ၸيᡏόᘐ ޑ௖઩ǵᡏჸǵ࿶ᡍǵགڙᆶᏢಞǴаၲډߦ຾يЈ֡ᑽว৖ޑӄΓ௲ ػǶ!

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ΒǵيЈ௲ػ౛ፕ!

يЈ௲ػȐsomatic educationȑྍԾܭيЈᏢࣴزሦୱǴаيЈᏢࣁ౛ፕ୷ᘵǴ يЈמѯࣁЋࢤǴமፓӣډيᡏࣁচᗺǴᙖҗΓᡏ୏բȐmovementȑ܈Ћ᝻מѯ Ȑhands-on bodyworkȑٰ໒วيЈ᝺ჸᆶᡏჸيᡏඵችޑ௲ػၸำȐቅऍ੧Ǵ 3115cȑǶаׯᡂᙑԖኳԄޑيᡏӆ௲ػࣁ౛ۺǴ๱ख़ӧ࠮༈ǵ୏բǵ௃ᆣǵགྷݤ کԾךཷۺޑ࣬ϕᜢ߯Ǵ٠ԵቾΓޑԾЬ܄کঁձৡ౦ǴаჴሞᏹբޑБݤǴᔅ

ࢤǴ٠ว৖рيЈ୏բ௲ػǵيЈ୏բݯᕍǵيЈЋמ௲ػаϷيЈЋᕍ฻ࠠᄊ ȐដඁमǴ311:ȑǶਥᏵа΢ޑᢀᗺٰय़ჹيᡏਔǴᡣךჹيᡏԖΑ΋ᅿֹӄό ӕޑᄊࡋکБԄǴ׆ఈૈஒ೭ᅿБݤᆶמѯᔈҔӧԖੰภޑΓي΢Ǵၲډ෧࿶ੵ

ภޑҞӦǶ!

!

ΟǵيЈ୏բ௲ػϣ఼!

ҁࣴزஒаيЈ୏բ௲ػޑ౛ፕǵ੝ᗺǵፐำኳԄǵϣ৒ࢎᄬᆶ௲׷׎

Ԅ൳ঁय़ӛᇥܴǴ૟ᇥܴӵΠǺ!

Ȑ΋ȑيЈ୏բ௲ػޑ౛ፕ!

يЈ୏բ௲ػȐsomatic movement educationȑࢂӧيЈᏢޑণࡘک يЈ௲ػޑ౛ۺΠǴ܌ว৖рٰཥޑፐำኳԄȐቅऍ੧Ǵ3115bȑǶவ يЈᏢޑᢀᗺрวǴ่ӝيЈ௲ػޑ౛ۺǵ೸ၸ୏բޑЇᏤၮҔܭ௲ ᏢύȐቅऍ੧Ǵ3114ȑǴமፓᡣᏢғѐᡏჸيᡏǵᇡ᛽ي,ᡏǴ຾Զᕕ

ှيᡏඵች٠൧ख़يᡏǴख़ཥᏢಞᆶϸ࣪ჹيᡏޑ࣮ݤǴ٠࿶ᡍډঁ

Γޑ௃ᆣکགڙǶᇡࣁ୏բ໺ၲΓॺޑགڙ࿶ᡍǴ೸ၸ୏঩يᡏ੝ۓ ಔᙃǴჴ፬ϣӧǵѦӧǴ܈ٿޣޑཀკȐቅऍ੧Ǵ3113ȑǶ!

ȐΒȑيЈ୏բ௲ػޑ੝ᗺ!

ي Ј ୏ բ ௲ ػ Ь ा ࢂ ೸ ၸ ख़ ཥ ᔠ ຎ Ȑ re-check ȑ ǵ ڀ ᡏ ࿶ ᡍ ȐembodyȑǵԾךيᡏ่ᄬȐstructureȑǵфૈȐfunctionȑǵ୏բ Ȑmovementȑǵག۔ޕ᝺ȐsensingȑǵགڙȐfeelingȑکཀ᛽ࢲ୏

ȐthinkingȑǴаၲډፓ᏾کѳᑽيЈޑ΋ঁ௲ػፐำȐ݅εᙦǵቅऍ ੧Ǵ3114ȑǶᗛඁमȐ311:ȑӧ᏾౛ӚৎЎ᝘ࡕǴᘜયрيЈ୏բ௲ ػޑѤঁ੝ᗺ-аΠ൩يЈ୏բ௲ػޑ੝ᗺբ΋ፕॊǺ!

2/аಃ΋Γᆀޑᢀᗺٰ௖زԾρޑيᡏ!

يᡏࢂ΋ঁӕਔёԾᢀȐself-observationȑᆶ೏ᢀჸȐbe observedȑ ޑ౜ຝȐHanna-2:97ȑǴيЈ୏բ௲ػࢂҗಃ΋ΓᆀޑԾךࣁଆᗺǴ ᡣΓॺᡏޕϣӧԾךШࣚᆶѦӧШࣚᜢ߯ޑख़ा܄ǴԖձܭҗಃΟΓ

ޑ࿶ᡍࣽᏢǶஒගٮךॺќ΋ᅿόӕޑၸำک೼৩ٰᏢಞޕ᛽کΑှ

ԾρȐ݅εᙦǵቅऍ੧Ǵ3114*Ƕ!

3/аȨ୏բȩࣁЬाޑ௲ػЋࢤ!

يЈ୏բ௲ػǴࢂаȨ୏բȩࣁЬाЋࢤٰ௖઩يᡏޑيЈ௲ػ

ࠠᄊϐ΋ǴѸ໪ӧȨ୏ȩޑၸำǴ᝺ჸيᡏޑӚᅿ౜ຝǴ٠Ꮲಞ௖઩

يᡏǴ೭္܌ࡰޑȨ୏ȩǴό໻மፓҗѦᡉёـޑަᡏ߄౜Ǵӵيᡏ

܌Ԗ୏ޑރᄊǴΨ఼ᇂΑ೸ၸڥ֎ǵᖂॣǵၰڀޑᏹբǵཀຝǵკฝǵ

ॣ኷ǵᆶдΓيᡏޑௗ᝻Ǿ฻όӕБԄ܌ౢғޑ୏բǴٰ྽բࢂ௖઩

يᡏޑၡ৩Ȑጰ⃎ฐǴ3115ȑǴӧ௖઩يᡏϐࡕǴૈᕕှيᡏࢲ୏ޑ

ೕ߾܄ǴӢԶפډ΋ঁԾךፓ፾ޑന٫БݤǶ!

4/மፓԾך᝺ჸޑૈΚ!

يЈ୏բ௲ػࢂமፓيЈ᝺ჸޑ௲ػၸำǶቅऍ੧Ȑ3114ȑࡰр

᝺ჸޑ໒วࢂيЈ௲ػനЬाޑख़ᗺǴ٠ගр᝺ჸࢂ΋ᅿஒคཀ᛽ቫ य़ගϲډཀ᛽ቫय़ޑᡏჸၸำǴΨࢂ΋ঁӧคཀ᛽ᆶཀ᛽ϐ໔όᘐٰ

ӣჹ၉ޑၸำǴӢԜ᝺ჸޑϣ৒Ԗ࣬྽ӭόӕޑቫय़ǴȨيᡏȩёᇥ

ࢂ܌Ԗ᝺ჸϐਥҁǴΨࢂ຾Εځд᝺ჸૈΚޑ୷ᘵȐKeleman-2:92ȑǶ

೸ၸ΋سӈࢲ୏ፐำٰ໒วيᡏޑ᝺ჸૈΚǴமፓޔௗԶҥջᡏ཮ག

᝺࿶ᡍǴᔅշךॺஒߚץղ܄ޑݙཀΚ໣ύӧԾρಞаࣁதޑيᡏᡂ ϯǴӧҔЈࠔښ྽Πၸำ္ǴȨ᝺ჸȩޑ౜ຝ൩วғΑȐЦίዅǴ3118ȑǶ!

5/ख़ຎڥ֎ᆶܫ᚞ግಞ!

ΓவрғଆǴȨڥ֎ȩ൩ၟ๱ךॺޑғࢲǴޔډᘐ਻่״ǶȨڥ

֎ȩࢂךॺکШࣚϕ୏ޑന୷ҁࠠᄊǴࢂيᡏک௃ᆣޑୀෳᏔǴΨࢂ

ךॺࢂց҅܍ڙᓸΚޑࡰ኱Ǵፓ᏾ڥ֎ࢂܿՋБ೚ӭيЈמѯ຾Չܫ

᚞૽ግޑЬືǴᗨฅӧᏹբБԄ΢ౣԖόӕǴҞޑ߾೿ࢂ׆ఈ೸ၸڥ

!

ȐΟȑيЈ୏բ௲ػፐำኳԄ!

ቅऍ੧Ȑ3115cȑว৖рȨيЈ୏բ௲ػፐำኳԄȩǴϣ৒఼ᇂፐ ำ୷ҁཷۺǵፐำҞ኱ǵፐำᢀۺǵ௲ৣفՅǵፐำ೛ीϷຑໆБԄ

฻Ǵӈܭ߄3.3.2!

!

߄3.3.2!يЈ୏բ௲ػፐำኳԄ!

ϩᜪ0ኳԄ! يЈ୏բ௲ػ!

୷ҁཷۺ! يЈӝ΋ǴаيᡏࣁচᗺǴமፓيᡏඵችޑᡏᇡǴ٠ख़ຎԾך௖઩

ޑၸำ!

ፐำҞ኱! 2/೸ၸيᡏޑ௖઩Ǵ໒วيᡏ᝺ჸૈΚȐхࡴᆶԾךǵᆶдΓǵᆶ ᕉნȑϷගϲيᡏ٬Ҕޑਏ౗Ǵ٠ᕕှԾךǴаӢᔈѦӧӭᡂޑ ᕉნ!

3/ߦ຾يЈѳᑽϐ଼ந!

ፐำᢀۺ! يᡏҁيջࢂ୏բᡏǴமፓϣӧ࿶ᡍޑϸ࣪ǴϷԾฅҁૈ୏բޑ௖

઩Ǵவ୏բύᕕှډ྽ΠԾךޑيЈރᄊǴ٠٦ڙ୏բ܌ளډޑᅈ ىᆶԾߞ!

௲ৣفՅ! 2/Ԗ҅ዴޑيᡏᢀᗺکᄊࡋ!

3/ჹ୏բޑфૈᏱԖкϩޑᇡޕᆶᡏ཮!

4/ࢂࣁ΋ঁڐշޣǵЇᏤޣ!

ፐำ೛ी! ፐำϣ৒ЬाೕჄрϤঁБӛǺаڥ֎ግಞࣁ୷ᘵǴᇡ᛽ᆶᡏ཮ي ᡏ่ᄬǵᏢಞᆶᡏ཮يᡏύЈᆶӚ೽Տϐᜢ߯ǵ௖઩ҁૈ܄ޑԾҗ

୏բǵගϲيЈ፾ૈǵаϷׯ๓Γሞᜢ߯ᆶ፾ᔈᕉნ฻Ǵ຾Չፐำ ϣ৒೛ी!

ຑໆБԄ! ᔞਢຑໆࣁЬǴх֖ᏢಞВᇞǵيЈᔠਡ߄ǵӣ㎸ൂ฻!

ၗ਑ٰྍǺቅऍ੧Ȑ3115c;27ȑ!

!

ȐѤȑيЈ୏բ௲ػፐำϣ৒ࢎᄬ!

ቅऍ੧Ȑ3115cȑࡰрيЈ୏բ௲ػፐำϣ৒ޑࢎᄬ΢ǴΏೕჄа ڥ֎ޑ௖઩ᆶᓉЈ଺ࣁ୷ᘵ૽ግǴӢࣁڥ֎ޑፓ᏾ࢂ຾ΕԾך௖઩ന ӳޑЋࢤǴԶᓉЈΨࢂԾךჹ၉ޑന٫ཪيǶௗ๱ӆϩձவϖঁБӛǺ يᡏᄬკޑᏢಞǵيᡏύЈᆶӚ೽Տϐᜢ߯ޑᡏ཮ǵҁૈ܄Ծҗ୏բ

௖઩ǵቚ຾يЈ፾ૈǵϷׯ๓Γሞᜢ߯ᆶ፾ᔈᕉნ฻ǴٰೕჄёૈޑ

௲׷ϣ৒ǴҾკࡌᄬр΋ঁၨӄय़ޑཥፐำǴځϣ৒ࢎᄬӵკ!3.3.3Ƕ!

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!!!კ 3.3.3!يЈ୏բ௲ػፐำϣ৒ኳԄკȐቅऍ੧Ǵ3115cǺ28ȑ

يᡏᄬკȒ่ᄬᆶфૈޑᇡޕᆶᡏᇡȓ

!

يᡏύЈᆶӚ೽Տᜢ߯ϐ௖઩Ȓ୏բว৖ȓ ҁૈ܄Ծҗ୏բޑ௖઩

! ҁाҹȓ ѦҭԵቾᡏ፾ૈޑ୷ يЈ፾ૈȒ᝺ჸૈΚ

!

Γሞᜢ߯ᆶ፾ᔈᕉნ !

يЈ୏բ௲ػ!

somatic movement education

ڥ֎௖઩ᆶᓉЈ!

ѤǵيЈ୏բ௲ػϐ࣬ᜢࣴز!

!

வЎ᝘ޑᇆ໣ᆶ᎙᠐ၸำύǴᕕှډҞ߻يЈᏢჴሞёᔈҔӧ௲ػ΢ǵݯᕍ

΢ک୏բ૽ግ΢Ǵځύӧ௲ػ΢ޑᔈҔࢂа೭ٿঁБӛว৖ޑǴځ΋ࢂᐱҥԋࣁ

΋ঁ҅ԄࣽҞ܈ፐำǴӧፐ୸΢ჴࡼ΋سӈيЈמѯޑግಞǴගٮᏢғᡏᡍي ᡏǵ໒ว᝺ჸکᕕှԾךޑᐒ཮ǴيЈ௲ػҭёаଞჹ੝ਸ࠸ูޑ፾ᔈᡏػፐ ำǴ଺όӕሡाϐيЈ௖઩ޑࢲ୏Ӽ௨ǴஒԖշܭيЈምᛖޣوрज़ڋǴୖᆶ፾

྽ޑ଼يࢲ୏Ȑቅऍ੧ǵ݅εᙦǴ3114ȑǴ૟ஒ߈ԃيЈ୏բ௲ػ࣬ᜢፕЎ᏾౛

ϩࢤᇥܴӵΠǺ!

)΋*يЈ୏բ௲ػ࣬ᜢࣴزӧ௃ᆣᓸΚᆅ౛Бय़!

ጰ⃎ฐȐ3115ȑǵ஭ҏٵȐ3117ȑǵ݅ৎ຾Ȑ3121ȑᆶ׵Ш໚Ȑ3123ȑ

೿ஒيЈ୏բ௲ػፐำᔈҔܭ୯λᏢูᓉۓܫ᚞ਏ݀ǵׯ๓௃ᆣᆶՉ ࣁǵ௃ᆣᆅ౛ਏ݀ǵୃৡՉࣁჴࡼࢲ୏ࡕǴᏢูӧ೸ၸڥ֎೿ૈڀԖ҅

य़ޑਏ݀ǶନΑଞჹ୯λᏢูѦ໳නయȐ3118ȑஒيЈ୏բ௲ػፐำᔈ Ҕܭ୯λ௲ৣيЈܫ᚞ਏ݀ϐࣴزǴว౜ፐำჹ୯λ௲ৣيЈܫ᚞ڀԖ

҅य़ਏ݀ǴЪᏢ঩ჹԜፐำ࡭҅ӛޭۓޑᄊࡋǶԶ೚ࡌڷȐ311:ȑ߾ஒ يЈ୏բ௲ػᔈҔܭ୷ቫ঩᝾πբᓸΚỜှਏ݀ϐࣴزǴว౜ૈफ़եπ բᓸΚϷׯ๓يЈރݩǶ!

ᆕӝΑа΢ޑЎ᝘ёаว౜يЈ୏բ௲ػፐำჹܭᓉۓܫ᚞ǵׯ๓

௃ᆣᆶՉࣁǵୃৡՉࣁǵफ़եπբᓸΚǵׯ๓يЈރݩǴ೿ૈԖؼӳޑ ׯ๓׳ԖշܭΓሞᜢ߯ޑว৖Ƕ!

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)Β*يЈ୏բ௲ػ࣬ᜢࣴزӧيЈምᛖᏢғׯ๓Бय़!

ഋӼ൛Ȑ3118ȑஒيЈ୏բ௲ػፐำᔈҔܭඵૈምᛖᏢูޕ᝺୏բ

ૈΚቹៜϐঁਢࣴزǴว౜ჹܭඵૈምᛖᏢูޕ᝺୏բૈΚޑޜ໔ᜢ

߯ǵ࿯ࠩǵ᝻᝺ǵѳᑽགԖ҅य़ቹៜǶԶ݅҉܍Ȑ311:ȑஒيЈ୏բ௲ ػፐำᔈҔܭ့ធМԼԺѨᎦੱ஻ޣϐঁਢࣴزǴว౜ჹ஻ޣᆢ࡭፾྽

يЈ୏բ௲ػፐำᔈҔܭݙཀΚલഐၸ୏ੱٽูፂ୏ՉࣁᆶΓሞᜢ߯

ቹៜϷׯ๓ݙཀΚϐঁਢࣴزࣴزǴว౜Ԗշफ़եݙཀΚલഐၸ୏ੱٽ

ูӧλიᡏፂ୏Չࣁޑᓎ౗ǴϷቚ຾Γሞϕ୏ᆶׯ๓ݙཀΚલഐၸ୏ੱ

ᏢูݙཀΚό໣ύϐՉࣁǶ!

ᆕӝΑа΢ޑЎ᝘ёаว౜يЈ୏բ௲ػፐำૈ୼ׯ๓يЈምᛖ ᏢғϐݙཀΚό໣ύϐՉࣁǵቚ຾ޕ᝺ૈΚޑගϲǵჹܭᆢ࡭፾྽ޑԼ ԺΚໆԖ҅य़ޑቹៜǵૈ୼ׯ๓ঁਢᅵ઀ࠔ፦ᆶ෧ᇸੵภаϷׯ๓ғࢲ ᐒૈǶ!

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)Ο*!يЈ୏բ௲ػ࣬ᜢࣴزӧيЈރݩБय़!

Ѐዝ௘Ȑ3118ȑஒيЈ୏բ௲ػፐำᔈҔܭׯ๓ࢋၰၮ୏঩يЈރ ݩϐਏ݀ࣴزǴว౜ૈׯ๓Ȩيᡏ୏բ٬Ҕᆶيᡏ୏բૈΚȩǵȨԾך يЈፓ፾ཀ᛽ȩᆶȨԾךيᡏᄊࡋȩǶӧ୯λᏢูБय़᝵୯҅Ȑ311:ȑ

߾ஒيЈ୏բ௲ػፐำᔈҔܭύԃભᏢูيЈ፾ૈቹៜϐࣴزǴว౜Ԝ ፐำჹᏢูЈޤऐΚԖᡉ๱ਏ੻ǶԶቅߪՙȐ3123ȑஒيЈ୏բ௲ػፐ ำᔈҔܭׯ๓୯λ෇ౚᒧЋيЈ፾ૈਏ݀ϐࣴزǴว౜يЈ፾ૈፐำჹ ୯λ෇ౚᒧЋёԖਏගϲځϸᔈਔ໔ǵѳᑽ܄ǵ௵௘܄ǵೲࡋϷيᡏ᝺

ჸૈΚǴჹᛈวΚᆶڐፓ܄ޑׯ๓ҭԖ҅य़ޑਏ݀Ƕ!

ᆕӝΑа΢ޑЎ᝘ёаว౜يЈ୏բ௲ػำჹᏢูЈޤऐΚԖᡉ

๱ਏ੻Ǵ׳ख़ཥ᏾ӝيЈᏢᆶᡏ፾ૈǴа໒วيᡏ᝺ჸ٠ЪගϲԖਏ٬

ҔϐૈΚǶ!

!

)Ѥ*يЈ୏բ௲ػ࣬ᜢࣴزӧԾךཷۺБय़!

ЦίዅȐ3117ȑஒيЈ୏բ௲ػፐำᔈҔܭόӕ஑໨ၮ୏঩ၮ୏ૈ

ΚϷيᡏԾךཷۺϐቹៜࣴزǴว౜Ԝፐำჹόӕ஑໨ၮ୏঩ϐၮ୏ૈ

ۺǴӧቚ຾ჹԾךيЈރݩޑΑှࡕǴ຾Զගϲၮ୏ૈΚϐ٬ҔǶ!

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ϖǵλ่!

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җа΢ޑЎ᝘ࣴز่࣮݀рǴيЈ୏բ௲ػፐำ೏ቶݱޑၮҔӧ೚ӭБय़;

௃ᆣᓸΚᆅ౛ǵيЈምᛖᏢғׯ๓ǵيЈރݩׯ๓ǵԾךཷۺගϲ฻೿Ԗ҅य़ਏ

݀Ǵ׳ёаᑼΕډόӕޑሦୱύǴଞჹόӕޑჹຝሡ؃Զ೛ीǴ࿶җيᡏޑӆ௲ ػᆶಞᄍ୏բޑख़༟Ǵख़ཥᏢಞჹيᡏ่ᄬޑᇡޕǴᡏᡍཥޑ୏բག᝺Ǵख़᏾ي ᡏޑၮբБԄǴයࡑૈа׳Ԗਏ౗ǵ፾྽ޑޑኳԄٰ٬ҔيᡏǶ!

ಃΟ࿯!!يЈ୏բ௲ػፐำჹܭيᡏੵภϐ࣬ᜢЎ᝘!

!

يЈ୏բ௲ػගٮӚᅿόӕԾךيᡏྎ೯ޑБݤǴᒧЋૈ୼ᒿਔԾךፓ᏾ک ܫ᚞όѸाޑԼԺᆙ஭Ǵૈ٬୏բޑ߄౜׳ᆒྗǴ׳ёаᔅշᒧЋܫ᚞يᡏǵ੃

ନੲമǵ෧Ͽၮ୏໾্Ϸ຾Չൺ଼πբȐ݅εᙦǵቅऍ੧Ǵ3115ȑǶيЈ୏բޑ ፓ᏾ё٬ੵภޑጄൎᕭλǴԶЪག᝺ภᗺ׳ܴዴǶҗੵภ໺ሀޑઓ࿶ᠼᆢϐόӕ ޑفࡋᢀϐǴ໺ሀੵภޑઓ࿶ᠼᆢԖΒᜪǺ΋ᜪࢂȨAį.ઓ࿶ᠼᆢȩǴ໺ሀޑੵ

ภޑૻ৲КၨܴዴǴᆶགڙ୔ޑઓ࿶КၨឦܭȨ΋ჹ΋ȩޑᜢ߯ǴёаКၨܴዴ ޑϩᒣрੵภޑՏ࿼ᆶம১Ƕќ΋ᜪࢂȨC.ઓ࿶ᠼᆢȩǴஒੵภߞ৲۳΢໺Կတ

೽ӚೀǴ٠Ъև౜ᘉණރǴȨC.ᠼᆢȩ໺Ꮴ܌གډੵภϐጄൎǴόࢂ΋ঁᗺǴԶ

ࢂ΋ঁ୔ୱǴ܈ࣗԿคݤዴۓՖೀǴ೭ᅿߞ৲΋ණ໒Ǵ൩คݤࡐዴۓځচวϐ໾

্೽ՏǴӢԜӧૉᡎϣ೭٤Ȩ୏ᄊઓ࿶ϡȩǴӢ೏ڮӜࣁȨቶණ୏ᄊઓ࿶ϡȩǴ೭ ΨࢂЇଆᄌ܄ੵภޑЬाਥྍǶќѦǴҗੵภ௓ڋޑΟᅿ౛ፕǺڈᐟϸڋբҔ Ȑcounter-irritationȑǵߐЊ௓ڋ౛ፕ)gate control theoryȑǵတଢ଼Ȑendorphineȑޑ ӢનǴҗܭڥ֎ᆶ஑ݙޑ૽ግǴ೭ᅿȨཀ᛽௓ڋȩ཮ቹៜεတҜ፦Ǵ຾ԶቹៜΑ တଢ଼ϐϩݜǴԶ௓ڋჹੵภޑהऐࡋǴҭջፓ᏾ΑȨੵภ⸣ॶȩȐpain thresholdȑǶ

ੵภጄൎϐᕭλᆶੵภޑག᝺׳ܴዴǴёૈᆶੵภޑڈᐟமࡋ෧১Ԗᜢǹ܈ࢂᆶ

໺ሀੵภޑઓ࿶ᠼᆢԖᜢǴёૈࢂȨD.ઓ࿶ᠼᆢȩ໺ሀޑੵภག᝺ઓ࿶ϡϐኧໆǵ மࡋᆶጄൎᕭλǴ܈ޣࢂ೽ҽޑੵภߞ৲җȨD.ઓ࿶ᠼᆢȩᙯᡂԋҗȨAį.ઓ࿶

ᠼᆢȩٰ໺ሀǴ܌аੵภޑ೽Տᆶமࡋޑག᝺КၨܴዴǴ೭ࢂȨAį.ઓ࿶ᠼᆢȩ ޑ੝܄Ȑቅऍ੧ǵ݅εᙦǴ3115ȑǶ!

җಃΒ࿯ࣴزޣᘜયрޑيЈ୏բ௲ػਏ݀ύǴҁ࿯၂๱வаΠѤঁቫय़ٰ

௖૸يЈ୏բ௲ػፐำᔈҔޑ࣬ᜢࣴز;΋ǵׯ๓يᡏੵภਏૈϐࣴزǴΒǵڥ

֎ܫ᚞ਏૈϐࣴزǴΟǵيᡏ᝺ჸਏૈϐࣴزǴѤǵيᡏᄬკਏૈϐࣴزǶ!

΋ǵيЈ୏բ௲ػፐำᔈҔӧׯ๓يᡏੵภϐࣴز!

߈ԃٰ೚ӭࣴز֡ࡰрჴࡼيЈ୏բ௲ػёаׯ๓ᆶ๤጗يᡏੵภǴଞჹ ׯ๓يᡏੵภԖᜢϐࣴزǴஒϩ݋᏾౛ϩ݋ӵ߄ 3.4.2Ǻ

!

!

߄3.4.2!ׯ๓يᡏੵภϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! ੵภׯ๓ਏૈ!

ቅऍ੧ǵ݅εᙦ!

)3114*!

: Ӝ୯ҥѠܿৣጄҘ ಔၮ୏ਠ໗໗঩ࣁჹ ຝ!

ӧ࿶ၸيЈፐำϐࡕǴӢၮ୏໾্

܌೷ԋޑੵภԖܴᡉޑ෧ᇸᆶׯ ๓Ƕՠӵ݀ࢂӢߏයಕᑈΠٰޑ໾

্Ǵ٠ؒԖܴᡉϐׯ๓Ƕ!!

ቅऍ੧ǵ݅εᙦ!

)3115*!

!

26 ՏѠܿεᏢ஻Ԗު

೽ੵภϐၮ୏ж߄໗ Ꮲғࣁჹຝ!

ӧௗڙيЈ୏բ௲ػፐำϐࡕǴ߃ යਔੵภࡰኧ཮ϲଯǴՠ࿶ၸኧຼ

ࡕު೽ੵภ཮ᒿ๱ຼԛቚуԶफ़ե

ੵภࡰኧǶ!

ቅऍ੧Ȑ3116ȑ!

!

21 Տၮ୏ж߄໗঩Ԗ Πङੵภ௃ݩࣁჹຝ

ӧௗڙΜຼيЈ୏բ௲ػፐำǴ่

݀ว౜Ǵၮ୏঩ӧௗڙيЈ୏բ௲ ػፐำϐࡕǴΠङੵภޑ௃׎Ԗܴ

ᡉׯ๓ϷቚуǴᡏୁ៻ᆶᡏ߻៻ޑ

ࢋ೬ࡋቚуΨԖܴᡉޑׯ๓Ƕ!

݅εᙦǵቅऍ੧!

)3117*!

ଞჹ 4: Ӝߏයڙ࿶

ภ܌֚ᘋޑεᏢζғ ࣁჹຝ!!

!

ჴࡼΜΒຼɴΜΖຼޑيЈ୏բ௲ ػፐำϐࡕǴζᏢғޑ࿶ภރݩԖ

ܴᡉׯ๓Ǵ٠ܭΟঁДࡕଓᙫΑ

ှǴੵภׯ๓ޑਏ݀٩ฅӸӧǴᡉ Ң࿶ภੱރޑׯ๓ڀԖ࡭Φ܄Ƕ!

ഋࢅةȐ3117ȑ! 27 Տ୯λ௲ৣ஻ԖΠ ङੵภࣁڙԄჹຝ!

ࣴزᡉҢӧௗڙيЈ୏բ௲ػፐำ ϐࡕǴڙ၂ޣӧ֤࠮ᡏ߻៻Ϸ֤࠮

ᡏ௽ᙯفࡋԖܴᡉׯ๓Ǵՠࢂӧһ

ޮᡏୁ៻Бय़ࠅ҂ၲᡉ๱ǴӧΠङ ภޑੵภࡰኧБय़ΨԖܴᡉޑׯ ๓Ƕ!

Ԣ҅วȐ3117ȑ! 48 Տߏය࿶ภޑζε Ꮲғ!

ӧௗڙيЈ୏բ௲ػፐำϐࡕǴੵ

ภࡰኧᡉ๱ޑΠफ़Ǵੵภ௃׎ׯ๓Ƕ Цቺ҅Ȑ3118ȑ! ѠܿεᏢԳౚਠ໗Ǵ

ت܄ 8 Ӝǵζ܄ 4 Ӝ

ӧௗڙيЈ୏բ௲ػፐำϐࡕǴჹ ܭԳౚᒧЋުᜢ࿯ੵภ௃ݩǵࢲ୏

فࡋ೿ᕇளᡉ๱ޑׯ๓Ƕ!

ഋન໦Ȑ3122ȑ! ѠܿᑜࢌӦࡹ٣୍܌

28 Տࣴزჹຝ!

يЈ୏բ௲ػፐำǴჹܭׯ๓Ϧ୍

Γ঩ުᓍੵภԖܴᡉ෧጗ਏ݀Ƕ!

!

!

ុ߄ 3.4.2!ׯ๓يᡏੵภϐࣴز

ࣴزޣȐԃжȑ! ࣴزჹຝ! ੵภׯ๓ਏૈ!

஭ဃ݇Ȑ3123ȑ! Ѡܿᑜҥཥғ୯ύ෇

ౚ໗஻Ԗު೽ၮ୏໾

্ϐ׫Ћࣁࣴزჹຝ!

ӧௗڙيЈ୏բ௲ػϐࡕჹܭުᜢ

࿯߻ᖐǵުᜢ࿯ࡕᖐǵުᜢ࿯Ѧ৖ǵ

ުᜢ࿯Ѧ௽ǵުᜢ࿯ϣ௽ᆶުᜢ࿯

ੵภࡰኧ೿Ԗ๱ܴᡉׯ๓Ƕ!!

݅ల൛Ȑ3123ȑ! аѠܿᑜҥ୯ύ෇ౚ ໗ 21 Ӝౚ঩ጣᜢ࿯

ੵภౚ঩ࣁࣴزჹຝ

ౚ঩ௗڙيЈ୏բ௲ػፐำޑჴࡼ

ࡕǴჹጣᜢ࿯ੵภׯ๓΢Ԗܴᡉޑ ਏ݀Ƕ!

ᒘٵႍȐ3123ȑ! а΋ՏᑡᕎΒΜԃޑ ٢ᕎ҃යੰ஻ࣁࣴز ჹຝ!

يЈ୏բ௲ػፐำૈᡣ٢ᕎ҃යঁ

ਢᏢ཮Ծךܫ᚞ǴԖਏ๤጗ੵภǶ

ၗ਑ٰྍǺࣴزޣ᏾౛!

!

ቅऍ੧ǵ݅εᙦȐ3114ȑ<ቅऍ੧ǵ݅εᙦȐ3115ǵ3116ȑ<Цቺ҅Ȑ3118ȑ<

஭ဃ݇Ȑ3123ȑϷ݅ల൛Ȑ3123ȑޑࣴزว౜Ǵჹܭၮ୏໾্܌೷ԋϐΠङภǵ

ު೽ੵภǵުᜢ࿯ੵภǵጣᜢ࿯ੵภӧௗڙيЈ୏բ௲ػፐำϐࡕੵภԖܴᡉޑ ෧ᇸᆶׯ๓ǶԶҭԖࣴزஒيЈ୏բ௲ػፐำᔈҔܭߚၮ୏঩ي΢Ǵӵቅऍ੧ǵ

݅εᙦȐ3117ȑᆶԢ҅วȐ3117ȑଞჹߏය஻Ԗ࿶ภੱރεᏢζғ<ഋࢅةȐ3117ȑ ଞჹ୯λ௲ৣΠङภ<ഋન໦Ȑ3122ȑ߾ଞჹϦ୍Γ঩ުᓍੵภǴӧௗڙيЈ୏

բ௲ػፐำϐࡕੵภԖܴᡉޑ෧ᇸᆶׯ๓<ᒘٵႍȐ3123ȑ׳а΋ՏᑡᕎΒΜԃ ޑ٢ᕎ҃යੰ஻ࣁࣴزჹຝӧௗڙيЈ୏բ௲ػፐำࡕૈԖਏ๤጗ੵภǶ!

ᆕӝа΢Ў᝘ёаளޕǴόᆅࢂᔈҔӧҺՖԃសǵ܄ձǵၮ୏໾্ࠠԄӧௗ

ڙيЈ୏բ௲ػፐำϐࡕੵภ೿Ԗܴᡉޑ෧ᇸᆶׯ๓Ƕ!

ΒǵيЈ୏բ௲ػፐำᔈҔӧڥ֎ܫ᚞ਏૈϐࣴز!!

ቅऍ੧Ȑ2:::ȑࡰрӧ΋ڥ΋֎ύх֖Α೚ӭғ౛ޑᡂϯǵЈ౛௃ᆣޑϸᔈ Ϸჹيᡏ࠮༈ک୏բޑቹៜǴѬёᇥࢂΓᡏӸࢲޑ୷ҁ୏բૈΚǴ೸ၸڥ֎Ǵё аགڙيᡏӧȨᆙȩᆶȨ᚞ȩϐ໔ޑৡ౦Ǵ٠຾΋؁Ꮲಞيᡏޑ٬Ҕᆶ௓ڋǶ೚

ӭࣴزᡉҢ;ڥ֎཮ቹៜيᡏӚ೽ՏǴ܌аڥ֎ࢂനӳޑࡪነБԄǴஒڥ֎ޑཀ ۺ໣ύӧลภޑӦБਔǴёаᘉεيᡏޑޜ໔Ǵ٠෧጗يᡏޑลภǴڥ֎ޑޑБ ԄόࢂൂൂѝԖૅα܈ဎ೽ԶаǴᔈࢂаΟࡋޜ໔ޑڥ֎Ǵᡣڥ֎วғӧيᡏҺ Ֆ΋ঁӦБǴх֖Αيᡏϣ೽܈Ҝጥ΢Ǵࣴزޣᇆ໣ჹڥ֎ܫ᚞ਏૈ࣬ᜢࣴز٠

༼᏾ܭ߄3.4.3Ƕ!

!

߄3.4.3!ڥ֎ܫ᚞ਏૈϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! ڥ֎ܫ᚞ਏૈ!

ڑηЎȐ3112ȑ!

!

ΎӜᆸޣࣁࣴز ჹຝ!!

ӧௗڙيЈ௲ػፐำϐࡕǴ่݀ว

౜೸ၸڥ֎ޑᏢಞǴڙ၂ޣёаᢀ ჸډԼԺ஭ΚϷ᚞ᆶᆙޑᡂϯǴׯ ๓يᡏޑภǵᆙ஭Ϸੲಕ฻௃׎Ƕ

݅εᙦǵ!ቅऍ੧!

)3115!*!

ѠܿεᏢԳౚᒧ Ћࣁࣴزჹຝ!!

ஒڥ֎ଛӝཀۺᔈҔܭيЈ୏բ௲ ػፐำύǴܭ୏բၸำύଛӝڥ֎

ޑፓ᏾Ǵၲډੵภ೽Տܫ᚞ޑҞޑǶ ጰ⃎ฐȐ3115ȑ! 43 Տ୯λΟԃભ

Ꮲู!!

ஒڥ֎ᔈҔӧᏢูޑᏢಞ΢Ǵ࿶ၸ

ࣴزᡉҢǴёаᔅշᏢูيЈၲډ ѳᓉǴᡣيᡏೀܭܫ᚞ޑރᄊǴᡣ ڙ၂ޣ׳ૈஒЈࡘܫܭԾρޑيᡏ Զගϲ஑ݙΚǴ٠ӧيЈܫ᚞ᆶᙼ ۓБय़ࣣԖ҅य़ޑਏ݀Ƕ!

݅ۑᅽȐ3115ȑ! 32 Տଯԃભૉ෎

ୁ៻ޕᏢูࣁჹ ຝ!!

೸ၸୖᆶيЈ୏բ௲ػፐำϐࡕǴ ӧගϲڥ֎ਏૈޑ᝺ჸૈΚǵيᡏ

᚞ᆙ೿ԖܴᡉޑගϲǴΨૈ೸ၸ᝺

ჸว౜ѳਔޑόؼ࠮༈ᆶᒱᇤޑ٬

ҔಞᄍǴ຾Զׯ๓Ƕ!!

ֆऍችȐ3117ȑ!

!

81 ՏѤԃભ୯λ Ꮲูࣁჹຝ!!

ஒፐำᑼΕڥ֎ܫ᚞ᆶ᝺ჸግಞǴ ٠೸ၸڥ֎ޑግಞǴ࿶ၸࣴزᡉ ҢǴόᆅӧᏢูيᡏϷЈ౛௃ᆣБ य़೿ԖܴᡉޑᔅշǶ!!

ុ߄ 3.4.3!ڥ֎ܫ᚞ਏૈϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! ڥ֎ܫ᚞ਏૈ!

ഋࢅةȐ3117ȑ!

!

27 Տ୯λ௲ৣ

஻ԖΠङੵภ ࣁڙ၂ჹຝ!

!

೸ၸ㡌ᆶيЈ୏բ௲ػፐำϐࡕǴ ڙෳ௲ৣӧԾךܫ᚞ޑᏢಞ΢೿Ԗ ᕇளගϲǶ!!

໳නయȐ3117ȑ!

!

21 Տ୯λ௲ৣࣁ

ࣴزჹຝ!

!

ܭፐำύуΕڥ֎ግಞǴڙ၂ޣࣣ

ᇡࣁڥ֎ግಞჹܭ෧ᇸᓸΚϷᓉЈ Бय़Ԗ܌ᔅշǴيЈܫ᚞೿ڀԖ҅

य़ਏ݀Ƕ!!

Ѐみ௘ǵЦቺ҅ǵ!

ቅऍ੧Ȑ3117ȑ!

!

୯λᏢู!

!

೸ၸᏢಞيЈ୏բ௲ػፐำϐࡕǴ Ꮲู࿶җڥ֎ёᕇளၨ٫ޑᓉЈᆶ ܫ᚞ਏ݀Ǵ٠Ъჹᆙௗޑࢲ୏Ԗ׳

уޑ஑ݙΚᆶᏢಞᄊࡋǶ!

஭ҏٵȐ3117ȑ! 7 ՏλѤλϤ௃

ᆣᆶՉࣁԖ֚ᘋ ϐᏢู!

2/ᏢูૈவȨڥ֎ȩ᝺ჸيᡏޑᡂ 3/ૈவࢲ୏ύ᝺ჸيᡏޑ᚞ᆙϷڥ

֎ׯᡂǶ!

೚ᙼᡉȐ3119ȑ! ୯λᏢูࣁჹຝ! ೸ၸᏢಞيЈ୏բ௲ػፐำϐࡕǴ ᏢูᏢಞ҅ዴޑڥ֎ݤǴ่݀ᡉҢ ڥ֎ݤᔈҔܭВதғࢲύࣣԖ҅य़ ਏ݀Ƕ!!

ᖴЎϘȐ3119ȑ! ΒԃભᏢู 44 Γ ࣁࣴزჹຝ!

يЈ୏բ௲ػፐำჹ୯λᏢูڥ֎

ܫ᚞ૈΚϐගܹԖ҅य़ޑਏ݀Ƕ!!

ដדӼȐ311:ȑ! ѠܿεᏢࢋၰ໗

঩ࣁࣴزჹຝ!

!

ڙ၂ޣௗڙيЈ୏բ௲ػፐำϐ ࡕǴჹܭׯ๓ࢋၰᒧЋޑيᡏ᝺ჸ

ૈΚԖཱུࡋܴᡉޑԋਏǴЀځࢂჹ ܭԼԺ஭Κޑ᝺ჸਏ݀׳ࣁܴᡉǶ ֆӝඁȐ3123ȑ! ࡀܿᑜ U!୯λΒ

ԃભϐᏢูǴت ғ 25!ΓǴζғ 24!Γࣁࣴزჹ ຝ!

եԃભᏢูჹيЈ୏բ௲ػፐำௗ

ڙࡋଯǴځύаΓሞᜢ߯ޑϕ୏ၯ ᔍᏢಞ௃׎ᆶϸᔈനӳǴԶڥ֎ܫ

᚞ޑᏢಞ௃׎ᆶϸᔈ߾ᒿ๱ਔ໔೴

ᅌቚଯǶ!

ᚑඁើȐ3123ȑ! ᆵܿᑜ G ௲཮஁

ζ၃ᄺ੤ი঩ 8 Γࣁࣴزჹຝ!

يЈ୏բ௲ػፐำ፾ӝᔈҔܭ஁ζ ၃ᄺ੤ᄺୠࢲ୏ύǴ٠ჹڥ֎௓ڋ

ૈΚᆶᖂॣၮҔૈΚޑගϲڀԖ҅

य़ޑਏ݀Ƕ!

ၗ਑ٰྍǺࣴزޣ᏾౛

!

᚞ޑҞޑǶќѦഋࢅةǵ໳නయȐ3117ȑаيЈ୏բ௲ػፐำଞჹ୯λ௲ৣࣁࣴ

زჹຝǴ่݀ว౜ܭፐำύуΕڥ֎ግಞǴڙ၂ޣࣣᇡࣁڥ֎ግಞჹܭ෧ᇸᓸΚ ϷᓉЈБय़Ԗ܌ᔅշǴيЈܫ᚞೿ڀԖ҅य़ਏ݀ǶନԜϐѦጰ⃎ฐǵ݅ۑᅽ!

Ȑ3115ȑ<!ֆऍችǵЀみ௘ǵЦቺ҅ǵቅऍ੧ǵ஭ҏٵȐ3117ȑ<೚ᙼᡉǵᖴЎ ϘȐ3119ȑϷֆӝඁȐ3123ȑ೿а୯λᏢูޑڥ֎ܫ᚞᝺ჸيЈ୏բ௲ػፐำǴ ᡣᏢูᏢಞ҅ዴޑڥ֎ݤǵܫ᚞يᡏ෧ᇸᓸΚǴ่݀ᡉҢڥ֎ޑግಞჹܭᏢูᇡ ޕ҅ዴޑڥ֎БԄԖ܌ᔅշǴ٠ૈᔈҔܭВதғࢲύࣣԖ҅य़ਏ݀ǶԶᚑඁើ

Ȑ3123ȑΨଞჹ௲཮஁ζ၃ᄺ੤ი঩ࣁࣴزჹຝǴ่݀ᡉҢيЈ୏բ௲ػፐำჹ ܭڥ֎௓ڋૈΚᆶᖂॣၮҔૈΚޑගϲڀԖ҅य़ޑਏ݀Ƕ!

ᆕӝа΢Ў᝘ёаளޕǴڥ֎ܫ᚞ፐำჹيᡏ᝺ჸǵܫ᚞ǵᛙۓ௃ᆣǵׯ๓ يᡏޑภǵᆙ஭Ϸੲಕ฻௃׎೿Ԗ΋ۓ҅य़фਏǴيЈ୏բ௲ػፐำό໻ૈ୼๤

጗ᆶ෧ᇸੵภǴҭૈᡣᏢಞޣᏢ཮Ծךፓ᏾ੵภޑБݤǴ܌аڥ֎ᆶܫ᚞ٿޣࢂ

৲৲࣬ᜢǴӵૈᔉளڥ֎ᆶܫ᚞ޑמѯǴѸૈᔅշੵภ஻ޣှନᓸΚᆶ๤጗ੵภǶ!

ΟǵيЈ୏բ௲ػፐำᔈҔӧ໒วيᡏ᝺ჸਏૈϐࣴز!!

يᡏ᝺ჸૈΚࢂჴࡼӚ໨ࢲ୏ޑ୷ᘵǶKnasterȐ2::7*ᇡࣁ؂ঁΓيᡏੲമǵ

໾্ᆶੵภޑӦБόᅰ࣬ӕǴ೸ၸيЈ୏բ௲ػନΑૈว౜يᡏੲമ܈໾্ޑᖿ

༈Ǵ٠ૈ׳ు΋ቫӦమཱ᝺ჸډيᡏԼԺ஭Κޑག᝺ǵགڙيᡏ๏ϒԾρޑૻ৲

)ለǵภǵ๤፾*Ǵӧځၸำύ຾΋؁᝺ჸيᡏǶऩૈᏢ཮Ȩᡏޕيᡏޑ౦ӕȩǵ ȨᕕှԖՖᒧ᏷ȩӆ຾ՉȨԖཀკׯᡂȩǴ൩ૈ٬Ծρޑيᡏ׳Ԗᒧ᏷܄Ψ׳ڀ Ԗቸ܄Ȑቅऍ੧Ǵ3114aȑǶаΠࢂࣴزޣஒԖᜢيᡏ᝺ჸ࣬ᜢЎ᝘᏾౛ӵ߄ 3.4.4Ƕ!

!

߄3.4.4!يᡏ᝺ჸਏૈϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! يᡏ᝺ჸਏૈ!

ഋ܃੿Ȑ3115ȑ!

!

୯λᏢғ!!

!

ࣴزᡉҢيЈ୏բ௲ػፐำჹيᡏૻ

৲ޑ᝺ჸǵ᚞ᆶᆙޑ᝺ჸǵڥ֎ޑ᝺ჸ Ϸيᡏ٬Ҕޑׯᡂ฻يᡏ᝺ჸૈΚϐ ගܹԖ҅य़ਏ݀Ƕ!!

ጰ⃎ฐȐ3115ȑ! ୯λΟԃભ! Ꮲูୖᆶڥ֎᝺ჸࢲ୏Бਢӧ೸ၸڥ

֎ᕇளܫ᚞Бय़ڀԖ҅य़ޑਏ݀Ƕ!

ቅऍ੧ǵ݅εᙦǵ!

)3115*!

ε Ꮲ Ѥ ԃ ભ ғ!

ჹيᡏޑᄊࡋׯᡂࡐεǴΨख़ཥࡘԵΑ يᡏ٬Ҕޑୢᚒǵ٠჋၂ׯ๓يᡏ࠮

༈ǴჹܭӧВதғࢲύԾךيᡏޑ᝺ჸ

ૈΚΨԖ܌ගܹǶ!

݅ۑᅽȐ3115ȑ! 32 Տଯԃભ

ૉ ෎ ୁ ៻ ޕ Ꮲูࣁჹຝ!

يЈ୏բ௲ػፐำჹᏢู᝺ჸૈΚϐ ໒วԖؼӳޑշ੻Ƕ!!

݅ۑᅽȐ3116ȑ! ୯ λ Ѥ ԃ ભ 28 ՏᏢู!

ჴࡼيЈ୏բ௲ػፐำࡕǴᏢғޑيᡏ གڙቚуΑǴჹيᡏޑᇡޕǵ٬ҔᆶՉ ࣁׯᡂ೿Ԗܴᡉշ੻Ƕ!

Ԣ҅วȐ3117ȑ!

!

48 Տߏය࿶

ภ ޑ ζ ε Ꮲ ғ!!

࿶ၸيЈ୏բ௲ػፐำޑ㡌ᆶϐࡕǴࣴ

زჹຝ೿ૈԾ᝺рԾρ࿶ภำࡋǵ࿶ภ ਔ໔ᆶރݩǴ೿Ԗܴᡉޑׯ๓Ƕ!!

)ុΠ।*

ុ߄3.4.4!يᡏ᝺ჸਏૈϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! يᡏ᝺ჸਏૈ!

ഋࢅةȐ3117ȑ! 27 Տ୯λ௲ৣ஻Ԗ Πङੵภࣁڙ၂ჹ ຝ!!

㡌ᆶيЈ୏բ௲ػፐำԖշيᡏ

᝺ჸޑׯ๓Ǵ٠೸ၸ௲ৣӧय़ჹ ԾρޑΠङੵภਔǴڀԖၨ٫ޑ

ှ،ૈΚǶ!

ֆऍችȐ3117ȑ! ୯λѤԃભᏢู! يЈၯᔍፐำჹܭيᡏࢲ୏ૈ

ΚǴيᡏ୏բǵيᡏ௓ڋૈΚǵ يᡏᄊࡋ᝺ჸ໒ว೿ૈԖਏගϲ дޑਏ੻Ƕ!!

஭ҏٵȐ3117ȑ! ୯λѤډϤભϤՏ Ꮲู!

يЈ୏բ௲Ꮲࢲ୏ԖշܭගϲϤ ՏᏢูޑيᡏ᝺ჸૈΚǶ!

Цቺ҅Ȑ3118ȑ! Ѡ ܿ ε Ꮲ Գ ౚ ਠ ໗Ǵت܄ 8 Ӝǵζ܄

4 Ӝ!!

㡌ᆶيЈ୏բ௲ػϐࡕǴౚ঩ޑ يᡏ᝺ჸૈΚԖ܌ගϲǶ!

೚ᙼᡉȐ3119ȑ!

!

୯λᏢูࣁჹຝ!!

!

㡌ᆶيЈ୏բ௲ػፐำϐࡕǴᏢ

ูჹيᡏ᝺ჸޑག᝺׳ԖܴᡉǴ يᡏޑᡫࢲ୏ቚуǴ٬ᏢูޑѺ ᔐ୏բ׳ࣁڐፓǶ!!

᝵୯҅Ȑ3119ȑ!

!

୯λ 5 ԃભᏢู 66 Γ!!

!

Ꮲู㡌ᆶيЈ୏բ௲ػፐำϐ ࡕǴيᡏ᝺ჸૈΚԖܴᡉቚуǶ!

ដדӼȐ311:ȑ!

!

ѠܿεᏢࢋၰ໗ : ΓǴت 26 Γζ 21 Γ!!

يЈ୏բ௲ػፐำԖշܭׯ๓ࢋ

ၰᒧЋޑيᡏ᝺ჸૈΚǶ!

ڬमብȐ3121ȑ!

!

36 Ӝີৼၰ୯λᏢ

ู 26 ت 21 ζ!!

ჴࡼيЈ୏բ௲ػፐำϐࡕǴᏢ

ูჹيᡏ᝺ჸૈΚԖගϲޑ௃

ݩǶ!!

݅ల൛Ȑ3123ȑ! аѠܿᑜҥ୯ύ෇

ౚ໗ 21 Ӝౚ঩ጣᜢ

࿯ੵภౚ঩ࣁࣴز ჹຝ!

يЈ୏բ௲ػፐำჹ୯ύࢋၰᒧ Ћيᡏ᝺ჸૈΚԖᡉ๱ගϲޑਏ

݀Ƕ!

ၗ਑ٰྍǺࣴزޣ᏾౛

!

ഋࢅةȐ3117ȑаيЈ୏բ௲ػፐำଞჹ୯λ௲ৣࣁࣴزჹຝǴ่݀ว౜㡌 ᆶيЈ୏բ௲ػፐำԖշيᡏ᝺ჸޑׯ๓ǶԶቅऍ੧ǵ݅εᙦ!)3115*<Ԣ҅ว Ȑ3117ȑ<Цቺ҅Ȑ3118ȑᆶដדӼȐ311:ȑаيЈ୏բ௲ػፐำଞჹѠܿεᏢ ᏢғࣁࣴزჹຝǴ่݀ว౜ჹيᡏޑᄊࡋׯᡂࡐεǴΨख़ཥࡘԵΑيᡏ٬Ҕޑୢ

୏բ௲ػፐำჹ୯ύࢋၰᒧЋيᡏ᝺ჸૈΚԖᡉ๱ගϲޑਏ݀Ƕӧ୯λᏢูБ य़Ǵഋ܃੿ǵጰ⃎ฐǵ݅ۑᅽȐ3115ǵ3116ȑ<ֆऍችǵ஭ҏٵȐ3117ȑ<೚ᙼᡉǵ

᝵୯҅Ȑ3119ȑϷڬमብȐ3121ȑ೿аيЈ୏բ௲ػፐำଞჹ୯λᏢูࣁࣴزჹ ຝǴ่݀ว౜ჴࡼيЈ୏բ௲ػፐำϐࡕǴᏢูჹيᡏ᝺ჸૈΚԖගϲޑ௃ݩǶ!

җа΢ޑፏӭࣴز᛾ܴǴௗڙΑيЈ୏բ௲ػፐำϐࡕيᡏ᝺ჸૈΚԖܴᡉ ቚуǴჹيᡏޑᄊࡋׯᡂࡐεǴΨख़ཥࡘԵΑيᡏ٬ҔޑୢᚒǴԖΑ҅ዴޑيᡏ

٬ҔᢀۺωૈԖ׳ӭׯᡂޑᐒ཮ᆶׯ๓ޑёૈ܄ǴӢԜيᡏ᝺ჸࢂԾךܫ᚞ᆶੵ

ภݯᕍ߻܌Ѹ໪ڀഢޑૈΚǶ!

ѤǵيЈ୏բ௲ػፐำᔈҔӧيᡏᄬკਏૈϐࣴز!!

يᡏᄬკࢂҗ٥ΚξεמѯԴৣBill Conabile܌ගрǴيᡏᄬკࡰޑࢂঁΓ ჹԾρတੇύ܌և౜Ծρޑيᡏ่ᄬǴӵ݀ᇡޕ่ᄬࢂ҅ዴޑǴ୏բև౜ޑБԄ ൩КၨԖਏ౗ǴՠϸϐਔǴόᆅӧ่ᄬǵ୏բǵᡏᄊ΢೿཮ԖࡐεޑምᛖǶቅऍ ੧ک݅εᙦȐ3114ȑࡰрӵ݀ᓐတύ܌ᇡޕޑيᡏ่ᄬკࢂ҅ዴޑǴ୏բ൩཮а КၨӳޑБԄٰև౜ǹӵ݀೭يᡏ่ᄬᇡޕࢂόᆒዴޑ܈όჹޑǴ߾୏բޑ߄౜

൩ёૈ཮ؒԖਏ౗ǴԶЪ৒ܰ೷ԋၮ୏໾্ǶஒԖᜢيᡏᄬკޑ࣬ᜢࣴزӈܭ߄ 3.4.5Ƕ!

!

߄3.4.5!يᡏᄬკਏૈϐࣴز!

ࣴزޣ)ԃж*! ࣴزჹຝ! يᡏ᝺ჸਏૈ!

݅ۑᅽȐ3115ȑ! 32 Տଯԃભૉ෎ୁ

៻ޕᏢูࣁჹຝ!!

ૉ෎ୁ៻ޑᏢูჹيᡏ่ᄬᇡޕ ගϲǴԖշܭׯ๓ό྽يᡏ٬ҔБ ԄǶ!!

! Ԣ҅วȐ3117ȑ! 48 Տߏය࿶ภޑζ

εᏢғ!

!

࿶ၸيЈ୏բ௲ػፐำޑ㡌ᆶϐ ࡕǴჹܭ҅ዴ٬Ҕيᡏ่ᄬޑૈΚ Ԗܴᡉޑׯ๓Ƕ!!

Цቺ҅Ȑ3118ȑ! Ѡ ܿ ε Ꮲ Գ ౚ ਠ ໗Ǵت܄ 8 Ӝǵζ܄

4 Ӝ!!

ӧيЈ୏բ௲ػፐำϐࡕǴౚ঩ჹ يᡏ่ᄬᇡޕ೿Ԗ܌ගϲǴჹܭي ᡏ٬ҔБय़ΨԖࡐεޑᔅշǶ!

ដדӼȐ311:ȑ! ѠܿεᏢࢋၰ໗ : ΓǴت 26 Γζ 21 Γ!

ჹܭيᡏ่ᄬКа߻మཱǴૈගϲ Ծךፓ᏾ޑਏ݀Ƕ!

ڬमብȐ3121ȑ! 36 Ӝີৼၰ୯λᏢ

ู 26 ت 21 ζ!

يᡏ่ᄬᇡޕޑගϲǴԖշܭቚу ၮ୏ૈΚޑ߄౜Ƕ!

೾ҥϘȐ3122ȑ! ࣴزჹຝࣁ 8 ډ 23

ྃޑ 31 ՏᏢู!

يᡏᄬკᑼΕີৼၰ௲Ꮲૈ୼ග

ܹᏢูيᡏ่ᄬᇡޕǴගܹᏢูີ

ৼၰ୷ҁ፮ᔐ୏բک୷ҁٛᑇ୏

բϐᏢಞԋਏǶ!

ၗ਑ٰྍǺࣴزޣ᏾౛

!

Ԣ҅วȐ3117ȑǵЦቺ҅Ȑ3118ȑᆶដדӼȐ311:ȑஒيЈ୏բ௲ػፐำа ѠܿεᏢᏢғࣁࣴزჹຝǴ่݀ว౜࿶ၸيЈ୏բ௲ػፐำޑ㡌ᆶϐࡕǴჹܭ҅

ዴ٬Ҕيᡏ่ᄬޑૈΚԖܴᡉޑׯ๓ǶќѦ݅ۑᅽȐ3115ȑǵڬमብȐ3121ȑᆶ

౜Ǵ٠Ъׯ๓ό྽يᡏ٬ҔБԄǴቚу҅ዴ٬Ҕيᡏ่ᄬޑૈΚᆶԾךፓ᏾ޑਏ

݀ǶӧيЈБय़೿ڀԖ๱҅य़ޑቹៜǴ٠ӧԾךᇡޕගϲၲډ୏բޑ᏾ӝǴ٬ي ᡏၲډԖਏ౗ޑၮҔ׳ૈᡣيᡏ୏բ׳ࣁԖਏ౗ǵ࣪ΚޑֹԋǶ!

җа΢ޑፏӭࣴز᛾ܴǴيᡏᄬკᔈҔӧঁᡏ΢ǴόᆅӧيЈҺՖБय़೿ڀ Ԗ๱҅य़ޑቹៜǴ٠Ъૈගϲၮ୏ૈΚޑ߄౜Ǵ٬يᡏၲډനԖਏ౗ޑ٬ҔǶ!

!

ϖǵλ่!

ᆕӝа΢࣬ᜢࣴز่݀ǴيЈ୏բ௲ػჹܭΠङੵภਏ݀ࢂ΋ᅿёՉޑ௲ػ ЋࢤǴԶيЈ௲ػޑБݤ҅ࢂ࿶җ௲ػǵަᡏ୏բޑᏹբǴ൨פيᡏ٬ҔޑБݤ Ϸय़ჹੵภวғޑၸำǴפډׯ๓ੵภޑԖਏБݤǴԶ᝺ჸǵڥ֎ᆶܫ᚞ǵيᡏ ᄬკᆶੵภ๤጗೿ࢂᕉᕉ࣬ԌǵஏόёϩޑǴӧፐำύѸ໪Ӄ໒ว஻ޣޑيᡏ᝺

ჸǴԶ᝺ჸΨा᎞ڥ֎ᆶܫ᚞ٰᡏ཮Ǵ຾Զፓ᏾يЈǴၲډ๤጗ੵภޑਏ݀ǶԶ يЈ୏բ௲ػӧׯ๓ੵภϐࣴزύǴόՠׯ๓يᡏੵภǴ׳Ꮲ཮΋঺Ծךܫ᚞ፓ

᏾ޑמѯǶаيЈᏢࣁрวᗺيЈ୏բፐำԖձܭ໺಍ޑ౛ፕޑൺ଼ݯᕍБݤ-

໺಍ޑ౛ፕӭҗಃΟޣޑفࡋǴԶҗيЈᏢᢀᗺԶ೛ीрޑيЈ୏բፐำࢂаಃ

΋ΓᆀޑفࡋрวǴՠவЎ᝘ύΑှҞ߻ۘคଞჹᙴᕍଣ܌ύΠङภޑ஻ޣࣁЬ ޑ࣬ᜢޑࣴز-!ࣴزޣΏ჋၂ᔈҔيЈ୏բ௲ػፐำύȨيᡏᄬკȩǵȨڥ֎ᆶ ܫ᚞᝺ჸȩǵȨيᡏԾך᝺ჸȩǵȨيᡏ୏բ௖઩ȩ฻բࣁፐำ೛ीЬືǴයࡑ а௲ػޑЋࢤ၂კ൨рԾՉᕍᘰǵԖਏǵߚᙴᕍ܄ޑΠङภޑှନБݤࢂҁࣴز ޑख़ाҞޑǶ!