ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ!

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯐꯠꯇꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯔꯒꯥ ꯂꯦꯞꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ, ꯅꯠꯇꯦ? ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ, ꯃꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯧꯏ ( ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯧꯕꯥ ꯃꯐꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯇꯦꯡꯕꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯌꯨꯝꯕꯤꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯨꯞ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯄꯒꯨꯝ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯂꯁꯤ!

ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯃꯉꯥꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ L1, L2, L3, L4, ꯑꯃꯁꯨꯡ L5 ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯃꯉꯥ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯕꯤꯜꯗꯤꯡ ꯑꯃꯒꯤ ꯌꯨꯝꯐꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯁꯤꯂꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯣꯔꯥꯁꯤꯛ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ 12ꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯛꯔꯨꯝ, ꯇ꯭ꯔꯤꯑꯦꯉ꯭ꯒꯨꯂꯥꯔ ꯕꯣꯟ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ꯫ ꯑꯇꯣꯞꯄꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ, ꯁ꯭ꯛꯕꯥꯔ ꯕ꯭ꯔꯤꯀꯁꯤꯡꯒꯨꯝꯅꯥ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯁꯇꯥ ꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯄꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯀꯌꯥꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯑꯣꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯗꯨꯅꯤ꯫ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯁꯤ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯦꯟꯇꯔꯅꯤ . ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯥꯟꯊꯣꯀꯄꯥ, ꯐꯃꯐꯝ ꯊꯣꯀꯄꯥ, ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ (inward curve) ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯂꯣꯔꯗꯣꯇꯤꯛ ꯀꯔꯕ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯁꯔꯚꯤꯁ ꯄꯤꯔꯤꯕꯒꯦ?

ꯍꯧꯖꯤꯛ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯑꯋꯥꯡꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯄꯣꯔꯠ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯌꯦꯟꯊꯣꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ( ꯁꯔꯚꯤꯀꯦꯜ ꯁ꯭ꯄꯥꯏꯅꯦꯜ , ꯊꯣꯔꯥꯁꯤꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯍꯦꯗ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯅꯥ ꯁꯄꯣꯔꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯂꯚꯤꯁꯀꯥꯁꯨ ꯁꯝꯅꯩ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯂꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯃꯊꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯏ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ: ꯅꯍꯥꯛꯀꯤ ꯍꯤꯞ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯔꯁ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ, ꯃꯇꯨꯡꯗꯥ (ꯐ꯭ꯂꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯇꯦꯟꯁꯟ), ꯃꯥꯌꯀꯩ ꯑꯃꯗꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ (ꯁꯥꯏꯗ ꯕꯦꯟꯗꯤꯡ), ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯆꯠꯄꯥ (rotation) ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯔꯣꯏꯕꯥ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯅꯤꯅꯥ ꯂꯥꯏꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯣꯗ ꯏꯀꯨꯏꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ:ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯝꯕꯔ (L1) ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤ ꯀꯦꯕꯜ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯋꯥꯌꯥꯔ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯄꯤ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯔꯣꯏꯕꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯁꯤꯕꯨ ꯀꯧꯗꯥ ꯏꯀꯨꯏꯅꯥ (cauda equina ) (ꯃꯁꯤꯅꯥ ꯃꯁꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯁꯨ ꯉꯥꯀꯊꯣꯀꯏ꯫
• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯣꯗ ꯏꯀꯨꯏꯅꯥꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯦꯟꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯨꯚꯃꯦꯟꯇ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯧꯖꯤꯛ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ, ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯌꯦꯡꯁꯤ꯫

ꯂꯝꯕꯔꯒꯤ ꯃꯁꯂꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇ꯭ꯔꯉ꯭ꯛ ꯑꯃꯁꯨꯡ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯄꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ, ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯂꯦꯇꯤꯁꯃꯁ ꯗꯣꯔꯁꯤ (Latissimus dorsi): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕꯅꯁꯤꯡ ꯋꯥꯡꯈꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯅꯥꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯂꯤꯑꯣꯄꯁꯣꯌꯥꯁ: ꯃꯁꯤ ꯃꯁꯜ ꯑꯍꯨꯃꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ (hip joint) ꯑꯗꯨ ꯆꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯥꯟꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯄꯦꯔꯥꯁ꯭ꯄꯥꯏꯅꯦꯂꯁ (paraspinals): ꯃꯁꯜ ꯀꯥꯡꯂꯨꯞ ꯑꯍꯨꯝ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ, ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯔꯣꯇꯦꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯀꯁꯤꯡ꯫

ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ "ꯁꯣꯛ ꯑꯦꯕꯁꯣꯔꯕꯥꯔ ꯀꯨꯁꯟ" ꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯏꯟꯇꯔꯚꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯗꯤꯁ꯭ꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯗꯤꯁ꯭ꯛ ꯃꯉꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯣꯀꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯥꯀꯄꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤꯒꯤ ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯅꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯣꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯤ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ꯫

ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯨꯁꯤꯡꯕꯨ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯕꯦꯟꯗꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯅꯤꯡꯊꯤꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫ ꯑꯆꯧꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯀꯌꯥ ꯂꯩ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ:

• ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯂꯣꯟꯇꯤꯆꯨꯗꯅꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ (anterior longitudinal ligament) : ꯃꯁꯤꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯃꯃꯥꯡꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯕꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯕꯦꯀꯋꯥꯔꯗ ꯕꯦꯟꯗꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫
• ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯂꯣꯟꯇꯤꯆꯨꯗꯅꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ: ꯃꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯐꯣꯔꯋꯥꯔꯗ ꯕꯦꯟꯗꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯁꯨꯞꯔꯥꯁ꯭ꯄꯥꯏꯅꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ , ꯏꯟꯇꯔꯁ꯭ꯄꯥꯏꯅꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ , ꯂꯤꯒꯥꯃꯦꯟꯇꯝ ꯐ꯭ꯂꯦꯚꯝ , ꯏꯟꯇꯔꯠꯔꯥꯟꯁꯕꯔꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ , ꯑꯃꯁꯨꯡ ꯏꯂꯤꯑꯣꯝꯕꯔ ꯂꯤꯒꯥꯃꯦꯟꯇꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯨꯚꯃꯦꯟꯇꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯅꯔꯚ ꯇꯤꯁꯨꯒꯤ ꯕꯟꯗꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯕꯦꯖꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ L1 ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯗꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯏ꯫ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡ (cauda equina ) ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ꯫

ꯂꯝꯕꯔꯒꯤ ꯅꯔꯚꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ L1ꯗꯒꯤ L5 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯄꯦꯔꯥ ꯃꯉꯥ ꯂꯩ꯫ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯅꯔꯚꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯄꯦꯟ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

• L1 ꯅꯔꯚ: ꯒ꯭ꯔꯣꯏꯟ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥꯁꯤꯡꯗꯥ ꯁꯦꯟꯁꯟ ꯄꯤ, ꯍꯤꯄꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• L2, L3, L4 ꯅꯔꯚꯁꯤꯡ (L2, L3, L4 ꯅꯔꯚꯁꯤꯡ): ꯈꯣꯡꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯦꯟꯁꯟ ꯄꯤ꯫ ꯍꯤꯞ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
• L5 ꯅꯔꯚ: ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯅꯤꯁꯨꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯦꯟꯁꯟ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯤꯄꯐꯝ, ꯈꯨꯎ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯈꯣꯡꯁꯤꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯅꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
• ꯁꯥꯏꯇꯤꯛ ꯅꯔꯚ (Sciatic nerve): ꯃꯁꯤ L4 ꯑꯃꯁꯨꯡ L5 ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯁꯦꯛꯔꯦꯜ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯌꯨꯅꯤꯌꯅꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯅꯔꯚꯅꯤ꯫ ꯃꯁꯤ ꯄꯦꯂꯚꯤꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯧꯔꯀꯏ, ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯥꯈꯥꯁꯤꯡꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯏ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯞꯂꯥꯏ ꯇꯧꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯤꯃꯤꯇꯦꯗ ꯃꯣꯚꯃꯦꯟꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯣꯛ, ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯂꯣꯌꯔ ꯕꯦꯛ ꯄꯦꯏꯟ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ (vertebrae) ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ (e.g. osteoarthritis , .ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ , ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ , ꯄꯤꯀꯄꯥ ꯅꯔꯚ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯞꯔꯦꯟ , ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ , ꯇꯤꯎꯃꯔ , ꯁꯤꯁ꯭ꯇꯦꯃ, ꯕꯣꯟ ꯁ꯭ꯄꯔꯁ , ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯝꯕꯔ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (lumbar stenosis) : ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ, ꯑꯅꯥꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ, ꯐꯃꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯈꯔꯥ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁ (Spondylolisthesis): ꯃꯁꯤ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯗꯨꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯔꯚ ꯑꯃꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯀꯝꯞꯔꯦꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ: ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ꯫ ꯃꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯤꯌꯥꯇꯤꯀꯥ: ꯂꯝꯕꯔ ꯔꯦꯗꯤꯀꯨꯂꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ, ꯃꯁꯤ ꯁꯤꯌꯥꯇꯤꯛ ꯅꯔꯚꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯗꯒꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯔꯚꯀꯤ ꯑꯅꯥꯕꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤ ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ, ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁ, ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ, ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯄꯤꯔꯤꯐꯣꯔꯃꯤꯁ ꯁꯤꯟꯗꯣꯝ , ꯅꯠꯠꯔꯒꯥ ꯀꯧꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ (Herniated disk) (Herniated disk) (Herniated disk) (Herniated disk) ꯍꯥꯌꯕꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯨꯁꯅꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯣꯡ/ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯝꯕꯔ ꯂꯣꯔꯗꯣꯁꯤꯁ (ꯅꯠꯠꯔꯒꯥ "swayback"): ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯡꯅꯥ ꯇꯥꯕꯥ, ꯃꯗꯨꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯃꯁꯜ ꯁ꯭ꯄꯥꯝ (muscle spasm): ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯂꯩ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯝ (spasm) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫
• ꯗꯤꯖꯦꯅꯦꯔꯦꯇꯤꯚ ꯗꯤꯁ꯭ꯛ ꯗꯤꯖꯤꯖ: ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯔꯚꯁꯤꯡ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯦꯗꯜꯇ ꯁ꯭ꯀꯣꯂꯤꯑꯣꯁꯤꯁ (adult scoliosis): ꯃꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯁꯤꯟꯗꯣꯝ:ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯕꯥ ꯅꯔꯚꯀꯤ ꯃꯔꯨꯃꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ (cauda equina) ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯕꯣꯋꯦꯜ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯟ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯒꯤ ꯃꯈꯂꯁꯤꯡ:

• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ "ꯁ꯭ꯂꯥꯏꯁ" ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯖ, ꯕꯣꯟ ꯁ꯭ꯄꯔꯁ (ꯑꯣꯁ꯭ꯇꯤꯑꯣꯐꯥꯏꯇꯁ) , ꯕꯣꯟ ꯐ꯭ꯌꯨꯖꯟ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕꯣꯟ ꯃꯥꯡꯍꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI): ꯃꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯦꯒ꯭ꯅꯦꯠ, ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯗꯤꯖꯦꯅꯦꯔꯦꯁꯟ, ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯄꯤ꯫
• ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯗꯤꯁ꯭ꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯏ.ꯑꯦꯝ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯝ) ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯀꯟꯗꯥꯛꯁꯟ ꯁ꯭ꯇꯗꯤꯁꯤꯡ: ꯏ.ꯑꯦꯝ.ꯖꯤ.ꯅꯥ ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯅꯔꯚ ꯀꯟꯗꯥꯛꯁꯟ ꯁ꯭ꯇꯗꯤ ꯑꯃꯅꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯏꯝꯄꯂꯁ ꯑꯃꯅꯥ ꯅꯔꯚ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯠꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯃꯥꯏꯂꯣꯒ꯭ꯔꯥꯝ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯅꯦꯛꯁꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇ, ꯍꯥꯌꯕꯗꯤ ꯇꯤꯎꯃꯔ, ꯕꯣꯟ ꯁ꯭ꯄꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯗꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯅꯤꯃꯛ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯒꯗꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯕꯥ ꯕꯦꯛ ꯄꯦꯅꯒꯤꯗꯃꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯄꯣꯊꯥꯕ.
• ꯑꯥꯏꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯠ ꯀꯝꯞꯔꯦꯁ ꯇꯧꯕꯥ꯫
• ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯗꯅꯕꯥ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯃꯁꯜ ꯔꯤꯂꯦꯛꯁꯦꯟꯇꯁꯤꯡ, ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ , ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ ), ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ , ꯅꯦꯞꯔꯣꯛꯁꯦꯟ )꯫
• ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯱.ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯟ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯈꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯝꯕꯔ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯕ꯭ꯂꯣꯛ: ꯃꯁꯤꯗꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯁ꯭ꯄꯦꯁ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ)ꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯂꯝꯕꯔ ꯐꯦꯁꯦꯠ ꯖꯣꯟ ꯕ꯭ꯂꯣꯛ (lumbar facet joint block): ꯃꯁꯤꯗꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯐꯦꯁꯦꯠ ꯖꯣꯟ (vertebrae)ꯒꯤ ꯀꯦꯄꯆꯔꯗꯥ (vertebrae ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯖꯣꯟ) ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯏꯟꯇꯔꯂꯦꯃꯤꯅꯦꯜ ꯏꯅꯖꯦꯀꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯣꯔꯥꯃꯤꯅꯦꯜ ꯏꯅꯖꯦꯀꯁꯟ: ꯃꯁꯤꯗꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯃꯦꯗꯤꯀꯦꯜ ꯕ꯭ꯔꯥꯟꯆ ꯕ꯭ꯂꯣꯛ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯣ ꯕꯦꯛ ꯄꯦꯟ ꯈꯔꯒꯤꯗꯃꯛ ꯈꯟꯅꯩ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯐꯦꯁ ꯖꯣꯟ ꯑꯗꯨ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯅꯔꯚ ꯑꯗꯨꯗꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ ꯀꯧꯕꯥ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯅꯥ ꯅꯔꯚꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯇꯧꯏ . ꯄꯦꯏꯟ ꯔꯤꯂꯤꯐ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯔꯚ ꯑꯗꯨ ꯔꯤꯖꯦꯅꯦꯔꯦꯠ ꯇꯧꯔꯕꯗꯤ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯤꯄꯐꯝ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ꯫ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫)
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇ꯭ꯔꯥꯎꯃꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ), ꯀꯦꯟꯁꯔ, ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯑꯦꯕꯁꯦꯁ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯀꯚꯔꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ), ꯕꯣꯟ ꯏꯅꯐꯦꯛꯁꯟ (ꯑꯣꯁ꯭ꯇꯤꯑꯣꯃꯥꯏꯂꯥꯏꯇꯤꯁ) , ꯀꯧꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯁꯤꯟꯗꯣꯝ, ꯅꯠꯠꯔꯒꯥ ꯀꯅꯁ ꯃꯦꯗꯨꯂꯥꯔꯤꯁ ꯁꯤꯟꯗꯣꯝ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯈꯜ ꯑꯃꯥ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯀꯌꯥ ꯂꯩ:

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯗꯤꯀꯃꯞꯔꯦꯁꯟ ꯁꯔꯖꯔꯤ꯫

ꯃꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯇꯔꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚ ꯔꯨꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯁꯔꯖꯔꯤꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫ ꯄ꯭ꯔꯦꯁꯔ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯀꯦꯛꯇꯣꯃꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯗꯤꯁ꯭ꯛ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯂꯝꯕꯔ ꯂꯦꯃꯤꯅꯣꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯃꯤꯅꯦꯛꯇꯣꯃꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯕꯣꯅꯤ ꯑꯥꯔꯆ (lamina)ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯣꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯂꯦꯃꯤꯅꯥꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯦꯛꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯂꯦꯃꯤꯅꯥ ꯄꯨꯝꯅꯃꯛ, ꯕꯣꯟ ꯁ꯭ꯄꯔꯁꯤꯡ, ꯗꯤꯁ꯭ꯛ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯂꯝꯕꯔ ꯐꯣꯔꯥꯃꯤꯅꯣꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯐꯣꯔꯥꯃꯤꯅꯦꯛꯇꯣꯃꯤ: ꯁꯔꯖꯔꯤ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯒꯤ ꯊꯣꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯐꯣꯔꯥꯃꯤꯅꯦꯛꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯂꯝꯕꯔ ꯀꯣꯔꯄꯦꯛꯇꯣꯃꯤ (lumbar corpectomy): ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤ (ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯃꯥꯡꯒꯤ ꯁꯔꯨꯛ) ꯑꯃꯁꯨꯡ ꯗꯤꯁ꯭ꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯄꯨꯟꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯏ꯫

ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯛ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯗꯥ ꯂꯥꯌꯅꯥ ꯅꯥꯔꯕꯥ ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯗꯤꯁ꯭ꯛ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯗꯤꯖꯦꯅꯦꯔꯦꯇꯤꯚ ꯗꯤꯁ꯭ꯛ ꯗꯤꯖꯤꯖꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯍꯧꯈꯤꯕꯥ ꯆꯍꯤ ꯈꯔꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯦ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯌꯨꯖꯟ ꯁꯔꯖꯔꯤ꯫

ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯊꯤꯡꯏ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤꯗꯃꯛ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ (FES)꯫

ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤꯅꯥ ꯂꯝꯕꯔ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯕꯨ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯟꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯏꯝꯄꯂꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯇ꯭ꯔꯦꯗꯤꯁ꯭ꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯁꯔꯖꯔꯤ ꯄꯥꯡꯊꯣꯛꯂꯤ꯫ ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯁꯔꯖꯔꯤꯗꯥ ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯏꯅꯁꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯃꯉꯥ (L1-L5)ꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯏꯟꯇꯔꯚꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ, ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯌꯥꯎꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯀꯌꯥꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ꯫

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯋꯥꯐꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯂꯝꯕꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ, ꯅꯠꯇꯦ? ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯑꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯒꯅꯨ꯫ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫
• ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯄꯣꯁ꯭ꯇꯨꯔ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯛ ꯑꯃꯁꯨꯡ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯐꯩ꯫
• ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯕꯦꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ , ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯔꯤꯂꯤꯐ ꯐꯪꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ!

` ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ, ꯕꯦꯛ ꯄꯦꯟ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ, ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ, ꯅꯔꯚꯁ, ꯕꯦꯛ ꯁꯔꯖꯔꯤ꯫