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[腰椎综合征的手法治疗]

[Manual therapy in lumbo-vertebral syndromes].

作者信息

Dvorak J, Dvorak V, Schneider W, Tritschler T

机构信息

Schulthess-Klinik, Spine Unit, Zürich.

出版信息

Orthopade. 1999 Nov;28(11):939-45. doi: 10.1007/PL00003572.

Abstract

Based upon the shortly presented survey among the members of the Swiss Medical Association for Manual Medicine, the low back pain problems are approached by the means of manual therapy on average 805 times per year and physician. On average each case with low back pain is treated 1,4 times by a general practitioner with experience in manual medicine while specialists who are dealing with more complex cases on average 4 to 5 times. The functional disorders of the lumbar spine treated by manual therapy are superior to the physiotherapy approach or in comparison with a "placebo group" (information by general practitioner about low back pain and application of medication). An appropriate indication for manual therapy is relevant to avoid or reduce the possible risk of the treatment procedure. The physician who performs the manual therapy has to know the limits of the method. Also the knowledge of contraindications for manual therapy will reduce the incidence of possible complication. However based upon the survey among the swiss association the side effects and complications due to manual therapy of the lumbal spine are extremely seldom.

摘要

根据瑞士手法医学协会成员近期进行的一项调查,每年平均每位医生通过手法治疗处理下背痛问题805次。平均而言,每位下背痛患者由具有手法医学经验的全科医生治疗1.4次,而处理更复杂病例的专科医生平均治疗4至5次。通过手法治疗的腰椎功能障碍优于物理治疗方法,或与“安慰剂组”(全科医生提供的下背痛信息及药物应用)相比。为避免或降低治疗过程中的潜在风险,手法治疗的适当指征至关重要。进行手法治疗的医生必须了解该方法的局限性。对手法治疗禁忌证的了解也将降低可能并发症的发生率。然而,根据瑞士协会的调查,腰椎手法治疗引起的副作用和并发症极为罕见。

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