Rivera-Martinez Sonia, Wells Michael R, Capobianco John D
Department of Osteopathic Manipulative Medicine, New York College of Osteopathic Medicine of New York Institute of Technology, Old Westbury 11568-8000, USA.
J Am Osteopath Assoc. 2002 Aug;102(8):417-22.
While providing osteopathic manipulative treatment to patients with Parkinson's disease at the clinic of the New York College of Osteopathic Medicine of New York Institute of Technology, physicians noted that these patients may exhibit particular cranial findings as a result of the disease. The purpose of this study was to compare the recorded observations of cranial strain patterns of patients with Parkinson's disease for the detection of common cranial findings. Records of cranial strain patterns from physician-recorded observations of 30 patients with idiopathic Parkinson's disease and 20 age-matched normal controls were compiled. This information was used to determine whether different physicians observed particular strain patterns in greater frequency between Parkinson's patients and controls. Patients with Parkinson's disease had a significantly higher frequency of bilateral occipitoatlantal compression (87% vs. 50%; P < .02) and bilateral occipitomastoid compression (40% vs. 10%; P < .05) compared with normal controls. Over subsequent visits and treatments, the frequency of both strain patterns were reduced significantly (occipitoatlantal compression, P < .01; occipitomastoid compression, P < .05) to levels found in the control group.
在纽约理工学院纽约整骨医学院的诊所为帕金森病患者提供整骨手法治疗时，医生们注意到这些患者可能会因该疾病而出现特定的颅骨体征。本研究的目的是比较帕金森病患者颅骨应变模式的记录观察结果，以检测常见的颅骨体征。收集了30例特发性帕金森病患者和20例年龄匹配的正常对照者的医生记录观察中的颅骨应变模式记录。这些信息用于确定不同医生在帕金森病患者和对照者之间观察到特定应变模式的频率是否更高。与正常对照相比，帕金森病患者双侧枕寰关节压迫（87%对50%；P<0.02）和双侧枕乳突压迫（40%对10%；P<0.05）的频率明显更高。在随后的就诊和治疗中，两种应变模式的频率均显著降低（枕寰关节压迫，P<0.01；枕乳突压迫，P<0.05）至对照组的水平。
