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整脊疗法在内脏疾病管理中的应用:一项批判性评估。

Chiropractic adjustment in the management of visceral conditions: a critical appraisal.

作者信息

Jamison J R, McEwen A P, Thomas S J

机构信息

Department of Diagnostic Sciences, Phillip Institute of Technology, Bundoora, Victoria, Australia.

出版信息

J Manipulative Physiol Ther. 1992 Mar-Apr;15(3):171-80.

PMID:1573346
Abstract

OBJECTIVE

To establish whether Australian chiropractors regard spinal adjustment as an intervention option for patients presenting with visceral conditions and to ascertain the preferred level of adjustment for patients presenting with migraine, asthma, hypertension or dysmenorrhea.

DESIGN AND SETTING

A survey of all chiropractors registered in Australia.

OUTCOME MEASURE

Practitioners' opinions regarding the usefulness of spinal adjustment in the management of patients with visceral conditions were canvassed. Based upon their personal clinical experience, practitioners were requested to comment on the appropriate level of adjustment in the management of various visceral conditions.

MAIN RESULTS

Twenty-two percent of the 1311 chiropractors registered in Australia responded to the survey. More than half of the respondents favored a role for spinal adjustment in the management of patients with visceral conditions. The perceived usefulness of spinal adjustment varied according to the condition being managed, as did the preferred level of adjustment.

CONCLUSIONS

Chiropractors continue to use spinal adjustment in the management of visceral conditions despite this intervention being regarded as an obstacle to the recommendation of public finding for chiropractic services in Australia. Further investigation into the validity of the chiropractic management of visceral conditions is recommended.

摘要

目的

确定澳大利亚脊椎治疗师是否将脊柱调整视为内脏疾病患者的一种干预选择,并确定偏头痛、哮喘、高血压或痛经患者的首选调整水平。

设计与背景

对澳大利亚所有注册脊椎治疗师进行调查。

结果测量

征求从业者对脊柱调整在治疗内脏疾病患者中的有用性的意见。根据他们的个人临床经验,要求从业者对各种内脏疾病治疗中的适当调整水平发表评论。

主要结果

在澳大利亚注册的1311名脊椎治疗师中有22%回应了调查。超过一半的受访者赞成脊柱调整在治疗内脏疾病患者中发挥作用。脊柱调整的感知有用性因所治疗的疾病而异,首选的调整水平也是如此。

结论

尽管脊柱调整被视为澳大利亚公共资金推荐脊椎治疗服务的障碍,但脊椎治疗师仍继续将其用于治疗内脏疾病。建议进一步调查脊椎治疗内脏疾病的有效性。

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