Berkson D L
Med Hypotheses. 1991 Dec;36(4):356-67. doi: 10.1016/0306-9877(91)90010-v.
It is proposed that chiropractic and nutritional treatment contribute to the amelioration and perhaps reversal of osteoarthritis (OA). It is further proposed that the chiropractic manipulative thrust, is in effect, treating dysfunctional bio-mechanics of joints, affecting positive cartilaginous change. The pathophysiology and multi-factorial causes of OA are reviewed. New interpretations of the literature surrounding OA are discussed which offer arguments for OA's treatment and reversal through chiropractic manipulation and nutrutional support. Presented is a new model of the chiropractic concept of subluxation (abnormal joint complex resulting in fixation or decrease in normal range of motion) and the chiropractic manipulative thrust. The associated histologic correlates are also discussed. A review of the literature of anti-inflammatory and muscle/joint complex supportive nutrients appropriate for OA is presented. Finally, a complete treatment protocol for OA is summarized.
有人提出,整脊疗法和营养治疗有助于改善甚至可能逆转骨关节炎(OA)。进一步提出,整脊手法推力实际上是在治疗关节功能失调的生物力学,从而影响软骨的正向变化。本文回顾了OA的病理生理学和多因素病因。讨论了围绕OA的文献的新解释,这些解释为通过整脊手法和营养支持来治疗和逆转OA提供了依据。本文提出了一种关于半脱位(导致关节固定或正常活动范围减小的异常关节复合体)的整脊概念和整脊手法推力的新模型。还讨论了相关的组织学关联。本文介绍了适用于OA的抗炎和肌肉/关节复合体支持性营养素的文献综述。最后,总结了OA的完整治疗方案。