Licciardone John C
The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.
Osteopath Med Prim Care. 2008 Jul 21;2:9. doi: 10.1186/1750-4732-2-9.
Patient care experiences represent opportunities for establishing theories, testable hypotheses, and data to assess the potential use of osteopathic manipulative treatment in various disease conditions. The re-analysis of Bandeen's 1949 raw data described herein summarizes the effects of osteopathic manipulative treatment involving pancreatic stimulatory and inhibitory techniques in diabetic and non-diabetic patients seen over a 25-year period of clinical practice. Bandeen's data demonstrate a reduction in blood glucose levels at 30 and 60 minutes following pancreatic stimulation in 150 diabetic patients, and an elevation in blood glucose levels at 30 and 60 minutes following pancreatic inhibition in 40 non-diabetic patients. Such patient-oriented research conducted during the classic era of osteopathy in the United States provides a foundation and data for generating hypotheses about the potential mechanisms of action of osteopathic manipulative treatment. Osteopathic investigators would be well-served to rediscover the classic osteopathic literature to help advance contemporary evidence-based medicine.
患者护理体验为建立理论、可检验的假设以及评估整骨手法治疗在各种疾病状况下潜在用途的数据提供了机会。本文所述对班丁1949年原始数据的重新分析，总结了在25年临床实践中，整骨手法治疗（包括胰腺刺激和抑制技术）对糖尿病和非糖尿病患者的影响。班丁的数据表明，150名糖尿病患者在胰腺刺激后30分钟和60分钟时血糖水平降低，40名非糖尿病患者在胰腺抑制后30分钟和60分钟时血糖水平升高。在美国整骨疗法的经典时代进行的此类以患者为导向的研究，为提出有关整骨手法治疗潜在作用机制的假设提供了基础和数据。整骨疗法研究人员重新发现经典的整骨疗法文献将大有裨益，有助于推动当代循证医学的发展。
