一名神经根型颈椎病患者的综合治疗方法：病例报告。
An integrative treatment approach of a patient with cervical radiculitis: A case report.
作者信息
Apfelbeck Leanne
机构信息
Private practice, Oak Park, IL; Instructor, Department of Chiropractic Practice, National University of Health Sciences.
出版信息
J Chiropr Med. 2005 Spring;4(2):97-102. doi: 10.1016/S0899-3467(07)60119-0.
OBJECTIVE
To describe a case report of the use of 3 treatment methods for treatment of cervical radiculitis; manual intermittent traction, instrumental chiropractic spinal manipulation, and interferential therapy.
CLINICAL FEATURES
A 54-year-old man experienced neck and left arm pain with positive orthopedic tests indicating cervical spinal nerve root involvement; he was diagnosed with cervical radiculitis
INTERVENTION AND OUTCOME
The patient received 10 treatments over a period of 8 weeks. Instrumental spinal manipulation, manual intermittent traction, and interferential therapy were integrated as a treatment plan for the patient. The patient's condition appeared to resolve. Outcome measures were evaluated at baseline, weeks 3, 5, and 8. Neck Disability Index scores were 32%, 14%, 8%, and 4% respectively, and the Visual Analog Scales were 8.5/10, 2.0/10, 1.0/10, and 0.5/10. The symptoms of cervical radiculitis was resolved in an 8 week period after 10 treatments.
CONCLUSION
The integration of instrumental spinal manipulation, manual intermittent traction, and interferential may work well together for patients with similar signs and symptoms as presented in this case.
目的
描述一例采用三种治疗方法治疗神经根型颈椎病的病例报告；这三种方法分别是手动间歇性牵引、器械整脊脊柱推拿和干扰电疗法。
临床特征
一名54岁男性出现颈部和左臂疼痛，骨科检查呈阳性，提示颈脊神经根受累；他被诊断为神经根型颈椎病。
干预措施及结果
患者在8周内接受了10次治疗。将器械脊柱推拿、手动间歇性牵引和干扰电疗法整合为该患者的治疗方案。患者的病情似乎得到缓解。在基线、第3周、第5周和第8周对结果指标进行了评估。颈部功能障碍指数评分分别为32%、14%、8%和4%，视觉模拟量表评分分别为8.5/10、2.0/10、1.0/10和0.5/10。经过10次治疗，神经根型颈椎病的症状在8周内得到缓解。
结论
对于具有本病例所示类似体征和症状的患者，器械脊柱推拿、手动间歇性牵引和干扰电疗法联合使用可能效果良好。
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