Green Bart N, Dunn Andrew S, Pearce Solomon M, Johnson Claire D
Chiropractic Division, Department of Physical and Occupational Therapy, Naval Medical Center, San Diego, Marine Corps Air Station Miramar, Branch Medical Clinic, San Diego, CA 92145-2002. Tel: 858-577-9948. Email:
J Can Chiropr Assoc. 2010 Jun;54(2):92-9.
Non-radicular neck pain arising from local musculoskeletal structures, known as mechanical neck pain or somatic dysfunction, is highly prevalent in the fighter jet aviator population. The management of this problem includes both therapeutic and aeromedical decisions. In addition to non-steroidal anti-inflammatory medications, waiver guides recommend therapeutic exercise and manipulative therapy as treatments for somatic spine pain in aviators, and such treatments are employed in many military locations. However, there are currently no published studies that describe the use of manipulative therapy for fighter jet aviators. We report the case of an F/A-18 instructor pilot who experienced long-term relief of uncomplicated mechanical neck pain following interdisciplinary management that included manipulation and a home exercise program. Diagnostic considerations, conservative treatment options, and aeromedical concerns are discussed.
源于局部肌肉骨骼结构的非根性颈部疼痛，即机械性颈部疼痛或躯体功能障碍，在战斗机飞行员群体中非常普遍。这个问题的处理包括治疗和航空医学决策。除了非甾体类抗炎药物外，豁免指南推荐治疗性锻炼和手法治疗作为飞行员躯体脊柱疼痛的治疗方法，许多军事基地都采用了这些治疗方法。然而，目前尚无已发表的研究描述手法治疗在战斗机飞行员中的应用情况。我们报告了一例F/A - 18教员飞行员的病例，该飞行员在接受包括手法治疗和家庭锻炼计划在内的多学科管理后，单纯性机械性颈部疼痛得到了长期缓解。文中还讨论了诊断考虑因素、保守治疗选择以及航空医学相关问题。
