University of Miami, Miller School of Medicine, Department of Physical Therapy, Coral Gables, Florida, USA.
Physiother Theory Pract. 2011 May;27(4):319-27. doi: 10.3109/09593985.2010.498036. Epub 2010 Aug 8.
The purpose of this care report was to describe the physical therapy management of a unique case involving a 50-year-old white female with complaints pertaining to the craniofacial, cervical, thoracic, and brachial regions with known Eagle syndrome as a complicating factor. Intervention consisted of manual therapy and therapeutic exercises. The Craniocervical Flexion Test (CCFT), Neck Disability Index (NDI), and subjective complaints were used as outcome measures. The patient was tested at initial visit, discharge, and at a 3-month follow-up. At discharge the patient reported complete cessation of craniofacial symptoms, her CCFT score had improved by 4 mmHg, and the NDI score had improved by 10%. At the 3-month follow-up, the patient's CCFT had improved an additional 4 mmHg and the NDI score had declined by 4%. The cumulative outcomes were an 8 mmHg improvement in the CCFT and a 6% increase on the NDI. Although subjective complaints and CCFT scores improved, clinically significant improvement with the NDI was not maintained. Limitations of this case study include the substitution of standardized equipment for the CCFT and the presence of numerous comorbidities that possibly influenced results. Further research is necessary.
本护理报告旨在描述一位 50 岁白人女性的物理治疗管理情况，该女性主要抱怨颅面、颈部、胸部和臂部区域的问题，并伴有已知的复杂性综合征——鹰钩综合征。干预措施包括手法治疗和治疗性运动。采用颅颈屈伸试验（CCFT）、颈部残疾指数（NDI）和主观抱怨作为结果衡量标准。患者在初次就诊、出院和 3 个月随访时进行测试。出院时，患者报告颅面症状完全停止，CCFT 评分提高了 4mmHg，NDI 评分提高了 10%。在 3 个月的随访中，患者的 CCFT 又提高了 4mmHg，NDI 评分下降了 4%。CCFT 累计提高了 8mmHg，NDI 增加了 6%。尽管主观抱怨和 CCFT 评分有所改善，但 NDI 的临床显著改善并未得到维持。本案例研究的局限性包括 CCFT 采用标准化设备替代，以及存在多种可能影响结果的合并症。需要进一步的研究。
