Can Fam Physician. 1987 Sep;33:2051-5.
In properly selected patients, spinal manipulation is an alternative to the standard conservative approach to low-back pain. In this paper, an approach to the patient with low-back pain emphasizes the importance of a thorough history, physical examination, and diagnosis prior to manipulation. In addition to listing indications and contraindications, the authors discuss the process of selecting patients for manipulation according to pain and range of motion. Two manipulative techniques which can be easily learned and performed in the office by the family physician are described.
在选择适当的患者中,脊柱推拿是一种替代标准保守治疗腰痛的方法。本文介绍了一种腰痛患者的治疗方法,强调在进行推拿治疗之前,需要进行详细的病史、体格检查和诊断。除了列出适应证和禁忌证外,作者还讨论了根据疼痛和活动范围选择患者进行推拿的过程。本文还描述了两种可以由家庭医生在办公室轻松学习和进行的推拿技术。