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[德国的手法医学。一项描述性分析]

[Manual medicine in Germany. A descriptive analysis].

作者信息

Steinhäuser J, Oser A, Götz K, Joos S

机构信息

Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Voßstr. 2, 69115, Heidelberg, Deutschland.

出版信息

Orthopade. 2011 Apr;40(4):339-43. doi: 10.1007/s00132-011-1750-5.

DOI:10.1007/s00132-011-1750-5
PMID:21472426
Abstract

BACKGROUND

In Germany manual medicine (MM) is widely used by physicians. The purpose of this study was to give a first description of relevant health service research aspects of MM.

METHODS

A structured questionnaire was placed online between April 2009 and March 2010 after pilot testing. Cooperating MM schools invited their members to take part in the study through different media.

RESULTS

A total of 60 female and 241 male physicians participated in this survey. The most common indication for MM is the ileosacral joint syndrome, 73% stated that from their experience a single therapy does change symptoms and 47% stated that there are average to severe unspecific effects involved in MM therapy. Factors most influencing current MM treatment are time pressure and own wellbeing. There were no differences between the schools or specialties with respect to experienced effects of MM and frequency of therapy.

CONCLUSION

Future study research can be planned to cover all schools of MM.

摘要

背景

在德国,手法医学(MM)被医生广泛应用。本研究的目的是首次描述手法医学相关的卫生服务研究方面。

方法

经过预试验后,于2009年4月至2010年3月在网上发放结构化问卷。合作的手法医学学校通过不同媒体邀请其成员参与研究。

结果

共有60名女医生和241名男医生参与了此次调查。手法医学最常见的适应症是骶髂关节综合征,73%的人表示根据他们的经验单次治疗确实能改善症状,47%的人表示手法医学治疗存在一般到严重的非特异性效应。最影响当前手法医学治疗的因素是时间压力和自身健康状况。在手法医学的经验效应和治疗频率方面,各学校或专业之间没有差异。

结论

未来的研究可以计划涵盖所有手法医学流派。

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本文引用的文献

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Combined chiropractic interventions for low-back pain.用于治疗腰痛的联合整脊疗法干预措施。
Cochrane Database Syst Rev. 2010 Apr 14;2010(4):CD005427. doi: 10.1002/14651858.CD005427.pub2.
2
Effectiveness of manual therapies: the UK evidence report.手法治疗的有效性:英国证据报告。
Chiropr Osteopat. 2010 Feb 25;18:3. doi: 10.1186/1746-1340-18-3.
3
Integration of complementary and alternative medicine into family practices in Germany: results of a national survey.将补充和替代医学融入德国家庭医疗实践:全国性调查结果。
Evid Based Complement Alternat Med. 2011;2011:495813. doi: 10.1093/ecam/nep019. Epub 2010 Oct 19.
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Chiropractors in Finland--a demographic survey.芬兰的脊椎按摩师——一项人口统计学调查。
Chiropr Osteopat. 2008 Aug 27;16:9. doi: 10.1186/1746-1340-16-9.
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Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline.急性和慢性下腰痛的非药物治疗:美国疼痛学会/美国医师学会临床实践指南的证据综述
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Ann Intern Med. 2007 Oct 2;147(7):478-91. doi: 10.7326/0003-4819-147-7-200710020-00006.
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A survey of chiropractors practicing in Germany: practice characteristics, professional reading habits, and attitudes and perceptions toward research.对在德国执业的脊椎按摩师的一项调查:执业特点、专业阅读习惯以及对研究的态度和看法。
Chiropr Osteopat. 2007 May 4;15:6. doi: 10.1186/1746-1340-15-6.
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Chiropractic in The Netherlands: a survey of Dutch chiropractors.荷兰的整脊疗法:一项对荷兰整脊治疗师的调查。
J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):129-34.