一名5岁尿便失禁男孩的整脊治疗
Chiropractic management of a 5-year-old boy with urinary and bowel incontinence.
作者信息
Kamrath Keith R
机构信息
Chiropractor, Private Practice, Hutchinson, MN 55350.
出版信息
J Chiropr Med. 2010 Mar;9(1):28-31. doi: 10.1016/j.jcm.2009.12.003.
OBJECTIVE
The purpose of this article is to describe chiropractic management of a 5-year-old boy with urinary and bowel incontinence.
CLINICAL FEATURES
A 5-year-old boy presented with the primary symptoms of a complete lack of bowel and bladder control with prior surgical correction for lumbar meningocele, spinal lipoma, and tethered spinal cord. Examination revealed spinal and pelvic dysfunction.
INTERVENTION AND OUTCOME
Chiropractic treatment methods included using the Activator adjusting instrument and shortwave diathermy to the lumbar spine and sacrum. A total of 5 treatments were initially provided over a period of 4 weeks. After the initial treatment period, he was able to maintain satisfactory control of his bladder and bowel, day and night, for a period of approximately 6 months. A second course of treatments was initiated approximately 6 months later because of a recurrence of bladder and bowel incontinence. Four additional treatments were provided over a period of 4 weeks. This second course of treatment reestablished satisfactory control of bladder and bowel function.
CONCLUSION
For this patient, chiropractic care was successful in establishing satisfactory bladder and bowel control.
目的
本文旨在描述一名患有大小便失禁的5岁男孩的整脊治疗情况。
临床特征
一名5岁男孩，主要症状为完全无法控制大小便，此前因腰椎脊膜膨出、脊髓脂肪瘤和脊髓拴系接受过手术矫正。检查发现脊柱和骨盆功能障碍。
干预措施及结果
整脊治疗方法包括使用激活器调整仪器对腰椎和骶骨进行短波透热疗法。最初在4周内共进行了5次治疗。初始治疗期过后，他能够日夜维持对膀胱和肠道的满意控制，持续约6个月。大约6个月后，由于大小便失禁复发，开始了第二个疗程的治疗。在4周内又进行了4次治疗。这第二个疗程的治疗重新建立了对膀胱和肠道功能的满意控制。
结论
对于该患者，整脊治疗成功地建立了对膀胱和肠道的满意控制。
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