Plastaras Christopher T, Schran Seth, Kim Natasha, Sorosky Susan, Darr Deborah, Chen Mary Susan, Lansky Rebecca
Department of Physical Medicine and Rehabilitation, Penn Spine Center, University of Pennsylvania, Philadelphia, PA 19104, USA.
Phys Med Rehabil Clin N Am. 2011 Aug;22(3):521-37, ix. doi: 10.1016/j.pmr.2011.02.011.
Of the multitude of treatment options for the management of neck pain, no obvious single treatment modality has been shown to be most efficacious. As such, the clinician should consider alternative treatment modalities if a modality is engaging, available, financially feasible, potentially efficacious, and is low risk for the patient. As evidence-based medicine for neck pain develops, the clinician is faced with the challenge of which treatments to encourage patients to pursue. Treatment modalities explored in this article, including chiropractic, acupuncture, TENS, massage, yoga, Tai Chi, and Feldenkrais, represent reasonable complementary and alternative medicine methods for patients with neck pain.
在众多用于治疗颈部疼痛的方法中,尚无明显单一的治疗方式被证明是最有效的。因此,如果某种治疗方式有吸引力、可获得、经济上可行、可能有效且对患者风险较低,临床医生应考虑采用替代治疗方式。随着针对颈部疼痛的循证医学不断发展,临床医生面临着鼓励患者采用何种治疗方法的挑战。本文探讨的治疗方式,包括整脊疗法、针灸、经皮电刺激神经疗法、按摩、瑜伽、太极拳和费登奎斯疗法,是颈部疼痛患者合理的补充和替代医学方法。