Rodine Robert J, Vernon Howard
Graduate Student, Graduate Education and Research Programs, Canadian Memorial Chiropractic College, Toronto, Ontario. Private Practice, Smiths Falls, Ontario.12 William Street West, Smiths Falls, Ontario, K7A 1M9.Tel.: (613) 205-0978. E-mail:
J Can Chiropr Assoc. 2012 Mar;56(1):18-28.
Cervical radiculopathy (CR), while less common than conditions with neck pain alone, can be a significant cause of neck pain and disability; thus the determination of adequate treatment options for patients is essential. Currently, inadequate scientific literature restricts specific conservative management recommendations for CR. Despite a paucity of evidence for high-velocity low-amplitude (HVLA) spinal manipulation in the treatment for CR, this strategy has been frequently labeled as contraindicated. Scientific support for appropriate outcome measures for CR is equally deficient. While more scientific data is needed to draw firm conclusions, the present review suggests that spinal manipulation may be cautiously considered as a therapeutic option for patients suffering from CR. With respect to outcome measures, the Neck Disability Index appears well-suited for spinal manipulative treatment of CR.
颈椎神经根病（CR）虽然不如单纯颈部疼痛的情况常见，但可能是颈部疼痛和残疾的重要原因；因此，为患者确定适当的治疗方案至关重要。目前，科学文献不足限制了针对CR的具体保守治疗建议。尽管高速低幅（HVLA）脊柱推拿治疗CR的证据不足，但该策略经常被列为禁忌。CR适当结局指标的科学支持同样不足。虽然需要更多科学数据才能得出确凿结论，但本综述表明，对于患有CR的患者，脊柱推拿可作为一种治疗选择谨慎考虑。关于结局指标，颈部残疾指数似乎非常适合CR的脊柱推拿治疗。
