Huggins Tiffany, Boras Ana Luburic, Gleberzon Brian J, Popescu Mara, Bahry Lianna A
Professor, Chair of Department of Chiropractic Therapeutics, CMCC, 6100 Leslie St. Toronto, Ontario, M2H 3J1. E-mail:
J Can Chiropr Assoc. 2012 Mar;56(1):49-57.
The purpose of this study was to conduct a systematic review of the literature investigating clinical outcomes involving the use of the Activator Adjusting Instrument (AAI) or Activator Methods Chiropractic Technique (AMCT).
A literature synthesis was performed on the available research and electronic databases, along with hand-searching of journals and reference tracking for any studies that investigated the AAI in terms of clinical effectiveness. Studies that met the inclusion criteria were evaluated using an instrument that assessed their methodological quality.
Eight articles met the inclusion criteria. Overall, the AAI provided comparable clinically meaningful benefits to patients when compared to high-velocity, low-amplitude (HVLA) manual manipulation or trigger point therapy for patients with acute and chronic spinal pain, temporomandibular joint (TMJ) dysfunction and trigger points of the trapezius muscles.
This systematic review of 8 clinical trials involving the use of the AAI found reported benefits to patients with a spinal pain and trigger points, although the clinical trials reviewed suffered from many methodological limitations, including small sample size, relatively brief follow-up period and lack of control or sham treatment groups.
本研究旨在对有关使用激活器调整器械（AAI）或激活器整脊技术（AMCT）的临床结果的文献进行系统综述。
对现有研究和电子数据库进行文献综合分析，同时手动检索期刊并追踪参考文献，以查找任何调查AAI临床有效性的研究。使用评估方法学质量的工具对符合纳入标准的研究进行评估。
八篇文章符合纳入标准。总体而言，与高速低振幅（HVLA）手法操作或触发点疗法相比，AAI为患有急慢性脊柱疼痛、颞下颌关节（TMJ）功能障碍和斜方肌触发点的患者提供了相当的具有临床意义的益处。
这项对8项涉及使用AAI的临床试验的系统综述发现，报告称对患有脊柱疼痛和触发点的患者有益，尽管所审查的临床试验存在许多方法学局限性，包括样本量小、随访期相对较短以及缺乏对照组或假治疗组。
