对一名59岁女性特发性颈部肌张力障碍采用功能性神经学方法进行整脊治疗。
Chiropractic care using a functional neurologic approach for idiopathic cervical dystonia in a 59-year-old woman.
作者信息
Bova Joseph A, Sergent Adam W
机构信息
Chiropractor, Private Practice, Latham, NY.
出版信息
J Chiropr Med. 2013 Jun;12(2):60-5. doi: 10.1016/j.jcm.2013.06.004.
OBJECTIVE
The purpose of this case report is to describe the care and outcomes of a patient with cervical dystonia who was treated using chiropractic and other alternative medicine interventions.
CLINICAL FEATURES
A 59-year-old woman had an 11-year history of cervical dystonia. She had an uncontrollable 60° leftward head rotation upon shutting her eyes and had spasmodic contractions that caused fatigue.
INTERVENTION AND OUTCOME
The management consisted of blue-lensed glasses, vibration stimulation, spinal manipulation, and eye-movement exercises. Within the first week of treatment, she had a reduction in symptoms, which was documented using a functional numeric scale, and improved posture, which was assessed using measurements from her midsternal line to the center of her chin.
CONCLUSION
This patient with cervical dystonia responded to the use of conservative, nonpharmacological treatment procedures that consisted of chiropractic care using a functional neurologic approach aimed at improving her spasmodic contractions and function.
目的
本病例报告旨在描述一名采用整脊疗法及其他替代医学干预措施治疗的颈部肌张力障碍患者的诊疗过程及结果。
临床特征
一名59岁女性有11年颈部肌张力障碍病史。她在闭眼时会出现无法控制的头部向左旋转60°，并有导致疲劳的痉挛性收缩。
干预措施及结果
治疗方法包括佩戴蓝色镜片眼镜、振动刺激、脊柱推拿和眼球运动练习。在治疗的第一周内，她的症状有所减轻，这通过功能数字量表记录，同时姿势得到改善，这通过测量她的胸骨中线到下巴中心的距离进行评估。
结论
该颈部肌张力障碍患者对采用功能性神经学方法的整脊疗法等保守、非药物治疗程序有反应，这些治疗旨在改善她的痉挛性收缩和功能。
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