一名24岁特发性间歇性右侧半身感觉异常女性的整脊治疗
Chiropractic management of a 24-year-old woman with idiopathic, intermittent right-sided hemiparesthesia.
作者信息
Bova Joseph, Sergent Adam
机构信息
Private Practice, Latham, NY.
Assistant Professor, Clinic Services, Palmer Chiropractic College of Florida, Port Orange, FL.
出版信息
J Chiropr Med. 2014 Dec;13(4):282-6. doi: 10.1016/j.jcm.2014.08.002.
OBJECTIVE
The purpose of this case report is to describe the chiropractic management of a patient with idiopathic, intermittent right-sided hemiparesthesia.
CLINICAL FEATURES
A 24-year-old woman presented with a 2-year history of intermittent idiopathic right arm paresthesia. She also had a 3-month history of intermittent idiopathic right leg/face paresthesia. These symptoms were strongest at night and caused insomnia and worsened over time. She rated her discomfort at 5/10 on a numeric scale.
INTERVENTION AND OUTCOME
Care included vibration stimulation therapy, spinal manipulation and cold laser therapy. She had a noticeable reduction in her paresthesia both subjectively and objectively. She showed improvement in paresthesia on the right side of her body after the first visit. The following week, after 2 visits she returned and stated that she was symptom free with 0/10 discomfort on a numeric scale.
CONCLUSION
This patient's symptoms of idiopathic, intermittent right-sided hemi-paresthesia seemed to improve with a short course of chiropractic care using manipulation, vibration therapy and cold laser therapy.
目的
本病例报告旨在描述一名患有特发性间歇性右侧半身感觉异常患者的整脊治疗情况。
临床特征
一名24岁女性，有2年间歇性特发性右臂感觉异常病史。她还有3个月间歇性特发性右腿/面部感觉异常病史。这些症状在夜间最为严重，导致失眠，且随时间推移而加重。她用数字评分法将自己的不适程度评为5/10。
干预措施与结果
治疗包括振动刺激疗法、脊柱推拿和冷激光疗法。她的感觉异常在主观和客观上都有明显减轻。首次就诊后，她身体右侧的感觉异常有所改善。接下来的一周，经过2次就诊后，她复诊并表示症状消失，数字评分法显示不适程度为0/10。
结论
通过使用推拿、振动疗法和冷激光疗法的短期整脊治疗，该患者特发性间歇性右侧半身感觉异常的症状似乎有所改善。
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