Cooperstein Robert, Lisi Anthony, Burd Andrew
Professor, Director of Research and Technique, Palmer Chiropractic College, San Jose, CA.
Staff Chiropractor, VA Connecticut Healthcare System, West Haven, CT.
J Chiropr Med. 2014 Jun;13(2):81-9. doi: 10.1016/j.jcm.2014.06.003.
The purpose of this case report is to describe chiropractic management of a patient with overactive bladder (OAB) and to describe an hypothetical anatomical basis for a somato-vesical reflex and possible clinical link between pelvic and symphysis pubis dysfunction to OAB.
A 24-year-old nulliparous female with idiopathic OAB, with a primary complaint of nocturia presented for chiropractic care. Her sleep was limited to 2 consecutive hours due to bladder urgency. Pubic symphysis shear dysfunction was observed on physical examination.
The primary treatment modality used was chiropractic side-posture drop-table manipulation designed to reduce pubic shear dysfunction. After 8 treatments in 1 month, the pubic shear gradually reduced while nocturia diminished and consecutive sleep hours increased from 2 to 7. At 1-year follow-up, the nocturia remained resolved.
The patient reported in this case responded favorably to chiropractic care, which resulted in reduced nocturia and increased sleep continuity.
本病例报告旨在描述对一名膀胱过度活动症（OAB）患者的整脊治疗，并描述躯体-膀胱反射的假设解剖学基础，以及骨盆和耻骨联合功能障碍与OAB之间可能的临床联系。
一名24岁未生育的女性，患有特发性OAB，主要症状为夜尿症，前来接受整脊治疗。由于膀胱紧迫感，她的睡眠限制在连续2小时。体格检查发现耻骨联合剪切功能障碍。
主要治疗方式是采用整脊侧卧位定点复位手法，旨在减轻耻骨剪切功能障碍。1个月内进行8次治疗后，耻骨剪切逐渐减轻，夜尿症减少，连续睡眠时间从2小时增加到7小时。在1年的随访中，夜尿症仍然得到缓解。
本病例报告中的患者对整脊治疗反应良好，这导致夜尿症减少，睡眠连续性增加。
