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案例研究:使用按摩疗法缓解慢性腰痛。

Case Study: The Use of Massage Therapy to Relieve Chronic Low-Back Pain.

作者信息

Allen Laura

出版信息

Int J Ther Massage Bodywork. 2016 Sep 9;9(3):27-30. doi: 10.3822/ijtmb.v9i3.267. eCollection 2016 Sep.

Abstract

OBJECTIVES

To study the effects of massage on chronic low-back pain in a patient with four different diagnoses: osteoarthritis, scoliosis, spinal stenosis, and degenerative disc disease. The patient's goal was to cut down on the amount of pain medication he takes.

METHODS

A 63-year-old man with chronic back pain received four massages across a twenty-day period. Progress was recorded using the Oswestry Low Back Pain Scale, as he self-reported on levels of pain and interference with his activities of daily living.

RESULTS

Improvement was noted in 9 out of 10 measurements of self-reported pain and activities of daily living, with the only exception being his ability to lift heavy objects, which remained unchanged. The most dramatic differences were improvements in his ability to walk, and in the changing degrees of pain. The client also self-reported being able to decrease his pain medication and the ability to ride his bicycle for the first time in years.

CONCLUSIONS

Massage therapy is a promising treatment for chronic low-back pain for patients who may have multiple pathologies, any one of which could be responsible for the condition. Further study is encouraged to determine the efficacy of massage therapy as a readily accessible, lower-cost alternative to more invasive therapies and as an adjunct to regular medical care, when appropriate.

摘要

目的

研究按摩对患有骨关节炎、脊柱侧弯、椎管狭窄和椎间盘退变疾病这四种不同诊断的慢性下背痛患者的影响。患者的目标是减少他所服用的止痛药物量。

方法

一名患有慢性背痛的63岁男性在20天内接受了4次按摩。使用Oswestry下背痛量表记录进展情况,由他自行报告疼痛程度以及对其日常生活活动的影响。

结果

在10次自行报告的疼痛和日常生活活动测量中,有9次出现改善,唯一例外的是他搬运重物的能力,该能力保持不变。最显著的差异在于他行走能力的改善以及疼痛程度的变化。该客户还自行报告称能够减少止痛药物用量,并且多年来首次能够骑自行车。

结论

对于可能患有多种病症(其中任何一种病症都可能导致该疾病)的慢性下背痛患者,按摩疗法是一种有前景的治疗方法。鼓励进一步研究以确定按摩疗法作为一种易于获得、成本较低的替代更具侵入性疗法的方法,以及在适当情况下作为常规医疗护理辅助手段的疗效。

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