改善颈椎手法治疗安全性的注意事项。
Considerations to improve the safety of cervical spine manual therapy.
机构信息
Het Centrum, Centre for Physiotherapy & Manual Therapy, Rijen, The Netherlands; HAN University of Applied Sciences, Department of Occupation & Health, Nijmegen, The Netherlands.
Division of Physiotherapy and Rehabilitation Sciences, University of Nottingham, Nottingham, United Kingdom; Department of Philosophy, University of Nottingham, Nottingham, United Kingdom.
出版信息
Musculoskelet Sci Pract. 2018 Feb;33:41-45. doi: 10.1016/j.msksp.2017.11.003. Epub 2017 Nov 3.
Manipulation and mobilisation of the cervical spine are well established interventions in the management of patients with headache and/or neck pain. However, their benefits are accompanied by potential, yet rare risks in terms of serious adverse events, including neurovascular insult to the brain. A recent international framework for risk assessment and management offers directions in the mitigation of this risk by facilitating sound clinical reasoning. The aim of this article is to critically reflect on and summarize the current knowledge about cervical spine manual therapy and to provide guidance for clinical reasoning for cervical spine manual therapy.
颈椎的推拿和松动术是治疗头痛和/或颈痛患者的常用方法。然而，这些方法虽然疗效确切，但也存在潜在的罕见风险，包括对大脑的神经血管损伤。最近的一个国际风险评估和管理框架为降低这种风险提供了方向，即通过促进合理的临床推理。本文的目的是批判性地回顾和总结颈椎手法治疗的现有知识，并为颈椎手法治疗的临床推理提供指导。
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