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腰椎后伸牵引可缓解症状,并在六周内促进椎间盘突出/游离体的愈合,此前三位脊椎按摩师的治疗均告失败:一份伴有8年随访的脊柱生物力学疗法(CBP)病例报告

Lumbar extension traction alleviates symptoms and facilitates healing of disc herniation/sequestration in 6-weeks, following failed treatment from three previous chiropractors: a CBP case report with an 8 year follow-up.

作者信息

Oakley Paul A, Harrison Deed E

机构信息

Private Practice: Newmarket, ON L3Y 8Y8, Canada.

CBP NonProfit, Inc., USA.

出版信息

J Phys Ther Sci. 2017 Nov;29(11):2051-2057. doi: 10.1589/jpts.29.2051. Epub 2017 Nov 24.

Abstract

[Purpose] To present the outcome of a patient, having sciatica and MRI-verified disc herniation/sequestration who underwent Chiropractic BioPhysics (CBP) protocol designed to improve the lumbar lordosis. [Subject and Methods] A 56-year-old male suffered from chronic low back pain and recent sciatica due to lumbar disc herniation despite being under continuous care from three previous chiropractors. Radiographic analysis revealed a lumbar hypolordosis and MRI confirmed disc herniation and sequestration at L4-L5. Generalized decreased lumbar range of motion and multiple positive orthopedic and neurologic tests were present. [Results] After 26 treatments of CBP lumbar extension traction over 9-weeks a total reduction of the disc herniation and sequestration occurred with concomitant improvement in neurologic symptoms. Continuing maintenance treatments, an 8 year follow-up shows no relapse of condition and patient remained in good health. [Conclusion] A patient with lumbar disc herniation/sequestration was successfully treated with CBP technique procedures including lumbar extension traction that achieved a significant healing of herniation and significant reduction in symptoms not obtained following traditional chiropractic procedures alone. The quick reduction in lumbar disc herniation would appear to be related to a segmental disc unloading force produced during extension traction procedures for increasing the lumbar curvature.

摘要

[目的] 介绍一名患有坐骨神经痛且经磁共振成像(MRI)证实存在椎间盘突出/游离的患者的治疗结果,该患者接受了旨在改善腰椎前凸的整脊生物物理学(CBP)方案治疗。[对象与方法] 一名56岁男性,尽管此前连续接受了三位整脊师的治疗,但仍因腰椎间盘突出而患有慢性下腰痛和近期坐骨神经痛。影像学分析显示腰椎前凸减小,MRI证实L4-L5椎间盘突出和游离。存在腰椎活动范围普遍减小以及多项阳性的骨科和神经学检查结果。[结果] 在9周内进行了26次CBP腰椎伸展牵引治疗后,椎间盘突出和游离总体减轻,同时神经症状有所改善。持续进行维持治疗,8年随访显示病情无复发,患者保持健康。[结论] 一名腰椎间盘突出/游离患者通过CBP技术程序成功治疗,包括腰椎伸展牵引,该治疗实现了突出的显著愈合以及症状的显著减轻,而仅采用传统整脊程序无法达到这种效果。腰椎间盘突出的快速减轻似乎与伸展牵引程序中产生的节段性椎间盘卸载力有关,该力可增加腰椎曲度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd7a/5702845/35fd44012ecc/jpts-29-2051-g001.jpg

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