Browning J E
J Manipulative Physiol Ther. 1988 Oct;11(5):426-32.
Chiropractic theory postulates that organic dysfunction could be the result of neurological disorganization secondary to mechanical disorders of the spine. Few studies have documented the efficacy of chiropractic manipulative therapy in treating mechanically induced organic dysfunction. Lower sacral nerve root compression (LSNRC) as the result of lumbar disc lesion has been identified as a cause of pelvic pain and organic dysfunction (PPOD). Ten cases of PPOD with accompanying evidence of LSNRC in patients with low back pain as a result of a clinically established lumbar disc lesion are presented with symptomatology prior to and following treatment with distractive decompressive manipulation. A report of one of the cases is detailed. LSNRC is often overlooked as a cause of PPOD. Recognition of associated symptomatology in patients with evidence of LSNRC and confirmation through pain provocation examination is emphasized. Chiropractic distractive decompression may be effective in treating PPOD in patients with evidence of LSNRC as a result of a clinically established lumbar disc lesion.
整脊疗法理论假定，器质性功能障碍可能是继发于脊柱机械性紊乱的神经功能紊乱的结果。很少有研究记录整脊手法治疗在治疗机械性诱发的器质性功能障碍方面的疗效。腰椎间盘病变导致的低位骶神经根受压（LSNRC）已被确定为盆腔疼痛和器质性功能障碍（PPOD）的一个原因。本文介绍了10例因临床确诊的腰椎间盘病变导致腰痛且伴有LSNRC证据的PPOD患者，展示了牵引减压手法治疗前后的症状。详细报告了其中1例病例。LSNRC常被忽视是PPOD的一个原因。强调对有LSNRC证据的患者的相关症状进行识别，并通过疼痛激发试验进行确认。对于因临床确诊的腰椎间盘病变而有LSNRC证据的患者，整脊牵引减压可能对治疗PPOD有效。
