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加拿大公立医疗保健机构的脊椎指压治疗对年轻人脊椎疼痛的影响变化。

Change in young people's spine pain following chiropractic care at a publicly funded healthcare facility in Canada.

机构信息

Faculty of Kinesiology and Recreation Management, University of Manitoba, Canada.

Faculty of Kinesiology and Recreation Management, University of Manitoba, Research Department, New York Chiropractic College, Canada.

出版信息

Complement Ther Clin Pract. 2019 May;35:301-307. doi: 10.1016/j.ctcp.2019.03.013. Epub 2019 Mar 16.

Abstract

BACKGROUND

The presence of spinal pain in young people has been established as a risk factor for spinal pain later in life. Recent clinical practice guidelines recommend spinal manipulation (SM), soft tissue therapy, acupuncture, and other modalities that are common treatments provided by chiropractors, as interventions for spine pain. Less is known specifically on the response to chiropractic management in young people with spinal pain. The purpose of this manuscript was to describe the impact, through pain measures, of a pragmatic course of chiropractic management in young people's spinal pain at a publicly funded healthcare facility for a low-income population.

METHODS

The study utilized a retrospective analysis of prospectively collected quality assurance data attained from the Mount Carmel Clinic (MCC) chiropractic program database. Formal permission to conduct the analysis of the database was acquired from the officer of records at the MCC. The University of Manitoba's Health Research Ethics Board approved all procedures.

RESULTS

Young people (defined as 10-24 years of age) demonstrated statistically and clinically significant improvement on the numeric rating scale (NRS) in all four spinal regions following chiropractic management.

CONCLUSION

The findings of the present study provide evidence that a pragmatic course of chiropractic care, including SM, mobilization, soft tissue therapy, acupuncture, and other modalities within the chiropractic scope of practice are a viable conservative pain management treatment option for young people.

摘要

背景

年轻人出现脊柱疼痛已被确定为日后发生脊柱疼痛的一个风险因素。最近的临床实践指南建议对脊柱疼痛进行干预,包括脊柱手法治疗(SM)、软组织治疗、针灸和其他模式,这些都是脊医常用的治疗方法。而对于年轻的脊柱疼痛患者,接受脊骨疗法管理后的反应,我们知之甚少。本文旨在描述在一个为低收入人群提供服务的公共资助医疗保健机构中,通过疼痛测量,接受实用的脊骨疗法管理对年轻人脊柱疼痛的影响。

方法

本研究利用前瞻性收集的质量保证数据进行回顾性分析,这些数据来自 Mount Carmel 诊所(MCC)脊骨疗法项目数据库。从 MCC 的记录官那里获得了对数据库进行分析的正式许可。曼尼托巴大学的健康研究伦理委员会批准了所有程序。

结果

年轻人(定义为 10-24 岁)在接受脊骨疗法管理后,四个脊柱区域的数字评分量表(NRS)均有统计学和临床意义上的显著改善。

结论

本研究的结果提供了证据,表明实用的脊骨疗法护理,包括 SM、松动术、软组织治疗、针灸和脊医执业范围内的其他模式,是年轻人可行的保守疼痛管理治疗选择。

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