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颅骨整骨疗法:蒙昧主义与启蒙运动。

Cranial Osteopathy: Obscurantism and Enlightenment.

作者信息

Bordoni Bruno, Morabito Bruno, Simonelli Marta

机构信息

Cardiology, Foundation Don Carlo Gnocchi, Milan, ITA.

Osteopathy, School of Osteopathic Centre for Research and Studies, Milan, ITA.

出版信息

Cureus. 2019 May 23;11(5):e4730. doi: 10.7759/cureus.4730.

DOI:10.7759/cureus.4730
PMID:31355089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6649880/
Abstract

The application of cranial osteopathic manipulative medicine (OMM) is always controversial in the literature. Primary respiration related to the movement of spheno-basilar synchondrosis in the adult goes against the knowledge of complete ossification that occurs at this articulation after the pubertal phase. The idea that the operator's hands can communicate with the meninges is difficult to accept. The anatomy shows us that the fascial system involves the meninges and that from the microcellular point of view there are no layers that divide one tissue from another. The backing of new sciences, such as quantum physics, suggest that cranial palpation allows the osteopath to come into contact with the meninges. Recent scientific evidence shows that meningeal afferents can affect extracranial areas and that the pericranial musculature itself is able to influence these afferents. The article highlights some reflections in support of cranial osteopathy, based on scientific information that could help the osteopath to improve clinical work.

摘要

颅骨整骨手法医学(OMM)的应用在文献中一直存在争议。与成人蝶枕软骨结合运动相关的原发性呼吸与青春期后该关节处发生完全骨化的认知相悖。手法操作者的双手能与脑膜进行交流这一观点难以被接受。解剖学向我们表明,筋膜系统涉及脑膜,并且从微观细胞角度来看,不存在将一种组织与另一种组织分隔开的层面。诸如量子物理学等新科学的支持表明,颅骨触诊能让整骨医生接触到脑膜。最近的科学证据表明,脑膜传入神经可影响颅外区域,并且颅周肌肉组织自身能够影响这些传入神经。本文基于一些科学信息对颅骨整骨疗法进行了一些思考,这些信息有助于整骨医生改进临床工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/3a2a75adcdc1/cureus-0011-00000004730-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/5a12b32501bc/cureus-0011-00000004730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/b7035460f914/cureus-0011-00000004730-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/3a2a75adcdc1/cureus-0011-00000004730-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/5a12b32501bc/cureus-0011-00000004730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/b7035460f914/cureus-0011-00000004730-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbb/6649880/3a2a75adcdc1/cureus-0011-00000004730-i03.jpg

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本文引用的文献

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Non-Trigeminal Nociceptive Innervation of the Posterior Dura: Implications to Occipital Headache.后颅非三叉神经非伤害性神经支配:对枕部头痛的影响。
J Neurosci. 2019 Mar 6;39(10):1867-1880. doi: 10.1523/JNEUROSCI.2153-18.2018. Epub 2019 Jan 8.
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The Awareness of the Fascial System.筋膜系统的认识
Cureus. 2018 Oct 1;10(10):e3397. doi: 10.7759/cureus.3397.
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Extensive Dural Ossification After Decompressive Posttraumatic Craniectomy: A Case Report and Review of the Literature.创伤后减压性颅骨切除术后广泛硬脑膜骨化:一例报告及文献复习
新千年的颅骨碗与萨瑟兰对整骨医学的遗产:第一部分。
Cureus. 2020 Sep 12;12(9):e10410. doi: 10.7759/cureus.10410.
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The Benefits and Limitations of Evidence-based Practice in Osteopathy.整骨疗法中循证实践的益处与局限
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A New Concept of Biotensegrity Incorporating Liquid Tissues: Blood and Lymph.包含液体组织(血液和淋巴)的生物张力完整性新概念。
J Evid Based Integr Med. 2018 Jan-Dec;23:2515690X18792838. doi: 10.1177/2515690X18792838.
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The Influence of Breathing on the Central Nervous System.呼吸对中枢神经系统的影响。
Cureus. 2018 Jun 1;10(6):e2724. doi: 10.7759/cureus.2724.
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Osteopathic Cranial Manipulative Medicine in the Setting of Concussion.脑震荡背景下的整骨颅部手法医学
J Am Osteopath Assoc. 2018 Jun 1;118(6):e41-e42. doi: 10.7556/jaoa.2018.088.
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Advances in Meningeal Immunity.脑膜免疫进展。
Trends Mol Med. 2018 Jun;24(6):542-559. doi: 10.1016/j.molmed.2018.04.003. Epub 2018 May 3.
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The CGRP receptor antagonist BIBN4096 inhibits prolonged meningeal afferent activation evoked by brief local K stimulation but not cortical spreading depression-induced afferent sensitization.降钙素基因相关肽(CGRP)受体拮抗剂BIBN4096可抑制短暂局部钾离子刺激诱发的脑膜传入神经的持续性激活,但对皮质扩散性抑制诱导的传入神经致敏无效。
Pain Rep. 2017 Dec 5;3(1):e632. doi: 10.1097/PR9.0000000000000632. eCollection 2018 Jan.
9
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Front Neuroanat. 2017 Dec 19;11:127. doi: 10.3389/fnana.2017.00127. eCollection 2017.
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Evid Based Complement Alternat Med. 2017;2017:2974962. doi: 10.1155/2017/2974962. Epub 2017 Oct 18.