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在一家整脊诊所中导致颈部肌张力障碍的脊柱侧弯。

Scoliosis Causing Cervical Dystonia in a Chiropractic Office.

作者信息

Chu Eric Chun-Pu, Lee Wai Ting, Tam Damien Ming Yan, Ng Natalie Y, Nur Aimen B

机构信息

New York Medical Group (NYMG) Chiropractic Department, EC Healthcare, Hong Kong, HKG.

Chiropractic Department, EC Healthcare, Kowloon, HKG.

出版信息

Cureus. 2023 Mar 5;15(3):e35802. doi: 10.7759/cureus.35802. eCollection 2023 Mar.

DOI:10.7759/cureus.35802
PMID:36891176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9986506/
Abstract

Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required.

摘要

颈部肌张力障碍是一种运动障碍,其特征是持续的、不自主的肌肉收缩,导致头部和颈部出现异常运动或姿势。最近的一项研究表明,有脊柱侧弯病史的人在晚年患颈部肌张力障碍的风险可能更高。尽管两种疾病都存在肌肉紧张和收缩异常,但连接这两种疾病的病理生理途径尚未完全明确。一名先前被诊断为青少年特发性脊柱侧弯的13岁男孩出现了颈部肌张力障碍的症状,包括中度颈部疼痛、左侧偏头痛以及颈部和肩部刺痛。在三个月的时间里,该患者接受了16次整脊治疗。他报告称症状有缓慢但显著的改善,比如颈椎活动范围恢复正常、颈部不适及伴随的头痛和感觉异常减轻,睡眠质量、日常功能和学习能力也有所提高。患者的临床和影像学改善表明,在这些情况下,整脊手法治疗可能有助于减轻疼痛、改善脊柱排列和活动度。为了进一步研究整脊治疗对颈部肌张力障碍的疗效和安全性,尤其是在伴有脊柱侧弯的情况下,需要对更多患者群体进行更多研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/476839d66450/cureus-0015-00000035802-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/c5848b268cd2/cureus-0015-00000035802-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/c4a55996da1d/cureus-0015-00000035802-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/476839d66450/cureus-0015-00000035802-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/c5848b268cd2/cureus-0015-00000035802-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/c4a55996da1d/cureus-0015-00000035802-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e51/9986506/476839d66450/cureus-0015-00000035802-i03.jpg

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The reduction of high thoracic scoliosis in adults by mirror image blocking: a Chiropractic BioPhysics case series.通过镜像阻滞法治疗成人高胸段脊柱侧弯:整脊生物物理学病例系列
中医手法治疗青少年特发性脊柱侧弯:1例病例报告
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