Lawrence D J
J Manipulative Physiol Ther. 1985 Sep;8(3):157-61.
There have been relatively few subject areas within the chiropractic profession which have led to such widespread misunderstanding, confusion and controversy. This paper will attempt to examine the research surrounding the development of our current state of understanding concerning the many factors affecting the short leg. Traditionally, research surrounding the short leg has moved in several discreet directions. The first has been toward determining a reliable radiographic method used for measuring structural short legs. Many papers have been published here; included would be the work of Heufelder, Farinet, Giles, Nylander, Manganiello, Marstander, Wettstein, Schilgen and many others. Most tend to center upon use of new instrumentation or use of precise radiographic methods, usually involving femoral head views in some form or other. Another direction the research has taken is into an examination of how the presence of short leg affects biomechanics in both stance and ambulation. Further, investigation here have also centered upon how short leg may alter spinal growth and growth of other bones. I would include here the work of Giles, Pokorna, Moseley, Shapiro, Freiburghaus and Friberg. Other areas of research include diagnosis, therapy and correction. I leave for last a discussion on reliability studies. A major tenant of some chiropractic therapies involves the use of measurement of "functional" short leg. Though procedures for making such measurement are in the public domain, there is no proof within the literature that such exists. There have been done reliability studies attempting to show repeatability of measurement. Results have been mixed at best. I would note here the work of De Boer, Venn and Wakefield, Nichols and others. In all, this is an area under rapid and fairly extensive examination, with a wealth of previous papers available for perusal.
在整脊疗法领域，导致如此广泛误解、困惑和争议的主题领域相对较少。本文将试图审视围绕我们目前对影响短腿的诸多因素的理解发展所进行的研究。传统上，围绕短腿的研究朝着几个不同方向展开。第一个方向是确定一种用于测量结构性短腿的可靠放射学方法。这里已经发表了许多论文；其中包括霍伊费尔德、法里内、贾尔斯、尼兰德、曼加涅洛、马斯滕德、韦特施泰因、席尔根等人的研究成果。大多数研究倾向于集中在新仪器的使用或精确放射学方法的使用上，通常以某种形式涉及股骨头视图。该研究的另一个方向是研究短腿的存在如何影响站立和行走时的生物力学。此外，这里的研究还集中在短腿如何改变脊柱生长和其他骨骼的生长。这里我要提及贾尔斯、波科尔纳、莫斯利、夏皮罗、弗赖堡豪斯和弗里贝里的研究。其他研究领域包括诊断、治疗和矫正。我把可靠性研究的讨论留到最后。一些整脊疗法的一个主要原则涉及使用“功能性”短腿的测量。尽管进行这种测量的程序是公开的，但文献中没有证据表明存在这种情况。已经进行了可靠性研究，试图证明测量的可重复性。结果充其量是好坏参半。这里我要提到德布尔、维恩、韦克菲尔德、尼科尔斯等人的研究。总的来说，这是一个正在迅速且相当广泛研究的领域，有大量以前的论文可供研读。
