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针对MRI确诊的颈椎间盘突出症的整脊治疗与手法治疗

Chiropractic management and manipulative therapy for MRI documented cervical disk herniation.

作者信息

Beneliyahu D J

出版信息

J Manipulative Physiol Ther. 1994 Mar-Apr;17(3):177-85.

PMID:8006533
Abstract

OBJECTIVE

This case study reports on three cases of patients with documented cervical disk herniations, who responded to chiropractic management and manipulative therapy.

CLINICAL FEATURES

Three patients complaining of neck pain with radiation of pain and tingling into the upper extremities had positive magnetic resonance imaging scans consistent with cervical disk herniations. They also had positive neurophysiologic testing with positive thermography scans and electrodiagnostic studies.

INTERVENTION AND OUTCOME

The patients were prescribed a treatment regimen consisting of chiropractic management including bracing, physiotherapy, cervical manipulative procedures, traction and exercises. The patients responded well to care as evidence by posttreatment MRI, electrodiagnostic studies, clinical exam findings and thermography scan findings.

CONCLUSION

Patients with and without nerve root compression secondary to cervical disk herniation can and do respond well to chiropractic care. Chiropractic management of this condition can and should be employed prior to more invasive treatment.

摘要

目的

本病例研究报告了三例经记录证实患有颈椎间盘突出症的患者,他们对整脊治疗和手法治疗有反应。

临床特征

三名患者主诉颈部疼痛,并伴有疼痛放射至上肢及上肢刺痛,其磁共振成像扫描结果呈阳性,与颈椎间盘突出症相符。他们的神经生理学测试、热成像扫描和电诊断研究结果也均为阳性。

干预措施与结果

为患者制定了一套治疗方案,包括整脊治疗,如支具固定、物理治疗、颈椎手法治疗、牵引和锻炼。通过治疗后的磁共振成像、电诊断研究、临床检查结果和热成像扫描结果证明,患者对治疗反应良好。

结论

继发于颈椎间盘突出症且伴有或不伴有神经根受压的患者能够且确实对整脊治疗反应良好。对于这种病症,在进行更具侵入性的治疗之前,可以且应该采用整脊治疗。

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