Iannelli G, Humphreys C R, Triano J J
Dept. of Diagnosis, National College of Chiropractic, Lombard, IL 60148-4583.
J Manipulative Physiol Ther. 1993 Jul-Aug;16(6):401-10.
The usefulness of electrodiagnostic testing by the primary care provider is shown in two cases of suspected compression-type neural lesions of the lumbar spine.
A 54-yr-old female with acute lumbar spine pain that radiated into the hip and a 26-yr-old male with sharp gluteal pain that radiated into the thigh and ankle were admitted into an inpatient care facility for intensive therapy. Plain film radiographs were obtained initially. In addition, electrodiagnostic testing was performed to evaluate the L5 and S1 nerve roots, which suggested compressive-type lesions. Non-enhanced CT of the lumbar spine was performed and revealed central disk herniation or protrusion in each case.
One patient exhibiting central compression signs of bladder dysfunction was referred for medical intervention. The remaining patient received flexion-distraction type of chiropractic manipulation with physiologic therapeutics and was discharged to outpatient care after 16 days.
Electrodiagnostic testing can provide the primary care provider the data needed to make an informed decision regarding advanced imaging studies and to institute appropriate therapy or to intelligently refer a patient for follow-up.
通过两例疑似腰椎压缩型神经病变病例展示初级保健提供者进行电诊断测试的效用。
一名54岁女性，急性腰椎疼痛放射至臀部；一名26岁男性，尖锐的臀痛放射至大腿和脚踝，二人被收治入院接受强化治疗。最初进行了平片X线摄影。此外，进行了电诊断测试以评估L5和S1神经根，提示为压迫型病变。对腰椎进行了非增强CT检查，结果显示两例均为中央型椎间盘突出或膨出。
一名出现膀胱功能障碍中央压迫体征的患者被转诊接受医学干预。其余患者接受了屈曲-牵引型整脊手法及物理治疗，16天后出院接受门诊治疗。
电诊断测试可为初级保健提供者提供所需数据，以便就进一步的影像学检查做出明智决策、制定适当治疗方案或明智地转诊患者进行随访。
