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Osteopathische Medizin最新文献

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Embryologie und Wirbelsäule – Teil 2 胚胎学和脊柱-第二部分
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00010-3
Arthur Wojtowicz, Brian Freeman, Piet Dijs
The precursors of the components of the vertebral column arise initially from different cellular condensations of axial mesenchyme. This relates to a biodynamic metabolic field called a densation field, which is characterised by fluid loss and small, closely packed cells with a rather spherical shape. The neural tube, which is the main formative apparatus of the entire embryo, grows preferentially longitudinally and arches dorsally away from the aorta. One consequence of this expansion is the development of buckling in the notochord. Intervertebral discs or vertebral bodies arise according to whether the notochord is pulled dorsally or not.
Intervertebral discs and vertebral bodies arise medially between the dorsal rami of the dorsal aorta, whereas vertebral arches and ribs arise laterally between the craniocaudally arranged trunks of the neurovascular conduction pathways.
Cartilaginous skeletal structures arise in a  so-called contusion field. This denotes a metabolic field in which the more spherical cells of the former densation field are flattened into a disc shape.
As these cells have an increasingly high osmotic pressure, they absorb water from their surroundings and begin to swell (with a now enlarged cross-section). This swelling growth leads to a piston-like function of the growing cartilage in a so-called distusion field.
脊柱组成部分的前体最初是由轴向间质的不同细胞凝聚形成的。这与称为致密场的生物动力学代谢场有关,其特征是液体损失和小而紧密堆积的细胞具有相当球形的形状。神经管是整个胚胎的主要形成器官,优先纵向生长,背拱远离主动脉。这种扩张的一个后果是脊索发生屈曲。椎间盘或椎体是根据脊索是否背拉而产生的。椎间盘和椎体出现在背主动脉背支之间的内侧,而椎弓和肋骨则出现在神经血管传导通路的颅侧主干之间的外侧。软骨骨骼结构出现在所谓的挫伤场。这表示一个代谢场,在这个代谢场中,前致密场中较球形的细胞被压扁成圆盘状。由于这些细胞的渗透压越来越高,它们从周围环境中吸收水分并开始膨胀(现在横截面变大)。这种肿胀的生长导致生长中的软骨在所谓的弥散场中具有类似活塞的功能。
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引用次数: 0
Osteopathische Behandlung therapieresistenter Schmerzen 慢性疼痛的治疗
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00015-2
Armin Geilgens, Ines Repik
A 54-year-old patient presented with refractory pain, impaired quality of life and psychological impairment following a colon ascendens carcinoma with hemicolectomy and chronic respiratory disease. Multimodal pain treatment did not alleviate the symptoms. A genetically determined accelerated metabolism in the liver with a lack of effect of painkillers was diagnosed (duplication of the gene coding CYP2D6). Osteopathic treatments were able to achieve a significant improvement in pain, psychological stress and quality of life.
一例54岁的患者,在结肠癌半结肠切除术和慢性呼吸系统疾病后出现难治性疼痛、生活质量下降和心理障碍。多模式疼痛治疗并没有缓解症状。诊断为一种由基因决定的肝脏代谢加速,缺乏止痛药的作用(基因编码CYP2D6的重复)。整骨疗法能够显著改善疼痛、心理压力和生活质量。
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引用次数: 0
Liebe Leserinnen und Leser, 亲爱的读者们:
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00006-1
Gabi Prediger
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引用次数: 0
DEUTSCH-AMERIKANISCHE AKADEMIE FüR OSTEOPATHIE (DAAO) E.V. 德美骨科学院(DAAO) E.V.
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00026-7
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引用次数: 0
IMPRESSUM
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00032-2
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引用次数: 0
Über körperliche und seelische Aspekte osteopathischen Behandelns 骨科治疗的生理和心理方面
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00020-6
Anne Henle
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引用次数: 0
Internationaler Osteopathie Kongress der OSD OSD国际骨科大会
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00018-8
Sophie Korff
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引用次数: 0
Strain Relief – Teil 5: Technische Ausführung 第5部分:技术执行
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00013-9
Hartwig Liedtke
Bone is a hierarchically structured composite (collagen type I → procollagen → tropocollagen → triple helix → fibrils → mineralization of the fibrils → ossification), which consists in the nanometer range as a combination of a stiff inorganic mineral phase of 45 % hydroxyapatite together with a softer organic phase of 30 % (of which 95 % are collagen type I) and 25 % water, and is therefore elastic and malleable within certain limits. However, if a bone does not return to its former position after trauma, chronic traction, excessive pressure or torsion, pain will remain in the bone and in the non-stretchable fasciae, tendons, capsule and ligament structures involved.
Following the introduction of the theoretical basis of the new manual method for the treatment of chronic pain in the musculoskeletal system in part 1 [1] and the practical application of this technique in part 2 [2] on the lower limbs, in part 3 [3] on the upper limbs and in part 4 [4] on the pelvic ring, the hip joint and lower back pain, this time it is demonstrated how Strain Relief can be used to return pathologically deformed bones in the ventral and dorsal thorax, in the upper thoracic aperture and the neck region to their tension-free, anatomical starting position and thus relieve the ligamentous and muscle structures firmly anchored to them in order to eliminate chronic pain, pulmonological, cardiological and neurological dysfunctions.
骨是一种分层结构的复合材料(ⅰ型胶原→前胶原→原胶原→三螺旋→原纤维→原纤维矿化→骨化),在纳米范围内由45%羟基磷灰石的坚硬无机矿物相与30%(其中95%为ⅰ型胶原)的较软有机相和25%的水组成,因此在一定限度内具有弹性和延展性。然而,如果骨骼在创伤、慢性牵引、过度压力或扭转后不能恢复到原来的位置,疼痛将留在骨骼和不可拉伸的筋膜、肌腱、关节囊和韧带结构中。理论基础的介绍后新手册的方法治疗慢性疼痛的肌肉骨骼系统在第1部分中[1]和该技术的实际应用在第2部分中[2]在下肢,在第3部分中[3]在上肢和第4部分[4]在骨盆环,髋关节和背部疼痛,这次是演示了如何使用应变消除返回病态畸形的骨骼在腹侧和背侧胸腔,在胸上孔和颈部区域使其处于无张力的解剖起始位置,从而解除韧带和肌肉结构对其的牢固锚定,以消除慢性疼痛、肺脏、心脏和神经功能障碍。
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引用次数: 0
DAAO-Kongress 2024 DAAO-Kongress 2024
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00017-6
Julian Hartig
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引用次数: 0
TERMINE TERMINE
Pub Date : 2025-03-01 DOI: 10.1016/S1615-9071(25)00024-3
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引用次数: 0
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Osteopathische Medizin
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