首页 > 最新文献

Manual Therapy最新文献

英文 中文
Modern approaches to the diagnosis and restorative treatment of vertebral artery syndrome using osteopathic methods 使用整骨疗法诊断和修复治疗椎动脉综合征的现代方法
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-13-20
Anastasia Alekseeva, I. Egorova
The article presents the results of a study of the effectiveness of osteopathic treatment of young women aged 18-45 with vertebral artery syndrome. The study involved more than 100 women. Patients with signs of psychiatric pathology and organic brain diseases were excluded. Laser Doppler flowmetry of blood microcirculation was chosen as a method of the evidence-based control. The main group was exposed to osteopathic and conservative treatment while the comparison group (control group) was treated by the generally accepted methods. It was found out from to the study results that osteopathic treatment significantly improved the quality of life including reduction in complaints of fatigue, tinnitus, dizziness and absence of complaints of headache and pain in the cervical region. No changes were registered in the control group during the same examination periods.
文章介绍了一项针对 18-45 岁患有椎动脉综合征的年轻女性的整骨疗法有效性研究的结果。该研究涉及 100 多名女性。有精神疾病和脑部器质性疾病的患者被排除在外。血液微循环激光多普勒流量计被选为循证对照方法。主要组接受整骨疗法和保守疗法,而对比组(对照组)则采用公认的方法进行治疗。研究结果表明,整骨疗法明显改善了患者的生活质量,包括减少了疲劳、耳鸣、头晕的主诉,没有了头痛和颈椎部位疼痛的主诉。而对照组在相同的检查期间没有任何变化。
{"title":"Modern approaches to the diagnosis and restorative treatment of vertebral artery syndrome using osteopathic methods","authors":"Anastasia Alekseeva, I. Egorova","doi":"10.54504/1684-6753-2023-3-4-13-20","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-13-20","url":null,"abstract":"The article presents the results of a study of the effectiveness of osteopathic treatment of young women aged 18-45 with vertebral artery syndrome. The study involved more than 100 women. Patients with signs of psychiatric pathology and organic brain diseases were excluded. Laser Doppler flowmetry of blood microcirculation was chosen as a method of the evidence-based control. The main group was exposed to osteopathic and conservative treatment while the comparison group (control group) was treated by the generally accepted methods. It was found out from to the study results that osteopathic treatment significantly improved the quality of life including reduction in complaints of fatigue, tinnitus, dizziness and absence of complaints of headache and pain in the cervical region. No changes were registered in the control group during the same examination periods.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"330 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A clinical case of curing spinal canal stenosis with reduction in the size of a herniated intervertebral disc by manual therapy methods, which was considered in the concepts of fundamental physiology 以基础生理学概念为基础,通过人工疗法缩小椎间盘突出症面积,治愈椎管狭窄症的临床病例
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-86-94
Yuri Krivo, Ivan Deryabin, Yuri Machnev, Igor Vorobyevsky, Sergey Suslov
A clinical case of cure of spinal canal stenosis and reduction in the size of a herniated intervertebral canal by manual therapy methods and involvement of the patient in therapeutic activities through physical exercises is considered through the prism of neurophysiological knowledge about reality, the principles of national Russian and the preceding Soviet medicine. There is an analysis of the ideas, which are typically used in clinical practice by neurologists and neurosurgeons for analysis, synthesis, and justification of treatment prescription according to their profile and the limited use by them of knowledge of fundamental physiology about the real structure of the human body and its functions in a specific clinical case. Attention is focused on the scientific nature of the methods of manual therapy, applied for diagnosis and treatment, of the national Russian and Soviet schools of medicine, including the Czechoslovak school of manual medicine, which differs significantly from traditional medical chiropractic with different metaphysical justification in the chiropractic schools of American osteopathy and chiropractic, applied kinesiology, and also in Indian Ayurveda, Japanese shiatsu, reiki, mutual aid techniques of martial arts of Indochina, traditional Chinese medicine. The clinical analysis uses scientific knowledge of fundamental physiology, neurophysiology, systemic psychophysiology, cognitive science about the activity of functional systems, which is significant for the patient’s recovery, including ensembles of neurons of central generators of the ordered activity, sensitivity regulation systems, medial and lateral movement control systems, and neuromuscular complexes of motor units. The normalization of their activity by manual therapy methods leads the patient to clinical recovery and an active life of high quality.
通过对现实的神经生理学知识、俄罗斯民族医学原则和前苏联医学原则的棱镜,研究了一个通过手工治疗方法治愈椎管狭窄和缩小椎管疝气的临床病例,并让患者通过体育锻炼参与治疗活动。对神经科医生和神经外科医生在临床实践中通常使用的观点进行了分析,这些观点用于分析、综合和证明根据其个人情况开具的治疗处方的合理性,以及他们在具体临床病例中对人体真实结构及其功能的基本生理学知识的有限使用。重点关注俄罗斯和苏联国家医学流派(包括捷克斯洛伐克徒手医学流派)用于诊断和治疗的徒手治疗方法的科学性,这与美国整骨疗法和整脊疗法流派、应用运动学、印度阿育吠陀、日本指压、灵气、印度支那武术互助技术、中国传统医学中具有不同形而上学理由的传统医学整脊疗法有显著区别。临床分析使用基础生理学、神经生理学、系统心理生理学、认知科学等科学知识,了解对患者康复有重要意义的功能系统的活动,包括有序活动中枢发生器的神经元组合、敏感性调节系统、内侧和外侧运动控制系统以及运动单元的神经肌肉复合体。通过徒手治疗方法使其活动正常化,可帮助患者实现临床康复和高质量的积极生活。
{"title":"A clinical case of curing spinal canal stenosis with reduction in the size of a herniated intervertebral disc by manual therapy methods, which was considered in the concepts of fundamental physiology","authors":"Yuri Krivo, Ivan Deryabin, Yuri Machnev, Igor Vorobyevsky, Sergey Suslov","doi":"10.54504/1684-6753-2023-3-4-86-94","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-86-94","url":null,"abstract":"A clinical case of cure of spinal canal stenosis and reduction in the size of a herniated intervertebral canal by manual therapy methods and involvement of the patient in therapeutic activities through physical exercises is considered through the prism of neurophysiological knowledge about reality, the principles of national Russian and the preceding Soviet medicine. \u0000There is an analysis of the ideas, which are typically used in clinical practice by neurologists and neurosurgeons for analysis, synthesis, and justification of treatment prescription according to their profile and the limited use by them of knowledge of fundamental physiology about the real structure of the human body and its functions in a specific clinical case. \u0000Attention is focused on the scientific nature of the methods of manual therapy, applied for diagnosis and treatment, of the national Russian and Soviet schools of medicine, including the Czechoslovak school of manual medicine, which differs significantly from traditional medical chiropractic with different metaphysical justification in the chiropractic schools of American osteopathy and chiropractic, applied kinesiology, and also in Indian Ayurveda, Japanese shiatsu, reiki, mutual aid techniques of martial arts of Indochina, traditional Chinese medicine. \u0000The clinical analysis uses scientific knowledge of fundamental physiology, neurophysiology, systemic psychophysiology, cognitive science about the activity of functional systems, which is significant for the patient’s recovery, including ensembles of neurons of central generators of the ordered activity, sensitivity regulation systems, medial and lateral movement control systems, and neuromuscular complexes of motor units. The normalization of their activity by manual therapy methods leads the patient to clinical recovery and an active life of high quality.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"139 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Manual diagnosis of thermal skin burns. The first report 皮肤热烧伤的人工诊断。首次报告
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-21-28
Marina Stepanova, Irina Egorova, Evgeniy Zinov'ev, Irina Barsukova, S. Novoseltsev, Irina Narushak
The aim of the study is to assess the possibility of studying the depth and area of high-temperature skin lesions in burns by manual methods. Materials and methods: 99 patients with II-III degree thermal skin burns with a lesion area of up to 10% of the body surface were examined at admission to hospital as well as in dynamics. Clinical (palpation diagnostics), instrumental (laser Doppler fluorometry), analytical, and statistical methods of research were used. The study result is the substantiation of the manual (palpation) diagnosis method for determining the true depth and area of the burn wound, the condition of the underlying tissues, the involvement of which in the burn process in the projection of the burn wound affects the course and prognosis of II-III degree thermal burns in patients and their quality of life in the future. The novelty, informativeness, and efficiency of the manual method of diagnosis are shown.
本研究旨在评估通过人工方法研究烧伤中高温皮肤损伤深度和面积的可能性。材料和方法:对 99 名Ⅱ-Ⅲ度高温皮肤烧伤患者进行入院和动态检查,烧伤面积不超过体表面积的 10%。采用了临床(触诊)、仪器(激光多普勒荧光测定法)、分析和统计研究方法。研究结果证实,人工(触诊)诊断方法可以确定烧伤创面的真实深度和面积、下层组织的状况,烧伤创面投影中烧伤过程的参与度会影响 II-III 度热烧伤患者的病程和预后及其未来的生活质量。手工诊断方法的新颖性、信息量和效率由此可见一斑。
{"title":"Manual diagnosis of thermal skin burns. The first report","authors":"Marina Stepanova, Irina Egorova, Evgeniy Zinov'ev, Irina Barsukova, S. Novoseltsev, Irina Narushak","doi":"10.54504/1684-6753-2023-3-4-21-28","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-21-28","url":null,"abstract":"The aim of the study is to assess the possibility of studying the depth and area of high-temperature skin lesions in burns by manual methods. Materials and methods: 99 patients with II-III degree thermal skin burns with a lesion area of up to 10% of the body surface were examined at admission to hospital as well as in dynamics. Clinical (palpation diagnostics), instrumental (laser Doppler fluorometry), analytical, and statistical methods of research were used. The study result is the substantiation of the manual (palpation) diagnosis method for determining the true depth and area of the burn wound, the condition of the underlying tissues, the involvement of which in the burn process in the projection of the burn wound affects the course and prognosis of II-III degree thermal burns in patients and their quality of life in the future. The novelty, informativeness, and efficiency of the manual method of diagnosis are shown.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"338 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pathogenetic role of personality traits in patients with vertebrogenic pain syndromes 人格特征对椎源性疼痛综合征患者的致病作用
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-65-68
Oksana Alexeeva, Lilia Mindubaeva
Painful changes in the personality structure, which lead to a violation of its holistic structure, play an important role in the development of mechanisms of clinical polymorphism.
人格结构的痛苦变化导致其整体结构受到破坏,在临床多态性机制的发展中起着重要作用。
{"title":"A pathogenetic role of personality traits in patients with vertebrogenic pain syndromes","authors":"Oksana Alexeeva, Lilia Mindubaeva","doi":"10.54504/1684-6753-2023-3-4-65-68","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-65-68","url":null,"abstract":"Painful changes in the personality structure, which lead to a violation of its holistic structure, play an important role in the development of mechanisms of clinical polymorphism.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A protocol for studying the efficacy of the sacroiliac joint mobilization in patients with acute benign musculoskeletal low back pain caused by sacroiliac joint dysfunction syndrome 骶髂关节功能障碍综合征引起的急性良性肌肉骨骼性腰痛患者的骶髂关节活动疗效研究方案
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-77-85
Sergey Kanaev, Iya Lusnikova
Musculoskeletal (non-specific) low back pain is a significant public health problem that ranks first in the number of years lost due to persistent ill health. The sacroiliac joint is the direct source of pain in 15-30%. Various techniques of manual therapy are used to treat such cases. Currently, there are just few studies comparing the clinical efficacy of different manual therapy techniques, and their results are contradictory. One of the main reasons is the impossibility of conducting a classical double-blind placebo-controlled randomized trial to evaluate the efficacy of MT techniques due to the difficulty of “blinding” completely the patient and the researcher. Since there are no guidelines on how to conduct an appropriate simulation therapy to guarantee the reliability of the methodology and results of clinical trials, we propose our standardized study protocol to investigate the comparative efficacy of high-velocity low-amplitude thrust mobilization and low-velocity low-amplitude rhythmic mobilization of the sacroiliac joint with active placebo.
肌肉骨骼(非特异性)腰背痛是一个重要的公共卫生问题,在因持续健康不良而损失的年数中排名第一。骶髂关节是 15-30% 疼痛的直接来源。各种手法治疗技术被用于治疗此类病例。目前,对不同手法治疗技术的临床疗效进行比较的研究为数不多,且结果相互矛盾。其中一个主要原因是,由于难以完全 "蒙蔽 "患者和研究人员,因此无法进行经典的双盲安慰剂对照随机试验来评估手法治疗技术的疗效。由于目前还没有关于如何进行适当的模拟治疗以保证临床试验方法和结果可靠性的指南,因此我们提出了我们的标准化研究方案,以研究骶髂关节的高速度低振幅推力移动和低速度低振幅节律移动与活性安慰剂的疗效比较。
{"title":"A protocol for studying the efficacy of the sacroiliac joint mobilization in patients with acute benign musculoskeletal low back pain caused by sacroiliac joint dysfunction syndrome","authors":"Sergey Kanaev, Iya Lusnikova","doi":"10.54504/1684-6753-2023-3-4-77-85","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-77-85","url":null,"abstract":"Musculoskeletal (non-specific) low back pain is a significant public health problem that ranks first in the number of years lost due to persistent ill health. The sacroiliac joint is the direct source of pain in 15-30%. Various techniques of manual therapy are used to treat such cases. Currently, there are just few studies comparing the clinical efficacy of different manual therapy techniques, and their results are contradictory. One of the main reasons is the impossibility of conducting a classical double-blind placebo-controlled randomized trial to evaluate the efficacy of MT techniques due to the difficulty of “blinding” completely the patient and the researcher. Since there are no guidelines on how to conduct an appropriate simulation therapy to guarantee the reliability of the methodology and results of clinical trials, we propose our standardized study protocol to investigate the comparative efficacy of high-velocity low-amplitude thrust mobilization and low-velocity low-amplitude rhythmic mobilization of the sacroiliac joint with active placebo.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"54 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Some approaches to the diagnosis of vertebral artery syndrome 诊断椎动脉综合征的一些方法
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-3-12
Anastasia Alekseeva, I. Egorova, Artem Dyupin
The article presents a clinical case, follow-up of it in a patient with vertebral artery syndrome (VAS) and the applied methods of osteopathic treatment when a specialized Doppler flowmetry device is used for diagnosis. The issues of diagnosis, obtaining reliable information and its systematization are discussed. The principles and methods of diagnosis by means of the Doppler flowmetry device for the purposes of the VAS treatment are given. Conclusions and proposals for the institutionalization of this method of diagnosis and treatment are laid down.
文章介绍了一个临床病例、椎动脉综合征(VAS)患者的随访情况,以及在使用专用多普勒血流测量仪进行诊断时应用的整骨疗法方法。讨论了诊断、获取可靠信息及其系统化的问题。给出了使用多普勒血流测量仪进行 VAS 治疗的诊断原则和方法。还提出了将这种诊断和治疗方法制度化的结论和建议。
{"title":"Some approaches to the diagnosis of vertebral artery syndrome","authors":"Anastasia Alekseeva, I. Egorova, Artem Dyupin","doi":"10.54504/1684-6753-2023-3-4-3-12","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-3-12","url":null,"abstract":"The article presents a clinical case, follow-up of it in a patient with vertebral artery syndrome (VAS) and the applied methods of osteopathic treatment when a specialized Doppler flowmetry device is used for diagnosis. The issues of diagnosis, obtaining reliable information and its systematization are discussed. The principles and methods of diagnosis by means of the Doppler flowmetry device for the purposes of the VAS treatment are given. Conclusions and proposals for the institutionalization of this method of diagnosis and treatment are laid down.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"326 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The importance of the pelvis for human health and vital activity 骨盆对人体健康和生命活动的重要性
Pub Date : 2024-01-03 DOI: 10.54504/1684-6753-2023-3-4-37-64
Nadezhda Krasnoyarova, Venera Kipchakpaevna, Anatoly Vashurin, Elena Serdyuk
The article discusses anatomical and physiological features of the pelvis, somatic dysfunctions of the pelvis, which are observed in various diseases and have a significant impact on the functioning of various physiological systems of the body. The results of osteopathic correction of pathogenetically significant dysfunctions in the body, which lead to the emergence and development of many diseases, in combination with osteopathic correction of the detected somatic dysfunctions of the pelvis in 695 patients are presented. The effectiveness of this combination has been shown. The importance of the pelvis for human health and vital activity is substantiated.
文章讨论了骨盆的解剖和生理特点、骨盆的躯体功能障碍,这些在各种疾病中均可观察到,并对人体各生理系统的功能产生重大影响。695 名患者的骨盆躯体功能障碍是导致多种疾病出现和发展的重要致病机能障碍,本文介绍了在对这些患者进行整骨疗法矫正的同时,对骨盆躯体功能障碍进行整骨疗法矫正的结果。这一组合的有效性已得到证实。骨盆对人体健康和生命活动的重要性得到了证实。
{"title":"The importance of the pelvis for human health and vital activity","authors":"Nadezhda Krasnoyarova, Venera Kipchakpaevna, Anatoly Vashurin, Elena Serdyuk","doi":"10.54504/1684-6753-2023-3-4-37-64","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-3-4-37-64","url":null,"abstract":"The article discusses anatomical and physiological features of the pelvis, somatic dysfunctions of the pelvis, which are observed in various diseases and have a significant impact on the functioning of various physiological systems of the body. The results of osteopathic correction of pathogenetically significant dysfunctions in the body, which lead to the emergence and development of many diseases, in combination with osteopathic correction of the detected somatic dysfunctions of the pelvis in 695 patients are presented. The effectiveness of this combination has been shown. The importance of the pelvis for human health and vital activity is substantiated.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"152 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140514634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complex myofascial pain syndrome 复杂肌筋膜疼痛综合征
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-54-61
Dina Khaibullina, Yuri Maximov
Myofascial pain syndrome is one of the most common manifestations of musculoskeletal pain, and it is manifested not only by the pain syndrome but also by localized highly sensitive areas of pain sensitivity changes. Clinical manifestations of isolated trigger zones have been described in the literature. However, in practice, one has to deal with the myofascial pain syndrome caused by multiple trigger zones in the muscles of one or several neighboring regions. In this case, pain patterns overlap and change the clinical picture and, in some cases, lead to misdiagnosis. In order to illustrate such a course of the myofascial pain syndrome, the article presents a clinical case. As a matter of discussion, it is suggested to designate myofascial pain syndrome with multiple active trigger zones in several muscles with interference ofthe referred pain zones as “complex myofascial pain syndrome”.
肌筋膜疼痛综合征是肌肉骨骼疼痛最常见的表现之一,它不仅表现为疼痛综合征,还表现为局部高敏感区域的疼痛敏感性改变。孤立触发区的临床表现已在文献中描述。然而,在实践中,人们必须处理由一个或几个相邻区域的肌肉中的多个触发区引起的肌筋膜疼痛综合征。在这种情况下,疼痛模式重叠并改变了临床图像,在某些情况下,导致误诊。为了说明肌筋膜疼痛综合征的这一过程,本文提出一个临床病例。作为讨论事项,建议将在几块肌肉中存在多个活动触发区并干扰所述疼痛区的肌筋膜疼痛综合征称为“复杂肌筋膜疼痛综合征”。
{"title":"Complex myofascial pain syndrome","authors":"Dina Khaibullina, Yuri Maximov","doi":"10.54504/1684-6753-2023-2-54-61","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-2-54-61","url":null,"abstract":"Myofascial pain syndrome is one of the most common manifestations of musculoskeletal pain, and it is manifested not only by the pain syndrome but also by localized highly sensitive areas of pain sensitivity changes. Clinical manifestations of isolated trigger zones have been described in the literature. However, in practice, one has to deal with the myofascial pain syndrome caused by multiple trigger zones in the muscles of one or several neighboring regions. In this case, pain patterns overlap and change the clinical picture and, in some cases, lead to misdiagnosis. In order to illustrate such a course of the myofascial pain syndrome, the article presents a clinical case. As a matter of discussion, it is suggested to designate myofascial pain syndrome with multiple active trigger zones in several muscles with interference ofthe referred pain zones as “complex myofascial pain syndrome”.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43146218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dysfunction manifestation in the sacroiliac joint in case of low back pain 腰痛时骶髂关节功能障碍的表现
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-9-18
K. Kuzminov, Sergey Kanaev, Dmitriy Bolotov, S. Rasstrigin
The aim of the study was to identify the sacroiliac joint dysfunction in patients with various manifestations of vertebrogenic pain in the low back and pelvis and to determine the regimen ofmanual therapy techniques. A comprehensive assessment of examination and treatment of patients with the sacroiliac joint syndrome was carried out. The positive role of the combined treatment including drug therapy and manual therapy was noted. A decrease in the pain syndrome intensity was found in 79.5% of cases, in all groups of patients, already at the beginning of treatment.
本研究的目的是确定骶髂关节功能障碍患者在腰背部和骨盆椎体源性疼痛的各种表现,并确定手法治疗技术的方案。对骶髂关节综合征患者的检查和治疗进行了综合评估。注意到药物治疗和手工治疗联合治疗的积极作用。在所有患者组中,79.5%的病例在治疗开始时疼痛综合征强度降低。
{"title":"Dysfunction manifestation in the sacroiliac joint in case of low back pain","authors":"K. Kuzminov, Sergey Kanaev, Dmitriy Bolotov, S. Rasstrigin","doi":"10.54504/1684-6753-2023-2-9-18","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-2-9-18","url":null,"abstract":"The aim of the study was to identify the sacroiliac joint dysfunction in patients with various manifestations of vertebrogenic pain in the low back and pelvis and to determine the regimen ofmanual therapy techniques. A comprehensive assessment of examination and treatment of patients with the sacroiliac joint syndrome was carried out. The positive role of the combined treatment including drug therapy and manual therapy was noted. A decrease in the pain syndrome intensity was found in 79.5% of cases, in all groups of patients, already at the beginning of treatment.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44215381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A clinical study of the modifiedautonomic functions in osteopathic practice 骨科实践中自主神经功能改变的临床研究
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-62-70
S. Novoseltsev
At present, the question remains open as to the quality of the methods applied for the clinical study of autonomic functions which makes it possible to get an idea of them in normal and pathological conditions. The lecture discusses autonomic reflexes that are most reliable in clinical practice, as well as reflexes that are directly related to osteopathic techniques. When conducting reflexes, it is necessary to take into account the strength and type of response, the change in the reflex during repeated studies, the effect of various influences on the reflex manifestation, and the ease or difficulty of establishing a conditioned connection to the reflex. Since the mechanism of most osteopathic techniques is reflex, these features are fully applicable to diagnostic and therapeutic osteopathic techniques. Therefore, some techniques, which are modified autonomic reflexes, are both diagnostic and therapeutic.
目前,应用于自主神经功能临床研究的方法的质量问题仍然存在,这使得有可能在正常和病理条件下获得它们的概念。讲座讨论了在临床实践中最可靠的自主神经反射,以及与整骨疗法直接相关的反射。在进行反射时,有必要考虑到反应的强度和类型,反复研究时反射的变化,各种影响对反射表现的影响,以及与反射建立条件连接的难易程度。由于大多数整骨疗法的机制是反射,这些特征完全适用于诊断和治疗整骨疗法。因此,一些改良自主神经反射的技术,既是诊断又是治疗。
{"title":"A clinical study of the modifiedautonomic functions in osteopathic practice","authors":"S. Novoseltsev","doi":"10.54504/1684-6753-2023-2-62-70","DOIUrl":"https://doi.org/10.54504/1684-6753-2023-2-62-70","url":null,"abstract":"At present, the question remains open as to the quality of the methods applied for the clinical study of autonomic functions which makes it possible to get an idea of them in normal and pathological conditions. The lecture discusses autonomic reflexes that are most reliable in clinical practice, as well as reflexes that are directly related to osteopathic techniques. When conducting reflexes, it is necessary to take into account the strength and type of response, the change in the reflex during repeated studies, the effect of various influences on the reflex manifestation, and the ease or difficulty of establishing a conditioned connection to the reflex. Since the mechanism of most osteopathic techniques is reflex, these features are fully applicable to diagnostic and therapeutic osteopathic techniques. Therefore, some techniques, which are modified autonomic reflexes, are both diagnostic and therapeutic.","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43167019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Manual Therapy
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1