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Manual Therapy最新文献

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Treatment of cervicalgia with manual therapy methods: evaluation of the effectiveness of muscle techniques 手法治疗颈痛的疗效评价
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-32-38
Kirill Proskuryakov
Cervicalgia is common in people aged 45-54. Neck pain is common among people of working age. It negatively affects the life quality and reduces labor productivity. In the review below, we analyzed the literature on the application of a comprehensive approach to the treatment of cervicalgia (hereinafter referred to neck pain) using various physical methods (physiotherapy, exercise therapy, massage, manual therapy), reflexology and other methods, but not excluding the use of drugs, taking into account clinical recommendations. The study was conducted using the resources of cyberleninka.ru, pubmed, ncbi.nlm.nih.gov.
肢痛在45-54岁的人群中很常见。颈部疼痛在工作年龄的人中很常见。它对生活质量产生负面影响,降低劳动生产率。在下面的综述中,我们分析了使用各种物理方法(物理疗法、运动疗法、按摩、手法疗法)、反射疗法和其他方法,但不排除使用药物,并考虑到临床建议,综合治疗颈痛(以下简称颈痛)的文献。这项研究是利用cyberlinika.ru,pubmed,ncbi.nlm.nih.gov的资源进行的。
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引用次数: 0
Correction of biomechanical changes of the motor stereotype in patients with chronic pelvic pain 慢性盆腔疼痛患者运动刻板印象生物力学改变的纠正
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-3-8
V. Dumtsev, Alexander Barulin
The article presents the records of the study of the influence of drug and non-drug treatment on the possibility of correcting biomechanical changes in patients with chronic pelvic pain syndrome. The possibilities of increasing the therapy effectiveness by using an original method based on direct visual biofeedback are shown. The study involved 60 patients; the average age was 42 (18-65 years). The duration of treatment was 21 days. Subjective pain perception, pain area, biomechanical changes, and muscle syndrome index were analyzed. It was found out that after complex treatment with biofeedback the indexes of subjective pain perception, pain area, muscle syndrome as well as the biomechanics study parameters significantly improved.
本文介绍了药物和非药物治疗对慢性盆腔疼痛综合征患者纠正生物力学变化可能性的影响的研究记录。通过使用基于直接视觉生物反馈的原始方法来增加治疗效果的可能性。这项研究涉及60名患者;平均年龄42岁(18-65岁)。疗程21 d。分析主观疼痛感觉、疼痛面积、生物力学变化和肌肉综合征指数。经生物反馈综合治疗后,主观疼痛知觉、疼痛面积、肌肉综合征指标及生物力学研究参数均有明显改善。
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引用次数: 0
The neurovascular bundle and compression-ischemic neuropathy 神经血管束与压迫缺血性神经病
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-39-53
Alexander Nebozhin
The formation and development of neurovascular bundles during the embryonic period determines their individual anatomical characteristics. The growth of neurovascular bundles and the organization of paraneural spaces are influencedby various growth factors. The neurovascular bundles are located freely in the paraneural spaces and are not subject to damaging compression effects. The occurrence and existence of tunnel syndromes in natural conditions is impossible. Pathological processes,which are localized outside or inside the paraneural spaces, can significantly change the topographic and anatomical relationships of the neurovascular bundle and the surrounding space.
胚胎期神经血管束的形成和发育决定了它们的个体解剖特征。神经血管束的生长和神经旁间隙的组织受到各种生长因子的影响。神经血管束自由地位于神经旁间隙,不受损伤性压迫作用的影响。隧道综合征在自然条件下的发生和存在是不可能的。局限于神经旁间隙内外的病理过程可以显著改变神经血管束和周围间隙的地形和解剖关系。
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引用次数: 0
Clinical significance of phrenic nerve damage in the development of respiratory pathology in children who underwent artificial lung ventilation at birth 膈神经损伤在出生时接受人工肺通气的儿童呼吸道病理发展中的临床意义
Pub Date : 2023-09-08 DOI: 10.54504/1684-6753-2023-2-19-31
Pavel Morozov, S. Novoseltsev
The article summarizes and analyzes publications on the effect of respiratory support experienced by children of the first year of life in the early neonatal period on their respiratory organs and on the effectiveness of rehabilitation using manual therapy and osteopathy. A review of domestic and foreign publications for the period from 1983 to 2022 with the selection of articles on this topic published in peer-reviewed journals was carried out. According to the study results, it is shown that children, who underwent artificial lung ventilation at birth, have a characteristic picture of biomechanical disorders, the key link in the pathogenesis of which is the primary lesion of the phrenic nerve. The correction of somatic dysfunctions (SD) using osteopathic (manual) manipulations significantly increases the effectiveness of rehabilitation measures.
本文总结和分析了关于新生儿早期第一年出生的儿童所经历的呼吸支持对其呼吸器官的影响以及使用手动治疗和整骨疗法进行康复的有效性的出版物。对1983年至2022年期间的国内外出版物进行了审查,并选择了在同行评审期刊上发表的关于这一主题的文章。研究结果表明,出生时接受人工肺通气的儿童具有生物力学障碍的特征,其发病机制的关键环节是膈神经的原发性病变。使用整骨(手动)手法矫正躯体功能障碍(SD)显著提高了康复措施的有效性。
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引用次数: 0
Functional state of the autonomic nervous system as a predictor of neurogenic mechanisms of vascular tone regulation in circulatory disorders in the vertebrobasilar system 自主神经系统的功能状态作为椎基底系统循环疾病中血管张力调节的神经源性机制的预测因子
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-1-10
Viktoriya Tyan
The article presents the results of assessing the functional state of the autonomic nervous system in patients with circulatory disorders in the vertebrobasilar system. It has been established that the addition of neuro-reflex diagnostic methods (dynamic segmental diagnostics and manual examination) improves the assessment of the functional state of the sympathetic nervous system and allows monitoring the effectiveness of etiopathogenetic therapy. The application of methods of reflexotherapy and biodynamic correction of the spine improves the functional state of the autonomic nervous system and enhances the effectiveness of treatment of patients with circulatory disorders in the vertebrobasilar system.
本文介绍了评估椎-基底动脉系统循环障碍患者自主神经系统功能状态的结果。已经证实,增加神经反射诊断方法(动态节段诊断和手动检查)可以改善对交感神经系统功能状态的评估,并可以监测病因治疗的有效性。脊柱反射疗法和生物动力矫正方法的应用改善了自主神经系统的功能状态,并提高了椎-基底动脉系统循环障碍患者的治疗效果。
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引用次数: 0
Earlydevelopmentaldelaysin children with craniocerebral disproportion 颅脑比例失调儿童的早期发育迟缓
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-37-45
O. Biketov
The article offers a description of an urgent medical problem that has been actively considered as an interdisciplinary problem for several years. The author considers the formation of child development delays as an element of pathogenesis in case of craniocerebral disproportion / nonsyndromiccraniosynostosis resulting from perinatal lesions of the central nervous system, and he describes this cause-and-effect relationship based on his own model [4,5] and literature data. This approach makes it possible to introduce new details into the understanding of pathogenesis of developmental delays in young children and, consequently, to consider new methods of solving the problem of their correction.
这篇文章描述了一个紧迫的医学问题,多年来一直被积极认为是一个跨学科的问题。作者将儿童发育迟缓的形成视为围产期中枢神经系统损伤引起的颅脑不平衡/非综合征性颅缝闭合症的发病机制之一,并根据自己的模型[4,5]和文献数据描述了这种因果关系。这种方法有可能为理解幼儿发育迟缓的发病机制引入新的细节,从而考虑解决其矫正问题的新方法。
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引用次数: 0
Manual therapy and evidence-based medicine 手工疗法和循证医学
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-21-29
Yuriy Novikov
The article presents the possibility of applying the principles of evidence-based medicine to manual therapy. The complementary medicine, which includes manual therapy, faces certain difficulties when carrying out randomized clinical trials. In our opinion, a new paradigm of the science-based clinical trials is needed for manual therapy.
本文介绍了循证医学原理应用于手法治疗的可能性。包括手工治疗在内的补充医学在进行随机临床试验时面临一定的困难。我们认为,手工疗法需要一种新的基于科学的临床试验范式。
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引用次数: 0
Headache during pregnancy 孕期头痛
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-70-100
I. Lusnikova
Headaches are a common neurological complaint during pregnancy. Most are primary and benign but secondary headaches may also occur. In the first trimester, the complaints are mainly due to primary headaches, and in the last trimester, the proportion of secondary headaches increases. This article provides clinical characteristics of secondary headaches during pregnancy. The limited range of drugs that can be used during pregnancy, in the absence of potential adverse effects on the mother and fetus/newborn, causes certain difficulties in the management of these patients. This review will consider approaches to the treatment of headaches during pregnancy. A non-drug therapeutic strategy is preferred for the treatment of primary headaches during pregnancy. Treatment should not be delayed because uncontrolled headaches can have negative effects on both the mother and the fetus. If non-drug therapy does not lead to the expected control of headache attacks, a choice should be made regarding the use of drug therapy while weighing the benefits and risks of such a choice.
头痛是妊娠期常见的神经系统疾病。大多数是原发性和良性头痛,但也可能发生继发性头痛。在妊娠早期,抱怨主要是由于原发性头痛,而在妊娠晚期,继发性头痛的比例增加。本文介绍了妊娠期继发性头痛的临床特点。在对母亲和胎儿/新生儿没有潜在不良影响的情况下,妊娠期间可使用的药物范围有限,这给这些患者的管理带来了一定的困难。这篇综述将考虑治疗妊娠期头痛的方法。治疗妊娠期原发性头痛首选非药物治疗策略。治疗不应延迟,因为不受控制的头痛会对母亲和胎儿产生负面影响。如果非药物治疗不能达到预期的头痛发作控制,则应在权衡药物治疗的益处和风险的同时,选择药物治疗。
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引用次数: 0
Paininthesacroiliacjoint 髂关节疼痛
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-46-69
K. Kuzminov
Pain originating in the sacroiliac joint (SIJ) is one of the potential causes of axial low back pain. A quarter of low back pain cases can be associated with the SIJ damage. The review presents the causes and current clinical data associated with the SIJ dysfunction, describes specific (provocation) tests used to detect the SIJ syndrome. Diagnostic tests and their effectiveness for differential diagnosis are described. The methods of instrumental diagnostics, conservative treatment, including manual therapy, and interventional options for treating patients with pain in the SIJ zone are described in detail.
起源于骶髂关节(SIJ)的疼痛是轴性腰痛的潜在原因之一。四分之一的腰痛病例可能与SIJ损伤有关。该综述介绍了与SIJ功能障碍相关的原因和当前临床数据,描述了用于检测SIJ综合征的特异性(激发)测试。介绍了诊断试验及其在鉴别诊断中的有效性。详细描述了治疗SIJ区疼痛患者的仪器诊断、保守治疗(包括手动治疗)和介入选择的方法。
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引用次数: 0
Wave (quantum) therapyoftheintervertebraldisc 椎间盘的波(量子)疗法
Pub Date : 2023-05-03 DOI: 10.54504/1684-6753-2023-1-30-36
Anatoliy Stehin, G. Yakovleva, A. Rachin, Andrey Karasev
Thephy sicalfoundations of the innovativemethodofwave (quantum) therapy of herniatedintervertebraldiscsarereviewed. Thismethodisbasedontherestorationofhomeostaticregulationandregenerationoftheaffectedorganusingwavemixingandresonantsuppressionofpathogenicelectromagneticemissionfrequenciesintheorganusinghigh-temperaturesuperconductivityandpre-resonanceexcitationoforgantissuesatfrequenciesinthecentimeterwavelengthrange. Themethod, ascomparedwithitsanalogue (waveshocktherapy), makesitpossiblenotonlytorelievepainbutalsotorestoretheinitialstructureoftheintervertebraldisc.
综述了创新的波(量子)疗法治疗椎骨间疝的物理基础。Thismethodisbasedontherestorationofhomeostaticregulationandregenerationoftheaffectedorganusingwavemixingandresonantsuppressionofpathogenicelectromagneticemissionfrequenciesintheorganusinghigh-temperaturesuperconductivityandpre-resonanceexcitationoforgantissuesatfrequenciesinthecentimeterwavelengthrange。与类似疗法(冲击波疗法)相比,该方法可能不能完全缓解疼痛,但不能恢复椎间盘的初始结构。
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Manual Therapy
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