International Journal of Osteopathic Medicine最新文献_第4页

Repositioning menstrual pain management: Multidisciplinary collaboration and cultural sensitivity as key priorities 重新定位经痛管理：多学科合作和文化敏感性作为关键优先事项

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-06-03 DOI: 10.1016/j.ijosm.2025.100771

Erma Pratiwi Nufi

引用次数: 0

Osteopathic intervention for inflammatory conditions of the lactating breast: a case series 整骨疗法干预哺乳期乳房炎症：一个病例系列

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-28 DOI: 10.1016/j.ijosm.2025.100769

Roger Engel , Katie Willy , Elise Fuller

Introduction

Inflammatory conditions of the lactating breast (ICLB) are responsible for many cases of early weaning. Patients with ICLB seek care from osteopaths with treatment often including osteopathic manual therapy (OMT) and therapeutic ultrasound (TUS). The aim of this case series is to measure change in inflammatory symptoms following OMT and TUS in patients with ICLB.

Methods

This case series includes women 18–40 years who attended a private mastitis clinic between April and October 2024. The primary outcome measure was the Breast Inflammatory Symptom Severity Index (BISSI). The BISSI was administered at baseline (pre-treatment), immediately post-treatment, 1, 2, 3, 7 and 14 days. All patients received OMT and TUS. Number of treatment sessions, other treatments and adverse events within the 14-day period were recorded.

Results

11 women were included in this case series. There was a sustained reduction in BISSI scores across the entire cohort over 14 days (average score: 28.5 at baseline; 0.6 at 14 days). There was a 41 % reduction from baseline to immediately post-initial treatment (28.5–16.7), a 64 % reduction by 1 day (28.5–10.4) and an 80 % reduction by day 2 (28.5–5.6). The average number of treatment sessions was 1.5 with most of the treatments occurring within the first 2 days. No adverse events were reported following OMT or TUS.

Discussion

A combination of OMT and TUS appears to be safe and beneficial to women with ICLB. Our finding of a 40 % reduction in symptoms immediately post-initial treatment warrants further investigation.

哺乳期乳房的炎症（ICLB）是许多早期断奶病例的原因。ICLB患者寻求整骨治疗师的护理，治疗方法通常包括整骨疗法（OMT）和治疗性超声（TUS）。本病例系列的目的是测量ICLB患者在OMT和TUS后炎症症状的变化。方法本病例系列包括在2024年4月至10月期间在一家私人乳腺炎诊所就诊的18-40岁女性。主要结局指标是乳房炎症症状严重程度指数（BISSI）。在基线（治疗前）、治疗后立即、1、2、3、7和14天给予BISSI。所有患者均接受OMT和TUS治疗。记录14天内的治疗次数、其他治疗方法及不良事件。结果11例女性纳入本病例系列。整个队列的BISSI评分在14天内持续下降(平均评分：基线时28.5；14天0.6)。从基线到初始治疗后立即减少41%(28.5-16.7)，1天减少64%(28.5-10.4)，第2天减少80%（28.5-5.6）。平均治疗次数为1.5次，大多数治疗发生在前2天。OMT或TUS治疗后无不良事件报告。OMT和TUS联合应用对ICLB患者是安全且有益的。初步治疗后症状立即减轻40%的发现值得进一步调查。

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引用次数: 0

Relationship of forward head posture with cervical muscle thickness and neck pain-related disability among young adults: a cross-sectional study 年轻人头部前倾姿势与颈肌厚度和颈痛相关残疾的关系：一项横断面研究

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-28 DOI: 10.1016/j.ijosm.2025.100770

Seçilay Güneş , Şeyda Şahinkaya , Sude Yamak , Sude Kaplan , Ali Rıza Sarıkaya , Osman Enes Demirhan , Irem Kar , Şehim Kutlay

Background

Forward head posture (FHP) is a common postural disorder in patients with neck pain. Despite the intuitive assumption that FHP determines neck pain characteristics, its effect on neck pain and cervical muscle morphology is unclear.

Objectives

To evaluate whether FHP affects cervical muscle morphology and neck pain-related disability among young adults.

Methods

Young adults with chronic neck pain older than 18 years were divided into 2 groups according to craniovertebral angle (CVA): those with FHP (≤49°) and those without. Neck pain severity and disability were evaluated with a numeric rating scale (NRS) and the neck disability index (NDI). Semispinalis capitis and sternocleidomastoid muscle thicknesses were measured via ultrasonography.

Results

Twenty-one females and 31 males were evaluated. The mean ages of those with and without FHP were 19.9 ± 1.1 and 20.0 ± 1.1 years, respectively. The incidence of FHP was significantly greater in females (73 %) (p < 0.001). The normalized muscle thickness for body weight of both the semispinalis capitis and sternocleidomastoid muscle, the NRS pain score, and the NDI were similar between the groups. CVA was weakly negatively correlated with pain but was not correlated with cervical muscle thickness or disability. There was a weak negative correlation between semispinalis capitis muscle thickness and the NRS pain scores.

Conclusions

The frequency of FHP is greater in females. The presence of FHP was unrelated to neck pain severity or cervical muscle thickness and disability in individuals with chronic neck pain. There was a mild negative correlation between extensor muscle thickness and neck pain regardless of FHP.

背景：头部前倾（FHP）是颈痛患者常见的体位障碍。尽管直觉上认为FHP决定了颈部疼痛的特征，但其对颈部疼痛和颈部肌肉形态的影响尚不清楚。目的评价FHP是否影响年轻成人颈部肌肉形态和颈部疼痛相关残疾。方法将年龄在18岁以上的慢性颈痛青年患者根据颅椎角（CVA）分为两组：有FHP（≤49°）组和无FHP组。采用数字评定量表（NRS）和颈部残疾指数（NDI）评估颈部疼痛严重程度和残疾程度。超声测量头半棘肌和胸锁乳突肌厚度。结果女性21例，男性31例。FHP患者和非FHP患者的平均年龄分别为19.9±1.1岁和20.0±1.1岁。FHP在女性中的发病率显著高于男性（73%）(p <；0.001)。两组间头肌半棘肌和胸锁乳突肌体重的归一化肌肉厚度、NRS疼痛评分和NDI相似。CVA与疼痛呈弱负相关，但与颈肌厚度和残疾无关。半棘肌厚度与NRS疼痛评分呈弱负相关。结论FHP在女性中发病率较高。慢性颈痛患者中FHP的存在与颈痛严重程度、颈肌厚度和残疾无关。伸肌厚度与颈部疼痛呈轻度负相关，与FHP无关。

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引用次数: 0

A retrospective analysis of osteopathic manipulative treatment techniques used by 3rd and 4th year medical students 回顾性分析三、四年级医学生使用的整骨手法治疗技术

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-24 DOI: 10.1016/j.ijosm.2025.100768

Heidi R. Bowman , Brian D. Schwartz , Mark E. Payton , Christopher M. LaFontano

Objective

To determine whether there is a correlation between the frequency with which osteopathic manipulative techniques are taught in preclinical osteopathic medical school years one and two and the prevalence of student use during years three and four. The secondary objective was to determine the students’ reported comfort and perception of ease and safety when using osteopathic manipulative treatment (OMT).

Methods

Third- and fourth-year OMT patient encounter logs for the classes of 2020–2022 were retrospectively reviewed for the students' technique of choice. These techniques were compared to how frequently that technique was taught in the preclinical curriculum. Survey data was collected from the class of 2025 third-year students upon completion of their family medicine rotation evaluating factors that influence students’ use of certain OMT techniques while on third- and fourth-year rotations.

Results

Final analysis included 20,149 OMT logs and ninety-six student surveys. The logs indicated that Muscle Energy (ME) was the most used technique among the classes. Muscle energy is also the most frequently taught in the preclinical curriculum. The data show ease of use and confidence were significantly correlated to students’ use of osteopathic techniques during clinical rotations. There was a strong correlation of consistency (0.72-0.98) among the different classes and all pairwise correlations were statistically significant.

Conclusion

The use of osteopathic techniques during third and fourth-year clinical rotations is directly related to their confidence and ease of performing the technique. Correlations exist between curricular frequency and students’ confidence, indicating the importance of preclinical curriculum and hands-on lab time.

目的确定临床前骨科医学院1、2年级教授整骨手法的频率与3、4年级学生使用整骨手法的频率之间是否存在相关性。次要目的是确定学生在使用整骨手法治疗（OMT）时报告的舒适度和对易用性和安全性的感知。方法回顾性分析2020-2022年第三和第四年OMT患者遭遇日志，以了解学生选择的技术。将这些技术与临床前课程中教授该技术的频率进行比较。调查数据收集自2025名完成家庭医学轮转的三年级学生，评估影响学生在三年级和四年级轮转时使用某些OMT技术的因素。最终分析包括20,149份OMT日志和96份学生调查。日志显示，肌肉能量（ME）是班级中使用最多的技术。肌肉能量也是临床前课程中最常教授的内容。数据显示，易用性和信心与学生在临床轮转期间使用整骨疗法技术显著相关。不同类别间一致性相关性较强（0.72-0.98），两两相关均有统计学意义。结论在第三和第四年的临床轮转中，骨科技术的使用与他们的信心和实施技术的容易程度直接相关。课程频率与学生信心之间存在相关性，表明临床前课程和动手实验时间的重要性。

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引用次数: 0

Potential impact of an osteopathic intervention for internationally adopted children with fetal alcohol spectrum disorder (FASD); a prospective case series 骨科干预对国际收养的胎儿酒精谱系障碍（FASD）儿童的潜在影响前瞻性病例系列

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-14 DOI: 10.1016/j.ijosm.2025.100763

Ramon Cases-Solé , David Varillas-Delgado , Marta Astals-Vizcaino , Victoria Aldecoa-Bilbao , Óscar García-Algar

Objective

To explore the potential impact of Osteopathic Manipulative Treatment (OMT) on Health-Related Quality of Life (HRQoL) on internationally adopted children with fetal alcohol spectrum disorder (FASD).

Methods

Twelve children with FASD adopted from Eastern European countries were recruited in this prospective observational study. HRQoL was collected using the Kidscreen-52 questionnaire. The participants followed a six-month intervention plan that included 4 bi-weekly OMT sessions and 4 monthly OMT sessions.

Results

Significant differences were detected in the pre-post intervention values (p = 0.001), interaction by group (p = 0.048), in the results of four dimensions (Moods & Emotions, p = 0.008, Self-Perception, p = 0.016, School Environment, p = 0.008 and Social Acceptance, p = 0.017) and in the overall assessment for parents’ version (p = 0.002). A mild adverse effect (pain/discomfort) was reported by one participant (8.3 % of the total sample) after one session.

Conclusion

This study shows that a six-month OMT intervention is a feasible personalized intervention for children and adolescents with FASD coming from international adoption. The study suggests that measuring instruments can detect changes in HRQoL over time, pointing out the need to develop a specific HRQoL assessment instrument for children with FASD to be applied in future studies. Even though promising significant changes were observed, these were most likely not only due to OMT, and further studies are required before assuming these could be due to osteopathic care.

目的探讨骨科手法治疗（OMT）对国际收养胎儿酒精谱系障碍（FASD）患儿健康相关生活质量（HRQoL）的潜在影响。方法从东欧国家收养的12名FASD儿童进行前瞻性观察研究。HRQoL采用Kidscreen-52问卷收集。参与者遵循六个月的干预计划，包括4次每两周一次的OMT治疗和4次每月的OMT治疗。结果在干预前后值（p = 0.001）、组间交互作用（p = 0.048）、四个维度(情绪和情绪；情绪（p = 0.008）、自我知觉（p = 0.016）、学校环境（p = 0.008）和社会接受（p = 0.017）以及家长的整体评估（p = 0.002）。一名参与者（占总样本的8.3%）在一次疗程后报告了轻微的不良反应（疼痛/不适）。结论对国际收养的FASD儿童和青少年进行为期6个月的OMT干预是一种可行的个性化干预。研究表明，测量仪器可以检测HRQoL随时间的变化，并指出有必要为FASD儿童开发一种专门的HRQoL评估工具，以便在未来的研究中应用。尽管观察到有希望的显著变化，但这些变化很可能不仅仅是由于OMT，在假设这些变化可能是由于整骨疗法治疗之前，还需要进一步的研究。

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引用次数: 0

A review of osteopathic and related manipulative treatments for improving symptoms of gastrointestinal distress in neurological disorders 整骨疗法及相关手法治疗改善神经系统疾病患者胃肠窘迫症状的综述

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-08 DOI: 10.1016/j.ijosm.2025.100766

Joseph Peters , Grant Runnels , Alexa Lauinger , Tanner Murphy , Abbey Griffith , Turner Slicho

Objective

To determine the clinical utility of osteopathic manipulative treatments (OMT) and related manual therapies for improving gastrointestinal distress in patients with neurological disorders (ND).

Methods

A database search through PubMed, Embase, Scopus, and Ovid was conducted to identify randomized and non-randomized clinical trials that analyzed the effects of OMT and related manual therapies on gut health in patients with ND. Two independent reviewers screened articles for inclusion and extracted information related to participant characteristics, intervention details, outcome measures, and significant outcomes. Methodological quality of eligible studies was assessed using the Standard Quality Assessment Criteria.

Results

Twelve studies (nine randomized controlled trials, two pre-post trials, and one non-randomized controlled trial) with a total of 516 individuals with ND were analyzed. All twelve studies showed improvements in symptoms of gastrointestinal distress following OMT and related treatments. Findings may be limited by methodological variability (i.e., heterogenous disability types, treatment modalities) and language exclusions.

Conclusion

Evidence suggests that OMT and related treatments are effective interventions for improving symptoms of gastrointestinal distress like constipation and abdominal pain. Future randomized controlled trials should examine the dose-response of OMT and microbiome changes associated with these treatments.

目的探讨骨科手法治疗（OMT）及相关手法治疗在改善神经性疾病（ND）患者胃肠不适中的临床应用价值。方法通过PubMed、Embase、Scopus和Ovid检索数据库，确定随机和非随机临床试验，分析OMT和相关手工治疗对ND患者肠道健康的影响。两名独立审稿人筛选了纳入的文章，并提取了与参与者特征、干预细节、结果测量和重要结果相关的信息。采用标准质量评价标准对合格研究的方法学质量进行评价。结果共分析了12项研究（9项随机对照试验、2项前后试验和1项非随机对照试验）共516例ND患者。所有12项研究均显示OMT及相关治疗后胃肠道窘迫症状有所改善。研究结果可能受到方法可变性（即异质残疾类型、治疗方式）和语言排除的限制。结论OMT及相关治疗是改善便秘、腹痛等胃肠道不适症状的有效干预措施。未来的随机对照试验应该检查OMT的剂量反应和与这些治疗相关的微生物组变化。

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引用次数: 0

Effects of osteopathic treatments in a patient who underwent two cardiac surgeries - A case report 整骨疗法对两次心脏手术患者的影响-一例报告

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-05 DOI: 10.1016/j.ijosm.2025.100765

Andrée Aubin , Joëlle Bekhazi , Alexandra Fortin , Anilyn Paradis , Chantal Morin

Introduction

Surgical scars often lead to pain and can impact function. The osteopathic approach could be a valuable care option, especially for patients who have not fully recovered their health after a reasonable recovery period, but the mechanisms of action remain unknown.

Objective

This study aims to describe how osteopathic interventions, guided by emerging models, can support the improvement of a patient's condition related to the consequences of thoracic surgeries.

Case description

A 56-year-old woman who underwent two thoracic cardiac surgeries (at 15 and 55 years old) post-endocarditis suffered, since the last surgery, from severe functional limitations (reduced respiratory amplitude, severe pain in the sternal region, difficulty lying on her back and stomach, lack of endurance when walking, poor sleep quality, limitations in daily activities) and presented with postural disturbances potentially related to these symptoms. There were hypoesthesias and sensitivity signs suggestive of pain catastrophizing.

Outcomes

Following initial evaluation, the patient received 4 one-hour osteopathic treatments. Four out of nine indicators of the Medical Outcome Study Short Form-60 (MOS SF-36) have improved: estimation of general health status, level of pain, general health indicator, and physical functioning. Pain decreased from 7 to 3/10 and walking distance increased to over 1.6 km.

Conclusion

Although post-surgical osteopathic interventions often involve scar tissue work to recover local tissue mobility or primarily musculoskeletal maneuvers, in this case, the interventions were guided by multiple models—including interoception, the biopsychosocial framework, and a patient-centered approach—to align with the patient's condition and recovery potential.

手术疤痕通常会导致疼痛并影响功能。整骨疗法可能是一种有价值的护理选择，特别是对于那些在合理的恢复期后尚未完全恢复健康的患者，但其作用机制尚不清楚。目的：本研究旨在描述在新兴模型的指导下，骨科干预如何支持改善与胸外科手术后果相关的患者状况。病例描述：一名56岁女性，因心内膜炎（15岁和55岁）接受了两次胸廓心脏手术，自上次手术以来，出现了严重的功能限制（呼吸幅度减小、胸骨区域剧烈疼痛、仰卧和俯卧困难、行走时缺乏耐力、睡眠质量差、日常活动受限），并出现了可能与这些症状相关的姿势障碍。有感觉减退和敏感迹象提示疼痛灾难。初步评估后，患者接受了4次1小时的整骨疗法。医学结果研究简表60 （MOS SF-36）的9项指标中有4项得到改善：一般健康状况、疼痛程度、一般健康指标和身体功能的估计。疼痛从7减少到3/10，步行距离增加到1.6公里以上。尽管术后骨科干预通常涉及疤痕组织工作以恢复局部组织活动或主要是肌肉骨骼活动，但在本病例中，干预是由多种模型指导的，包括内感受、生物心理社会框架和以患者为中心的方法，以配合患者的病情和恢复潜力。

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引用次数: 0

Effectiveness of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with oral Submucous Fibrosis: A study protocol for randomized clinical trial 软组织操作对口腔黏膜下纤维化患者浅咬肌和颞前肌功能和肌肉活动的影响：一项随机临床试验的研究方案

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-05-03 DOI: 10.1016/j.ijosm.2025.100764

Rohan Kumar Sahu , Preeti Garg , Deepak Gupta , Aditi Popli , Kanu Goyal , Manu Goyal

Background

Oral Submucous Fibrosis (OSMF) is a chronic, disabling disorder of oral cavity primarily marked by limited mouth opening (trismus) and rigid lips, cheeks and pharynx causing dysphagia and a burning sensation in the mouth.

Objective

To compare the efficacy of soft tissue manipulation on function and muscle activity of superficial masseter and anterior temporalis in patients with OSMF.

Material & methods

A total of 12 OSMF participants will be randomized in two groups i.e. Group 1- Soft tissue manipulation and Intralesional injection (STM + II), while Group 2 -Intralesional injection (II) only. Participants will receive one session per week for 6 weeks with the duration of 30–40 min per session. The mouth opening range, pain and muscle function will be assessed at the baseline and 6 weeks from baseline.

Result

Following normality determination appropriate within and between the group analysis will be performed to evaluate statistical significance and effect size and power of intervention will be computed.

Conclusion

This study will evaluate the efficacy of the STM in improving muscle function of superficial masseter and anterior temporalis in patients with OSMF.

Implications for practice

•
This study protocol deals with Oral Submucous Fibrosis (OSMF) patients having trismus more than 3 months, investigating the effectiveness of Soft Tissue Manipulation (STM) on function and muscle activity of superficial masseter and anterior temporalis muscle in patients with OSMF.
•
Very few studies have been conducted on the application of Osteopathic Manipulative Treatment for the management of temporomandibular dysfunctions but there isn't any published literature on this therapy's potential in cases with OSMF.

口腔黏膜下纤维化（OSMF）是一种慢性致残性口腔疾病，主要表现为张嘴受限（牙关），嘴唇、脸颊和咽部僵硬，导致吞咽困难和口腔灼烧感。目的比较软组织手法对OSMF患者浅咬肌和颞前肌功能及肌肉活动的影响。材料,方法12名OSMF参与者将被随机分为两组，即1组-软组织操作和局内注射（STM + II），而2组-局内注射（II）。参与者将在6周内每周接受一次训练，每次训练30-40分钟。将在基线和基线后6周评估张口范围、疼痛和肌肉功能。结果经正态性判定后，进行组内和组间分析，评价统计学显著性，计算干预的效应量和威力。结论本研究将评价STM对OSMF患者浅咬肌和颞前肌功能的改善效果。•本研究方案针对患有牙关超过3个月的口腔黏膜下纤维化（OSMF）患者，研究软组织操作（STM）对OSMF患者浅表咬肌和颞前肌功能和肌肉活动的影响。•很少有研究应用整骨疗法治疗颞下颌功能障碍，但没有任何已发表的文献关于该疗法在OSMF病例中的潜力。

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引用次数: 0

Placebo effects in osteopathy and other manual therapies – What they are and why they matter to clinical practice, education, and research 整骨疗法和其他手工疗法中的安慰剂效应-它们是什么以及为什么它们对临床实践、教育和研究很重要

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-04-17 DOI: 10.1016/j.ijosm.2025.100762

David Hohenschurz-Schmidt , Torsten Liem

Placebo effects are measurable changes in health outcomes arising from treatment context, driven by learning and expectancy mechanisms. While increasingly well documented and understood, their role in osteopathic and other manual therapies remains underexplored. Given the inherently complex and interpersonal nature of these interventions, understanding placebo and nocebo effects is essential for refining clinical practice, education, and research.

This narrative review synthesises current research on placebo mechanisms and their implications for osteopathic practice, education, and research. A non-systematic literature search was conducted using Google Scholar, structured by pre-defined learning outcomes, and prioritising high-quality studies and systematic reviews where available. Contradictory findings were sought and critically appraised to provide a balanced perspective.

Beginning with a historical overview and up-to-date summary of placebo-related concepts and mechanisms, the review highlights how expectancy, contextual factors, and psychobiological processes contribute to treatment effects in manual therapy. On this basis, the article advocates for a person-centred, biopsychosocial approach that leverages positive expectations while minimising nocebo effects. It also underscores the need for education models that incorporate placebo science to enhance clinical practice. Future research should prioritise well-designed efficacy trials, while also advancing knowledge of how expectancy and learning mechanisms influence treatment outcomes in manual therapies.

安慰剂效应是在学习和预期机制的驱动下，由治疗环境引起的可测量的健康结果变化。虽然越来越多的文献和理解，它们在整骨疗法和其他手工疗法中的作用仍未被充分探索。鉴于这些干预措施固有的复杂性和人际关系性质，了解安慰剂和反安慰剂效应对于改进临床实践、教育和研究至关重要。这篇叙述性综述综合了目前关于安慰剂机制的研究及其对整骨疗法实践、教育和研究的影响。使用谷歌Scholar进行非系统文献检索，该检索由预定义的学习成果构成，并优先考虑可用的高质量研究和系统综述。为了提供一个平衡的观点，我们寻求并批判性地评估了相互矛盾的发现。本文首先回顾了安慰剂相关概念和机制的历史概况和最新总结，重点介绍了预期、环境因素和心理生物学过程如何影响手工疗法的治疗效果。在此基础上，文章提倡以人为本的生物心理社会方法，利用积极的期望，同时最大限度地减少反安慰剂效应。它还强调了需要将安慰剂科学纳入教育模式，以加强临床实践。未来的研究应该优先考虑设计良好的疗效试验，同时也要推进关于期望和学习机制如何影响手工疗法治疗结果的知识。

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引用次数: 0

Is regression in lumbar disk herniation possible by spinal mobilization? A single-blind randomized controlled clinical study 腰椎间盘突出症可以通过脊柱活动恢复吗？一项单盲随机对照临床研究

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine

Pub Date : 2025-04-05 DOI: 10.1016/j.ijosm.2025.100760

Burhan Taşkaya , İsmail Taşkent , Mahmut Çakıllı , Öznur Tunca

Aims

This study aims to examine the impacts of spinal mobilization practices on herniation distance, disc height, and facet joint distance, as well as functional status, pain, range of motion (ROM), and flexibility in lumbar disc herniation (LDH) patients.

Methods

Thirty-two participants participated in the study, divided into an Intervention and Control Group. Radiological findings were evaluated by magnetic resonance imaging before and after the study. The Back Performance Scale, Visual Analogue Scale, The S, and The Sit and Reach Test were assessed before, after, and at three months. The control group received ten sessions of stabilization exercises for five weeks, two sessions per week. In the intervention group, spinal mobilization applications were applied in addition to stabilization exercises

Results

Intra-group analysis revealed significant reductions in herniation distance, increases in facet joint distance, pain alleviation, functional improvement, enhanced flexibility, and extended ROM in both groups (p < 0.05). Notably, a significant increase in disc height was observed exclusively in the Intervention Group (p < 0.05). Inter-group analysis revealed no significant differences between the groups post-intervention (p > 0.05).

Conclusion

Mobilization applications applied in LDH patients may have a positive effect on radiological findings, functional status, pain, ROM, and flexibility.

ClinicalTrials.gov Identifier

NCT05753579 (03.02.2023)

目的：本研究旨在探讨脊柱活动训练对腰椎间盘突出症（LDH）患者的突出距离、椎间盘高度、关节突关节距离以及功能状态、疼痛、活动范围（ROM）和柔韧性的影响。方法32例被试分为干预组和对照组。在研究前后通过磁共振成像评估放射学表现。在三个月前、三个月后和三个月时分别对背部表现量表、视觉模拟量表、S量表和坐伸测试进行评估。对照组接受10次稳定训练，为期5周，每周2次。结果组间分析显示，两组患者的突出距离显著减少，关节突关节距离增加，疼痛减轻，功能改善，柔韧性增强，关节活动范围延长(p <；0.05)。值得注意的是，仅在干预组观察到椎间盘高度显著增加(p <；0.05)。组间分析显示干预后各组间无显著差异(p >；0.05)。结论在LDH患者中应用活动应用可能对放射学表现、功能状态、疼痛、ROM和柔韧性有积极影响。

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引用次数: 0