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Osteopathic Approach to the Voice 骨科治疗嗓音的方法
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.34
Sajid A. Surve
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引用次数: 0
Increased Alertness in Comatose Patient After Osteopathic Manipulative Treatment: A Case Report 骨科手法治疗后昏迷患者的警觉性提高:病例报告
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.52
April E. Garcia, Kaelen Kay, Matthew X. Perera, Eric S. Martinez, Stella Onyi, Bobby Nourani, Brian Loveless
There are very few reports regarding the use of osteopathic manipulative treatment (OMT) in the intensive care unit (ICU) setting for a comatose patient. This case report presents an instance where OMT was implemented after the patient remained comatose for 18 days and was being considered for terminal weaning due to their prolonged unconsciousness. The patient’s prolonged comatose state caused concerns about irreversible neurological damage, and as such, end-of-life decisions were being considered. OMT was administered in an effort to stimulate the patient’s alertness and reduce the patient’s allostatic load. The patient regained consciousness within ten hours after OMT was administered, suggesting a potentially significant role for OMT in the patient’s recovery. This case underscores the potential for OMT to be used in the ICU as a safe and feasible approach to enhance patient outcomes. Although only a single example of effective treatment, the results of this case study suggest that further research into the role of OMT in comatose patient recovery and OMT’s broader implications in critical care are warranted.
关于在重症监护室(ICU)环境中对昏迷患者使用整骨疗法(OMT)的报道寥寥无几。本病例报告介绍了在患者昏迷 18 天后,由于其昏迷时间过长,考虑对其进行终末期断流治疗时使用整骨疗法的一个实例。患者的长期昏迷状态引起了对不可逆转的神经损伤的担忧,因此正在考虑生命终结的决定。为了刺激病人的警觉性并减轻病人的异位负荷,对其实施了局部麻醉。在实施 OMT 治疗后 10 小时内,患者恢复了意识,这表明 OMT 在患者的康复过程中可能发挥了重要作用。该病例强调了在重症监护病房使用 OMT 作为一种安全可行的方法来改善患者预后的潜力。虽然这只是一个有效治疗的实例,但本病例研究的结果表明,有必要进一步研究 OMT 在昏迷患者康复中的作用以及 OMT 在重症监护中的广泛意义。
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引用次数: 0
LBORC-NUFA Poster Abstracts 2024: Clinician & Residents LBORC-NUFA 2024 年海报摘要:临床医师和住院医师
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.7
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引用次数: 0
LBORC-NUFA Poster Abstracts 2024: Students LBORC-NUFA 2024 年海报摘要:学生
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.16
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引用次数: 0
Successful Treatment using OMT for Chronic GERD in a Pediatric Patient 使用 OMT 成功治疗一名儿科患者的慢性胃食管反流病
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.64
Shadi Shams, Mujtaba M. Chohan, Alexander King
Gastroesophageal Reflux Disease (GERD) is a highly prevalent gastrointestinal motility disorder affecting 10% to 20% of children in the United States. Many patients affected by this disorder are medically managed with proton pump inhibitors (PPI) and H2 receptor antagonists for prolonged durations. Here we present a pediatric patient with GERD refractory to chronic use of PPI. The patient received Osteopathic Manipulative Treatment (OMT) and had close follow-ups over 5 years. The patient reported significant relief in symptoms and improved daily performance within weeks of treatment. His symptoms are now being fully controlled by OMT without regular medication. This case report illustrates the advantages of utilizing OMT in the pediatric population.
胃食管反流病(GERD)是一种高发的胃肠道运动障碍疾病,影响着美国 10% 到 20% 的儿童。许多胃食管反流病患者长期服用质子泵抑制剂(PPI)和 H2 受体拮抗剂。在此,我们介绍一位因长期使用质子泵抑制剂而难治的胃食管反流病儿科患者。患者接受了骨科手法治疗(OMT),并进行了长达 5 年的密切随访。治疗后数周内,患者症状明显缓解,日常表现也有所改善。目前,他的症状已完全被 OMT 控制,无需定期服药。本病例报告说明了在儿科人群中使用 OMT 的优势。
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引用次数: 0
An Alternative Approach to Median Arcuate Ligament Syndrome 治疗正中弓形韧带综合征的另一种方法
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.58
Elizabeth Geyer-Roberts, Jill Wallace-Ross
Median arcuate ligament syndrome (MALS) is a rare anatomical anomaly where the median arcuate ligament is too inferior in origin and causes compression of the celiac artery and plexus. Due to the nerve compression, patients with MALS commonly experience other pathologies such as postural orthostatic tachycardia syndrome (POTS), and gastroparesis. These patients often experience dizziness, lightheadedness, syncope, abdominal pain, vomiting, and nausea. This case report follows a 23-year-old female with MALS, POTS, and gastroparesis who was wheelchair bound due to her intense syncopal and pain episodes. After 4 treatments of osteopathic manipulative treatment (OMT) involving visceral techniques to increase bowel movements, as well as treatment of the origin and insertion of the median arcuate ligament, this patient had a substantial decrease in symptoms which allowed for a drastic increase in mobility and quality of life.
正中弓状韧带综合征(MALS)是一种罕见的解剖异常,即正中弓状韧带起源过于低位,导致腹腔动脉和神经丛受压。由于神经受压,MALS 患者通常会出现其他病症,如体位性正位性心动过速综合征(POTS)和胃痉挛。这些患者通常会出现头晕、头昏、晕厥、腹痛、呕吐和恶心等症状。本病例报告的患者是一名 23 岁的女性,患有 MALS、POTS 和胃瘫,由于强烈的晕厥和疼痛发作,她只能坐在轮椅上。经过 4 次骨科手法治疗(OMT)(包括内脏技术以增加肠蠕动)以及正中弓状韧带起源和插入治疗后,该患者的症状大幅减轻,活动能力和生活质量也显著提高。
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引用次数: 0
The osteopathic concept after a century 一个世纪后的骨科理念
Q4 Health Professions Pub Date : 2024-06-01 DOI: 10.53702/i2375-5717-34.2.48
Andrew S. Mackenzie
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引用次数: 0
Arctic Medicine 北极医学
Q4 Health Professions Pub Date : 2024-03-01 DOI: 10.53702/i2375-5717-34.1.8
Bengaard Katrine
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引用次数: 0
An osteopathic approach for a patient with sequela after treatment for a cheek squamous cell carcinoma 采用整骨疗法治疗一名颊鳞癌后遗症患者
Q4 Health Professions Pub Date : 2024-03-01 DOI: 10.53702/i2375-5717-34.1.37
Brianne L. Wehner, Ritu Calla
Surgical and radiation treatment for head and neck cancer are associated with both chronic and acute pain. While traditional treatment options, commonly antiepileptics and opioids, can be effective, many patients may still experience significant and debilitating pain. This case report describes a 61-year-old woman with a past medical history of spindle type squamous cell carcinoma in the left cheek that metastasized to the left parotid and submandibular glands. She was treated with surgical excision followed by radiation. She presented to the Osteopathic Manipulative Medicine clinic with the complaint of severe left sided facial pain, and limited range of motion that resolved with osteopathic manipulation.
头颈部癌症的手术和放射治疗都会引起慢性和急性疼痛。虽然传统的治疗方法(通常是抗癫痫药和阿片类药物)可能有效,但许多患者仍可能经历明显的、使人衰弱的疼痛。本病例报告描述的是一名 61 岁女性,既往病史为左颊纺锤型鳞状细胞癌,并转移至左侧腮腺和颌下腺。她接受了手术切除和放射治疗。她来到整骨疗法诊所就诊,主诉左侧面部剧烈疼痛,活动范围受限,经整骨疗法治疗后缓解。
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引用次数: 0
The Use of Osteopathic Manipulative Treatment for a Case of Cervical Radiculopathy 使用整骨疗法治疗一例颈椎病病例
Q4 Health Professions Pub Date : 2024-03-01 DOI: 10.53702/i2375-5717-34.1.31
Katherine Heineman
Cervical radiculopathy is a clinical condition related to dysfunction of the cervical spinal nerve roots. Signs and symptoms include unilateral neck, shoulder, or arm pain; paresthesias of the arm, forearm or hand; diminished muscle tendon reflexes, sensory disturbances; and/or muscle weakness. Cervical radiculopathy is primarily a clinical diagnosis with patients reporting a varying degree of pain and/or neurologic dysfunction along a nerve root distribution. In addition to a thorough history, a detailed physical exam including muscle strength testing, deep tendon reflex testing and sensory testing should be performed to determine the nerve root involved and to further help determine a course of action for the patient. The current case report demonstrates the impact of a somatic dysfunction component on underlying pathology of cervical spondylosis, likely driving the symptomatic component of cervical radiculopathy. By eliminating the somatic dysfunction components with the use of osteopathic manipulative treatment, the patient's system was able to function maximally within existing structural limitations and the symptoms resolved.
颈椎病是一种与颈椎神经根功能障碍有关的临床症状。体征和症状包括单侧颈部、肩部或手臂疼痛;手臂、前臂或手部麻痹;肌腱反射减弱、感觉障碍和/或肌无力。颈椎病主要是一种临床诊断,患者会报告沿神经根分布的不同程度的疼痛和/或神经功能障碍。除了详尽的病史外,还应进行详细的体格检查,包括肌力测试、深部肌腱反射测试和感觉测试,以确定涉及的神经根,并进一步帮助确定患者的治疗方案。本病例报告显示了躯体功能障碍对颈椎病潜在病理的影响,这很可能是颈椎病症状的驱动因素。通过使用整骨疗法消除躯体功能障碍,患者的系统能够在现有的结构限制下发挥最大功能,症状也得到了缓解。
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引用次数: 0
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