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Osteopathic Approach to a Patient with Recurring Low Back Pain following OMT results in Diagnosis of Underlying Gynecological Etiology: A Case Report 对一名反复腰痛患者采取整骨疗法后,诊断出其潜在的妇科病因:病例报告
Q4 Health Professions Pub Date : 2024-03-01 DOI: 10.53702/i2375-5717-34.1.25
Murray R. Berkowitz
This case report describes the occurrence of acute low back pain, and the application of Osteopathic Manipulative Treatment techniques (OMT) initially resulting in resolution of the patient's presenting symptoms. When OMT is successful in resolving the patient's symptoms, this usually supports a musculoskeletal etiology; however, when confronted with recurrence of symptoms despite repeated successful resolution of these symptoms with OMT, the physician should suspect an organic etiology. This case demonstrates the importance of the osteopathic physician understanding viscerosomatic dysfunctions and the efficacy of the osteopathic approach to arriving at correct diagnoses. Of note, the osteopathic approach to a patient with recurring low back pain following OMT resulted in diagnosis of the underlying gynecological organic etiology for this patient's symptoms.
本病例报告描述了急性腰背痛的发生,以及应用整骨推拿治疗技术(OMT)最初导致患者症状缓解的情况。当整骨疗法成功缓解患者症状时,通常支持肌肉骨骼病因;然而,当整骨疗法多次成功缓解症状但症状复发时,医生应怀疑是器质性病因。本病例表明了整骨疗法医生了解内脏功能障碍的重要性,以及整骨疗法在得出正确诊断方面的功效。值得注意的是,在对一名腰痛反复发作的患者进行整骨疗法后,该患者的症状被诊断为潜在的妇科器质性病因。
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引用次数: 0
Simplicity of Osteopathy 整骨疗法的简易性
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.12
Harrison H. Fryette
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引用次数: 0
An Osteopathic Approach to Vertigo with Galbreath Technique: A Case Report 使用 Galbreath 技术治疗眩晕的整骨疗法:病例报告
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.34
Samantha Hurrle, Olivia Matz, Carolyn Vo, Drew D. Lewis
Vertigo is a symptom with a wide range of etiologies as diverse as the patients it affects. The wide spectrum of etiologies can make a diagnosis difficult and therefore delay definitive treatment. The diagnosis is not commonly linked to somatic dysfunctions, however these somatic dysfunctions may be contributing to or causing a problem altogether. This case highlights the importance of investigating for somatic dysfunctions related to a patient’s presentation. A 73-year-old female presented with a history of vertigo and a current feeling of fullness and ringing in her ears. She was found to have significant Eustachian tube dysfunction related to her condition. An osteopathic approach with emphasis on the Galbreath technique was utilized to relieve her ear symptoms and decrease her ongoing episodes of vertigo.
眩晕是一种病因广泛的症状,其影响的患者多种多样。广泛的病因可能使诊断困难,因此延误最终治疗。诊断通常与躯体功能障碍无关,然而,这些躯体功能障碍可能会导致或导致一个问题。本病例强调了调查与患者表现相关的躯体功能障碍的重要性。一名73岁女性,有眩晕史,当前感觉充盈,耳鸣。她被发现有明显的与她的病情相关的咽鼓管功能障碍。采用整骨疗法,重点是Galbreath技术,以缓解她的耳部症状,减少她持续发作的眩晕。
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引用次数: 0
Head Pain 头部疼痛
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.14
Herbert C. Miller
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引用次数: 0
Osteopathic Manipulative Treatment to Treat Patients with Long-Haul COVID Loss of Smell and Taste: A Report of Four Cases 整骨疗法治疗长期 COVID 嗅觉和味觉丧失患者:四例病例报告
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.23
Murray R. Berkowitz
Four cases of patients with Long COVID symptoms of loss of the sense of smell and sense of taste are presented. They differ from the findings in the published case record of anosmia and loss of taste in Magoun. Osteopathic examination revealed flexion and extension of the occiput. No flexion or extension motion of the sphenoid was appreciated. A novel application of the underlying concepts of Osteopathic Cranial Manipulative Medicine is described. This approach resulted in a rapid resolution of the symptoms of loss of the senses of smell and taste, which have persisted for more than a year. An hypothesis for a possible mechanism of the pathophysiology is advanced. The olfactory nerve (CN I) lies on the cribriform plate of the ethmoid bone. When the inflamed sphenoid flexes, becoming stuck down forward on the cribriform plate of an inflamed ethmoid. This may have resulted in impingement of CN I, which then resulted further in anosmia (loss of smell) and concomitant loss of taste.
本文报道了4例以嗅觉和味觉丧失为症状的长冠肺炎患者。他们的发现不同于发表在Magoun的嗅觉缺失和味觉丧失的病例记录。整骨检查显示枕部屈伸。没有观察到蝶骨的屈伸运动。一个新的应用的潜在概念骨科颅操作医学描述。这种方法导致了嗅觉和味觉丧失症状的快速解决,这种症状持续了一年多。提出了可能的病理生理机制假说。嗅神经(CN I)位于筛骨筛网板上。当发炎的蝶骨屈曲时,被卡在发炎的筛孔板上。这可能导致CN I受损,然后进一步导致嗅觉缺失(嗅觉丧失)和伴随的味觉丧失。
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引用次数: 0
Osteopathic Manipulative Treatment for the Management of Irritable Bowel Syndrome: A Case Report 治疗肠易激综合征的整骨疗法:病例报告
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.27
Katherine Heineman
Irritable bowel syndrome (IBS) is one of the most common disorders of the gastrointestinal system, occurring in 10-20% of the general population.1,2,3 IBS is associated with heavy social and economic costs in the United States, as it results in the second highest cause of work absenteeism and accounts for 25-50% percent of all gastroenterology referrals.1,4 IBS is characterized by recurrent abdominal pain or discomfort and bowel dysfunction as diarrhea, constipation or both, in the absence of any organic cause.3,5,6,7 The pathophysiology of IBS appears multifactorial, although current focus for an understanding of the disease process is on alteration of gastrointestinal motility, visceral hypersensitivity and dysregulation of the brain-gut axis between the autonomic nervous system (ANS) and the enteric nervous system (ENS).6,8 The lack of full understanding of the pathophysiologic processes of IBS means current management options are often ineffective and unreliable, leaving patients with frustrating and sometimes disabling symptoms.2,7 An osteopathic approach using osteopathic manipulative treatment (OMT) to address symptoms related to IBS is an under-explored treatment option. The use of OMT within a treatment plan offers the ability to address manifestations of visceral and somatic dysfunctions unique to each patient. This case report outlines a successful osteopathic manipulative treatment course for a patient suffering from IBS symptoms. Randomized controlled trials (RCTs) for the use of OMT on patients with IBS in the current literature are also reviewed below and provide further preliminary evidence that OMT may be effective in managing IBS symptoms.2,5,7,9,11
肠易激综合征(IBS)是胃肠道系统最常见的疾病之一,发生在10-20%的普通人群中。在美国,肠易激综合征与沉重的社会和经济成本有关,因为它是导致缺勤的第二大原因,占所有胃肠病学转诊的25-50%。IBS的特征是反复腹痛或不适,以及腹泻、便秘或两者兼而有之的肠道功能障碍,没有任何器质性原因。3,5,6,7 IBS的病理生理似乎是多因素的,尽管目前对该疾病过程的理解重点是胃肠道运动的改变、内脏过敏和自主神经系统(ANS)和肠神经系统(ENS)之间的脑-肠轴的失调。6,8缺乏对肠易激综合征病理生理过程的充分了解意味着目前的治疗方案往往是无效和不可靠的,使患者感到沮丧,有时致残症状。2,7使用整骨疗法手法治疗(OMT)来解决IBS相关症状是一种未被充分探索的治疗选择。在治疗计划中使用OMT提供了解决每个患者独特的内脏和躯体功能障碍表现的能力。本病例报告概述了一个成功的整骨手法治疗过程的病人患有肠易激综合征的症状。下面也回顾了目前文献中关于肠易激综合征患者使用OMT的随机对照试验(RCTs),并提供了进一步的初步证据,证明OMT可能对控制肠易激综合征有效
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引用次数: 0
Book Review: The Placebo Effect in Manual Therapy 书评:手法治疗中的安慰剂效应
Q4 Health Professions Pub Date : 2023-12-01 DOI: 10.53702/i2375-5717-33.4.9
Theodore Jordan
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引用次数: 0
Dermal Reflections of Neural Disorders: An Hypothesis 神经疾病的皮肤反射:一个假说
Q4 Health Professions Pub Date : 2023-08-21 DOI: 10.53702/i2375-5717-33.3.7
David A. Patriquin
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引用次数: 0
Case History #4 病例记录#4
Q4 Health Professions Pub Date : 2023-08-21 DOI: 10.53702/i2375-5717-33.3.25
David Coffey
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引用次数: 0
The Use of Osteopathic Manipulative Treatment for Treatment of Sore Throat, Headache, and Facial Pain: A Case Report 运用整骨手法治疗咽喉痛、头痛、面部疼痛:1例报告
Q4 Health Professions Pub Date : 2023-08-21 DOI: 10.53702/i2375-5717-33.3.21
Murray R. Berkowitz
This case report describes the unusual occurrence of acute sinusitis without cervical lymphadenopathy and the application of Osteopathic Manipulative Medicine to treatment of the ensuing somatic dysfunctions. Osteopathic Manipulative Treatment techniques normalize the somatic dysfunctions and result in resolution of the patient’s presenting symptoms. Of note, normalization of the SBS torsion appeared to spontaneously resolve the sacral dysfunction in this patient.
本病例报告描述了罕见的急性鼻窦炎无颈部淋巴结病变和应用整骨手法医学治疗随之而来的躯体功能障碍。整骨疗法手法治疗技术使躯体功能障碍正常化,并使患者的症状得到解决。值得注意的是,SBS扭转的正常化似乎自发地解决了该患者的骶骨功能障碍。
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引用次数: 0
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