Journal of chiropractic medicine最新文献_第4页

Short-Term Effect of Percussive Massage Therapy for Chronic Neck Pain Patients With Active Myofascial Trigger Points: A Randomized Trial 冲击按摩治疗肌筋膜触发点活跃的慢性颈痛患者的短期疗效：一项随机试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jcm.2025.09.016

Pattanasin Areeudomwong PhD, Manasiri Kunawuttitrakul BPT, Nisakarn Khumpeera BPT, Nicharee Unanon BPT, Sujittra Kluayhomthong PhD, Vitsarut Buttagat PhD

Objective

The purpose of this study was to evaluate the short-term effects of percussive massage therapy (PMT) on clinical parameters in patients with chronic neck pain (CNP) with upper trapezius active myofascial trigger points (AMTrPs).

Methods

Fifty patients with CNP with upper trapezius AMTrPs were randomized equally to a PMT group and a neck and shoulder stretching (NS) group for six 5-minute sessions over 3 weeks. Resting pain intensity (RPI), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (ROM), and global perceived effect (GPE) were assessed at baseline, immediately after the first session, and after the 3-week intervention.

Results

The groups did not differ significantly in RPI or GPE (P > .05); however, the NS group outperformed the PMT group in immediate GPE reduction (P < .01). The PMT and NS groups showed improvements in these outcomes from baseline (P < .05). Both groups exhibited improved NDI after the intervention (P < .001), whereas the NS group showed a substantial reduction in PPT during the follow-up (P < .001). The PMT group showed greater neck ROM, except for flexion and right rotation, than the NS group (P < .05). Both groups showed similar improvements in neck flexion and right rotation during follow-up (P < .05).

Conclusion

PMT and NS improved RPI, neck disability, neck flexion and right rotation, and patient satisfaction in patients with CNP with upper trapezius AMTrPs. The PMT group exhibited greater improvement in other neck movements.

目的探讨冲击按摩疗法（PMT）对上斜方肌活动性肌膜触发点（AMTrPs）慢性颈痛（CNP）患者临床参数的短期影响。方法将50例伴有上斜方肌AMTrPs的CNP患者随机分为PMT组和颈肩拉伸组，每组5分钟，为期3周。静息疼痛强度（RPI）、疼痛压力阈值（PPT）、颈部残疾指数（NDI）、颈部活动范围（ROM）和整体感知效应（GPE）分别在基线、第一次治疗后和3周干预后进行评估。结果两组RPI、GPE差异无统计学意义（P > 0.05）；然而，NS组在GPE立即降低方面优于PMT组（P < 0.01）。PMT组和NS组的这些结果较基线有所改善（P < 0.05）。两组在干预后均表现出改善的NDI (P < .001)，而NS组在随访期间表现出显著降低的PPT （P < .001）。除屈曲和右旋外，PMT组颈部活动度高于NS组（P < 0.05）。随访期间，两组患者颈部屈曲和右旋均有相似改善（P < 0.05）。结论pmt和NS可改善颈侧斜方肌AMTrPs合并CNP患者的RPI、颈部功能障碍、颈部屈曲和右旋以及患者满意度。PMT组在其他颈部运动方面表现出更大的改善。

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引用次数: 0

Failed Back Surgery Syndrome Patients Undergoing Flexion Distraction Chiropractic Treatment: A Case Series 失败的背部手术综合征患者接受屈曲牵引捏脊治疗：一个案例系列

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-09-07 DOI: 10.1016/j.jcm.2025.08.004

Ralph A. Kruse Jr. DC , Bret A. White DC , Casey J. Rogers DC , Jason Klamson BA , Maruti R. Gudavalli PhD

Objective

The purpose of this case series is to describe the outcomes of chiropractic therapy using Cox technic flexion distraction decompression spinal manipulation for patients with cervical and lumbar failed back surgery syndrome (FBSS) who were experiencing pain in the areas where they had previously undergone surgery.

Methods

This case series includes clinical outcome measures from 61 patients with FBSS treated by 21 certified Cox Doctors of Chiropractic from multiple clinic locations. Primary outcomes were pain severity and function, assessed using Patient-Reported Outcomes Measurement System-29 v1.0, Neck Disability Index, and Numerical Pain Rating Scale (NPRS) questionnaires. Data were analyzed with SPSS software (version 28, IBM Corp). Demographic data were summarized with descriptive statistics. NPRS for neck pain was analyzed using the Friedman test. Repeated measures ANOVA was used to compare initial visit data with data at 3 and 12 months after the onset of care.

Results

The cohort received a mean (SD) of 12.9 (8.0) treatments over 56.3 (35.2) days. Pain relief reported by doctors was 67.2% (28.5%) and by patients was 65.9% (29.3%). Neck Disability Index scores had reduced by 6.4 (SD 6.9) and 2.67 (5.1) at 3 and 12 months, respectively. NPRS showed reduced pain for cervical and lumbar patients at 3 and 12 months. Patient-Reported Outcomes Measurement System-29 v1.0 scores improved in physical function, anxiety, depression, fatigue, pain interference, average pain, spine pain, leg and arm pain, sleep disturbance, and social roles.

Conclusion

Patients with FBSS who received specialized chiropractic flexion distraction spinal manipulation in this study experienced relief of pain and disability.

目的：本病例系列的目的是描述使用Cox技术屈曲牵张减压脊柱推拿治疗颈椎和腰椎手术失败综合征（FBSS）患者的结果，这些患者在之前接受过手术的区域出现疼痛。方法本病例系列包括61例FBSS患者的临床结果测量，这些患者由来自多个诊所的21名经过认证的考克斯脊椎指压医生治疗。主要结局为疼痛严重程度和功能，采用患者报告结局测量系统-29 v1.0、颈部残疾指数和数值疼痛评定量表（NPRS）问卷进行评估。数据分析采用SPSS软件（version 28, IBM Corp .）。人口统计数据用描述性统计进行汇总。采用Friedman检验分析NPRS对颈部疼痛的影响。采用重复测量方差分析（Repeated measures ANOVA）比较初次就诊资料与开始治疗后3个月和12个月的资料。结果该队列在56.3（35.2）天内接受了平均（SD） 12.9（8.0）次治疗。医生报告疼痛缓解的占67.2%(28.5%)，患者报告疼痛缓解的占65.9%（29.3%）。3个月和12个月时，颈部残疾指数评分分别下降6.4 （SD 6.9）和2.67 （SD 5.1）。NPRS显示颈椎和腰椎患者在3个月和12个月时疼痛减轻。患者报告的结果测量系统-29 v1.0评分在身体功能，焦虑，抑郁，疲劳，疼痛干扰，平均疼痛，脊柱疼痛，腿和手臂疼痛，睡眠障碍和社会角色方面得到改善。结论在本研究中，FBSS患者接受专门的捏脊屈曲牵引脊柱操作后，疼痛和残疾得到缓解。

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引用次数: 0

A Comparative Study on the Effects of the Whole-Body Vibration Training and Balance Exercise Program on the Muscle Geometry in the Patients With Chronic Nonspecific Low Back Pain: A Randomized Control Trial 全身振动训练与平衡训练方案对慢性非特异性腰痛患者肌肉几何形态影响的比较研究：随机对照试验

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-09-30 DOI: 10.1016/j.jcm.2025.08.019

Farahnaz Emami PhD , Amin Kordi Yoosefinejad PhD , Mohsen Razeghi PhD

Objective

The purpose of this study was to compare the effects of trunk balance exercise and whole-body vibration (WBV) training on the muscle dimensions of patients with chronic nonspecific low back pain (cNLBP).

Methods

Fifty patients with cNLBP were randomly assigned to either the trunk balance (n = 25) or the WBV (n = 25) group. Both groups performed the training exercises 3 times a week for 6 weeks. The geometry of bilateral abdominal and lumbar multifidus muscles was measured before and after the interventions using diagnostic ultrasound.

Results

Both interventions increased the dimensions of the abdominal and multifidus muscles during rest and contraction (P ≤ .001). There was no significant difference between the groups (P ≥ .08). Cohen’s d, the between-group effect size, was ≤0.68.

Conclusion

In a 6-week period, WBV training was as effective as trunk balance exercises at improving the muscle geometry in patients with cNLBP.

目的比较躯干平衡训练和全身振动（WBV）训练对慢性非特异性腰痛（cNLBP）患者肌肉尺寸的影响。方法50例cNLBP患者随机分为躯干平衡组（n = 25）和WBV组（n = 25）。两组每周进行3次训练，持续6周。在干预前后用诊断超声测量双侧腹部和腰椎多裂肌的几何形状。结果两种干预措施在休息和收缩时均增加了腹肌和多裂肌的尺寸（P≤0.001）。两组间差异无统计学意义（P≥0.08）。Cohen’s d，组间效应量，≤0.68。结论：在6周的时间内，WBV训练与躯干平衡训练在改善cNLBP患者肌肉几何形状方面同样有效。

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引用次数: 0

Describing Congruence Between ICD-10 Coding and Medical Record Text in Veterans Health Administration Chiropractic Notes 描述退伍军人健康管理脊医笔记中ICD-10编码与病历文本的一致性

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-04 DOI: 10.1016/j.jcm.2025.08.014

Nikhil Sharma DC , Sarah E. Graham DC, MPH , Anna R. Sites MSN, RN , Brian C. Coleman DC, MHS , Anthony J. Lisi DC

Objective

The purpose of this study was to describe the congruence between International Classification of Diseases, 10th Ed (ICD-10) codes and documented text diagnoses from chiropractic notes in the Veterans Health Administration (VHA).

Methods

This was a cross-sectional analysis of VHA national administrative data. We randomly sampled 1000 on-station VHA chiropractic visits occurring from October 1, 2017, and September 30, 2018 from patients with no such visits within the prior 12 months. ICD-10 and documented text diagnoses were extracted and mapped to 10 defined categories based on body region, presence of radiculopathy, nonspecific musculoskeletal conditions, and nonmusculoskeletal conditions. A rating system evaluated the congruence between ICD-10 and text diagnoses.

Results

Of the 978 identified and abstracted notes, ICD-10 and text diagnoses were perfectly congruent in 441 (45.1%). With cases of partial congruence, ICD-10 codes contained less detail/fewer conditions than text in 194 (19.8%) and contained more detail/more conditions than text in 178 (18.2%). Mixed findings were present in 101 cases (10.3%), with ICD-10 and text both containing diagnoses not found in the other. Lastly, there were 64 cases (6.5%) where the 2 groups had no degree of congruence.

Conclusion

VHA chiropractic diagnostic coding and text documentation shows considerable congruence with variability in diagnostic detail. This provides a foundation for further study that may ultimately improve the quality of these data for clinical, research, and administrative uses.

目的探讨《国际疾病分类》第10版（ICD-10）编码与退伍军人健康管理局（VHA）脊椎指压治疗记录文本诊断的一致性。方法对VHA国家行政数据进行横断面分析。我们随机抽取了2017年10月1日至2018年9月30日期间1000例现场VHA整脊治疗就诊的患者，这些患者在过去12个月内没有此类就诊。提取ICD-10和记录的文本诊断，并根据身体区域、神经根病的存在、非特异性肌肉骨骼疾病和非肌肉骨骼疾病，将其映射到10个定义的类别。评分系统评估ICD-10和文本诊断之间的一致性。结果在978份被识别和摘录的笔记中，有441份（45.1%）的ICD-10诊断与文本诊断完全一致。在部分一致的情况下，ICD-10编码包含的细节/条件比文本少194例（19.8%），包含的细节/条件比文本多178例（18.2%）。101例（10.3%）出现混合结果，ICD-10和文本均包含未在其他病例中发现的诊断。最后，有64例（6.5%）两组没有程度的一致性。结论vha捏脊诊断编码和文献资料在诊断细节上具有一定的一致性和可变性。这为进一步的研究奠定了基础，这些研究可能最终提高临床、研究和管理使用这些数据的质量。

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引用次数: 0

Chiropractic Management of a Migraine With Aura in a 28-Year-Old Female Using a Multimodal Approach: A Case Report 一名28岁女性用多模式方法治疗先兆偏头痛的整脊治疗：一例报告

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-07 DOI: 10.1016/j.jcm.2025.09.005

Adam J. McRoberts DC, MA, MS

Objective

The purpose of this report was to describe a chiropractic multimodal treatment approach for a patient with a migraine headache.

Clinical Features

A 28-year-old woman with a 14-year history of migraines presented with symptoms of visual disturbances with head and neck pain.

Intervention and Outcome

A multimodal approach of chiropractic care, including chiropractic manipulative therapy and soft tissue therapy for suboccipital, levator scapula, and trapezius muscles, was used. Treatment included 2 visits that were spaced 2 days apart. Based on patient-reported symptoms, the clinician observed clinical improvement and no additional migraine symptoms. Seven months after the initiation of chiropractic care, the patient reported no migraine episodes.

Conclusion

A nonpharmacologic chiropractic approach employing multiple therapies resulted in observable clinical progress for a patient who reported migraine with aura symptoms.

目的：本报告的目的是描述一种治疗偏头痛患者的捏脊多模式治疗方法。临床特征：28岁女性，偏头痛14年病史，表现为视觉障碍伴头颈部疼痛。干预和结果采用多模式捏脊治疗方法，包括捏脊手法治疗和枕下肌、肩胛骨提肌和斜方肌的软组织治疗。治疗包括两次访问，间隔2天。根据患者报告的症状，临床医生观察到临床改善，没有额外的偏头痛症状。开始整脊治疗七个月后，患者报告没有偏头痛发作。结论对一例伴有先兆症状的偏头痛患者，采用非药物捏脊方法，采用多种治疗方法，取得了明显的临床进展。

引用次数: 0

Whole Plant Cannabinoid Nonpharmaceutical Treatment Protocols for a Young Male With Dravet Syndrome 全植物大麻素非药物治疗方案的年轻男性与德拉韦综合征

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-09 DOI: 10.1016/j.jcm.2025.09.014

Trent Jones DC , Jake Halverson DC, DACBR , Norman Kettner DC, DACBR

Objective

This case report describes the outcomes of a novel, conservative approach for a young male patient with Dravet syndrome, which is a genetic epileptic encephalopathy resulting in frequent and recalcitrant seizures and developmental delays.

Clinical Features

A male infant began to experience seizures before 7 months of age, and genetic testing revealed an SCN1A mutation, confirming the diagnosis of Dravet syndrome. At age 7, despite standard polypharmacy consisting of antibiotics, steroids, and antiepileptic drugs, he continued to suffer from approximately 25 to 28 daily tonic-clonic refractory seizures.

Intervention and Outcome

The clinical objective was to restore the function of the endocannabinoid system by integrating very low-dose, whole-plant extracted, naturally chiral, hemp-derived phytocannabinoid formulations, and broad environmental and dietary modifications. Within the first week of treatment, the patient had only 1 to 2 mild seizures per day. Four years later, all pharmaceuticals were discontinued, and by age 12, the patient’s daily hemp formulation was reduced to as-needed status. At the time of this writing, the patient was 16 years of age and had an average of 7 to 10 very mild petit mal seizures per month. The whole plant hemp formulations generated no observable side effects.

Conclusion

This case study demonstrates conservative comanagement of a patient with a catastrophic seizure disorder using novel nonpharmaceutical comanagement strategies.

目的：本病例报告描述了一种新颖的保守方法治疗年轻男性Dravet综合征的结果，Dravet综合征是一种遗传性癫痫性脑病，导致频繁和顽固性癫痫发作和发育迟缓。临床特征：一名男婴在7个月前开始出现癫痫发作，基因检测显示SCN1A突变，证实了Dravet综合征的诊断。7岁时，尽管使用了标准的抗生素、类固醇和抗癫痫药物，他仍然每天遭受大约25至28次强直-阵挛性难治性癫痫发作。干预和结果：临床目标是通过整合低剂量、全植物提取、天然手性、大麻衍生的植物大麻素配方以及广泛的环境和饮食改变来恢复内源性大麻素系统的功能。在治疗的第一周内，患者每天只有1至2次轻度癫痫发作。四年后，所有药物停用，到12岁时，患者的每日大麻制剂减少到按需状态。在撰写本文时，患者16岁，平均每月有7至10次非常轻微的小癫痫发作。整个植物大麻配方产生没有明显的副作用。结论：本病例研究展示了使用新颖的非药物管理策略对灾难性癫痫发作障碍患者的保守管理。

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引用次数: 0

Effects of Sound Frequencies on Pain and Comfort During Intramuscular Injection: A Randomized Controlled Study 声音频率对肌肉注射疼痛和舒适的影响：一项随机对照研究

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-11 DOI: 10.1016/j.jcm.2025.09.010

Saeed Mohammadi MD , Ebrahim Ezzati PhD , Rooghaye Mahooti Bs , Fatemeh Kavyannejad Bs , Rasoul Kavyannejad PhD

Objective

The present study aimed to evaluate the effects of sound frequencies on pain induced by intramuscular injection (IMI).

Methods

This was a double-blind study involving IMI candidates who were randomly divided into 10 equal groups, including intervention, inactive, and control groups (30 patients per group). In the intervention groups, patients received sound stimulation at frequencies ranging from 10 to 200 Hz at 50 dB during IMI. No sound stimulation was provided in the control and inactive groups. Pain and comfort levels were assessed using a visual analog scale, along with monitoring changes in blood pressure and heart rate.

Results

The study results indicated that as sound frequency increased, pain levels decreased compared to the control and inactive groups. The reduction in pain and increase in comfort scores were most significant at frequencies of 150 and 200 Hz. Tachycardia intensity at 150 and 200 Hz was significantly lower than in the inactive and 10 Hz groups. The increase in systolic blood pressure at frequencies of 40 to 200 Hz was significantly lower than in the inactive group, and also at 200 Hz compared to the control and 10 to 50 Hz groups. Additionally, diastolic blood pressure at 200 Hz was significantly lower than in the control, inactive, and 10 to 50 Hz groups.

Conclusion

The study concluded that sound can reduced IMI pain, as well as postinjection changes in blood pressure and heart rate. This nonpharmacological and noninvasive intervention demonstrated greater changes at higher frequencies.

目的探讨不同声频对肌内注射（IMI）所致疼痛的影响。方法本研究采用双盲方法，将IMI患者随机分为10组，包括干预组、非活动组和对照组（每组30例）。在干预组中，患者在IMI期间接受频率为10至200 Hz，频率为50 dB的声音刺激。对照组和非活动组不给予声音刺激。使用视觉模拟量表评估疼痛和舒适程度，同时监测血压和心率的变化。结果研究结果表明，与对照组和不活动组相比，随着声音频率的增加，疼痛程度降低。疼痛的减轻和舒适评分的增加在150和200赫兹的频率下最为显著。150和200 Hz时的心动过速强度明显低于不活动组和10 Hz组。在40至200赫兹频率下，收缩压的增加明显低于不活动组，也低于200赫兹频率下的对照组和10至50赫兹组。此外，200 Hz时的舒张压明显低于对照组、不活动组和10至50 Hz组。结论：声音可以减轻IMI疼痛，以及注射后血压和心率的变化。这种非药物和非侵入性干预在更高的频率下显示出更大的变化。

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引用次数: 0

Evaluation and Association of Core Muscle Endurance, Shoulder Range of Motion and Strength in Subjects With Shoulder Pain 肩痛患者核心肌耐力、肩部活动范围和力量的评估与关联

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-16 DOI: 10.1016/j.jcm.2025.09.031

Milone Savla MPT, Charu Eapen PhD, Ashish John Prabhakar PhD

Objective

The study aimed to assess the endurance of core muscles, shoulder range of motion (ROM), strength, and disability in subjects with and without shoulder pain. A secondary aim was to determine a possible connection between core muscle endurance and shoulder pain, along with related variables.

Methods

This cross-sectional study evaluated 50 subjects with shoulder pain (54.60 ± 12.17 years) and 50 without shoulder pain (53.86 ± 12.08 years). Core muscle endurance was assessed using the flexor endurance test and the prone bridge. Shoulder ROM, strength, scapula strength, and SPADI were evaluated.

Results

The mean duration of shoulder pain was 13.77 months. Subjects with shoulder pain had significantly reduced core muscle endurance (P < .001), shoulder strength (P < .001), scapula elevator and depressor muscle strength (P < .05), and passive ROM (P < .05). Correlation was found between core muscle endurance and shoulder muscle strength (r = 0.50; P < .05).

Conclusion

Reduced core muscle endurance was strongly linked to shoulder muscle strength in individuals experiencing shoulder pain. This underscores the necessity of addressing core stability along with shoulder and scapula strength assessment.

目的本研究旨在评估有和无肩痛受试者的核心肌肉耐力、肩部活动范围（ROM）、力量和残疾。第二个目的是确定核心肌肉耐力和肩部疼痛之间的可能联系，以及相关变量。方法对50例肩痛患者（54.60±12.17年）和50例无肩痛患者（53.86±12.08年）进行横断面研究。使用屈肌耐力试验和俯卧桥来评估核心肌耐力。评估肩关节活动度、力量、肩胛骨力量和SPADI。结果患者肩痛持续时间平均为13.77个月。肩部疼痛受试者的核心肌耐力（P < 0.001）、肩部力量（P < 0.001）、肩胛骨提肌和降肌力量（P < 0.05）和被动ROM （P < 0.05）均显著降低。核心肌耐力与肩部肌力之间存在相关性（r = 0.50; P < 0.05）。结论：肩部疼痛患者的核心肌耐力降低与肩部肌肉力量密切相关。这强调了解决核心稳定性以及肩部和肩胛骨力量评估的必要性。

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引用次数: 0

Hindi Translation, Validation, and Estimation of Clinimetric Properties of the Leeds Assessment of Neuropathic Symptom and Sign Pain Scale in Patients With Diabetic Peripheral Neuropathy 糖尿病周围神经病变患者的神经症状和体征疼痛量表的利兹评估的印地语翻译、验证和临床特性的估计

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-17 DOI: 10.1016/j.jcm.2025.09.030

Kanika Thakur PhD, Manu Goyal PhD

Objective

This study aimed to translate, perform cross-cultural adaptation, and evaluate the clinimetric properties of the Hindi version of the Leeds assessment of neuropathic symptom and sign (LANSS) pain scale.

Methods

A cross-sectional study involving 51 patients with DPN was completed. With permission from the original LANSS pain scale authors, the translation into Hindi was conducted following Beaton’s guidelines. The translation process adhered to all 8 steps, involving experts from both medical and nonmedical fields.

Results

The translated scale demonstrated excellent relative reliability (Cronbach’s alpha = 0.96, ICC = 0.99) and absolute reliability (CV% = 0.26, SEM = 0.70). It also showed excellent content validity (I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71). The Minimal Detectable Change at 95% confidence interval (MDC₉₅) and Minimal Clinically Important Difference (MCID) indicated clinical significance. The Smallest Worthwhile Change (SWC) of 1 indicated good sensitivity of the translated version.

Conclusion

The Hindi version of the LANSS pain scale exhibits acceptable clinimetric properties and is suitable for assessing neuropathic pain in patients with Diabetic Peripheral Neuropathy .

目的本研究旨在翻译、进行跨文化适应，并评估印度版利兹神经性症状和体征评估（LANSS）疼痛量表的临床特性。方法对51例DPN患者进行横断面研究。在获得LANSS疼痛量表原始作者的许可后，按照比顿的指导原则将其翻译成印地语。翻译过程遵循了所有8个步骤，涉及医学和非医学领域的专家。结果该量表具有良好的相对信度（Cronbach’s alpha = 0.96, ICC = 0.99）和绝对信度（CV% = 0.26, SEM = 0.70）。内容效度高（I-CVI = 1, S-CVI/Ave = 0.92, S-CVI/U = 0.71）。95%置信区间的最小可检测变化（MDC95）和最小临床重要差异（MCID）表明临床意义。最小值变化（minimum worthy Change， SWC）为1，表明译文敏感性较好。结论印度版LANSS疼痛量表具有可接受的临床特性，适用于评估糖尿病周围神经病变患者的神经性疼痛。

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引用次数: 0

Conservative Care and Outcomes for 2 Patients With Ramsay Hunt Syndrome 2例拉姆齐·亨特综合征患者的保守治疗及预后

Journal of chiropractic medicine

Pub Date : 2025-01-01 Epub Date: 2025-10-22 DOI: 10.1016/j.jcm.2025.09.011

Sonia V. Joubert DC, ND, MSc , Tiffani B. Alwazan ND, DC, MA, MS, LAc

Objective

The purpose of this case study is to describe the diagnostic characteristics, symptomatology, alternative treatment, and outcome of 2 patients with persistent facial palsy from Ramsay Hunt syndrome (RHS).

Clinical Features

A 38-year-old female and a 55-year-old male presented with right-sided facial paralysis, which affected multiple cranial nerves. The patients displayed difficulty eating and speaking, facial paralysis, vertigo, inability to close eyes on the affected side, and painful blisters. The occurrence of distinguishing characteristics of RHS, such as painful blisters, hearing loss, tinnitus, vertigo, difficulty eating, vision changes due to eye dryness, and speech impairment, was assessed.

Intervention and outcome

In the first case, the patient was treated in 8 weekly sessions with a combination of chiropractic spinal manipulation, acupuncture, cold laser, myofascial release, and homeopathy. In the initial 2 sessions, the patient received weekly acupuncture and cold laser therapy. In the final sessions, the patient reported pain reduction and anxiety relief. In the second case, the patient received acupuncture, cold laser, soft tissue manipulation, and homeopathy for 8 weeks. The patient was initially prescribed a homeopathic remedy, Causticum 30 C, for two weeks. Then he was given Graphites 30 C for 6 weeks. He displayed improved speech, decreased tongue deviation, increased eye closure, increased control of right eyebrow movement and was able to close his eyes fluidly. He no longer experienced double vision or eye dryness.

Conclusions

This article presents a case study of two patients with varying symptoms of RHS. In both cases, patients were treated with conservative care. Improvements in eye closure, speech, capability to eat and drink, tongue moment, and pain were reported by the patients.

目的探讨2例拉姆齐·亨特综合征（RHS）持续性面瘫的诊断特点、症状学、替代治疗方法及预后。临床特征：女性38岁，男性55岁，表现为右侧面瘫，累及多处颅神经。患者表现为进食和说话困难，面瘫，眩晕，患侧不能闭上眼睛，以及疼痛的水泡。评估RHS的显著特征，如疼痛性水泡、听力丧失、耳鸣、眩晕、进食困难、眼干引起的视力变化和语言障碍的发生情况。干预和结果：在第一个病例中，患者接受了每周一次的治疗，包括脊椎推拿、针灸、冷激光、肌筋膜松解和顺势疗法。在最初的2个疗程中，患者每周接受针灸和冷激光治疗。在最后的疗程中，患者报告疼痛减轻和焦虑缓解。第二例患者接受针灸、冷激光、软组织推拿、顺势疗法治疗8周。患者最初被开了顺势疗法的药物，Causticum 30c，为期两周。然后他被给予石墨30 C 6周。他表现出改善的语言，减少舌偏移，增加闭眼，增加控制右眉运动，并能够流畅地闭上眼睛。他不再有重影或眼睛干涩的感觉。本文报告了两例不同症状的RHS患者的病例研究。在这两个病例中，患者都接受了保守治疗。患者报告了闭眼、语言、饮食能力、舌动和疼痛的改善。

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引用次数: 0