使用整骨疗法治疗一例颈椎病病例

Q4 Health Professions AAO Journal Pub Date : 2024-03-01 DOI:10.53702/i2375-5717-34.1.31
Katherine Heineman
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引用次数: 0

摘要

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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The Use of Osteopathic Manipulative Treatment for a Case of Cervical Radiculopathy
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.
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来源期刊
AAO Journal
AAO Journal Health Professions-Complementary and Manual Therapy
CiteScore
0.10
自引率
0.00%
发文量
23
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