案例研究:使用按摩疗法来缓解慢性腰痛。

Laura Allen
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引用次数: 8

摘要

目的:研究按摩对四种不同诊断(骨关节炎、脊柱侧弯、椎管狭窄和椎间盘退行性病变)患者慢性腰痛的影响。病人的目标是减少他服用的止痛药的数量。方法:一位63岁的慢性背痛患者在20天内接受了四次按摩。使用Oswestry腰痛量表记录进展情况,因为他自我报告了疼痛程度和对日常生活活动的干扰。结果:在10项自我报告的疼痛和日常生活活动测量中,有9项得到了改善,唯一的例外是他举起重物的能力保持不变。最显著的差异是他的行走能力和疼痛程度的改善。该客户还自我报告称,多年来第一次能够减少止痛药和骑自行车的能力。结论:对于可能有多种疾病的患者来说,按摩疗法是一种很有前途的治疗慢性腰痛的方法,任何一种疾病都可能导致这种情况。鼓励进行进一步的研究,以确定按摩疗法的疗效,按摩疗法是一种易于获得、成本较低的替代更具侵入性的疗法,并在适当的时候作为常规医疗护理的辅助手段。
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Case Study: The Use of Massage Therapy to Relieve Chronic Low-Back Pain.

Objectives: To study the effects of massage on chronic low-back pain in a patient with four different diagnoses: osteoarthritis, scoliosis, spinal stenosis, and degenerative disc disease. The patient's goal was to cut down on the amount of pain medication he takes.

Methods: A 63-year-old man with chronic back pain received four massages across a twenty-day period. Progress was recorded using the Oswestry Low Back Pain Scale, as he self-reported on levels of pain and interference with his activities of daily living.

Results: Improvement was noted in 9 out of 10 measurements of self-reported pain and activities of daily living, with the only exception being his ability to lift heavy objects, which remained unchanged. The most dramatic differences were improvements in his ability to walk, and in the changing degrees of pain. The client also self-reported being able to decrease his pain medication and the ability to ride his bicycle for the first time in years.

Conclusions: Massage therapy is a promising treatment for chronic low-back pain for patients who may have multiple pathologies, any one of which could be responsible for the condition. Further study is encouraged to determine the efficacy of massage therapy as a readily accessible, lower-cost alternative to more invasive therapies and as an adjunct to regular medical care, when appropriate.

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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
16
审稿时长
22 weeks
期刊介绍: The IJTMB is a peer-reviewed journal focusing on the research (methodological, physiological, and clinical) and professional development of therapeutic massage and bodywork and its providers, encompassing all allied health providers whose services include manually applied therapeutic massage and bodywork. The Journal provides a professional forum for editorial input; scientifically-based articles of a research, educational, and practice-oriented nature; readers’ commentaries on journal content and related professional matters; and pertinent news and announcements.
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