脊髓缩症第一部分:文献综述
Saverio Colonna1, Corrado Borghi1
1Osteopathic Spine Center Education (OSCE), Spine Center, Bologna, ITA.
Cureus
|February 26, 2024
概括
关节炎 (RA),或指关节骨关节炎,是一种导致疼痛和限制功能的退行性疾病. 多种模式的保守治疗,包括运动和手动治疗,有效地减少疼痛和改善RA患者的机械.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 物理疗法物理治疗
背景情况:
- 脊髓缩症 (RA) 或梯形甲手腕骨关节炎是一种退行性关节疾病,影响指的第一个甲手腕关节.
- 关节炎在绝经后的女性中很普遍,与衰老有关,涉及由荷尔蒙和机械因素影响的带和肌肉结构.
- 了解指关节的生物力学,稳定性和促成因素对于有效的治疗管理至关重要.
研究的目的:
- 为治疗师提供管理形甲手关节不稳定的基本问题的概述.
- 探索带,肌肉和解剖学变体在指关节退化中的作用.
- 为了强调梯形甲手关节稳定性和一致性的重要性.
主要方法:
- 临床评估包括疼痛评估,关节运动检查和触摸.
- 诊断测试,如磨砂测试和杆测试,以及放射检查 (伊顿-利特勒分类).
- 对保守治疗方式的审查:骨架,治疗炼和手动疗法 (神经动力学,卡尔博恩,穆利根,梅特兰技术).
主要成果:
- 关节炎表现为基本指疼痛,握力降低和功能限制,可能会发展为持续的不适和睡眠障碍.
- 慢性RA可以导致关节硬,形 (例如"Z指"),肌肉缩,显著影响日常活动.
- 结合关节调动,神经调动和运动的多式保守干预措施在RA患者的疼痛减轻方面表现出有效性.
结论:
- 保守的管理是根茎的首要方法,旨在减轻疼痛,减少关节压力和增强功能.
- 综合各种治疗技术的多式保守方法在治疗疼痛和改善关节机制方面是有效的.
- 当保守疗法无法提供足够的缓解时,就会考虑进行手术干预.
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