神经肌肉对高速,低幅度脊柱操纵的反应 - - 概述
Murdi S Alanazi1,2, Brian Degenhardt3,4, Gwyn Kelley-Franklin3
1Rehabilitation Science Program, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Medicina (Kaunas, Lithuania)
|February 26, 2025
概括
高速度,低幅度脊柱操纵 (HVLA-SM) 显示了混合的神经肌肉反应. 需要更严格的研究来了解它的机制,尽管它常用于肌肉骨疼痛.
科学领域:
- 神经肌肉生理学 神经肌肉生理学
- 手动治疗研究手动治疗研究
- 肌肉骨康复 肌肉骨康复
背景情况:
- 脊柱操纵用于肌肉骨疼痛的临床使用显著增加.
- 全球指南建议HVLA-SM用于保守的疼痛管理.
- 对于HVLA-SM的作用机制仍然不太清楚.
研究的目的:
- 审查对HVLA-SM直接神经肌肉反应的证据.
- 确定对神经肌肉对HVLA-SM的反应的机械知识的差距.
- 促进专业间对话和合作研究.
主要方法:
- 2000年至2024年12月发表的研究文献概述.
- 在PubMed,CINAHL Ultimate和EMBASE数据库中进行了搜索.
- 包括专注于神经肌肉反应 (EMG,肌肉厚度,强度,反射,EEG,唤起潜力) 推动HVLA-SM的研究,不包括非HVLA-SM技术和以患者为中心的结果.
主要成果:
- 与HVLA-SM相关的神经肌肉发现往往是混合的.
- 随着研究严格度的增加,针对特定的神经肌肉反应的证据正在积累.
- 限制包括小样本大小和非标准化的HVLA-SM交付.
结论:
- 目前关于神经肌肉对HVLA-SM的反应的证据由于研究的局限性而没有确定性.
- 需要进一步的研究来澄清HVLA-SM的直接神经肌肉影响.
- 标准化HVLA-SM交付和更大的样本大小对于未来的研究至关重要.
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