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使用全身手动治疗来治疗腰部疼痛的中央敏感化组成部分

Andres Aponte¹, Adi Halili¹

¹Halili Physical Therapy, 268 E River Rd Suite 130, Tucson, AZ, 85704, USA.

Journal of bodywork and movement therapies

|May 6, 2025

概括

系统手动治疗 (SMT) 通过向中央敏感化 (CS) 来治疗慢性下背痛 (CLBP) 是有前途的. 建议采用多模式方法,包括改变生活方式,以获得更好的结果.

科学领域:

疼痛管理疼痛管理
神经学神经学
物理疗法物理治疗

背景情况:

慢性下背痛 (CLBP) 是一种复杂的疾病,通常涉及中央敏感性 (CS).
现有的CLBP治疗方法的成功率各不相同,这凸显出需要有效的治疗策略.
CS的时间模型 (TMCS) 提供了一个理解和处理CS的框架.

研究的目的:

分析系统手动治疗 (SMT) 方案在治疗CLBP方面的疗效,特别是针对CS.
确定特定的SMT协议,这些协议对CLBP管理最有效.
调查伴随性疾病对CLBP治疗结果的影响.

主要方法:

对一组1053名患者的回顾性多变量分析.
评估了715个SMT协议组合.
对护理情节和改善率数据的分析.

主要成果:

68%的患者报告说整体症状有所改善,53%的患者报告说腰部疼痛有所改善.
Statin使用,焦虑,抑郁,消化/尿道问题,吸烟和之前的手术等并发症与更糟糕的CLBP结局有关.
43种SMT协议组合,包括尿排水 (UD) 和隔膜- sinus (DCS) 等特定协议,显示出明显更高的改善率,并被TMCS预测用于治疗CS.

结论:

SMT是对CLBP的可行的治疗方法,支持TMCS假设,即CS是一种功能神经生理状态.
与整体症状相比,CLBP的改善率较低,以及并发症的影响,表明需要个性化治疗.
针对CLBP的多模式方法,强调生活方式修改 (戒烟,运动,饮食) 与SMT一起,可能比单独使用药物或手术更有效.

关键词:

巴拉尔·巴拉尔 (Barral Barral) 是一个中心敏感化中心年代记年代记年代记年代记带的反应应力是带的反应力.整合性手动疗法是一个整合性手动疗法.腰部疼痛腰部疼痛腰部疼痛类他类药物是一种药物.系统手动治疗是全身手动治疗.

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