TAILIEUCHUNG - Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 47

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 47. Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. Spinal surgery is still one of the fastest growing areas in clinical medicine. | Degenerative Disorders of the Cervical Spine Chapter 17 447 Manipulative Therapy Manipulative therapy remains a mainstay of conservative treatment for degenerative disorders of the cervical spine. Particularly traction has been reported to result in short-term relief of radiculopathy 60 61 197 . Debate continues on the safety of manipulative therapy of the cervical spine. Based on a national survey of 19122 patients minor side effects headache fainting dizziness numbness tin-gling were not uncommon up to 7 days after the intervention with an incidence rate ranging from 4 to 15 1000. Serious adverse events leading to in-hospital treatment or permanent disability were very rare 1 10000 . However this does not rule out a deleterious course in individual patients Case Introduction . Rubinstein et al. 230 concluded that the benefits of chiropractic care for neck pain seem to outweigh the potential risks. There is moderate evidence that spinal manipulative therapy SMT and mobilization is superior to general practitioner management for short-term pain reduction of chronic neck pain. However SMT offers at most similar pain relief to high-technology rehabilitative exercise in the short and long term. In a mix of acute and chronic neck pain there is moderate evidence that mobilization is superior to physical therapy and family physician care 41 . There are only a few studies on acute neck pain and the evidence is currently inconclusive 41 . Physical Exercises There is moderate evidence supporting the effectiveness of both long-term dynamic as well as isometric resistance exercises of the neck and shoulder musculature for chronic or frequent neck disorders. No evidence supports the longterm effectiveness of postural and proprioceptive exercises or other very low intensity exercises 106 296 . Multidisciplinary Rehabilitation Programs In contrast to the lumbar spine there appears to be little scientific evidence so far for the effectiveness on neck and shoulder pain of .

• Sức khỏe người cao tuổi
• Kiến thức y học
• sức khỏe y tế
• chẩn đoán và điều trị bệnh
• rối loạn thần kinh cột sống
• phương pháp điều trị
• tài liệu y khoa
• vật lý trị liệu
• nghiên cứu y học
• y học dân tộc
• y học phổ thông
• chuyên ngành y học
• y học thực hành
• tài liệu y học
• chuyên ngành y khoa
• bệnh thường gặp
• Điều trị phong thấp bằng y học Á châu
• y học cổ truyền
• lưu ý khi uống sữa
• mẹo uống sữa
• điều cần biết khi uống sữa
• y học thường thức
• y học cơ sở
• giáo trình y học
• mẹo vặt chữa bệnh
• y tế
• sức khỏe
• cách chăm sóc sức khỏe
• bệnh thường gặp ở người
• đông y trị bệnh
• sức khỏe phụ nữ
• cách chăm sóc bé
• sức khỏe giới tính
• sức khỏe người cao tuổi
• Kiến thức y học về chăm sóc bé 7 lưu ý giúp bé ngủ ngon
• lý thuyết y học
• bài giảng y học
• bệnh lâm sàng
• chuẩn đoán bệnh