Clinical Chiropractic最新文献_第10页

Paratonia and gegenhalten in childhood and senescence 儿童期和老年期的异位性和异位性

Clinical Chiropractic Pub Date : 2012-03-01 DOI: 10.1016/j.clch.2011.08.001

Robin Pauc , Antoinette Young

{"title":"Paratonia and gegenhalten in childhood and senescence","authors":"Robin Pauc , Antoinette Young","doi":"10.1016/j.clch.2011.08.001","DOIUrl":"10.1016/j.clch.2011.08.001","url":null,"abstract":"<div><p>Paratonia and gegenhalten – the involuntary resistance to passive movement<span> – are terms used in the field of neurology<span><span> to describe a form of hypertonia often associated with dementia. It is however also found to be present in children suffering from developmental delay where it may be accompanied by signs of </span>dyspraxia and learning disabilities. Its presence may cause an elderly patient to appear to be being deliberately difficult and the child to be misbehaving.</span></span></p></div><div><h3>Objective</h3><p>To bring an awareness of how common paratonia/gegenhalten are in a general patient population.</p></div><div><h3>Method</h3><p>An overview of the literature retrieved from searches of computerised databases, the world-wide web and authoritative texts.</p></div><div><h3>Discussion</h3><p>As paratonia in children and gegenhalten in the elderly population occur at significantly high rates, as has been found with many of the primitive reflexes<span>, it is suggested that their retention and reappearance may be associated with the postnatal development of the brain and its demise associated with ageing.</span></p></div><div><h3>Conclusion</h3><p>With such a high percentage of both the juvenile and elderly population manifesting signs of resisted movement it is considered essential that practitioners dealing with either of these groups have a good working knowledge of this common neurological sign.</p></div>","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 1","pages":"Pages 31-34"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2011.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75061903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Chiropractic management of a patient with Scheuermann's kyphosis 舒尔曼后凸症患者的整脊治疗

Clinical Chiropractic Pub Date : 2012-03-01 DOI: 10.1016/j.clch.2012.01.005

James C. Boysen , Steven L. Silverman

{"title":"Chiropractic management of a patient with Scheuermann's kyphosis","authors":"James C. Boysen , Steven L. Silverman","doi":"10.1016/j.clch.2012.01.005","DOIUrl":"10.1016/j.clch.2012.01.005","url":null,"abstract":"<div><h3>Background</h3><p><span>To describe the chiropractic management of a patient with Scheuermann's </span>kyphosis.</p></div><div><h3>Case presentation</h3><p><span>An 18-year-old male sought care for thoracic spine pain of over 6</span> <span><span><span>weeks’ duration. Thoracic flexion and lumbar spine flexion/extension were decreased. Digital postural analysis showed postural kyphosis, anterior head carriage, shoulder protraction and posterior translation of the </span>thorax relative to the pelvis. Radiographs demonstrated multiple spinal levels with endplate irregularities, suggestive of Schmorl's nodes primarily involving the thoracic spine with associated reduced anterior </span>vertebral body heights. Thoracic kyphosis measured 90° from T1 to T11, with a left thoracic list and right rotation with right lateral lumbar curvature.</span></p></div><div><h3>Conclusions</h3><p>An 18-year-old man with Scheuermann's kyphosis was successfully managed using a combination of chiropractic adjustments and postural exercises. This suggests a role for chiropractic care for Scheuermann's kyphosis. Further research is necessary to examine this in more detail.</p></div>","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 1","pages":"Pages 5-9"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78969323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The chiropractic care of patients with asthma: a systematic review of the literature to inform clinical practice 哮喘患者的脊椎指压治疗:一项为临床实践提供信息的文献系统综述

Clinical Chiropractic Pub Date : 2012-03-01 DOI: 10.1016/j.clch.2012.01.003

Joel Alcantara , Joey D. Alcantara , Junjoe Alcantara

{"title":"The chiropractic care of patients with asthma: a systematic review of the literature to inform clinical practice","authors":"Joel Alcantara , Joey D. Alcantara , Junjoe Alcantara","doi":"10.1016/j.clch.2012.01.003","DOIUrl":"10.1016/j.clch.2012.01.003","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Estimates place some 300 million people worldwide suffer from asthma with 180,000 deaths attributed to the disease. The financial burden from Asthma in Western countries ranges from $300 to $1,300 per patient per year. In the United States, asthma medication costs between $1 billion and $6.2 billion per annum. With an increasing prevalence of 50% every decade, there is no question that the burden of asthma is tremendous. The prevalence of complementary and alternative medicine<span><span> (CAM) use amongst adult asthmatics ranges from 4% to 79% whilst, in children, it ranges from 33% to 89%. Of the various practitioner-based CAM therapies, chiropractic stands as the most popular for both children and adults. As with other </span>chiropractors, the authors aspire to the principles of evidence-based practice in the care of asthma sufferers. Recent </span></span>systematic reviews of the literature places into question the effectiveness of chiropractic. To assuage the discord between our clinical experience and those of our patients with the dissonant literature, we performed a systematic review of the literature on the chiropractic care of patients with asthma.</p></div><div><h3>Methods</h3><p><span>Our systematic review utilized the following databases for the years indicated: MANTIS [1965–2010]; Pubmed [1966–2010]; ICL [1984–2010]; EMBASE [1974–2010], AMED [1967–2010], CINAHL [1964–2010], Index to Chiropractic Literature [1984–2010], Alt-Health Watch [1965–2010] and </span>PsychINFO [1965–2010]. Inclusion criteria for manuscript review were manuscripts of primary investigation/report published in peer-reviewed journals in the English language involving the care of asthmatic patients.</p></div><div><h3>Results</h3><p><span>The studies found span of research designs from non-experimental to true experimental studies consisting of 3 randomized controlled clinical trials (RCTs), 10 case reports, 3 case series, 7 </span>cohort studies, 3 survey studies, 5 commentaries8 and 6 systematic reviews. The lower level design studies provide some measure of evidence on the effectiveness of chiropractic care for patients with asthma while a critical appraisal of 3 RCTs revealed questionable validity of the sham SMTs involved and hence the conclusions and interpretations derived from them. The RCTs on chiropractic and asthma are arguably comparison trials rather than controlled clinical trials per se.</p></div><div><h3>Conclusion</h3><p>Chiropractic may offer an alternative care approach for asthmatic patients. Future investigations of this conservative care approach for patients with asthma should pave the way for higher-level design studies such as randomized controlled clinical trials.</p></div>","PeriodicalId":100267,"journal":{"name":"Clinical Chiropractic","volume":"15 1","pages":"Pages 23-30"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clch.2012.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74473731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Wrist trauma in a pool: Case discussion 泳池中的手腕创伤:病例讨论

Clinical Chiropractic Pub Date : 2012-03-01 DOI: 10.1016/j.clch.2012.01.002

Kevin Mernissi , Xavier de Wailly , Antoine Barrier , Tim Mick , Michelle A. Wessely

引用次数: 0

Wrist trauma in a pool: Case presentation 泳池中的手腕创伤:病例报告

Clinical Chiropractic Pub Date : 2012-03-01 DOI: 10.1016/j.clch.2012.01.001

Kevin Mernissi , Xavier de Wailly , Antoine Barrier , Tim Mick , Michelle A. Wessely

引用次数: 0

Dose–response of spinal manipulation for low back pain: Short-term outcomes from a randomized trial 脊椎推拿治疗腰痛的剂量反应:随机试验的短期结果

Clinical Chiropractic Pub Date : 2011-12-01 DOI: 10.1016/j.clch.2011.09.016

Mitchell Haas, Darcy Vavrek, David Peterson, Mikel Aickin