为什么流行的关节操作模式(仍然)不正确?

IF 2 4区 医学 Q2 REHABILITATION
David W Evans
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引用次数: 0

摘要

对于手法治疗,本文探讨的可以说是关于任何治疗干预的最基本问题:它是什么?在回答这个问题时,本文介绍了(桑多兹)关节手法的主流模式,并解释了为什么这种有影响力的模式存在根本性缺陷。本文按时间顺序介绍了导致这一模式发展的早期 "关节破裂 "研究,以及该研究如何被曲解,从而导致该模式的缺陷。值得关注的是,该模型的缺陷做出了令人担忧的预测,可能会导致危险的临床决策。可以理解的是,这些预测引起了对使用手法治疗干预的批评。埃文斯和布林在 15 年前首次发表了一个修正模型,随后对其进行了介绍和解释。与有缺陷的模型不同的是,这个修正模型的预测与所有可用的经验数据一致,而且还为批评者提供了令人放心的答案。目前许多关于操纵的定义都继承了桑多斯模型的缺陷。因此,现在需要一个更好的、根据经验得出的、与修正模型一致的定义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Why is the prevailing model of joint manipulation (still) incorrect?

Why is the prevailing model of joint manipulation (still) incorrect?

Why is the prevailing model of joint manipulation (still) incorrect?

Why is the prevailing model of joint manipulation (still) incorrect?

For manipulation, this paper addresses arguably the most fundamental question that can be asked about any therapeutic intervention: what is it? In answering this question, this paper presents the prevailing model of joint manipulation (of Sandoz) and explains why this influential model is fundamentally flawed. The early research on 'joint cracking' that led to the development of this model is described in chronological order, alongside how this research was misinterpreted, which gave rise to the model's flaw. Of concern, the flaw in this model makes worrying predictions that could lead to dangerous clinical decisions. Understandably, these predictions have attracted criticism over the use of manipulation as a therapeutic intervention. A corrected model, first published by Evans and Breen more than 15 years ago, is then presented and explained. Unlike the flawed model, this corrected model makes predictions in line with all available empirical data and additionally provides reassuring answers to critics. Many current definitions of manipulation have inherited the flaw from Sandoz's model. Hence, a better, empirically derived definition, consistent with the corrected model, is now required.

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来源期刊
Chiropractic & Manual Therapies
Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine
CiteScore
3.20
自引率
15.80%
发文量
48
审稿时长
20 weeks
期刊介绍: Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.
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