Ukuthelekiswa kwe-Chiropractic & Hospital Hospital Patient Care for Pain Back

Umqolo obuhlungu enye yezona zinto zibangela ukuba abantu batyelele uqeqesho lwabo lwezempilo ngonyaka ngamnye. Ugqirha wokunakekelwa ngokusisigxina ngokuqhelekileyo ugqirha wokuqala onokunika unyango lweemeko ezahlukeneyo kunye / okanye iimeko, nangona kunjalo, phakathi kwalabo bantu abafuna ukhetho oluncedisayo kunye nolunye unyango lweentlungu, abantu abaninzi bakhetha ukunakekelwa kwe-chiropractic. Ukunyamekela kwe-Chiropractic kugxininise ekuxilongweni, unyango kunye nokuthintela ukuxhatshazwa kunye nezifo zesistim ze-musculoskelet and nervous systems, ngokulungisa izilungelelaniso zomgudu ngokusebenzisa ukuguqulwa kwamagqabi kunye nokusetyenziswa kwamandla.

 

Ngokumalunga ne-35% yabantu bafuna unyango lwe-chiropractic ngenxa yeentlungu ezibangelwa yimoto yengozi, ukulimala kwezemidlalo, kunye neentlobo ezahlukeneyo zemisipha. Xa abantu bexinzeleleka okanye bengozi ngenxa yengozi, ke, baqala ukufumana unyango lweempawu zeentlungu zaso kwisibhedlele. Ukunyamekela izibhedlele esibhedlele kuchaza unyango olungenakufuna ukuhlala ubusuku bodwa kwiziko lonyango. Uphando olwenziwa uphando luqhube uhlalutyo ngokuthelekiswa nemiphumo yokunakekelwa kwe-chiropractic kunye nokuphathwa kwezibhedlele zezibhedlele ngenxa yentlungu. Iziphumo zichazwe ngokucacileyo ngezantsi.

 

Abstract

 

Injongo: Ukuthelekisa ukuphumelela kwiminyaka emithathu ye-chiropractic kunye nokuphathwa kwezibhedlele zezibhedlele ngenxa yentlungu ephantsi.

 

Design: Ulwabiwo olulinganisiweyo lwezigulane ukuya kwi-chiropractic okanye iziphathamandla zokulawula izibhedlele.

 

Ukubeka: Iiklinikhi ze-Chiropractic kunye namasebe aphulukisayo esibhedlele kwindawo ehambahambayo yomnye nomnye kumaziko a-II.

 

I zifundo: Amadoda ase-741 kunye nabasetyhini abaneminyaka eyi-18-64 iminyaka eneentlungu ezisezantsi eziye zazingqiniswanga.

 

Iziphumo: Tshintsha kwi-questionnaire ye-0swestry score score kunye namanqaku kwintlungu kunye nokwaneliseka ngesigulane ngezokwelapha.

 

iziphumo: Ngokwe-0 ephezulu yokuphucula amanqaku kuzo zonke izigulane kwiminyaka emithathu, malunga ne-291 / 6 ngaphezulu kulabo baphathwa ngabagqirha kunezi zibhedlele. Umphumo ozuzayo we-chiropractic kwiintlungu zacaca ngokucacileyo. Abo baphathwa ngabagqirha bezonyango baphinde bafumane unyango olongezelelweyo emva kokugqitywa kwonyango. Phakathi kwabo babesetyenziswe okokuqala kwii-krafractors nakwizibhedlele bavandlakanywe kakhulu nge-chiropractic ezincedisayo kwiminyaka emithathu kunokuphathwa kwezibhedlele.

 

Izigqibo: Kwiminyaka emithathu iziphumo ziqinisekisa ukufunyaniswa kwengxelo yangaphambili ukuba xa i-chiropractic okanye izibhedlele zonyango ziphatha izigulane ezinentlungu ephantsi njengoko ziyakwenza imihla ngemihla ukuba abo baphathwa yi-chiropractic bafumane inzuzo eninzi kunye nokwaneliseka kwexesha elide kunezo ziphathwe zizibhedlele.

 

intshayelelo

 

Kwi-1990 sazisa ukuphucula okukhulu kwizigulane ezinentlungu ephantsi ephathwe yi-chiropractic xa kuthelekiswa nalabo abafumana iziphathamandla zokulawula izibhedlele. Ulingo lwaluyinto "yokudumisa" ngokuvumela abagqirha ukuba baphathe izigulane njengoko beza kwenza imihla ngemihla. Ngethuba lokuqala kwirekhodi akubona zonke izigulane ezazisetyenzisweni kwiinyanga ezingaphezu kweenyanga ezintandathu. Eli phepha libonisa iziphumo ezizeleyo ukuya kwiminyaka emithathu kuzo zonke izigulane ezithobela ulwazi oluvela kwi-Oswestry imibuzo kunye nezinye iziphumo ezifumanekayo ukuhlalutya. Sileta nedatha kwiintlungu ezivela kwiphepha lemibuzo, enokuchaza ngesikhalazo esikhulu esithumela ukuthumela okanye ukuthumela.

 

 

tindlela

 

Izindlela zichazwe ngokupheleleyo kwingxelo yethu yokuqala. Izigulane ekuqale zithunyelwe okanye zibonise kwiklinikhi ye-chiropractic okanye esibhedlele zanikwa izaziso ngokukhawuleza ukuba ziphathwe yi-chiropractic okanye esibhedlele. Isonke sezigulane ze-741 saqala unyango. Inkqubela yalinganiselwa kwi-questionnaire yase-Oswestry kwiintlungu ezisezantsi, ezinika amanqaku ngamacandelo e-0 umzekelo, ubunzima beentlungu kunye nobunzima bokuphakamisa, ukuhamba nokuhamba. Isiphumo siboniswa kwisikali esivela kwi-0 (akukho buhlungu okanye ubunzima) ukuya kwi-100 (amanqaku aphezulu kwiintlungu kunye nobunzima obukhulu kuzo zonke izinto). Kwinto ethile, njengentlungu, amanqaku ukusuka kwi-0 ukuya kwi-10. Amanyathelo omphumo oyintloko yinguqulelo kumanqaku ase-Oswestry ukususela kunyango emva kokulandelwa ngamnye. Kwimizuzu emibini, kunye nemithathu emithathu izigulane zacelwa kwakhona malunga nonyango olongezelelweyo ukususela ekugqityweni kwonyango lwabo lonyango okanye ukusuka kwimibuzo yonyaka yangaphambili. Kwiminyaka emithathu landela izigulane zacelwa ukuba ngaba zicinga ukuba unyango lwabo lwabiwo lwaye lwabangela intlungu.

 

Kulwabiwo olungacwangciswanga lonyango lokunciphisa unyango lwalusetyenziselwa kwiziko ngalinye ukuseka amaqela ohlalutyo lweziphumo ngokwendlela yokuqala yokuhanjiswa kweklinikhi, ubude besiqendu sangoku (ngaphezulu okanye ngaphantsi kwenyanga), ubukho okanye ukungabikho kwembali yeentlungu zangasemva, kunye nenqaku le-Oswestry ekungeneni kwe> 40 okanye <= 40%.

 

Iziphumo zahlaziywa ngenjongo yokuphatha isiseko (ngokuxhomekeka kokufumaneka kwedatha ngokulandelelana kunye nokungena kwezigulane ngamnye). Ukwahlukahlukana phakathi kweenguqu zitshintshi zivivinywe zingenakunceda t iimvavanyo, kwaye iimvavanyo ze-X2 zisetyenziselwa ukuvavanya ukungalingani ngokulingana phakathi kwamaqela amabini oonyango.

 

Insight of Dr. Alex Jimenez

I-Chiropractic yindlela yokwenyama yokunakekelwa kwempilo enenjongo yokubuyisela nokugcina umsebenzi weendlela ezixhasayo kunye neentlanzi, ukukhuthaza impilo yomgudu nokuvumela umzimba ukuba uziphilise ngokwemvelo. Ifilosofi yethu igxininisa kwonyango lomzimba womntu ngokupheleleyo, kunokuba unyango lwelimele elinye kunye / okanye imeko. Njenge-chiropractor enamava, injongo yam ukuhlola kakuhle izigulane ukuze kuchongwe uhlobo lonyango oluya kuphulukisa kakhulu uhlobo lwabo lomntu. Ukususela ekutshintsheni umlenze kunye nokusetyenziswa kwezinto ezizenzekelayo kumsebenzi wokwenyama, ukunakekelwa kwe-chiropractic kunokunceda ukulungisa ukungahambi kakuhle kwemigulane ebangela intlungu.

 

iziphumo

 

Ukulandela i-Oswestry imibuzo ibuyiselwe ngumlinganiselo ophakamileyo wezigulane ezabelwe i-chiropractic kunezokwelapha esibhedlele. Ngeeveki ezintandathu, umzekelo, babuyiselwe yi-95% kunye ne-89% yezigulane ze-chiropractic nezibhedlele, ngokulandelanayo kwaye kwiminyaka emithathu yi-77% kunye ne-70%.

 

Ukuthetha (SD) amanqaku ngaphambi kokuba unyango luyi29-8 (14-2) kunye ne-28-5 (14-1) kumaqela okunyanga kwamayeza kunye nesibhedlele, ngokulandelanayo. Itheyibhile ndibonisa ulwahluko phakathi kweenguqu zentshintsho kwiinqununu ezipheleleyo ze-Oswestry ngokubhekiselele kwiqela lonyango elinikezelwa ngamanqaku. Ukwahlukana kokulandelelana ngalunye kukutshintshwa kwintsingiselo yeqela le-chiropractic lithintela utshintsho oluthethayo kwiqela lesibhedlele.

 

 

Ukwahlukana okulungileyo kubonakalisa ngakumbi ukuphucula (ngenxa yenguqu enkulu kumanqaku) kulabo baphathwa yi-chiropractic ngaphezu kwesibhedlele (ukungafani okuchaseneyo). Uhlobo lwe-3-18 yepesenti yepesenti kwiminyaka emithathu etafileni ndimela ukuphucula okukhulu kwe-29% kwizigulane eziphathwe nge-chiropractic xa kuthelekiswa nokunyanga esibhedlele, ukuphuculwa ngokupheleleyo kumaqela amabini ngeli xesha i-14-1 kunye ne-10-9 amaphesenti amaphesenti, ngokulandelanayo. Njengengxelo yokuqala yokuqala eneengqungquthela ezifutshane ezikhoyo, iimbali zentlungu emva, kwaye amanqaku aphezulu ase-Oswestry aqala ukufumana inzuzo enkulu kwi-chiropractic. Abo babhekiswe ngabaculi bezonyango bafumana inzuzo enkulu kwi-chiropractic kunezo ezibhekiselwe kwizibhedlele.

 

Itheyibhile II ibonisa utshintsho phakathi kwamanqaku kwintlungu ebuhlungu ngaphambi kokuba unyango kunye namanqaku afanayo kwixesha elilandelelanayo lokulandelelana. Zonke ezo zinguquko zazihle, oko kukuphuculwa kubonakalisiweyo kodwa zonke zikhulu kakhulu kulabo baphathwa yi-chiropractic, kubandakanywa utshintsho kusenokwenzeka ukuba, kwiiveki ezintandathu kunye neenyanga ezintandathu, xa ama-questionnaire abuyayo aphezulu. Njengoko ngeziphumo ezisekelwe kwi-Oswestry amanqaku apheleleyo ukuphuculwa ngenxa ye-chiropractic yinto enkulu kunazo zonke ekugqibeleni zibhekiswa ngabaphathi bezonyango, nangona kwakukho ukuphucuka okungabalulekanga (ukusuka kwi-9% kwiinyanga ezintandathu ukuya kwi-34% kwiminyaka emithathu) ngenxa i-chiropractic nganye kwixesha elilandeleyo kulabo abhekiswe kwizibhedlele.

 

 

Ezinye iziphumo zento nganye kwi-index ye-Oswestry ukubonisa ukuphucuka okukhulu okubangelwa yi-chiropractic babekwazi ukuhlala ixesha elifutshane kunye nokulala (P = 0'004 kunye ne0 03, ngokulandelanayo, kwiminyaka emithathu), nangona ukungafani ngokungahambelani njengentlungu. Ezinye izikolo (ukunyamekela, ukunyuka, ukuhamba, ukuma, ubulili, ubomi boluntu, kunye nokuhamba) nazo ziphantse zonke ziphuculwe kwizigulane eziphathwe nge-chiropractic, nangona uninzi lwentlukwano yayincinane xa kuthelekiswa neentlukwano zentlungu.

 

Ubungakanani obuphezulu bezigulane ezabelwe i-chiropractic zafuna unyango olongezelelweyo (kwanaluphi na uhlobo) ngenxa yentlungu emva kokuba kugqitywe unyango lwezilingo kunezo ziphathwe esibhedlele. Umzekelo, phakathi kweyodwa nemibini emva kokungena kwelingo 122 / 292 (42%) izigulane ziphathwa nge-chiropractic xa kuthelekiswa ne-80 / 258 (3 1%) yezibhedlele ziphathwe izibhedlele zenza njalo (Xl = 6 8, P = 0 0 1) .

 

Itheyibhile III ibonisa ukulingana kwezigulane kwiminyaka emithathu abacinga ukuba unyango lwabo lwabiwo lwalube luncedisa intlungu yabo. Phakathi kwabo ekugqibeleni babhekiswa zizibhedlele kunye nakwabo bokuqala abathunyelwa ngabagqirha bezilwanyana eziphezulu eziphathwe yi-chiropractic babecinga ukuba unyango luncedise ukulinganisa nalabo baphathwa esibhedlele.

 

 

Imiyalezo ebalulekileyo

 

• Iintlungu ezibuhlungu zihlala zikhupha ngokukhawuleza
• Ukunyanga okuphumelelayo kwii-episodes ezingabhalisi kufuneka zichongwe ngokucacileyo
• I-Chiropractic ibonakala iyasebenza ngakumbi kunokuphathwa kwezibhedlele, mhlawumbi ngenxa yokuba unyango oluninzi lu sasazwa ngaphezu kwexesha elide
• Inani elikhulayo labathengi be-NHS lenza unyango olongezelelweyo, kuquka i-chiropractic, ekhoyo
• Izilingo ezongezelelweyo ukuchonga izixhobo ezisetyenziswayo ze-chiropractic zifunekayo

 

ingxoxo

 

Iziphumo kwiiveki ezintandathu kunye neenyanga ezintandathu eziboniswe kwitheyibhile ndifana nalabo abakwi-ingxelo yethu yokuqala, njengoko zonke izigulane zalandelwa iinyanga ezintandathu. Iziphumo zonyaka omnye zifana nezigulane ezininzi ziye zalandelwa ngoko. Inani elininzi kakhulu lezigulane ezineenkcukacha ngoku zifumaneka kwiminyaka emibini nemithathu zibonisa iintlawulo ezincinci kulezi zihlandlo kunaphambili, nangona ezi ziyamkela kakhulu i-chiropractic. Ingeniso enkulu ye-chiropractic ngokubaluleka kwentlungu ibonakala kwangaphambili kwaye iqhubeka. Amanani amaninzi aphelelwe ukulandelelana kuwo onke amatyala kulabo baphathwa esibhedlele kunokuba abo baphathwa yi-chiropractic babonisa ukwaneliseka okukhulu kunye ne-chiropractic. Esi sigqibo sixhaswa (iifayile III) ngamanani aphezulu kwiqela ngalinye lokuthunyelwa ngokubhekiselele kwi-chiropractic eluncedo ngokuthelekiswa nokunyangwa esibhedlele.

 

 

Ukugxeka okubalulekileyo kwilingo emva kokuba ingxelo yethu yokuqala iphambili kwi-"pragmatic" yayo, ngokukodwa kwinani elikhulu le-chiropractic kunezonyango zonyango kunye nexesha elide apho unyango lwama-chiropractic lusasazeka kwaye lwavunyelwa ngamabomu. Ezi ngqalelo kunye nayiphi na imiphumo yemigangatho ephakamileyo yezigulane ezabelwe i-chiropractic ezithole unyango olongezelelweyo kwizigaba ezilandelayo zokulandelelana, nangona kunjalo, azisebenzisi kwiziphumo kwiiveki ezintandathu kwaye zisebenza kuphela kumlinganiselo omncinci kwiinyanga ezintandathu, xa ukulandelwa okulandeleyo kwakuphezulu kwaye unyango olongezelelweyo aluzange lwenzeke okanye lube lukhulu. Izinzuzo ezabelwe kwi-chiropractic sele zibonakala (ngakumbi kwiintlungu, itafile II) kule mizuzu emifutshane.

 

Sikholwa ukuba kukho inkxaso engakumbi malunga nesidingo sokuba "izilingo" ezintle zijolise kwiinkalo ezithile zolawulo kunye nokwenza kwabo. Okwangoku, iziphumo zetyala lethu zibonisa ukuba i-chiropractic inendima ebalulekileyo yokudlala ekulawuleni iintlungu ezisezantsi.

 

Siyabulela uDkt Iain Chalmers ukuba aphendule ngolu hlobo oluphambili lwephepha. Siyabulela abaxhumanisi bongikazi, abasebenzi bezonyango, izifo ze-physiotherapists kunye neengcali zonyango kwiziko le-11 emsebenzini wabo, kunye noDkt. Alan Breen we-British Chiropractic Association ngoncedo lwakhe. Amaziko ayeseHarrow Taunton, ePlymouth, eBournemouth nasePoole, eOswestry, eChertsey, e-Liverpool, e-Chelmsford, eBirmingham, e-Exeter naseLeeds. Ngaphandle kokuncediswa kwabasebenzi abaninzi kwi ngasinye silingo sasingeke sigqitywe.

 

Inkxaso: IBhunga loPhando lwezeMpilo, uMbutho wezeMpilo weSizwe, i-Union of Chiropractors Union kunye neNgxowa-mali ye-King Edward Hospital yaseLondon.

 

Ukugqubana kwemidla: Akukho.

 

Ukuququmbela,Emva kweminyaka emithathu, iziphumo zophando oluthelekisa ukunyamekelwa kwe-chiropractic kunye nokulawulwa kwezigulana esibhedlele ngenxa yeentlungu ezisezantsi zafumanisa ukuba abantu abaphathwa yi-chiropractic bafumana inzuzo eninzi kunye nokwaneliseka kwexesha elide kunabo baphathwa zizibhedlele. Kuba iintlungu zomqolo yenye yezona zinto zixhaphakileyo �zibangela ukuba abantu bandwendwele iingcali zabo zezempilo minyaka le, kubalulekile ukufuna olona hlobo lusebenzayo lokhathalelo lwempilo. Ulwazi olubhekiselele kwiZiko leSizwe loLwazi lweBiotechnology (NCBI). Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngombandela, nceda uzive ukhululekile ukubuza uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

Ucaphulo

 

1. Meade TW, Dyer S, Browne W, Townsend J, Frank AO. Iintlungu ezisezantsi zomva wemvelaphi yomatshini: ukuthelekiswa okungahleliweyo kwe-chiropractic kunye nonyango lwesibhedlele lwangaphandle. �Nqontsonqa1990 Jun 2;300(6737): 1431-1437. [Inkcazelo yamahhala ye-PMC] [PubMed]
2. Fairbank JC, Couper J, Davies JB, O'Brien JP. Iphepha lemibuzo le-Oswestry low back pain disability.�Umzimba wonyango1980 Aug;66(8): 271-273. [PubMed]
3. Pocock SJ, uSimon R. Isabelo sonyango olulandelelanisiweyo kunye nokulinganisa imiba yengqikelelo kulingo lwezonyango olulawulwayo.�Ibhayometri1975 Mar;31(1): 103-115. [PubMed]

 

 

Imixholo eyongezelelweyo: iSciatica

 

I-Sciatica ibhekiselwa kuyo njengeqoqo leempawu kunokuba luhlobo oluthile lokulima okanye imeko. Iimpawu zibonakaliswa njenge-radiating intlungu, ukuxubha kunye nokuvakala kwintsholongwane kwi-nerve ye-sciatic kumqolo ongaphantsi, phantsi kweentsimbi kunye namathanga kunye nemilenze enye okanye zombini kunye neenyawo. I-Sciatica idla ngokubangelwa ukucaphukisa, ukuvuvukala okanye ukunyanzeliswa kwesibindi esikhulu kunazo zonke emzimbeni womntu, ngokuqhelekileyo ngenxa ye-disc okanye i-bone spur.

 

 

INGXELO EBALULEKILEYO: UKUPHATHA KWE-EXTRA: Ukunyanga i-Sciatica Pain