Role of High Intensity Laser Therapy on a Child with Atlantoaxial Rotatory Fixation-Case Report

高能量雷射治療對於兒童寰椎樞椎不完全脫臼治療中的角色之病例報告

鄧立筠(Li-Yun Teng) ； 林克隆(Ko-Long Lin) ； 段生輝(Sheng-Hui Tuan) ； 孫淑芬(Shu-Fen Sun) ； 李敏輝(Min-Hui Li) ； 劉亦修(I-Hsiu Liou)

《台灣復健醫學雜誌》 48卷2期 (2020/12) Pp. 149-152

https://doi.org/10.6315/TJPMR.202012_48(2).0009

摘要

After wearing a hairpin for the entire evening during her sleep, 8-year-old girl experienced acute onset of torticollis and neck pain after walking up the next morning. She was brought to our outpatient department. Her head was tilted to the left, with tenderness over the left neck region. Imaging studies revealed atlantoaxial rotatory fixation. She initially received a combination of soft neck collar and medications with muscle relaxants as well as anti-inflammatory agents. However, these treatments had limited effects. Then, she received high-intensity laser therapy on the left posterior deep neck muscles, which greatly improved the range of motion of her neck.

關鍵字

atlantoaxial rotatory fixation ； high-intensity laser therapy ； torticollis

並列摘要

一名8歲女孩在睡覺時使用髮夾，醒來後出現了斜頸（torticollis）以及頸部疼痛的症狀，因此被帶來求診。理學檢查發現頭部向左傾斜、左頸區域壓痛，頭部活動受到限制，神經學檢查方面則無異常，安排影像學檢查後顯示寰椎樞椎不完全脫臼（atlantoaxial rotatory fixation）。她首先接受了藥物及頸圈治療，但成效有限，之後針對壓痛區域進行了高能量雷射治療（high-intensity laser therapy），一星期後追蹤，發現斜頸症狀改善、壓痛情形減緩，且頸部活動範圍變大。此病例報告對於寰椎樞椎不完全脫臼提出了一項新的治療選項，同時也延伸了高能量雷射治療的應用範圍，如頸脫臼、頸部疼痛等。

並列關鍵字

寰椎樞椎不完全脫臼（atlantoaxial rotatory fixation） ； 高能量雷射治療（high-intensity laser therapy） ； 斜頸（torticollis）

參考文獻

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