脊椎旋轉式徒手操作治療下背痛研究

A Study of Spinal Rotational Manipulation for Low Back Pain

周崇頌(Chorng-Sonq Chou) ； 林麗敏(Li-Ming Lin) ； 徐道昌(Tao-Chang Hsu)

《中華民國復健醫學會雜誌》 17期 (1989/12) Pp. 45-48

摘要

20位下背痛患者和16位非下背痛對照組，由兩位檢試者測試各自所得柔軟度且評估下列三條件，1.不同檢試者間測試所得數據一致性程度。2.下背痛患者與非下背痛患者間可有意義差別存在。3.脊柱旋轉式陡手操作成功病例是否有意義差別存在。結果顯示腰椎前彎程度，主動、被動抬腿伸直測試角度及大腿後肌鬆緊角度．符合上列三條件，其中以主動、被動抬腿伸直測試所得角度最具有意義差別，可供下背痛患者操行徒手操作治療療程之指標。

並列摘要

Twenty low back pain patients and sixteen not suffering from low back pain were taken several flexility and asymmetry tests by two different examiners. Several possible quasi-objective measures of low back pain were investigateed, eleven subjective reported relief of pain immediately following rotational manipulations of lumbar spine as described by Cyriax.
The objective tests of pre-and post-manipulation were analyzied, hamstring tightness test was not particular high due to the sensivity of different examiner, but active or passive straight leg raising can be strongly recommended for assement of spinal manipulation.

並列關鍵字

low back pain ； manipulation ； straight leg raising test