题名

壓迫性骨折併脊椎滑脫之下背痛中醫傷科臨床病例報告

并列篇名

Clinical Case Report of Traditional Chinese Medicine in the Patient of Low Back Pain with Compression Fracture and Spondylolisthesis

DOI

10.6516/TJTCM.2016.19(2)181

作者

蘇春豐(Chun-Feng Su);蔡森蔚(Sen-Wei Tsai);鄭宜哲(I-Che Cheng);謝紹安(Shao-An Hsieh)

关键词

下背痛 ; 壓迫性骨折 ; 滑脫 ; 小針刀 ; 傷科手法 ; Low back pain ; compression fracture ; spondylolisthesis ; Chinese close reduction

期刊名称

中醫藥研究論叢

卷期/出版年月

19卷2期(2016 / 09 / 30)

页次

181 - 188

内容语文

繁體中文

中文摘要

下背痛(Low Back Pain)是現代人常見的一種症狀,多指腰椎兩側的背部疼痛,造成原因多為物理力量直接或是間接造成,少數是由內科疾病引起。本例個案腰椎壓迫性骨折併有滑脫經過復健與針灸治療後,腰痛無明顯改善,經骨科建議應當手術治療,患者拒絕手術後改由中醫傷科介入得到顯著的改善。藉此個案分享進行分析與討論,期許讓更多同道重視中醫傷科臨床上的適用性

英文摘要

Low back pain is one of the most common symptoms in modern people, and it locates on both sides of the lumbar spine, caused by direct or indirect physical strength mostly, few by medical diseases. After physical and acupuncture therapy, the patient in this case with compression fracture combined with spondylolisthesis in lumbar spine has no further improvement in pain relief. Othopedist suggested the patient to do surgery, but she denied. However, she accepted TCM traumatology and had obvious efficacy. Therefore, we discuss and analyze how to cure low back pain by TCM traumatology, and wish one day it could be popularize in clinical situation.

主题分类 醫藥衛生 > 中醫藥學
醫藥衛生 > 藥理醫學
参考文献
  1. Alfuth, M.,Cornely, D.(2016).Chronic low back pain : Comparison of mobilization and core stability exercises.Orthopade
  2. Anderson, R.E.(2000).Acute low back pain-radiculopathy. American College of Radiology. ACR Appropriateness Criteria.Radiology,215,479-85.
  3. Ghamkhar, L.(2011).Application of rehabilitative ultrasound in the assessment of low back pain: a literature review.J Bodyw Mov Ther,15(4),465-77.
  4. Goss, D.A., Jr.(2012).Non-thrust manual therapy reduces erector spinae shortlatency stretch reflex asymmetries in patients with chronic low back pain.J Electromyogr Kinesiol,22(5),663-9.
  5. Hamm-Faber, T.E.(2015).Subcutaneous Stimulation as an Additional Therapy to Spinal Cord Stimulation for the Treatment of Low Back Pain and Leg Pain in Failed Back Surgery Syndrome: Four-Year Follow-Up.Neuromodulation,18(7),618-622.
  6. Hestbaek, L.(2014).Low back pain in primary care: a description of 1250 patients with low back pain in Danish general and chiropractic practice.Int J Family Med,106102.
  7. Hoy, D.(2010).The Epidemiology of low back pain.Best Pract Res Clin Rheumatol,24(6),769-81.
  8. Kliziene, I.(2015).Effects of core stability exercises on multifidus muscles in healthy women and women with chronic low-back pain.J Back Musculoskelet Rehabil,28(4),841-7.
  9. Konstantinovic, L.M.(2010).Acute low back pain with radiculopathy: a doubleblind, randomized, placebo-controlled study.Photomed Laser Surg,28(4),553-60.
  10. Lee, H.J.(2014).Acupuncture for low back pain due to spondylolisthesis: study protocol for a randomized controlled pilot trial.Trials,15,105.
  11. Malanga, G.A.,Cruz Colon, E.J.(2010).Myofascial low back pain: a review.Phys Med Rehabil Clin N Am,21(4),711-24.
  12. Mierau, D.(1987).A comparison of the effectiveness of spinal manipulative therapy for low back pain patients with and without spondylolisthesis.J Manipulative Physiol Ther,10(2),49-55.
  13. Nguyen, C.(2010).Assessment of ankylosing spondylitis criteria in patients with chronic low back pain and vertebral endplate Modic I signal changes.J Rheumatol,37(11),2334-9.
  14. Ostojic, Z.(2002).Compression fracture of a fragile lumbar vertebrae as a cause of low back pain.Med Arh,56(5-6),299-300.
  15. Patel, A.T.,Ogle, A.A.(2000).Diagnosis and management of acute low back pain.Am Fam Physician,61(6),1779-86+1789-90.
  16. Pneumaticos, S.G.,Hipp, J.A.,Esses, S.I.(2000).Sensitivity and specificity of dural sac and herniated disc dimensions in patients with low back-related leg pain.J Magn Reson Imaging,12(3),439-43.
  17. Press, J.(2013).Survey of inspection and palpation rates among spine providers: evaluation of physician performance of the physical examination for patients with low back pain.Spine,38(20),1779-84.
  18. Roulaud, M.(2015).Multicolumn spinal cord stimulation for significant low back pain in failed back surgery syndrome: design of a national , multicent re, randomized, controlled health economics trial (ESTIMET Study).Neurochirurgie,61(1),109-16.
  19. van der Windt, D.A.(2010).Physical examination for lumbar radiculopathy due to disc herniation in patients with lowback pain.Cochrane Database Syst Rev,2,CD007431.
  20. Vasseljen, O.(2012).Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain: a randomized controlled trial.Spine,37(13),1101-8.
  21. Vora, A.J.,Doerr, K.D.,Wolfer, L.R.(2010).Functional anatomy and pathophysiology of axial low back pain: disc, posterior elements, sacroiliac joint, and associated pain generators.Phys Med Rehabil Clin N Am,21(4),679-709.
  22. Wood, K.B.(2011).Effectiveness of spinal fusion versus structured rehabilitation in chronic low back pain patients with and without isthmic spondylolisthesis: a systematic review.Spine,36(21),110-9.
被引用次数
  1. 劉美玲,黃麗霞,陳清貴(2020)。一位脊椎狹窄接受脊椎減壓固定術之病人護理經驗。若瑟醫護雜誌,14(1),110-122。