捏脊对厌食模型大鼠食量、尿D-木糖排泄量的影响

目的探讨捏脊疗法治疗小儿厌食症的可能机理。方法病因模拟法制作幼龄厌食大鼠模型，用捏脊、中药、捏脊与中药联合治疗，观测捏脊疗法对小儿厌食症动物模型大鼠体重、食量、尿D-木糖排泄量的影响。结果与模型组比较，各治疗组较模型组体重和食量改善，各治疗组尿D-木糖排泄量明显增加。结论捏脊疗法在一定程度上可防治小儿厌食症，其可能作用机制与改善小肠的吸收功能有关。     

益气通督手法治疗小儿脾虚泻的多中心随机对照研究

目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两组疗效。结果:观察组治愈率为83.2%,对照组治愈率为69.6%,差异有统计学意义(P<0.05),观察组疗效优于对照组。两组平均治愈时间比较,观察组平均治愈时间(3.22±1.04)天,对照组平均治愈时间(4.20±1.11)天,差异有统计学意义(P<0.05),观察组短于对照组。结论:益气通督手法治疗小儿脾虚泻疗效确切,起效快,适宜普及推广应用。     

A MISDIAGNOSED CASE OF SACROILIAC JOINT INJURY AND MALPOSITION

Sacroiliac joint malposition is one of the main causes evoking lumbocrural pain. Because its clinical symptoms are similar to those induced either by lumbar intervertebral disc protrusion or by ankylosing spondylitis (AS) at the early stage, and because X-ray results taken at its early stage were not evident for differentiating the diseases, misdiagnosis may occur in some doctors due to lack of experience. The authors treated several cases of pain in hip joint, which had been diagnosed as ankylosing spondylitis.     

拍打法结合针灸、美式正脊治疗颈肩综合征的疗效观察

【目的】探讨以拍打法结合针灸、美式正脊为主的非药物综合方案治疗颈肩综合征的临床价值。【方法】采用随机、对照研究方法，将合格受试者312例1：1比例随机纳入治疗组和对照组（传统的手法推拿），分别给予以拍打法结合针灸及美式正脊为主的非药物综合方案和以推拿为主的非药物治疗，建立评价指标，评价疗效及安全性。【结果】治疗组痊愈率45．3％，愈显率66．23％，优于对照组的15．86％、42．07％（P〈0．01）；未发现所采用治疗方法的不良反应。【结论】以拍打法结合针灸及美式正脊为主的非药物综合治疗方案治疗颈肩综合征，安全有效；其较之以纯手法推拿的治疗方案，具有疗效优势。     

No alternative? The regulation and professionalization of complementary and alternative medicine in the United Kingdom

In conjunction with its growing popularity, complementary and alternative medicine (CAM) in the United Kingdom has witnessed increasing professionalization, partly prompted by the landmark Parliamentary Inquiry that reported in November 2000. Professionalization has become a significant strategy for practitioner associations and a key focus for the government, media, and patient groups. It is being driven by concern over the interests of patients and consumers, and in relation to the possible integration of certain forms of CAM into publicly funded healthcare. It is, moreover, being reconfigured in explicitly national terms. This paper draws on research into practitioner associations representing nine CAM modalities in the UK-aromatherapy, Chinese herbal medicine, chiropractic, crystal healing, feng shui, 'lay' homeopathy, medical homeopathy, osteopathy, and Radionics-, examining the recent wave of professionalization in relation to Foucault's concern with 'techniques of the self.' It highlights the contrasting experience of an association of Chinese herbalists seeking statutory self-regulation (SSR) and an association of chiropractors that was instrumental in securing SSR for chiropractic.     

The influence of a chiropractic manipulation on lumbar kinematics and electromyography during simple and complex tasks: a case study

OBJECTIVE: To investigate whether a more sophisticated and detailed analysis of both simple and complex tasks may yield more information regarding the short-term influence of an adjustment on spine biomechanics. METHODS: The study used a single-subject, before-after design. Three-dimensional spine kinematics and trunk muscle electromyography were assessed during a variety of tasks performed by a professional golfer exhibiting non-specific, chronic, low back pain. The patient received a right-to-left and left-to-right spinous pull adjustment. RESULTS: After the adjustment, changes were seen in all 3 axes of motion during a golf swing, with concomitant muscle responses. In addition, changes in the off axes of motion were seen during simple movement tasks. CONCLUSIONS: A more detailed spine kinematic analysis, specifically analysis of motion in the nonprincipled axes, yielded more information regarding the short-term influence of an adjustment on lumbar spine motion and muscle function.     

Professional Association Response to the Manga Report

Abstract

The report entitled “The Effectiveness and Cost-Effectiveness of Chiropractic Management of Low Back Pain” was funded by the Ontario Ministry of Health and undertaken by Pran Manga and Associates. Known as the Manga report, for its lead author, economist Pran Manga, the report raises important issues related to the treatment of low back pain (LBP), a condition with major economic and quality of life implications. In this briefing note to the Ontario Ministry of Health regarding the Manga Report (MR), the Ontario Physiotherapy Association (OPA) questions the interpretation of the data and conclusions made by the authors of the report and expresses the belief that further analysis and discussion are required if appropriate health services policy decisions are to be made.