痛点复合臂丛神经阻滞下手法松解治疗高龄肩周炎患者的观察

目的:观察痛点复合臂丛神经阻滞后手法松解治疗高龄患者肩周炎的临床疗效。方法:高龄肩周炎患者60例,男25例,女35例,年龄71～86岁,病程1～18个月,先行痛点阻滞,然后行臂丛阻滞后手法松解肩关节。结果:60例患者中治愈54例,占91.0%;显效6例,占10.0%;未出现并发症。结论:痛点复合臂丛神经阻滞后手法松解治疗高龄患者肩周炎疗效好,安全性高,是治疗肩周炎的有效方法。     

儿童寰枢椎半脱位38例临床分析

目的：探讨儿童寰枢椎半脱位的发病机理、临床表现、诊断标准、手法治疗机理和疗效。方法：回顾性整理该病38例临床资料,包括性别、年龄、多发时间、病因、病程、症状和体征、影像学改变、治疗方法、治疗结果。并对这些资料进行分析。结果：大部分（78.9%）儿童起因于上呼吸道感染,急性扁桃腺炎和头颈部外伤。38例患者均有枢椎棘突偏歪,具有诊断学意义的影像学表现为：颈椎正位（开口位）、侧位片中的ADI≥3.0mm,齿状突偏歪,颈1、2顺列不良,寰枢椎外侧关节面不平行,咽后壁厚度≥4mm,颈椎曲度变直或反向,寰椎后结节上或下翘,咽后壁与颈4椎体矢状径比值〉0.3,寰枢棘突角≥10°,喉室壁与颈4椎体矢状径比值〉0.7。本文中冯氏手法治疗本病的有效率为100%。结论：儿童头颈部扭伤,咽喉与口腔部炎症和上呼吸道感染是本症最主要的发病原因,X线检查必须和症状体征结合才可作出诊断,冯氏手法是治疗该症的有效方法之一。     

先天性高肩胛症的手术治疗

介绍和评价Ｗｏｏｄｗａｒｄ手术治疗先天性高肩胛症的情况，讨论２例发生臂丛神经损伤的教训。全组手术３０例，男１２例，女１８例，术时年龄３～９岁１９例，１１～１４岁１１例。单纯先天性高肩肿症８例，伴有先天性脊柱侧凸者２２例。２例术后出现臂丛神经损伤，经松解而恢复。１４例同时做了锁骨粉碎术。所有病例均做了肩胛下移，达到外形改善。肩的外展功能大部分病例有所提高。Ｗｏｏｄｗａｒｄ手术治疗先天性高肩肿症与其他手术比较创伤小，出血少，操作简便，效果好。锁骨粉碎术有预防臂丛神经损伤的作用。     

中西医综合治疗肩周炎356例临床观察

肩关节周围炎即中医的“肩痹”和“漏肩风”,是肩关节周围软组织的一种退行性炎性疾病。本病多见于中年人以上 ,病因常为气血衰退 ,局部多受寒或劳损后引起本病。本病多见于单侧 ,少数累及双侧 ,疼痛向患侧颈、肩、背部放散 ,日轻夜重 ,久延不愈 ,病变组织形成粘连 ,从而导致肩关节活动有不同程度的障碍。目前治疗方法颇多 ,我院近几年采用按摩及配合痛点封闭治疗 35 6例肩周炎病人 ,收到较满意的疗效。1　临床资料本组治疗 35 6例病人中 :男性 15 7例 ,女性 199例 ,右肩周炎 139例 ,有功能障碍 5 8例 ,左肩周炎 2 17例 ,有功能障碍 94例 ,…     

Manipulation of enteric flora in ulcerative colitis

TO THE EDITOR Reviewing the available therapeutic options in the medical treatment of ulcerative colitis, Xu et al.[1], have omitted to mention an important aspect in the pharmacological management of the disease, namely the possibility to promote clinical and endoscopic improvement by manipulating the enteric flora.     

A fronto-parietal network for chewing of gum: a study on human subjects with functional magnetic resonance imaging

The purpose of this study is to investigate human brain activity during mastication using fMRI. Twelve right-handed normal subjects performed two tasks: chewing of gum at their own pace, and imitating the movements of chewing gum. In order to reveal which areas of the brain are more strongly activated while chewing gum, we performed the conjunction analyses of gum chewing minus sham chewing with gum chewing minus rest. The common activity in the orofacial sensorimotor and premotor cortex was subtracted out since it was common to both tasks, but there were some differences in activity in some prefrontal and posterior parietal cortex areas. Our results suggest that a fronto-parietal network for mastication exists and may contribute to higher cognitive information processing.     

Active or passive treatment for neck-shoulder pain in occupational health care? A randomized controlled trial

AIMS: To compare the effectiveness of thoracic manipulations with instructions for physiotherapeutic exercises for the treatment of neck pain in occupational health care. METHODS: Seventy-five subjects aged 30-55 years from a random sample of 241 employees of the Finnish Broadcasting Company were randomly allocated to treatment in the form of four thoracic manipulations (n = 43), or instructions for physiotherapeutic exercises (n = 32). The subjects reported neck-shoulder pain on a structured pain questionnaire using a visual analogue scale (VAS, 0-10). Muscle tenderness and tender thoracic levels were evaluated by a blinded investigator (A.S.) at 6- and 12 month follow-ups. RESULTS: A statistically significant difference was found in self-reported worst pain by VAS at the 12 month follow-up in favour of the thoracic manipulation group. CONCLUSIONS: The natural course of the neck-shoulder pain in this study appears benign; pain was also reduced in the drop-out group. Both treatments were found effective at the 12 month follow-up. The effect of four manipulations was more favourable than the personal exercise program in treating the more intense phase of pain.     

Editorial

Zusammenfassung Aus ethologischer und evolutionspsychologischer Forschung geht immer deutlicher hervor, dass Intelligenz keine monolithische Funktionseinheit ist, sondern eine Reihe von Spezialfunktionen zur Lebensbewältigung umfasst, welche z. T. sogar unterschiedliche evolutionäre Wurzeln aufweisen. Eine dieser Unterformen wird in Anlehnung an den italienischen Politiker und Schriftsteller aus dem 15./16. Jahrhundert, Niccolo Machiavelli, auch "machiavellische Intelligenz" genannt. Sie ermöglicht soziale Manipulation im Dienste (gruppen)egoistischer Zielerreichung. Damit wird sie zur fassbaren psychologischen Grundlage der Machtausübung in sozialen Verbänden. Machiavellische Intelligenz kann sowohl bei höheren Primaten wie auch beim Menschen beobachtet und evaluiert, bei letzterem sogar gemessen werden.

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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.