Brustwirbelsäule (BWS)

An overview of diagnostic and therapeutic methods (techniques) of manual medicine (MM)/chirotherapy in the thoracic spine region is presented. The three schools of MM of the German Society of MM describe the methods taught in seminars for physicians. The authors distinguish between common, orienting and specific diagnostics and therapeutic approaches such as mobilisation of joints and muscles and manipulative treatment. Relations to other regions are considered. Diagnostics and therapeutic approaches to the cervicothoracic region and chest will be considered in further publications.     

Chronifizierte zervikale Traumafolgen Bewegungsmessungen*

Ohne Zusammenfassung     

Pediatric Bone Densitometry: Technical Issues

Equipment and software used for dual energy x-ray absorptiometry (DXA) was developed for adults. As use of the method grows in pediatrics, understanding technical issues is important for those performing and interpreting DXA studies in infants, children, and adolescents. Detection of very low bone mineral density requires alteration of automated scan techniques. Normal values based on chronologic age have been published. The Z score becomes the more meaningful statistic as opposed to the T score used in reporting adult DXA measurement of bone mineral density.     

Manuelle Medizin in der begleitenden Behandlung von Kindern mit infantiler Zerebralparese

Manuelle Medizin - Die Bezeichnung „infantile Zerebralparese“ ist ein Oberbegriff, der den Zeitpunkt der Entstehung der Störung (Schwangerschaft bis Ende der Markreifung im...     

Erratum zu: Manuelle Medizin in der begleitenden Behandlung von Kindern mit infantiler Zerebralparese

Manuelle Medizin - Sehr geehrte Leserin, sehr geehrter Leser, leider wurden in der Online-First-Version des Beitrags nicht alle Autoren angezeigt. Bitte beachten Sie die vollständige Nennung...     

Differenzialdiagnostik manualmedizinischer Syndrome der oberen Extremität

Pain in the upper extremities is as frequent as pain in the shoulder-region and these also often occur in combination. Patients are often severely affected. In this article manual medical syndromes are described which partially fit into existing concepts, such as epicondylopathy but also represent independent entities. Typical manual medical findings are presented on the basis of the main symptoms. The differential diagnostic delimitations, particularly of neurological and orthopedic syndromes are outlined in detail. The proposed manual medical osteopathic approach makes differential diagnostic considerations possible beyond compression of peripheral nerves, bone or joint-associated illnesses or circulatory disorders. It offers the possibility of an effective functional treatment planning and in particular cases could possibly replace invasive interventions.     

Spinal cord stimulation in postherpetic neuralgia and in acute herpes zoster pain

We studied the effects of spinal cord stimulation (SCS) on postherpetic neuralgia (PHN). Data of 28 patients were prospectively investigated over a median period of 29 (quartiles 9--39) mo. In addition, four patients with acute herpes zoster (HZ) pain were studied simultaneously. After intractable pain for more than 2 yr, long-term pain relief was achieved in 23 (82%) PHN patients (median, 70 yr) during SCS treatment confirmed by a median decrease from 9 to 1 on the visual analog scale (P < 0.001). In five cases with serious comorbidity, the initial pain alleviation could not be stabilized. Spontaneous improvement was always confirmed or excluded by SCS inactivation tests at quarterly intervals. Eight patients discontinued SCS permanently because of complete pain relief after stimulation periods of 3--66 mo, whereas 2 reestablished SCS because of recrudescence after 2 and 6 mo. Considerable impairments in everyday life, objectified by the pain disability index, were also significantly improved (P < 0.001). In 4 patients with acute HZ pain, SCS was promptly effective and after periods of 2.5 (quartiles 2--3) months the pain had subsided. SCS seems to offer a therapeutic option for pharmacological nonresponders. IMPLICATIONS: In many patients with postherpetic neuralgia and acute herpes zoster pain is not satisfactorily alleviated with pharmacological approaches. We report on 23 of 28 patients with postherpetic neuralgia and 4 of 4 with acute herpes zoster whose chronic pain was improved by electrical spinal cord stimulation.     

Coffin-Lowry syndrome

The Coffin-Lowry syndrome is an established syndrome of severe mental and growth retardation, characteristic dysmorphic features and skeletal anomalies. The authors report a one and half year old boy with classical features of this syndrome. Early recognition of this condition is important for genetic counseling and prevention of progressive skeletal deformities.     

Correlation between plasma neurotransmitters and memory loss in pregnancy

OBJECTIVE: To correlate the levels of plasma neurotransmitters epinephrine, norepinephrine, serotonin and dopamine with memory in healthy, pregnant women. STUDY DESIGN: Fifty healthy, pregnant women were selected in the first trimester and followed in the second and third trimesters of pregnancy. Nonpregnant women served as controls. Epinephrine, norepinephrine, serotonin and dopamine levels were analyzed with high-performance liquid chromatography. The plasma neurotransmitter levels were correlated with memory in each trimester of pregnancy. RESULTS: Significant decreases (P < .001) in plasma epinephrine, serotonin and dopamine were observed in healthy, pregnant women in each trimester of pregnancy when compared to nonpregnant women. A significant increase in plasma norepinephrine was observed in healthy, pregnant women in each trimester of pregnancy. A significant decrease (P < .001) in functional memory was observed in healthy, pregnant women when compared to nonpregnant women. CONCLUSION: Decreases in functional memory and of plasma epinephrine, norepinephrine and serotonin levels in the second trimester of healthy pregnancy suggests that decreased plasma neurotransmitter levels are responsible for loss of functional memory in healthy, pregnant women.