Mode d'action des manipulations vertébrales

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• 作者：Maigne ; Jean-Yves ; Vautravers ; Philippe
• 关键词：Manipulation vert&eacute ; brale ; Lombalgie ; M&eacute ; decine manuelle ; Chiropactie ; Ost&eacute ; opathie ; Spinal manipulative therapy ; Low back pain ; Manual medicine ; Chiropractics ; Osteopathy
• 刊名：Revue du Rhumatisme
• 出版年：2003
• 出版时间：October, 2003
• 年：2003
• 卷：70
• 期：9
• 页码：713-719
• 全文大小：282 K

文摘

Spinal manipulative therapy (SMT) acts on the various components of the vertebral motion segment. SMT distracts the facet joints, with faster separation when a cracking sound is heard. Intradiscal pressure may decrease briefly. Forceful stretching of the paraspinal muscles occurs, inducing relaxation via mechanisms that remain to be fully elucidated. Finally, SMT probably has an inherent analgesic effect independent from effects on the spinal lesion. These changes induced by SMT are beneficial in the treatment of spinal pain but short-lived. To explain a long-term therapeutic effect, one must postulate a reflex mechanism, for instance disruption of a pain-spasm-pain cycle or improvement of a specific manipulation-sensitive lesion, whose existence has not been established to date.