PDF(Pubmed)
Abstract：
UNASSIGNED: The lack of clear knowledge about the etiology of nonspecific neck pain (NS-NP) strengthens the need for other mechanisms, still poorly described in the literature, to be investigated. Therefore, a quantitative analysis of two cases of NS-NP in subjects with functiona dyspepsia was conducted in order to verify the immediate and seven-day postintervention effects of visceral manipulation (VM) to the stomach and liver on neck pain, cervical range of motion (ROM), and electromyographic (EMG) activity of the upper trapezius muscle.
UNASSIGNED: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.
UNASSIGNED: The results demonstrated (subjects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a decrease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects).
UNASSIGNED: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with functional dyspepsia.
UNASSIGNED: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.
UNASSIGNED: The results demonstrated (subjects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a decrease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects).
UNASSIGNED: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with functional dyspepsia.
摘要：
■缺乏关于非特异性颈部疼痛（NS-NP）病因的明确知识加强了对其他机制的需求，在文献中仍然没有很好的描述，被调查。因此,对患有功能性消化不良的受试者中的两例NS-NP进行了定量分析，以验证内脏操作（VM）对胃和肝脏对颈部疼痛的即时和七天干预后效果。颈椎活动范围（ROM），和上斜方肌的肌电图（EMG）活动。
病例A是一名18岁的女性，患有一年的非特异性颈部疼痛，报告醒来时疼痛，短暂的间歇性疼痛，偶尔出现上肢感觉异常的症状。病例B是一名25岁女性，主诉颈椎疼痛一年，伴有单侧颞下颌关节疼痛，和胸内区域。两例均表现为功能性消化不良。
■结果显示（受试者A和B，分别）宫颈ROM（范围：12.5％至44.44％）和EMG信号幅度（介入后立即：57.62和20.78；七天后：53.54％和18.83％）的一般增加，干预后立即增加肌纤维传导速度（4.44％和7.44％），干预后7天减少（25.25％和21.18％）。对于痛苦，干预后即刻(23.07%和76.92%)和干预后7天(两名受试者均为100%)观察到下降.
■单个VM在颈部疼痛方面提供了重要的临床改善，颈椎活动范围，和上斜方肌的肌电图活动，在两名患有功能性消化不良的NS-NP受试者的干预后立即和7天。
病例A是一名18岁的女性，患有一年的非特异性颈部疼痛，报告醒来时疼痛，短暂的间歇性疼痛，偶尔出现上肢感觉异常的症状。病例B是一名25岁女性，主诉颈椎疼痛一年，伴有单侧颞下颌关节疼痛，和胸内区域。两例均表现为功能性消化不良。
■结果显示（受试者A和B，分别）宫颈ROM（范围：12.5％至44.44％）和EMG信号幅度（介入后立即：57.62和20.78；七天后：53.54％和18.83％）的一般增加，干预后立即增加肌纤维传导速度（4.44％和7.44％），干预后7天减少（25.25％和21.18％）。对于痛苦，干预后即刻(23.07%和76.92%)和干预后7天(两名受试者均为100%)观察到下降.
■单个VM在颈部疼痛方面提供了重要的临床改善，颈椎活动范围，和上斜方肌的肌电图活动，在两名患有功能性消化不良的NS-NP受试者的干预后立即和7天。
