PDF(Pubmed)
Abstract：
Cervicogenic dysphagia is a complex condition that can arise from biomechanical dysfunction in the cervical spine. Conventional treatment outcomes are not always guaranteed. Chiropractic treatment is considered an alternative treatment for dysphagia, yet there is a lack of evidence supporting its effectiveness. We present the case of a 48-year-old male who had difficulty swallowing for eight months. He had a feeling of food stuck in his throat when eating hard food but without any pain when swallowing, and eventually, he could not swallow any dry food. He was diagnosed with dysphagia associated with an anxiety disorder and was treated with medication, but there was no improvement in his condition. A full-spine radiograph revealed biomechanical dysfunction, including reduced cervical lordosis and levoscoliosis of the upper thoracic spine. After nine months of conventional physiotherapy, the patient completely recovered from his symptoms, with significantly improved biomechanical parameters. This study highlights the potential mechanism of cervicogenic dysphagia and the effect of chiropractic treatment in managing it. Applying chiropractic treatment, including spinal manipulative therapy, instrument-assisted soft tissue manipulation, and mechanical traction, might bring a positive outcome for dysphagia patients with careful consideration.
摘要：
颈源性吞咽困难是一种复杂的疾病，可能是由于颈椎的生物力学功能障碍引起的。传统的治疗结果并不总是得到保证。整脊治疗被认为是吞咽困难的替代疗法，然而，缺乏证据支持其有效性。我们介绍了一名48岁男性吞咽困难八个月的情况。吃硬食物时，他有一种食物卡在喉咙里的感觉，但吞咽时没有任何疼痛，最终，他不能吞下任何干粮。他被诊断患有与焦虑症有关的吞咽困难，并接受药物治疗，但他的情况没有好转.全脊柱X光片显示生物力学功能障碍，包括颈椎前凸和上胸椎的左凸。经过九个月的常规理疗,病人症状完全恢复,具有显著改善的生物力学参数。这项研究强调了宫颈源性吞咽困难的潜在机制以及整脊治疗在治疗中的作用。应用整脊治疗，包括脊椎手法治疗,器械辅助软组织操作，和机械牵引，仔细考虑可能会给吞咽困难患者带来积极的结果。
