我们介绍了一名患者在车辆后部碰撞(MVC)后接受结构康复的情况。药物并没有减轻撞车受伤的症状。在姿势和结构康复治疗后,发现了受伤引起的疼痛和残疾的解决方法。一名39岁的男性在两辆非常大的车辆之间的后部碰撞中受伤。严重的偏头痛,颈部疼痛,和神经根病,以及下背部疼痛,是坠机的结果.患者报告的结果(PRO)表明,这些症状导致严重的残疾和不良的健康相关生活质量(HRQoL)指标。射线照片发现脊柱对齐异常与后部碰撞MVC一致。进行整脊生物物理学®(CBP®)结构康复。在包括加强虚弱和受损肌肉的治疗方案之后,体位和脊柱牵引,体位脊柱手法治疗(SMT),家庭治疗导致症状的解决。所有结果指标都显示出改善,包括简短表格36问题健康问卷(SF-36),四重视觉模拟量表(QVAS),头痛残疾指数(HDI),颈部残疾指数(NDI),修订后的Oswestry残疾指数(RODI),以及在射线照片上发现的显着测量改善。脊柱疼痛和排列改变是MVCs的常见结果。如果未更正,这些异常增加了慢性疼痛和残疾的可能性.联合腰痛(LBP),颈部疼痛(NP),头痛(HA),和神经根病,正如在我们的主题中发现的那样,显著地预先使个人患有不良的HRQoL,年的残疾生活(YLDs),并增加了全球疾病负担(GBD)。治疗受伤患者的医生应该有一个可重复的,可靠,有效,和有效的方法来减轻疼痛,增加运动范围(ROM),改善脊柱对齐,并提高日常生活活动(ADLs)的表现。Further,有必要对受伤患者进行更大规模的研究,以确定CBP®方案是否可以减少由MVC损伤引起的GBD。
We present the case of a patient receiving structural rehabilitation following a rear-impact motor vehicle collision (MVC). Medications did not alleviate the symptoms of the crash injuries. Resolution of injury-caused pain and disability was found following postural and structural rehabilitation treatment. A 39-year-old male was injured in a rear-impact collision between two very large vehicles. Severe migraine headaches, neck pain, and radiculopathy, as well as lower back pain, were the result of the crash. Patient-reported outcomes (PROs) demonstrated that the symptoms were causing severe disability and poor health-related quality of life (HRQoL) measures. Radiographs found spine alignment abnormalities consistent with rear impact MVC. Chiropractic Biophysics® (CBP®) structural rehabilitation was performed. Following a treatment regimen involving strengthening weakened and damaged muscles, postural and spinal traction, postural spinal manipulative therapy (SMT), and home therapies resulted in the resolution of the symptoms. All outcome measures demonstrated improvement, including Short-Form 36 question health questionnaire (SF-36), quadruple visual analog scale (QVAS), headache disability index (HDI), neck disability index (NDI), revised Oswestry disability index (RODI), as well as significant measured improvements found on radiographs. Spine pain and altered alignment are frequent results of MVCs. If left uncorrected, these abnormalities increase the likelihood of chronic pain and disability. Combined low back pain (LBP), neck pain (NP), headache (HA), and radiculopathy, as found in our subject, significantly pre-dispose the individual to poor HRQoL, years lived with disability (YLDs) and increased the global burden of disease (GBD). Physicians who treat injured patients should have a repeatable, reliable, valid, and efficacious method to reduce pain, increase range of motion (ROM), improve spine alignment, and improve the performance of activities of daily living (ADLs). Further, larger studies of injured patients are necessary to determine if the CBP® protocol reduces GBD caused by MVC injuries.