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Osteopathic manipulative treatment in chronic coccydynia: A case series

机译:慢性Coccynia骨质疗法处理治疗:案例系列

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BackgroundCoccydynia is a disorder associated with pain/discomfort at the base of the spine. The role of osteopathic manipulative treatment (OMT) in chronic coccydynia as well as for low back pain (LBP) and radicular pain (RP) associated with coccydynia, has not previously been investigated. This study seeks to analyse the effects of OMT on chronic coccydynia compared to physical therapy and pharmacological treatment (PTPT). The secondary objective is to analyse the effect of OMT on LBP and RP associated with coccydynia. MethodsClinical records of 50 patients were examined. These patients (aged 39.94?±?15.34 years, BMI 21.22?±?3.15) who complained of chronic coccydynia were assessed 3 times: before any treatment (t0), after PTPT (t1) and after OMT (t2). Patients were treated with PTPT during the first 3 months and then referred by physicians to osteopaths to receive 3 sessions of OMT over a period of 5 weeks. The outcome measurements were made by a visual analogue scale (VAS 0–10?cm) and the Oswestry Low Back Pain Disability Questionnaire. ResultsBefore starting OMT treatment, patients showed a stable condition of coccydynia (mean VAS values from 7.1 to 6.5 p?=?0.065) and a slight but significant reduction in disability (mean OD values from 17.7 to 14.5 p?=?0.017) after PTPT. After the 3 sessions of OMT, all subjects gained a successful reduction in pain (mean VAS values from 6.5 to 1.2, p?≤?0.001) and demonstrated a higher significant reduction in disability (mean Oswestry scale values from 14.5 to 2.5, p?
机译:Backgroundcoccydynia是与脊柱底部疼痛/不适相关的疾病。骨疗法操纵治疗(OMT)在慢性Coccydynia以及与Coccydynia相关的低疼痛(LBP)和自由疼痛(RP)中的作用尚未研究。该研究旨在分析OMT与物理治疗和药理学治疗(PTPT)相比慢性Coccydynia的影响。次要目的是分析OMT对与Coccydynia相关的LBP和RP的影响。检查了50例患者的方法。这些患者(年龄为39.94岁?±15.34岁,BMI 21.22?±3.15)被评估3次:在PTPT(T1)和OMT后的任何治疗前(T1)之前(T2)。在前3个月内用PTPT治疗患者,然后被医生提到的骨疗法,以在5周内获得3个OMT的课程。结果测量是通过视觉模拟量表(VAS 0-10?CM)和肌醇低疼痛残疾问卷制成。结果培养了OMT治疗,患者显示茧稳定的尾病症(平均VAS值从7.1至6.5 p?= 0.065),残疾略微但显着降低(平均值从17.7到14.5 p?= 0.017) 。在OMT的3次会话之后,所有受试者都会增加疼痛的减少(平均VA值从6.5到1.2,p?≤≤001),并证明了患者的显着降低(平均肌醇比例值从14.5到2.5,p? <?0.001)。结论STHIS案例系列表明,OMT引发了伴随伴侣患者的疼痛缓解和减少残疾的积极效益(有或没有与Coccydynia相关的RP和RP)。因此,OMT可以被认为是治疗慢性牛肝菌的有效治疗方法。然而,需要进一步的研究来测试假设,并更好地确定OMT的益处。

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