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Research and treatment bulletin

机译：研究和治疗公告

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Rafael Zegarra-Parodi, CEESO Paris & Lyon, France. Radiating leg pain has been identified as a poor prognostic factor for recovery in patients with low back pain. Differentiating between disorders arising from neural structures and from musculoskeletal structures of the lumbar spine is important for accurate diagnosis and to provide more effective and appropriate treatment. Identifying the predominant underlying pathophysiological mechanism is clinically challenging for manual therapists but could provide information for both patients and practitioners about treatment possibilities and outcomes: whether treatment is absolutely contraindicated (i.e. would worsen a condition), whether certain techniques are contraindicated (direct techniques on specific tissues) and whether manual treatment would be indicated as a complementary or an alternative treatment.
机译：法国巴黎CEESO和里昂的Rafael Zegarra-Parodi。辐射性腿痛已被确定为下腰痛患者恢复的不良预后因素。区分由腰椎的神经结构和肌肉骨骼结构引起的疾病对于准确诊断和提供更有效和适当的治疗很重要。识别主要的病理生理机制对手动治疗师而言在临床上具有挑战性，但可以为患者和从业者提供有关治疗可能性和结果的信息：是否绝对禁忌（即会使病情恶化），某些技术是否禁忌（针对特定疾病的直接技术）组织）以及是否将手动治疗指示为补充治疗或替代治疗。

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