Migraine

Back Clinic Chiropractic and Physical Therapy Migraine Team. O le Migraine o se faʻamaʻi faʻamaʻi faʻamaʻi, e faʻaalia i vaega e taʻua o Migraine attacks. E fai lava si ese'ese mai le ulu masani e le fa'ama'i. E tusa ma le 100 miliona tagata e mafatia i le ulu ulu i le US Ma le 37 miliona o nei tagata e mafatia i migraines. Ua fuafuaina e le Faalapotopotoga o le Soifua Maloloina a le Lalolagi e faapea o le 18 pasene o tamaitai ma le 7 pasene o alii i le US e mafatia i nei tiga ulu. O le Migraine e ta'ua o le ulu muamua ona o le tiga e le mafua mai i se fa'ama'i po'o se tuma o le fai'ai po'o se manu'a ulu.

O nisi e mafua ai le tiga i le itu taumatau po o le itu tauagavale o le ulu. A o isi e mafua ai le tiga i soo se mea. E mafai ona maua e i latou o lo'o maua i le Migraine ni tiga feololo pe ogaoga ae e masani lava e le mafai ona auai i gaoioiga masani ona o le tiga. Pe a oso le migraine, o se potu pogisa filemu e mafai ona fesoasoani i auga. E mafai ona tumau mo le fa itula pe mafai ona tumau mo aso. Ole tele ole taimi e a'afia ai se tasi ile osofa'iga e sili atu le umi nai lo le tiga o le ulu lava ia. E mafua ona o loʻo i ai le muaʻi mataʻituina poʻo le fausiaina, ona sosoo ai lea ma le post-drome e mafai ona tumau mo le tasi i le lua aso.

Psychology, Paʻa tiga, Paʻa Paʻa, Faʻailoga Faʻanoanoa ma le Toto i El Paso, TX

by valevalevale | Tua Paʻu, Faʻafefete, tiga faaumiumi, Migraine, Faaleleia Faaletino, Faʻatonuina Faʻasalaga Faʻatonu, meafaigatā, Togafitiga

E lagona e tagata uma le tiga mai lea taimi i lea taimi. Paʻu o se faʻaletino lagona o le le mautonu mafua mai i manuʻa poʻo maʻi. A e tosoina se maso pe tipi lou tamailima, mo se faʻataʻitaʻiga, o le faʻailo e lafo atu i aʻa aʻa i le faiʻai, faʻailo ia te oe o loʻo i ai se mea o tupu i le tino. Paʻu atonu e eseese mo tagata uma ma e tele auala o lagona ma faʻamatala tiga. A maeʻa se manuʻa poʻo se maʻi, o le a paʻu le tiga, ae peitaʻi, o le a le mea e tupu pe a fai e faʻaauau pea le tiga tusa lava pe ua e faʻamalolo?

tiga faaumiumi e masani ona faʻamatalaina o soʻo se tiga e sili atu ma le 12 vaiaso. Paʻu tiga e mafai ona amata mai i le agamalu i le ogaoga ma e mafai ona avea ma iʻuga o muamua manuʻa po o taotoga, migraine ma le ulu tiga, gugu, neura faʻaleagaina, siama ma fibromyalgia. O le tiga tumau e mafai ona aʻafia ai lagona o le tagata ma lona mafaufau, ma atili ai ona faigata ona faʻamamaina ia faʻailoga. Suesuega suʻesuʻega ua faʻailoa mai ai o le mafaufau faʻapitoa e mafai ona fesoasoani i le tumau o le toe faʻaleleia o gaioiga. E tele fomaʻi polofesa, pei o le fomaʻi o le mafaufau, mafai ona tuʻuina atu fomaʻi faʻamalositino faʻatasi ai ma mafaufauga faʻapitoa e fesoasoani e toe faʻaleleia le soifua maloloina lautele ma le soifua maloloina o latou tagata mamaʻi. O le mafuaʻaga o le mataupu o loʻo sosoʻo mai, o le faʻaalia lea o le sao o le mafaufau i le puleaina o tagata mamaʻi ma tiga masani, e aofia ai le tiga o le ulu ma le tua.

O le Matafaioi o Suesuega Faʻatekonolosi i le Faʻatautaia o Tagata Maʻi i Faʻailoga Faigata

Name: El Paso Back Clinic | Spine Specialists - El Paso, TX
Price range: $$

lē faʻatino

O le tiga ogaoga e mafai ona malamalama lelei i ai mai le vaaiga o le biopsychosocial lea e vaai ai i le tiga o se mea faigata, e tele ona aafiaga e aliaʻe mai i le malosi o le fesoʻotaʻiga a le tagata mai i le tino, mafaufauga, lagona, amioga, ma agaifanua. O se vaaiga o le biopsychosocial e taulaʻi i le vaai atu i tiga tumau o se maʻi ae le o faamaʻi, ma ia iloa ai o se aʻoaʻoga poto masani ma o togafiti togafiti e faʻatatau i le puleaina, ae le o le faʻamalologa, o tiga tumau. Ole auala ole mafaufau ile taimi nei ile puleaina ole tiga masani e aofia ai faʻalavelave e faʻamoemoe e faʻateleina le puleaina o oe lava, suiga o amioga, ma suiga o le mafaufau nai lo le tuʻuʻeseina o le nofoaga ole tiga. Faʻamanuiaga o le aofia ai togafitiga o mafaufau i le tele o aʻoaʻoga auala i le puleaina o tiga tumau aofia ai, ae le gata mai, faʻateleina oe lava-puleaina o tiga, faʻalauteleina tiga-faʻafetaui punaoa, faʻaititia tiga-fesoʻotaʻi le atoatoa, ma faʻaititia le faʻanoanoa lagona atiaʻi faʻaleleia. ala i le tele o eseese lelei pulea-oe lava, amio, ma le mafaufau metotia. E ala i le faʻatinoina o nei suiga, psychologists mafai lelei fesoasoani tagata mamaʻi lagona sili atu i le faʻatonutonuina o latou tiga puleaina ma mafai ai ona latou ola i se olaga masani a mafai e ui lava i tiga. E le gata i lea, o agavaʻa na aʻoaʻoina e ala i faʻafitauli o le mafaufau e faʻamalosia ai ma mafai ai e tagata gasegase ona avea ma tagata toaga i le puleaina o latou maʻi ma totoina ni tomai taua e mafai e tagata mamaʻi ona faʻaaoga i o latou olaga atoa.

uputatala: faʻasolosolo taimi o le puleaina o tiga, mafaufau faʻapitoa, togafitiga faʻasolosolo faʻasalalaʻau, togafitiga faʻasolosolo mo le tiga

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

O le tiga ogaoga ua uma na fuafuaina e aafia ai le soifua maloloina o le mafaufau o i latou o loo i ai ma le tumau faailoga, mulimuli ane suia o latou atoa mafaufau ma lagona lagona. I se faʻaopopoga, tagata mamaʻi ma soʻotaga tulaga, e aofia ai mafatiaga, popole ma faʻanoanoaga, mafai ona faia togafitiga o se luʻitau. O le matafaioi a le togafiti togafitiga o le toe faʻaleleia faʻatasi ai ma le tausia ma faʻaleleia o le uluaʻi faʻavasegaina o le tuasivi e ala i le faʻaaogaina o tui tuʻusaʻo ma faʻatonutonu tusi lesona. Tausiga faʻafomaʻi e mafai ai e le tino ona faʻamalolo ia te ia lava e aunoa ma le manaʻomia o vailaʻau / vailaʻau ma togafitiga faʻasolosolo, e ui lava o nei mea e mafai ona faʻasino i ai e se fomaʻi faʻapitoa pe a manaʻomia. Ae ui i lea, o le togafitiga faʻafomaʻi e taulaʻi i le tino atoa, nai lo le tasi manuʻa ma / poʻo tulaga ma ona faʻailoga. Spinal adjustments ma tusi lesona togafiti, faʻatasi ai ma isi togafitiga metotia ma metotia masani faʻaaogaina e se fomaʻi, manaʻomia le mataala i le onosaʻi mafaufau ma lagona faʻalemafaufau ina ia mafai ai ona tuʻuina atu ia i latou ma le atoa soifua maloloina ma le soifua maloloina. O tagata mamaʻi e asia laʻu falemaʻi ma lagona tiga mai o latou tiga masani, e masani ona faigofie ona maua i faʻafitauli tau i le mafaufau. O le mea lea, togafitiga faʻasolosolo mafai ona avea ma faʻavae faʻapitoa mafaufau faʻafitauli mo faaumiumi tiga puleaina, faʻatasi ai ma na faʻaalia i lalo.

faʻatomuaga

O le tiga o se mea masani tagata soifua poto masani. Ua fuafuaina e tusa ma le 20% 35% o tagata matutua e maua i tiga tumau. [1,2] O le lipoti a le National Institute of Nursing Research o tiga e aafia ai le toatele o tagata Amerika nai lo le maʻisuka, maʻi fatu, ma le kanesa ua tuʻufaʻatasia. O le tiga na taua e avea ma mafuaaga autu e saili ai se togafitiga faafomaʻi i le Iunaite Setete. [3] E le gata i lea, o vailaʻau e tiga ai le vailaau o vailaʻau lona lua ia e masani ona faʻatulagaina i ofisa o fomaʻi ma potu mo faʻalavelave faʻafuaseʻi. [4] O loʻo faʻamalosia foi le taua o le lava lelei o le suʻesuʻeina o tiga, o le Komisi Soʻofaʻatasi i le Faʻatagaina o Soifua Maloloina Faʻalapotopotoga na tuuina atu se tulafono e manaʻomia ai le tiga e iloiloina o le lima faʻailoga taua i taimi o asiasiga faʻafomaʻi. [5]

O loʻo faʻamatalaina e le International Association for the Study of Pain (IASP) le tiga e pei o se lagona faʻaletino ma lagona faʻagaeʻetia e fesoʻotaʻi ma mea moni poʻo mea e ono faʻaleagaina, poʻo faʻamatalaina i mea o na faʻaleagaina. O le faʻauiga a le IASP o loʻo faʻailoa mai ai le lautele o tulaga o tiga, o se mea faigata e faʻapitoa i tagata taʻitoʻatasi. O le tiga masani e masani ona ese mai tiga matuitui faʻavae i luga o lona masani ai poʻo le tumau ai, o lona tino faʻaleleia auala, ma / pe o lona leaga aʻafiaga i se olaga o le tagata. E masani lava, ua taliaina o tiga e tumau pea i talaatu o le taimi fuafuaina o taimi mo aano faʻamalolo mulimuli mai se manuʻa poʻo se taotoga e manatu tiga tumau. Ae ui i lea, o le faʻavaitaimi taimi faʻatulagaina aofia ai se faʻamoemoe faʻamalologa vaitaimi e fesuisuiaʻi ma masani ona faigata ona mautinoa. Mo le faigofie o le faʻavasegaina, o ni faʻatonuga faʻailoa mai o tiga tumau i tua atu o le 7--3 masina taimi faʻamalama ua manatu tiga tumau. [6] E ui i lea, o le faʻavasegaina o tiga faʻavae lava i luga o le umi o se matua faʻatinoina ma, i nisi taimi, faʻapitoa filifiliga. Sili atu masani, faʻaopopo mea taua pei o etiology, tiga malosi, ma aʻafiaga o loʻo mafaufauina faʻatasi ma le umi pe a faʻavasega faʻasolosolo tiga. O se isi auala e faʻailoa mai ai le tumau o le tiga na faʻavae i luga o lona tino faʻaleleia auala; o lona uiga, tiga ia e manatu e aliaʻe mai o se iʻuga o le toe faʻafouina ma le faʻatulagaina tutotonu. Masani masani tiga tiga tulaga aofia ai musculoskeletal faaletonu, neuropathic tiga tulaga, tiga ulu, tiga kanesa, ma visceral tiga. Faʻalautele lautele, tiga tulaga e ono tele naua le aoga (gaosia masini poʻo vailaʻau tiga), neuropathic (e mafua mai i neura faʻaleagaina), poʻo le ogatotonu (e mafua mai le le aoga i neu o le ogatotonu sisitema sisitema). [7]

Ae paga lea, o le lagona o le tiga e masani ona faʻailoa mai e le talafeagai i le tino, mafaufau, agafesoʻotaʻi, ma tautupe puapuaga. O le tiga tumau na amanaʻia o le mafuaʻaga sili lea o le le atoatoa o le tumau i le vaitaimi o tagata faigaluega Amerika. [9] Talu ai o tiga masani e afaina ai le tagata i le tele o vaega o lona olaga o ia foi o lona uiga foi o se avega tele tautupe i la tatou sosaiete. O le tuʻufaʻatasia tuusao ma le tuusao tau o tiga na fuafuaina e amata mai le $ 125 piliona i le $ 215 piliona, i tausaga taʻitasi. faʻateleina le aofaʻi o le le atoatoa-fesoʻotaʻi tiga, tiga-fesoʻotaʻi suiga i le malamalama, ma faʻaititia le lelei o le olaga. O le mea lea, o le tiga tumau e mafai ona sili atu ona malamalama i ai mai le biopsychosocial vaaiga lea e vaʻaia ai le tiga o se faigata, tele faʻavaʻaina poto masani e aliaʻe mai le maoaʻe fesoʻotaʻiga o se tagata gasegase o le tino tulaga, mafaufauga, lagona, amioga, ma sosaiete aʻafiaga.

Paina Management

Talu ai ona o le salalau solo o le tiga ma lona natura e tele ituaiga, o se pulega sili ona lelei o le puleaina o tiga o le a atoatoa, tuufaatasia, ma le vafealoai. O le taimi nei i le puleaina o tiga faifai pea, ua faateleina le alualu i luma o le failaiti ma o se togafitiga, faaletino, po o le togafitiga faafomaʻi. O nei laasaga e iloa ai le taua o se faʻavae o togafitiga faʻapitoa eseese o loʻo aʻafia ai le aʻafiaga o aʻafiaga o le tiga, ae o aʻafiaga-iloiloga, ma mea e aʻafia ai le itu e tutusa ma le le lelei ma le aʻafiaina o sequelae. O le puleaina o le pulea o le tiga masani o masani ai e aofia ai togafitiga multimodal e pei o tuufaatasiga o analgesics, togafitiga faaletino, togafitiga o amioga, ma le togafitiga o le mafaufau. O le tele o auala e sili atu ona lelei ma manino le faʻatautaia o le tigāina i le mole, fua, amio-feʻau, ma le faʻatinoga. O nei auala ua faʻaalia e taʻitaʻia ai taunuuga sili ma tumau-tumau ma sini faamoemoeina e aofia ai lipoti o tiga, lagona, toe faʻaleleia o galuega masani i aso uma, tulaga faigaluega, ma vailaʻau poʻo le faʻaogaina o le soifua maloloina; faʻaauau pea ona faʻaalia le sili atu ona taugofie nai lo le le faʻapitoa o auala. [12,13] O le taulaiga o lenei toe iloiloga o le a faʻapitoa i luga o le faʻavasegaina o aoga o le mafaufau loloto i le puleaina o tiga faifai pea.

O Dr. Jimenez o loo ia faia le togafitiga faaletino i se tagata maʻi.

Tagata mamaʻi e masani lava ona muamua tuʻuina atu i le fomaʻi ofisa i le sailiga o se faʻamalologa poʻo togafitiga mo latou maʻi / tiga matuitui. Mo le tele o tagata mamaʻi, faʻalagolago i le etiology ma pathology o latou tiga faʻatasi ai ma aafiaga biopsychosocial i luga o le tiga aafiaga, tiga tiga o le a foia ma le aluga o taimi, pe mulimuli i togafitiga faʻatatau i le faʻatatauina o le mafuaʻaga mafuaʻaga o le tiga poʻo lona faʻasalalauina. Ae ui i lea, o nisi tagata gasegase o le a le ausia le fofo o latou tiga e ui lava i le tele o togafitiga faafomai ma felagolagomai ma o le a suia mai se ogaoga tiga tulaga i se tulaga o le faaumiumi, tiga taofiofia. Mo se faʻataʻitaʻiga, o suʻesuʻega ua faʻaalia ai e tusa ma le 30% o gasegase o loʻo tuʻuina atu i latou fomaʻi faʻapitoa mo faitioga e fesoʻotaʻi ma tiga matuitui i tua o le a faʻaauau pea ona maua i tiga ma, mo le tele o isi, ogaoga gaioiga faʻatapulaʻaina ma mafatiaga i le 12 masina mulimuli ane. [14] A o tiga ma ona taunuuga faʻaauau pea ona atiaʻe ma faʻaalia i vaega eseese o le olaga, tumau tiga mafai ono avea muamua ma se biopsychosocial faʻafitauli, lea tele biopsychosocial itu ono tautua e faʻaauau ai ma taofiofia tiga, ma faʻaauau ai ona le lelei aʻafia ai le aʻafia tagata soifua. O le taimi lea e mafai ona faʻalautele le uluaʻi togafitiga togafitiga e aofia ai isi togafitiga, e aofia ai ma le mafaufau auala e faʻatonutonu ai tiga.

Faʻagasologa o le mafaufau mo le puleaina o tiga tumau na amata ona lauiloa i le faʻaiuga o le 1960 ma le tulaʻi mai o Melzack ma Wall's's "Tusitusiga-faʻatonutonu teori o tiga" [15] ma le mulimuli ane, "anuromatrix teori o tiga". I se taimi puʻupuʻu, o nei talitonuga ua mautinoa o le psychosocial ma le physiological gaioiga e fesoʻotaʻi e aʻafia ai lagona, faʻasalalauina, ma le iloiloina o tiga, ma iloa ai le aʻafiaga o nei gaioiga o ni mea taua e puipuia i le setete o le faʻaumiumi poʻo le umi o le tiga. O nei aʻoaʻoga sa avea o ni vaega taua mo le faʻatulagaina o suiga i le auala sili ma le le masani ai i le togafitia o tiga, o se tasi na matua faʻatautaia lava e vaʻaiga o le olaga. Fomaʻi ma tagata gasegase tutusa mauaina se faʻateleina aloaʻia ma talisapaia mo le faigata o le tiga gaioiga ma tausiga; mulimuli ane, o le taliaina o ma le fiafia i le multidimensional manatu o faʻatiga na faʻamautuina. I le taimi nei, o le biopsychosocial faʻataʻitaʻiga o le tiga, atonu, o le lautele lautele taliaina heuristic auala e malamalama ai tiga. [16] O se vaaiga o le biopsychosocial e taulaʻi i le matamata i tiga tumau o se maʻi ae le o faamaʻi, ma ia iloa ai o se mataupu taua ma o togafiti togafiti e faʻatatau i le puleaina, ae le o le faʻamalologa, o le tumau tiga. [17] A o le aoga o se lautele lautele ma sili atu auala auala i le puleaina o le tumau tiga ua avea manino, faʻafesoʻotaʻiga faʻavae fesoʻotaʻiga molimauina se ofoofogia tulaʻi mai i le lauiloa ma aloaʻia o soʻotaga togafitiga. O ituaiga o faʻafitauli e faʻatino ai le mafaufau e faʻaaoga e avea o se vaega o le multidisciplinary tiga togafitiga polokalame e eseese e tusa ma le faʻatulagaina o togafitiga, tiga etiology, ma uiga onosai. E faʻapena foi, o suʻesuʻega i le aoga o faʻafitauli faʻatekinolosi mo le tumau o le tiga ua faʻaalia ai le fesuisuiaʻi, e ui ina folafolaina, o iʻuga o suiga taua na suʻesuʻeina. Lenei vaʻaiga lautele o le a faʻamatalaina puʻupuʻu faʻafaigaluegaina psychologically faʻavae togafitiga filifiliga ma o latou taʻitasi aoga i taunuʻuga autu.

O le taimi nei o mafaufauga faʻapitoa i le puleaina o tiga masani e aofia ai faʻasalalauga e faʻamoemoe e ausia ai le faʻatupulaia o le pulea e le tagata o ia lava, suiga o amioga, ma le suia o le mafaufau ae le o le faʻaitiitia saʻo o le fale o tiga. Ona o lea, latou te taulaʻi ai i mea masani, lagona, ma mafaufauga masani ole tiga ole taimi masani ma mea e mafua ai ona tausia. O le faʻamatalaga e ala i le faʻatulagaina e Hoffman et al [18] ma Kerns et al, [19] o loʻo faʻaaogaina i taimi o togafitiga faʻapitoa e togafitiga i le mafaufau e toe iloiloina: metotia o le psychophysiological, auala e togafitia ai togafitiga, togafitiga faʻasoifua maloloina, ma faʻasalalauga faʻavae.

Faʻataʻitaʻiga Psychophysiological

Biofeedback

Biofeedback o se metotia faʻafaiaoga lea e aʻoaʻoina ai e tagata maʻi le faʻamatalaina o faʻamatalaga (i le tulaga o le physiological data) e faʻatatau i nisi o galuega faʻapitoa. Mo se faʻataʻitaʻiga, e mafai e se tagata maʻi ona faʻaaoga meafaigaluega biofeedback e aʻoaʻo ai ia iloa vaega o le feteʻenaʻi i totonu oo latou tino ma mulimuli ane iloa ona faʻafilemu na nofoaga e faʻaitiitia ai le gasegase o le muscular. Faʻamatalaga e tuʻuina atu e le tele o meafaigaluega e mafai ona maua ai faʻamatalaga e uiga i le eletise eletise, toto toto, tafe toto, musika musika, galuega eletiseka, fua o le fatu, ma le vevela o le paʻu, faatasi ai ma isi galuega a le physiological vave. O le sini ole auala ole biofeedback e mo le tagata maʻi e aʻoaʻoina pe faʻapefea ona amataina le faʻatinoga o le faʻaleaogaina o le tino e ala i le mauaina o le pule faʻafoe i luga o nisi o tali o le physiological ina ia faʻateleina le faʻaleleia o le physiologia e ala i le tele o le malamalama ma faʻamalamalamaga faapitoa. O lea o le a faʻaaogaina ai e le tagata gasegase tomai faʻapitoa i le taumafai e faʻaitiitia se faʻalavelave le fiafia (faʻataʻitaʻiga, tiga) poʻo le faʻaleaoga o le tino i mea e le faʻalavelaveina (faʻataʻitaʻiga, tali atu). O le tele o tagata suʻesuʻe faʻapitoa e aʻoaʻoina i auala o le biofeedback ma tuʻuina atu nei auaunaga o se vaega o togafitiga. O le siakiina o le biofeedback (e aofia ai le tele o auala biofeedback) na maua ai ni suiga taua e tusa ai ma le tele o osofaiga a migraine. ma manatu o le pulea lelei o le malosi o le tagata lava ia pe a faatusatusa i tulaga o le pulea. [20] Ua saunia e le au suesue le lagolago malosi mo le biofeedback mo le TMD, e ui lava ina sili atu le lelei o le faaleleia o le tiga ma le faaletonu o le tiga ona o tulaga masani e tuufaatasia ai le biofeedback ma le mafaufau aʻoaʻoga faʻapitoa i amioga, i lalo o le manatu o se togafitiga tuʻufaʻatasi e sili atu ona faʻatautaia le talanoa atu i faafitauli o biopsychosocial atonu e ono oʻo i ai ona o le TMD [55]

Faʻasalaga Faʻasalaga

Toe faʻaleleia aʻoaʻoga

E masani ona taliaina e faapea o le atuatuvale o se tasi o vaega autu o le faigata ma le tausiga o tiga faifai pea. [16,23] O le popolega e mafai ona sili ona taua i le siosiomaga, faaletino, po o le mafaufau / lagona, e ui lava o nei auala e fesootaʻi lelei. O le taulaiga o le toleniga mo le malologa o le faaitiitia lea o le maualuga o le vevela (faaletino ma le mafaufau) e ala i le toe faʻafouina o le faʻaoga o le tino ma le mafaufau, ma maua ai le malamalama atili i tulaga o le tino ma le mafaufau, ma maua ai le faʻaitiitia o le tiga ma le faʻateleina o le puleaina o tiga. E mafai ona aʻoaʻoina ni tagata faʻapitoa i le tafaoga ma faʻataʻitaʻi faʻatasi ma le tasi ma le tasi, faʻapea foʻi ma vaega o le adjuvant i isi amioga ma le faʻaaogaina o tiga o le mafaufau. O faʻamatalaga o loʻo i lalo o ni faʻamatalaga pupuu e uiga i le faʻaogaina o masaniga e masani ona aʻoaʻoina e fomaʻi poto faapitoa i le puleaina o tiga masani.

Le manava o le Diaphragmatic. O le manava o le Diaphragmatic o se auala malolo masani lea ua faatonuina ai tagata e faaaoga maso o latou diaphragm e ese mai i maso o latou fatafata e auai ai i le manava malosi o faamalositino. O le manava e ala i le faʻasaʻoina o le diaphragm e faʻatagaina ai le faʻalauteleina o mama (ua faailogaina i le faʻalauteleina o le manava i le taimi e faʻamaʻaina ai) ma faʻateleina ai le faʻaoʻoina o le okesene [24]

Faʻasologa o le gasegase alualu i luma (PMR). PMR e faʻaalia e ala i le auai i se tuufaatasiga o le gasegase o le musika ma le malologa o maso patino poo musika faapitoa i le tino atoa. [25] O le tagata gasegase e masani ona faatonuina e auai i le gaioiga / malologa i se faasologa faasolo seia oʻo lava i vaega uma o le tino ua uma ona tautalagia.

Atinaʻeina o le Autogenic (AT). AT o se faʻagasologa o le faʻamalologa o le tagata lava ia lea e toe fai ai e le tagata maʻi se fuaitau faʻatasi ma le faʻataʻitaʻiga e faatosina ai se tulaga malolo. [26,27] O lenei auala e tuʻufaʻatasia ai le faʻatupulaia o le mamafa, ata vaaia, ma le loloto o le manava.

Faʻaaliga / Ata faʻataʻitaʻi. O lenei metotia e faʻamalosia ai tagata gasegase e faʻaoga uma o latou lagona i le mafaufauina o se siosiomaga manino, filemu, ma le saogalemu e maua ai se lagona o le malologa ma le faalavelaveina mai o latou tiga ma mafaufauga ma lagona tiga. [27]

I se tuʻufaʻatasiga, o metotia faʻamalolo e masani ona maua e aoga i le puleaina o ituaiga o ituaiga o tiga matuitui ma tiga masani faʻapea foi ma le faʻatautaia o taua tiga faʻasologa (eg, soifua maloloina-fesoʻotaʻi lelei olaga). ] Faʻataʻitaʻiga metotia e masani ona faʻataʻitaʻia faʻatasi ma isi tiga faʻatautaia auala, ma e tele naua le fesiliaʻi i le masalosalo auala o malologa ma biofeedback, faʻataʻitaʻiga.

Faʻataʻitaʻiga Faʻataʻitaʻiga Faʻaleagaina

Faʻamalositino amioga faʻamalositino mo tiga masani o loʻo taitaiina e le uluaʻi operant faʻavae mataupu faʻatulagaina e Skinner [32] ma faʻamamaina e Fordyce [33] ia faʻaoga i tiga puleaina. O le autu mataupu o le faʻatonutonuina tulaga faʻataʻitaʻiga e pei ona fesoʻotaʻi ma tiga taofi o le tiga amioga mafai mulimuli ane suia ma avea ma tumau tiga faʻaalia o se faʻaiuga o le lelei pe le lelei faʻamalosia o se tuʻuina atu amioga tiga faʻapea foi ma le faʻasalaga o sili fetuʻutuʻunaʻi, leai - amioga tiga. Afai o le faʻamalosia ma faʻaiuga mulimuli ane tupu ma le lava taimi, latou mafai ona tautua e tuʻuina atu ai le amio, ma faʻapena atili ai le ono ono toe faia le amio i le lumanaʻi. O le mea lea, o amioga faʻavasegaina e tupu mai o se oloa o le aʻoaʻoina o faʻaiuga (moni pe fuafuaina) o le punouai i le amioga na tuʻuina mai. O se faʻataʻitaʻiga o le faʻamalositino amioga o le faʻaauau pea le faʻaaogaina o vailaʻau o se amioga e mafua mai i le aʻoaʻoina e ala i faʻalapotopotoga faifai pea o le inuina o vailaʻau e mulimuli mai le aveʻesea o se lagona faʻatiga (tiga). E faʻapena foi, tiga amioga (eg, faʻaalia i upu o le tiga, maualalo laʻasaga o gaioiga) mafai ona avea ma ni amioga faʻaavanoaina e tautua e faʻaauau ai tiga tumau ma lona faʻasologa. Togafitiga o loʻo faʻataʻitaʻia e le faʻagaioia o amioga faʻavae e faʻamoemoe e tineia amioga le lelei o le tiga e ala i mataupu lava e tasi e aʻoaʻo ai. I se tulaga lautele, togafiti vaega o gaioiga faʻamalositino togafitiga aofia ai faʻavasega faʻamalosia, taimi faʻasolosolo vailaʻau faʻasologa, ma le faʻaaogaina o faʻamalosia mataupu faʻavae e faʻaleleia lelei amioga ma faʻaititia amioga le lelei tiga.

Faʻasologaina o le gaioiga. E mafai e le fomaʻi suʻesuʻe ona faʻatino polokalama faʻapipiʻiina mo tagata gasegase tumau e tele naua le faʻaitiitia o la latou gaioiga (faʻaopoopoga o le faʻatinoina o le tino) ma mulimuli ane maua ai le maualuga o tiga i le auai i le gaioiga. O tagata maʻi ua faatonuina ina ia malupuipuia le taamilosaga o le le gaoioi ma le faʻavaeina e ala i le auai i gaoioiga i se faiga e pulea ma faʻagata-taimi. I lenei auala, e mafai e tagata gasegase ona faʻagasolo malie le faʻatupulaia o le umi ma le malosi o le gaioiga e faʻaleleia ai galuega. E mafai e le fomai suʻesuʻe ona vaavaaia le alualu i luma ma tuuina atu le faamalosiauga talafeagai mo le tausisia, faasaʻoina o manatu sese po o le faauiga sese o tiga e mafua mai i gaoioiga, pe a talafeagai ai, ma faafitauli-foia faafitauli i le usitai. O lenei faiga e masani lava ona faʻaogaina i togafitiga faʻamaoni-amio pulea o togafitiga.

Taimi o fualaau o fualaau oona. E mafai ona avea se tagata tomai faapitoa i mataupu tau le soifua maloloina o se tagata tausi soifua maloloina i le vaaia o le puleaina o fualaau oona. I nisi o tulaga, e maua e le mafaufau o le mafaufau le avanoa mo fesootaiga faifaipea ma le loloto ma maʻi nai lo fomaʻi ma mafai ai ona avea o ni tagata faigaluega faʻapitoa o se faʻatautaia togafitiga faʻapitoa. E mafai e fomaʻi suʻesuʻe ona faʻatulagaina taimi ole taimi ole vailaʻau e faʻaitiitia ai le faʻalagolago i vailaau oona mo le mauaina lelei o le pulea o tiga. E le gata i lea, o loʻo iai le faʻapitoa o tagata suʻesuʻe o le mafaufau e faʻapipiʻi tagata i tala taua e uiga i le taua o le usitai lelei i vailaʻau ma fautuaga faʻafomaʻi ma fofo faʻafitauli e ono taofia ai le tausisia o le saogalemu.

Fefe-aloese. O le faʻataʻitaʻiga o le faʻafefe o le tiga masani o se mea e masani ona faʻaaogaina i le tulaga o le maualalo le maualalo o le tiga (LBP). [34] O lenei faʻataʻitaʻiga e tele lava ina afua mai i le amio o amioga faʻalauiloa na faʻamatalaina muamua. I le mea moni, o le ata o le aloese mai le aloese e ono tulaʻi mai ai pe a oʻo ina faʻasalalauina faʻasalaga i le tele o taimi e avea o ni faʻamatalaga matautia poʻo ni faailo o manuʻa tuga, atonu o le a lamatia e tagata gasegase amioga e aloese mai le mataʻu ma lagona e atili faʻamalosia ai le talitonuga o le tiga o se faʻamaoniga matautia ma faʻaauauina le faʻavaeina o le tino. Aʻo faʻaauau le taamilosaga, o le aloese e mafai ona faʻasalalau i le lautele o ituaiga o gaioiga ma mafua ai le faʻaogaina o lagona faʻalauiloaina e mafua mai i faʻamatalaga mataʻutia o faʻalogona faaletino. O suʻesuʻega ua faʻaalia ai le maualuga o le tiga o le aʻafiaga e fesootaʻi ma le tausia o le taamilosaga. [35] O togafitiga e faʻamoemoe i le talepeina o le taʻamilosaga o le fefefe e faʻaaogaina le faʻaleleia o le faʻafefe i mea e faʻalavelave ai tagata matataʻu, e masani ona afaina, taunuuga o le auai i gaoioiga . O le faʻaleleia o le faʻaalia e masani lava ona faaopoopo i le psychoeducation e uiga i le tiga ma le fetuunaiga o elemene e toe fetuʻunaʻi ai mea e faʻatatau i mafaufauga ma faʻamoemoe e uiga i gaoioiga ma tiga. O loʻo i ai i le tagata suʻesuʻe le suʻesuʻeina o nei ituaiga o faʻataʻitaʻiga e faʻaaogaina ai togafitiga faʻaleagaina na masani ona faʻaaogaina i le togafitiga o nisi o faʻalavelave popole.

E ui lava o togafitiga faʻapitoa na vaʻaia ua faʻaalia e aoga tele i le togafitiga o le faʻalavelave faʻalavelave faʻaleagaina faʻaleagaina o le I (CRPS-1) [36] ma le LBP [37] i faʻataʻitaʻiga e tasi, o se faʻataʻitaʻiga sili atu i le vaʻaia o le faʻatusatusaina o le faʻaogaina o togafitiga faʻamaʻi faʻatasi ma le tele o faʻamalositino faʻamalositino togafitiga togafitiga faʻatasi ma togafitiga faʻatautaia o le tigaina multidisciplinary na o le toʻatasi ma le kulupu o le lisi o faʻatali-lisi e iloa ai o togafitiga e lua o loʻo faʻamalosia ai le faʻaleleia atili o fuataga o le tiga tiga, fefe i le feʻaveʻaʻiga / manua, tiga o le tagata lava ia, (38) O taunuʻuga mai lenei faʻataʻitaʻiga o loʻo faʻataʻitaʻia faʻasalalauga e lua ma le taua o le togafitiga o togafitiga e le o foliga mai o le togafitia o togafitiga faʻapitoa e maua ai togafitiga faʻaopoopo. [38] O se lapataiga faʻapitoa i le faʻamatalaina o nei mea. O taunuʻuga e faʻamaonia ai o le faʻavasegaina faʻataʻitaʻiina (RCT) na aofia ai le tele o tulaga o le tiga o taimi masani e e na tuʻuina i tua atu o le LBP ma le CRPS-1 ma e le o aofia ai faʻamaʻi ma le maualuga o le fefe e faʻafefe i le tiga; o faʻasalalauga sa faʻapipiʻiina foi i faʻavaega o kulupu nai lo faʻataʻitaʻiga. E tusa lava pe sili atu le togafitiga i totonu o le vailaau i le faaitiitia o le tiga ma le maitau o le leaga o gaoioiga, o togafitiga e foliga mai e aoga tele e pei o le gaioiga o gaoioiga i le faaleleia o le le atoatoa o le galue ma le faitioga sili [39] O isi suesuega faataitai e faatusatusa le lelei o togafitiga- (TBC) faʻamalositino faʻapitoa i le TBC faʻapupulaina ma gaioiga gaioiga poʻo le faʻaleleia o mea mo tagata mamaʻi mama LBP. [40] O taunuʻuga ua faʻaalia e leai se eseesega i le 4-vaiaso ma le 6 masina masina mo le faʻaititia o le le atoatoa , tiga ogaoga, tiga le afaina, ma le faaletonu o le tino i vaega togafitiga, e ui lava o le galauina ma le TBC na maua ai le faaitiitia o talitonuga i le 6 masina. [40] O sailiiliga mai lenei suesuega o togafitiga e fautuaina ai le faaleleia atili o le TBC ma le gaioiga o le gaioiga po o le vaaia e le o taʻitaʻia ai iʻuga lelei e tusa ai ma faiga e fesoʻotaʻi ma le atinaʻe o le chr luga o le LBP i tua atu o faʻaleleia na ausia ma le TBC na o ia. [40]

Faʻasalaga Faʻatauga-Faʻalauiloa

Cognitive-behavioral therapy (CBT) faʻalavelave mo le tumau tiga faʻaaogaina mafaufau faʻavae e faʻatino suiga fetuʻunaʻi i le onosaʻi amioga, malamalamaʻaga poʻo iloiloga, ma lagona. O nei faʻalavelave e masani lava ona aofia ai faʻavae psychoeducation e uiga i tiga ma le onosaʻi o le tiga o le syndrome, tele o amioga vaega, faʻafoeina o tomai faʻafoeina, faʻafitauli-fofoina auala, ma le mafaufau faʻatulagaina vaega, e ui o le tonu togafitiga vaega eseese e tusa ma le fomaʻi. Amioga vaega mafai ono aofia ai le tele o malolo agavaʻa (pei ona iloiloina i le amio faʻalatalata vaega), gaioiga faʻasolosolo faʻatonuga / faʻavasega faʻagaoioia, amioga faʻagaoioia auala, ma le faʻalauiloaina o le toe faʻaauauina o faʻamalositino gaoioiga pe a fai e iai se taua talaʻaga o gaioiga aloese ma mulimuli ane deconditioning. O le autu faʻamoemoega i le feagai ai ma toleniga o tomai e faʻailoa ai le le lelei o auala o loʻo feagai ai nei (faʻataʻitaʻi, faʻalavelaveina, aloese mai ai) o loʻo auai le tagata maʻi faʻatasi ai ma le latou faʻaaogaina o metotia faʻafetauina lelei (faʻataʻitaʻiga, faʻaaogaina o faamatalaga lelei a le tagata lava ia, lagolago lautele). I le avea ai o se lapataiga faʻaaliga, o le tikeri e mafai ai e se taʻiala ona fetuʻunaʻi pe le atoatoa lelei foi ma le aoga o isi metotia faʻapitoa e fesuisuiaʻi mai tagata taʻitasi i tagata taʻitasi. [41] I togafitiga atoa, o metotia e foʻia ai faʻafitauli ua faʻataʻitaʻia e fesoasoani ai i tagata mamaʻi i a latou taumafaiga o lo o tausisi ma fesoasoani ia latou e faʻateleina a latou lava taumafaiga. O le toe fetuʻunaʻi o le mafaufau e manaʻomia ai le amanaʻia o faʻamaumauga le lelei o loʻo i ai nei le tagata maʻi, o le luʻiina o faʻamaoniga le lelei, ma le toe faʻafouina o mafaufauga e fausia ai mafaufauga paleni. E ala i le toe faʻafouina o faʻamalositino faʻamalositino, tagata gasegase ua atili ai ona malamalama i le iloaina pe faʻafefea o latou lagona, malamalama, ma faʻamatalaga suia latou tiga i le lelei ma le lelei itu. O lona iʻuga, e talitonuina o tagata gasegase o le a mauaina se sili atu malamalamaʻaga o le puleaina o latou tiga, ia sili atu ona mafai ona faʻatautaia a latou amioga ma mafaufauga aʻo latou fesoʻotaʻi ma tiga, ma mafai ona sili atu fetuʻunaʻi iloiloina le uiga latou te faʻatatau io latou tiga. . O isi vaega faʻaopopo i nisi taimi e aofia ai ile faʻalavelaveina ole CBT e aofia ai toleniga mo agafesoʻotaʻi, aʻoaʻoga mo fesoʻotaʻiga, ma lautele lautele auala e faʻatonutonu ai le mafaufau. E ala i le tigaina o le CBT, o le tele o tagata mamaʻi e alualu i luma mai le faaleleia atili e tusa ai ma o latou lagona ma le soifua manuia, ma iʻu ai ina latou malamalama i le soifua maloloina.

Dr. Alex Jimenez ua auai i faamalositino ma faamalositino faaletino.

CBT faʻalavelave faʻapitoa e tuʻuina atu i totonu o se lagolagosua ma le siʻosiʻomaga siosiomaga e taumafai e malamalama i le onosaʻi tiga mai se biopsychosocial vaaiga ma i se tuʻufaʻatasia faiga. Fomaʻi vaai latou matafaioi o le "faiaoga" poʻo le "aʻoaʻo" ma le feʻau fesoʻotaʻi i tagata mamaʻi o le aʻoaʻo ia sili atu le puleaina o latou tiga ma faʻaleleia atili a latou gaioiga i aso uma ma le lelei o le olaga e faʻafeagai ma le faʻamoemoe e faʻamalolo pe tafiesea le tiga. O le faʻamoemoe maualuga o le faʻateleina o gasegase malamalama i o latou tiga ma a latou taumafaiga e faʻatautaia tiga ma ona faʻasolosolo i se saogalemu ma fetuutuunai faiga; o le mea lea, aʻoaʻo tagata mamaʻi ia latou lava vaʻavaʻaia a latou amioga, mafaufauga, ma lagona o se tuʻufaʻatasia vaega o togafitiga ma se aoga metotia e faʻalauteleina ai oe lava-aoga. E le gata i lea, o le fomaʻi e taumafai e faʻamalosia se faʻamoemoe lelei, moni, ma faʻamalosia le siʻosiʻomaga e mafai ai e le tagata gasegase ona faʻateleina ona tomai i le iloaina ma aʻoaʻoina mai a latou manuia ma aʻoaʻoga mai ma faʻaleleia i luga o taumafaiga le manuia. I lenei faiga, fomaʻi ma tagata gasegase e galulue faʻatasi e faʻailoa mai le manuia o gasegase, papupuni i le tausisi i ai, ma ia atiaʻe le faʻaleleia ma le toe solomuli-puipuiga fuafuaga i se fausiaina, felagolagomaʻi, ma talitonuina atemosifia. O se foliga manaia o le mafaufau faʻapitoa amioga auala o lona faʻamaonia o le tagata maʻi o se tagata auai malosi o ia / lona tiga toe faʻaleleia poʻo le pulega polokalama.

O suʻesuʻega ua maua CBT e avea ma togafitiga lelei mo le tiga ma le tigaina e pei ona faailogaina i le tele o suiga i vaega eseese (ie, fua o aafiaga o le tiga, lagona / afaina, felagolagomaʻi ma le iloiloga, amioga o le tiga ma le tulaga o galuega, ) pe a faʻatusatusa atu i faʻatonuga o le faʻatonutonuina o lisi. [42] Pe a faʻatusatusa i isi togafitiga faʻataʻitaʻi poʻo tulaga taupulepulega, o le CBT ua mafua ai le faʻaleleia o le faʻaleleia, e tusa lava pe laʻititi le aafiaga (aafiaga o le size ~ 0.50), e tusa ai ma aafiaga o le tiga, felagolagomaʻi ma le iloiloga , ma galuega a le va fealoai [42] O se suʻesuʻega sili ona lata mai o le 52 lomiga lolomiina faʻatusatusa i togafitiga o amioga (BT) ma le CBT e uiga i togafitiga pei o masani masani ma le pulea o tulaga i taimi eseese. [43] na faaiuina ai faapea oa latou faamatalaga na le tuuina atu le lagolago mo le BT nai lo le faaleleia atili o le tiga i le maea ai o togafitiga pe a faatusatusa i togafitiga e pei o tulaga masani o le pulea. [43] E tusa ai ma le CB T, na latou faʻataunuʻuina e le gata i le leai o se malosi o le malosi o le tino, ma le lagona o le CBT. E ui lava i lea, e le lava le tele o faʻamatalaga e mafai ona suʻesuʻeina le aafiaga patino o mea e togafitia ai togafitiga i taunuʻuga filifilia. [43] I le aotelega, e foliga mai o le CBT ma le BT o ni togafitiga lelei e faʻaleleia ai le lagona; taunuuga e tumau pea le malosi i le tulimataʻi o faʻamaumauga. Peitai, e pei ona faamaninoina i le tele o iloiloga ma meta-iloiloga, o se vaega taua e mafaufau i le iloiloga o le aoga o le CBT mo le puleaina o tiga faifaipea e taulaʻi i mataupu o le faatinoina lelei, le lava o le faaaogaina o le vaega o togafitiga, eseesega i le tufatufaina atu i falemai ma togafitiga tagata, ma le fesuisuiai i suiga o mea e fiafia i ai i le suʻega o suʻesuʻega. [13] O isi faʻalavelave i le faʻamatalaga o taunuʻuga aoga o uiga faʻalemafaufau ma isi fesuiaiga e mafai ona aʻafia ai le togafitiga o togafitiga.

Faʻaauau le Faʻaauau

Taliaina-faʻavae auala e masani ona faʻailoa mai o le lona tolu-galu mafaufau-amio togafitiga. Taliaina ma tautinoga togafitiga (ACT) o le sili ona taatele o le taliaina-faavae psychotherapies. ACT faʻamamafaina le taua o le faʻafaigofieina o le tagata o agaʻi i luma agaʻi i luma i le mauaina o se sili faʻatauaina ma faʻamalieina le olaga e ala i le faʻateleina o le mafaufau fetuutuunai nai lo le matua taulaʻi atu i le toe faʻatulagaina o le mafaufau. [44] I le tulaga o tiga masani, ACT taulaʻi le lelei faʻatonutonu metotia ma le faʻataʻitaʻiga aloese e ala i le faʻaosofia o metotia e faʻamautu ai le mafaufau fetuutuunai. O gaioiga taua e ono o le ACT e aofia ai: taliaina, faʻaletonu mafaufau, i ai, oe lava o le mataupu, tulaga taua, ma le faʻatinoina gaioiga. [45] I se taimi puʻupuʻu, o le taliaina e faʻamalosia ai tagata gasegase tigaina ina ia fusi mau i le tiga ma lona faʻasologa ae le o le taumafai e suia, i le faʻamalosia o le tagata maʻi e taofi le leai se aoga taua faʻatonuina i le tineia o latou tiga. Cognitive defusion (deliteralization) metotia o loʻo faʻaaogaina e faʻafou ai le gaioiga o mafaufauga nai lo le faʻaititia o latou taimi pe toe faʻatulaga a latou mataupu. I lenei faiga, mafaufau faʻaletonu mafai ona faigofie suia le le manaʻomia uiga poʻo gaioiga o le lelei mafaufauga ma faʻapea faʻaititia ai le fesoʻotaʻiga ma mulimuli ane lagona ma amioga tali atu i na mafaufauga. O le autu o faʻatinoga o le i ai e faʻamamafaina ai le leai-faʻamasaniina fegalegaleaiga i le va o oe lava ma tumaʻoti mafaufauga ma mea na tutupu. O taua e faʻaaogaina e fai ma taʻiala mo le filifilia o amioga ma faʻamatala uiga e iloa e na itu taua e taumafai se tagata e faʻataua i le olaga i aso uma. I le iuga, e ala i le tuʻuina i ai gaioiga, tagata gasegase mafai ona iloaina amioga suia faʻafetaui ma tagata taʻitasi taua. O le mea lea, ACT faʻaaogaina le ono autu mataupu faʻavae faʻatasi ma le tasi i le isi e faia se atoatoa auala i le faʻateleina o le mafaufau fetuutuunai ma faʻaititia mafatiaga. Tagata gasegase e faʻamalosia e vaʻaia le tiga e le maalofia ma talia i se le faʻamasinoga ina ia mafai ai ona latou faʻaauau pea ona maua le uiga mai le olaga e ui lava i le i ai o tiga. O fesoʻotaʻiga autu fesoʻotaʻi faʻaalia ai le mafaufau ma le taliaina gaioiga ma tautinoga ma amio suia gaioiga. [45]

O taunuʻuga o suʻesuʻega i le aoga o faʻatonuga faʻavae a ACT mo le puleaina o tiga tumau o loʻo faʻamaonia, e ui lava o loʻo faʻamaonia pea le iloiloga. O le faʻatusatusaina o le faʻatonutonuina o le ACT ma le faʻatonuga o le faʻatonuga o le faʻatonuga o le lipoti, na faʻaalia ai le tele o le faʻaleleia atili o le tiga, faʻafitauli o le tino, le faamalieina o le olaga, fefe i le gaioiga, ma le atuatuvale o le mafaufau na tausia i le mulimulitaia o le 7 masina [46] faʻaleleia o le tiga, atuatuvalega, popolega o le tiga, le atoatoa, asiasiga faafomaʻi, tulaga faigaluega, ma le faatinoga o le tino [47] O se faʻataʻitaʻiga lata mai nei o le iloiloina o faʻasalalauga faʻavae (ACT ma le faʻavaeina o le faʻavaivai mafaufau) i tagata gasegase tigaina ma o le mea masani, o faʻataʻitaʻiga faʻavae e faʻapipiʻi atu i taunuuga lelei mo tagata mamaʻi e maua ai le tiga masani. [48] Faʻamatalaga, o le faʻataʻitaʻiga na faʻaalia ai laʻititi i aʻafiaga aʻafiaga mo le malosi o le tiga, atuatuvale, atuatuvalega, soifua manuia faaletino, ma le lelei o le olaga , faʻatasi ai ma aʻafiaga laiti na maua ina ua faʻatautaia suʻesuʻega tau falemai ma na o le RCTs na aofia ai i suʻega. [48] Isi faʻasalalauga faʻavaeina i e le gata i le faʻaaogaina o suʻesuʻega faʻamalosi-faʻamalosia ma togafitiga faʻamalosia, e ui lava o suʻesuʻega faʻamalosi i le aoga o nei togafitiga mo le puleaina o tiga faifaipea o loʻo i ai pea i lona taimi o pepe.

Faamoemoega

O se taua ma matua lautele le amanaʻiaina masani taua elemeni o togafitiga uma auala o le iloiloga o le onosaʻi faʻamoemoeina mo togafitiga manuia. E ui lava i le tele o alualu i luma i le fausiaina ma le kilivaina lelei multidisciplinary togafitiga mo faaumiumi tiga, e fai lava sina faamamafa na tuu i luga o le iloaina o le taua o faʻamoemoe mo le manuia ma le taulaʻi taumafaiga i le faʻalauteleina o tagata gasegase faʻamoemoeina. Ole faʻailoaina ole placebo mo tiga e iloga mai ile toʻaga o mea totino e oʻo atu ile faʻatuatuaina, maitauina, ma suiga taua ma faʻavaeina ole neurobiological ile taimi nei o loʻo i ai i le vailaʻau o le tiga o suʻesuʻega. E tele suʻesuʻega ua faʻamaonia e, pe a faʻaosoina i se faiga e faʻamautinoa ai faʻamoemoeina (ala i le faʻaaogaina o faʻamatalaga manino ma / poʻo le faʻamautuina), o le analgesic placebos e mafai ona iʻu ai i le maitauina ma fuaina o lagona tiga i le malamalama o oe lava lipotia tulaga faʻapea foi ma neura. tiga-gaioiga tulaga. [49,50] Analgesic placebos ua lautele faʻamatalaina o simulated togafitiga po o faʻataʻitaʻiga e tupu i totonu o le psychosocial mataupu ma faia aafiaga i luga o le tagata lava ia poto masani ma / poʻo le tino. [51] O le taimi nei faʻavasegaina o placebo faʻamamafaina le taua o le psychosocial mataupu i totonu o placebos o loʻo tuʻufaʻatasia. Faʻavaeina o le psychosocial mataupu ma faʻataʻitaʻiga o togafitiga o tagata mamaʻi faʻamoemoe. O le mea lea, e le o se mea e ofo ai le placebo aafiaga o loʻo faʻaofi lava i totonu o toetoe lava o togafitiga uma; pei o lea, fomaʻi ma tagata mamaʻi tutusa a ono ono faʻamanuiaina mai le amanaʻiaina o loʻo i ai iina se faʻaopoopoga auala e mafai ai ona faʻalauteleina togafitiga auala i tiga.

E iai le manatu o taunuʻuga o taunuʻuga o mafuaʻaga taua o le unaʻia o suiga lelei na maua e ala i ituaiga eseese o toleniga, hypnosis, faʻailoaina o togafitiga, ma le tele o mafaufau-faʻapitoa togafitiga togafitiga. O le mea lea, o se faʻaaoga tatau i le puleaina o tiga masani faʻaalu i luga o le malosiaga o tagata mamaʻi faʻamoemoe mo le manuia. O le mea e faʻanoanoa ai, o le tele o taimi, e faʻatamala le au tausi soifua maloloina e talanoa saʻo ma faʻamamafa le taua o faʻamoemoe o tagata mamaʻi o ni mea taua na mafua ai le puleaina lelei o tiga masani. O le zeitgeist i la tatou sosaiete o le faʻateleina o vailaʻau o maʻi faʻamalosia ai le manatu lautele o tiga (e oʻo lava i tiga tumau) e tatau ona tineia e ala i le alualu i luma o le soifua maloloina. O nei mea uma ua masani ona taofiofia faʻamoemoega tuua le tele o tagata gasegase le fiafia i nei togafitiga togafitiga faʻaiuga ma saofagā i se le mapu sailiga mo le `` malolo ''. Mauaina o le `` mama '' o le tuusaunoa nai lo le tulafono e tusa ai ma taimi tumau tiga tulaga. I le tatou tau o iai nei, lea o loʻo tigaina ai le faitau miliona o tagata Amerika i tausaga taʻitasi, e sili ona matou fiafia e faʻagaeʻetia ma faʻaauau pea ona fautuaina se suiga faʻavae o loʻo taulaʻi i le puleaina lelei o tiga tumau. O se auala talafeagai ma le mautinoa i le ausiaina o lenei ia faia le tele o tagata gasegase lelei (talafeagai) faʻamoemoeina ma aʻoaʻo tiga tagata mamaʻi faʻapea foi ma le lautele lautele (20% o latou o le a i ai i le lumanaʻi taimi avea ma tiga gasegase) i luga o le mea e aofia ai mea moni faʻamoemoeina faatatau i le puleaina o tiga. Masalo, o lenei e mafai ona tupu muamua e ala i le taimi nei, molimau-faʻavae aʻoaʻoga e uiga i le placebo ma le le mautinoa togafitiga o aʻafiaga e pei o tagata gasegase mafai faʻasaʻoa le faʻamatalaina sese o faʻamatalaga atonu na latou mauaina muamua. Mulimuli ane falemaʻi mafai ona faʻamoemoe e faʻalauteleina tagata gasegase 'manaʻoga i totonu o togafitiga tulaga (i se tulaga talafeagai) ma faʻaititia le mautinoa faʻamoemoega e taofia mai togafitiga manuia, o le mea lea, aʻoaʻo e faʻaleleia a latou taimi nei multidisciplinary togafitiga e ala i taumafaiga faʻataʻitaʻia i capitalizing i luga o le faʻaleleia placebo mafai ona maua, tusa i totonu o se 'togafitiga faʻamalosi'. E mafai e fomai o le mafaufau ona vave talanoaina nei mataupu ma o latou tagata gasegase ma fesoasoani ia latou e avea ma fautua mo le latou manuia i le togafitiga.

Concomitants o le Faanoanoa o Faanoanoa

O le tele o taimi luitauina o le puleaina o tiga tumau o le le mautonu maualuga maualuga o le comorbid lagona faʻanoanoa. Ua faʻaalia mai i suʻesuʻega, o le faʻanoanoaga ma le atuatuvale, e oʻo atu i le faʻatolu ona sili atu ona taatele i tagata mamaʻi tiga nai lo le toʻatele o tagata. lelei o le tausiga o le a latou mauaina. Tagata mamaʻi ma faʻanoanoaga e sili atu le leaga taunuʻuga mo uma faʻanoanoaga ma tiga tiga, faʻatusatusa ma tagata mamaʻi ma tasi faʻamaʻi o tiga poʻo le faʻanoanoa. iʻuga o togafitiga ma faʻaititia ai lagona tiga o tagata mamaʻi. Psychologists mafai ona talanoaina autu faʻailoga (eg, anhedonia, maualalo faʻaosofia, faʻafitauli-foʻia pa puipui) o le faʻanoanoa e faigofie ona faʻalavelave i togafitiga auai ma faʻanoanoa lagona. E le gata i lea, tusa lava pe faʻafitauli o le mafaufau, psychologists mafai ona fesoasoani gasegase tiga tigaina gaioiga taua gaioiga latou te ono feagai (faʻapea, leai o se galuega, le atoatoa) faigata faʻafesoʻotaʻi latou ono fetaiaʻi (eg, lagona o le tuʻulafoaʻi aumaia e le tiga), ma mafatiaga lagona (eg, popole, ita, faʻanoanoa, le fiafia) aafia i latou aafiaga. O le mea lea, psychologists mafai ona aʻafia lelei le togafitiga ala e ala i le faʻaititia o le aʻafiaga o lagona faʻafesoʻotaʻiga o loʻo avea ma vaega o togafitiga.

iʻuga

O le aoga o le aofia ai togafitiga faʻale-mafaufau i auala faʻavaomalo i le tele o faʻataʻitaʻiga i le puleaina ole tiga faifai pea e tele. E aofia ai, ae le faatapulaaina i, faateleina le pulea e le tagata lava ia o tiga, faaleleia atili punaoa o le tiga, faaitiitia le le atoatoa o le tiga, ma faaititia lagona mafatia-faaleleia o loo faatinoina e ala i le tele o le pulea o le tagata lava ia, amio, ma le mafaufau tomai. E ala i le faʻaaogaina o nei suiga, e mafai ai e le fomaʻi o le mafaufau ona fesoasoani lelei i tagata maʻi ina ia latou lagona le sili atu i le puleaina o le puleaina o le tiga ma mafai ai ona latou ola i se olaga e masani ai e ui lava i tiga. E le gata i lea, o tomai na aʻoaʻoina e ala i feusuaʻiga faalemafaufau e faʻamalosia ai ma mafai ai e tagata ona avea ma tagata auai malosi i le puleaina o latou maʻi ma le faʻaaogaina o tomai taua e mafai e tagata gasegase ona faʻafaigaluegaina i o latou olaga atoa. O faʻaopoopoga faʻaopoopo o le faʻalagolago ma le atoatoa i le puleaina o le faʻalaumalie o le tiga e mafai ona aofia ai le faʻatupulaia o fua faatatau o le toe foʻi mai i le galuega, faʻaititia o tau o le soifua maloloina, ma le maualuga o le soifua maloloina o le ola mo le faitau miliona o tagata gasegase i le lalolagi atoa.

Ata o se tagata aʻoga o loʻo tuʻuina atu fautuaga faʻaleaʻoaʻoga i se maʻi.

Faamatalaga Faʻamatalaga

faailoaina atu: E leai se feteʻenaʻiga na faʻaalia e faatatau i lenei pepa.

I le faaiuga, o faʻafitauli faʻapitoa o le mafaufau e mafai ona faʻaaogā lelei e fesoasoani ai e faʻamafiesea faʻamaoniga o tiga tumau ma le faʻaaogaina o isi togafitiga togafitiga, e pei o le togafitiga o le chiropractic. E le gata i lea, o suʻesuʻega suʻesuʻega i luga na faʻaalia ai le auala e mafai ai e faʻapitoa o mafaufauga faʻapitoa ona faʻaleleia le fuataga o fuataga o le puleaina o tiga o taimi masani Faʻamatalaga mai le National Center for Biotechnology Information (NCBI). O le lautele o a tatou faʻamatalaga e faʻapulaʻaina i le faʻamaʻi faʻamaʻi faʻapea foi ma manua ma tuʻutuʻu. Ina ia talanoaina le mataupu, faamolemole ia lagona le saoloto e fesili atu ia Dr. Jimenez pe faʻafesoʻotaʻi mai i matou 915-850-0900 .

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Aʻoaʻoga Faʻaopoopo: Paʻu Paʻa

E tusa ai ma fuainumera, e tusa ma le 80% o tagata o le a oʻo i faʻamaoniga o tiga i tua e le itiiti ifo ma le tasi i o latou olaga atoa. Paʻu tua o se faasea masani lea e mafai ona mafua ona o le tele o manuʻa ma / poʻo tuutuuga. O le tele o taimi, o le faʻaleagaina masani o le vaʻai ma le matutua e ono mafua ai le tiga. Faiga faʻamaʻi e tupu pe a tuleia le nofoaga tutotonu, pei o le gel o se pusa faʻafefefebral e ala i se loimata i lona taamilosaga, pito i fafo o le cartilage, faʻamalosi ma faʻafefe ai aʻa aʻa. O faʻasalaga faʻasalalau e masani lava ona tutupu i le pito i lalo, poʻo le lumine spine, ae e mafai foi ona tupu i luga o le tui o le au, poo le ua. O le afaina o neura e maua i le maualalo ona o le manua ma / poʻo se tulaga faʻateleina e mafai ona oʻo atu ai i faailoga o le sciatica.

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TULAGA FAATINO TUSI: Puleaina o le Nofoaga Faʻanoanoa

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Tapuni Faʻatasiga

Migraine Pain & Lumbar Vaʻaia togafitiga ile El Paso, TX

by valevalevale | Suesuega Faʻatasi, Disc Disc, Migraine, Faʻatonuina Faʻasalaga Faʻatonu, Togafitiga Decompression Spinal, Togafitiga

O se tasi o mafuaʻaga sili ona taatele o le maualalo o le tiga o le tua ma le sciatica e mafai ona mafua mai i le faʻafoligaina o aʻa o le aʻa i le pito i lalo mai le lipbar cuticted disks, poo se vaeluaga i le lumine spine. O faʻatelega o faʻamaʻi pipisi o le lumbar o loʻo aofia ai le tele o tiga, maso maso poo le pupuʻu, vaʻaia o le tino ma le vae ma le le lelei o le gaioiga o vae. E ui lava e le foliga mai e vavalalata le tasi ma le isi, o le lumbar pau e mafai ona afaina ai le tui o le tino, e faʻaalia ai uiga o migraine ma le ulu. O le faʻamoemoe o mataupu o loʻo mulimuli mai o le aʻoaʻoina o tagata mamaʻi ma faʻaalia le fesoʻotaʻiga i le va o le migraine o le tiga ma le lumbar cuticted disc, toe talanoaina le togafitiga o nei tulaga masani e lua.

Ole Iloiloga Mataʻutia o le Taiala Faʻaaogā Faʻaaogā Faʻaaogā mo Faʻafitauli o le Tigā: Faʻatelega, Faʻamaumauga, Motugaaʻiga, Fesoʻotaiga ma le Taualoaina o le Tagata Lava Ia

lē faʻatino

tua

E ui lava i le faʻalauteleina o togafitiga faafomaʻi faʻapitoa mo le maʻi tigaina, o le tele o tagata na maua i maʻi masani o le ulu o le ulu e saili fesoasoani i fafo atu o tulaga faafomaʻi. O le sini o lenei pepa o le iloiloina lea o suʻesuʻega suʻesuʻega e uiga i le faʻaaogaina o le faʻaaogaina o togafitiga o le tusi lesona mo le togafitia o le ulu o le ulu ma mea taua e fesootaʻi ma lenei tagata maʻi.

Metotia

O lenei iloiloga iloga o le iloiloga a tamaiti o loo faailoaina mai 35 pepa o lipoti mai sailiiliga fou e uiga i le masani, talaaga, uunaiga, fesootaiga ma le lipoti lelei a le tagata lava ia o le togafitiga faafomaʻi e faaaoga ia i latou e le atoatoa le ulu.

i'uga

E ui na faʻatapulaʻaina faʻamatalaga faʻamaumauga ae o suʻesuʻega e tele tapulaa faʻatatau, o le faʻaaogaina o togafitiga faʻaleaoga e foliga mai o le masani masani e le o togafiti togafitiga faʻaogaina mo le puleaina o le ulu masani o le ulu. O le mafuaaga sili ona taatele mo le filifilia o lenei togafitiga o le sailia lea o se toomaga tiga. E ui o le maualuga o pasene o nei maʻi atonu e faʻaauau pea ma togafitiga faafomaʻi tutusa, e tusa ma le afa atonu e le faʻaalia le faʻaogaina o lenei togafitiga i a latou fomaʻi.

faaiuga

E iai se manaʻoga mo suʻesuʻega faʻapitoa mo le soifua maloloina o le lautele ma le soifua maloloina ina ia mafai ona iloilo le matafaioi, saogalemu, faʻaaogaina ma tau faʻaletupe e fesoʻotai ma le togafitiga o togafitiga faʻapitoa mo maʻi tigaina. E tatau ona manatua e le aufai soifua maloloina soifua maloloina le Peraimeri le faʻaaogaina o lenei auala sili ona lauiloa i le faʻaogaina o le ulu ina ia fesoasoani i le tausia o le saogalemu, lelei ma le faʻamaopoopoina tausiga.

uputatala: Paʻu o le ulu, Migraine, Tigāʻau o le vevela, maʻi tiga o le Cervicogenic, togafitiga faʻavae, togafitiga faʻale-tino, Chiropractic, osteopathy, massage

tua

O le tutupu faʻatasi o le feteenai ulu ma migraine e matua maualuga [1]. Ma le faʻaaloalo lava, o latou e lona lua ma lona tolu o mea sili ona taatele i le lalolagi atoa ma le tulaga o le migraine o le fitu maualuga maualuga o mafuaʻaga o le le atoatoa i le lalolagi atoa [2] ma le sefulu ma le ono o tulaga e masani ona maua ai faʻamaʻi i le US [3]. O nei masani masani o le tiga o le ulu tigaina tuu se avega mamafa luga o le tagata lava ia soifua maloloina, mea tautupe ma galuega galuea o tagata mamaʻi [3--5] ma migraine atili faigata e se fegalegaleaiga ma le fatu ma psychiatric co-morbidities [6, 7].

Togafitiga faʻafomaʻi migraine vailaʻau togafitiga aofia ai analgesics, anticonvulsants, antidepressants ma beta-blockers. Togafitiga fualaʻau puipuia mo le feteʻenaʻi-ituaiga ulu e mafai ona aofia ai analgesics, NSAIDs, maso relaxants ma botulinum oona faʻapea foi ma anticonvulsants ma antidepressants. E ui ina manuia togafitiga faʻafomaʻi mo se vaega taua o tagata mamaʻi, o loʻo lipotia mai faʻaletonu o le tiga o le mafaufau e pei ona le iloa lelei ma e leʻi togafitia i totonu o nofoaga faʻafomaʻi [8-16] ma isi suʻesuʻega e lipotia ai tagata mamaʻi e mafai ona taofia le toe faʻaauauina o vailaʻau o le ulu tiga umi. 9, 17].

E i ai le numera o le le faʻaaogaina o fualaʻau auala faʻaogaina foi mo le puipuia o le ulu ulu. E aofia ai ma togafitiga faʻafomaʻi e pei o le mafaufau lelei i amioga, togafitiga faʻamalolo ma le EMG (electromyography) biofeedback. I se faʻaopopoga, o loʻo i ai le acupuncture, nutritional supplementation (aofia ai le magnesium, B12, B6, ma Coenzyme Q10) ma togafitiga faʻale tino. O le faʻaaogaina o togafitiga faʻamalositino e taua tele, ma le tasi talu ai nei o le suʻesuʻega o le lalolagi e lipotia ai le faʻamalositino togafitiga o se togafitiga e masani ona faʻaaogaina e fai ma togafitiga faʻasolosolo poʻo ni fesoʻotaʻiga mo faʻaletonu o le ulu i le tele o atunuʻu. O se tasi o faʻataʻitaʻiga masani ole faʻamalositino mo le puleaina ole tiga ole ulu o le tusi lesona (MT), [18--19] lea matou te faʻamatalaina iinei o ni togafitiga e aofia ai ma togafitiga ole ponaivi (e pei ona masani ona faia e fomai, osteopaths, ma fomaʻi faʻapitoa), soʻoga ma tuasivi. faʻamalosia, fofō faʻamalositino, ma isi togafiti togafiti ma faʻavae i le tino-- [21].

O iʻuga lelei na lipotia mai i le tele o faʻataʻitaʻiga o faʻataʻitaʻiga le faʻatusatusaina o le MT i le pulega [23--27], isi togafitiga faʻamalositino [28-30] ma vaega o togafitiga faʻafomaʻi [31-34]. E manaʻomia ni suʻesuʻega sili atu ona lelei e iloiloina ai le aoga o le MT o se togafitiga mo le masani ona tupu soo le ulu. Talu ai nei lava iloiloga faʻavasega o randomized falemaʻi tofotofoina o MT mo le puipuia o migraine lipoti le tele o taua metotia taua puʻupuʻu ma le manaʻoga mo sili atu maualuga lelei suʻesuʻega ae le i faia ni maumaututu faaiuga e mafai ona faia [35]. Talu ai nei iloiloga o MT faʻataʻitaʻiga mo feteʻenaʻi-ituaiga ulu ma cervicogenic ulu tiga mataala i le lipotia lelei taunuʻuga ma le malosi manaʻoga mo nisi suʻesuʻega malosi [36-37]. E ui lava ile faʻatapulaʻaina o faʻamaoniga falemaʻi e leai se toe iloiloga mataʻutia o le taua o le faʻaaogaina e MT e le faitau aofaʻi o tagata.

Metotia

O le faʻamoemoe o lenei suʻesuʻega o le lipoti atu lea mai le faʻataʻitaʻiga a le tupulaga; 1) o le faʻaogaina o le faʻaaogaina o le MT mo togafitiga masani masani o le ulu o le ulu ma le 2) faʻatasi ma lenei faʻaoga i le tele o autu taua. O le toe iloiloga o loʻo faʻaalia atili ai vaega autu e tatau ona suʻesuʻeina atili ina ia mafai ai ona faʻamalamalama atili i faiga faʻavae, aʻoaʻoga ma le soifua maloloina i totonu o lenei vaega.

mamanu

O se suʻesuʻega maeʻaeʻa a le autalavou iloiloina tala lomia faasalalau i le Igilisi i le va o le 2000 ma le 2015 lipotia fou empirical suʻesuʻega suʻesuʻega o vaega taua o le MT faʻaaogaina i tagata mamaʻi ma le migraine ma le migraine ulu tiga faʻafitauli na faia. O faʻamaumauga sa suʻesuʻeina o MEDLINE, AMED, CINAHL, EMBASE ma le EBSCO. O upu taua ma fasifuaitau na faʻaaogaina o: headhead , migraine , primary headache , cephalgia , synthache headache AND manual therapy , tula manipulate , manipulative therapy , ‡ spinal mobilization , chiropractic , osteopathy , massage , ―physical therapy` poʻo physiotherapy MA ona ―prevalence , utilization po profile` na faʻaaoga mo faʻaopopo faʻamatalaga faasaga i taimi muamua. O le suʻesuʻega faʻamaumauga sa tuʻufaʻatasia ma le suʻesuʻeina o lima o tusitala a le tupulaga lauiloa. O tusitala uma na faʻaaoga tusitusiga na iloiloina (faʻamaumauga) ma tuʻuina mai ai le sao i le auiliiliga.

Ona o le taulaʻi o le toe iloiloga, o tusitusiga na tuʻuina atu ai faamasinoga faʻasolosolo faʻatasi ma isi suʻesuʻega faʻapitoa tau suʻesuʻega na faʻamavaeina e pei o tusiga na faʻamatalaina o tusi, tusitusi, faʻamatalaga, lipoti o mataupu ma faʻamatalaga. O isi suʻesuʻega na faia i faʻamaumauga i totonu o lomiga ua faʻamaonia. O faʻamaumauga uma na faʻamaonia na faʻataʻitaʻiina ma na o lipoti na maua ai le faʻamaoniga fou o le faʻaogaina o le tiga o le ulu i tagata matutua i totonu o le iloiloga. O faʻamaumauga na faʻaalia ma filifilia mo le toe iloiloga o tusiga suʻesuʻe i le tele o suʻesuʻega o mea tau tamaoaiga ma le soifua maloloina. O le iloiloga e aofia ai pepa na faʻamatalaina le faʻaaogaina o le MT ma le faʻaaogaina o isi togafitiga, ae naʻo le mea na i ai i tagata mamaʻi MT se vaega tele (e pei ona taʻua) o le faitau aofaʻi o tagata suʻesuʻe. Na faʻapipiʻi mai iʻuga i totonu o le Faʻamatalaga X7 ma kopi faʻalua.

Suʻesuʻega o Suʻesuʻega, Iloiloga ma le Iloiloina o le Aotelega

Ata 1 o loʻo faʻamatalaina ai le tulaga o sailiga a tusitusiga. O le uluaʻi suʻesuʻega na faʻailoa mai ai tusitusiga e 3286, o le 35 o ia tusi na faʻamalieina aiaiga o le aofia ai. O faʻamatalaga mai tala taʻitasi sa faʻatulagaina i totonu o le laulau toe iloiloina (Laulau 1) e aotele ai mea na maua i pepa aofia ai. O faʻamatalaga ua lipotia mai i lalo o vaega filifilia e lua o le ulu ma totonu o tagata taʻitoʻatasi MT galuega - faʻasolosolo, togafitiga o le tino, osteopathy ma fofo togafitiga - lea na lava auiliiliga na avanoa.

Ata 1: Siata Faʻafefe o Filifiliga Suesue.

Lisi o Suesuega Suesuega 1 Suesuega o le Faʻaaogaina o le Faʻaaogaina

Laulau 1: Suesuega faʻasolosolo suʻesuʻega o le faʻasologa o togafitiga faʻaaoga mo maʻi o le ulu.

O se iloiloga o le tulaga lelei o tusitusiga na faʻailoa mai mo le toe iloiloga sa faʻatautaia e faʻaaoga ai le tulaga lelei togiina (Laulau 2) atiaʻe mo le iloiloga ogaoga o soifua maloloina tusitusiga faʻaaoga mo le faʻateleina ma le aʻafia o faʻafitauli tau soifua maloloina [42] fetuunai mai tutusa suʻesuʻega [43--45] . O lenei scoring system sa faʻatatau i le tele o suʻesuʻega mamanu e aofia ai suʻesuʻega ma suʻesuʻega faʻavae-faʻatulagaina faʻatalanoaga (29 o le 35 pepa) ae sa le talafeagai i se laʻititi numera o aofia ai suʻesuʻega faʻavae i luga o faʻamaumauga faʻamaumauga, tulaga lua suʻesuʻega poʻo faʻataʻitaʻi uiga.

E toʻalua ni tusitala eseese (CM ma le JA) na suʻeina ma tutoatasi ia tusiga. Sa faʻatusatusa taunuuga o sikola ma soʻo se eseesega na toe talanoaina ma foia e tusitala uma. O le sikoa lelei o tusiga taʻitasi o loʻo lipotia i le Table 3.

i'uga

O faʻamatalaga taua o le 35 tusitusiga na faʻavasegaina ma iloiloina faʻaaoga ai se auala taua tele iloiloga na suia mai suesuega talu ai [46, 47]. Faʻavae i luga o le faʻatapulaʻaina faʻamatalaga avanoa mo isi ulu ituaiga ituaiga, faʻateleina sailiiliga e lipotia i totonu o se tasi o lua vasega - a le o le "Migraine" mo pepa lipotia suʻesuʻega le nuʻu na muamua poʻo atoa fausiaina o tagata mamaʻi migraine pe o le "tiga o le ulu" mo pepa lea o le faitau aofaʻi faitau aofai na sili atu isi ituaiga tiga o le ulu (aofia ai ma le feteʻenaʻi-ituaiga ulu, fuifui ulu, cervicogenic ulu) ma / pe o fea na le manino taʻu mai ai le ituaiga ulu. E sefulu pepa na lipotia sailiiliga suʻesuʻega fua faatatau fua faatatau mo le '' migraine vaega naʻo, 18 pepa lipotia sailiiliga suʻesuʻega tulaga masani mo le `` tiga tiga 'vaega naʻo ma 3 pepa lipotia sailiiliga mo vaega uma e lua. Faʻavae luga o le natura o faʻamatalaga avanoa, faʻateleina faʻaaogaina na faʻavasegaina e tusi lesona togafitiga tuʻuina atu. Ona suʻesuʻeina lea ma faʻavasega ia faʻamatalaga na maua mai i ni vaega se fa: faʻateleina; talaʻaga ma faʻamalosia mo MT faʻaaogaina; faʻaaogaina faʻatasi ma le faʻasologa o le faʻaaogaina o ulu tigaina; ma oe lava lipotia iloiloina o MT togafitiga faʻaiuga.

Faʻateleina o le faʻaaogaina o le MT

Tolu sefulu ma le tasi o tusitusiga toe iloiloina ma le aofaʻi faʻataʻitaʻi laʻititi (> 100) lipotia faʻamatalaga e uiga i le faʻaaogaina o le MT faʻaaogaina. O le faʻateleina o le faʻaogaina o le faʻamaʻi mo i latou e maua i le migraine mai le 1.0 i le 36.2% (uiga: 14.4%) i totonu o le lautele o tagata [19-21, 48-52] ma mai le 8.9 i le 27.1% (uiga: 18.0%) i totonu o le ulu-falemaʻi faitau aofai onosai [53, 54]. O le faʻateleina o le faʻaogaina o le faʻasolosolo mo i latou na lipotia mai le tiga o le ulu mai le 4 i le 28.0% (uiga: 12.9%) i totonu o le lautele o tagata [20, 48, 51, 55-57]; amata mai i le 12.0 i le 22.0% (uiga: 18.6%) i totonu o le ulu / tiga falemaʻi falemaʻi aofaʻi tagata [58--60] ma mai le 1.9 i le 45.5% (uiga: 9.8%) i totonu o le faitau aofai o tagata mamaʻi [61-69].

O le faʻaaogaina o le physiotherapy mo i latou e iai migraine mai 9.0 i 57.0% (mean: 24.7%) i totonu o le lautele o tagata [19, 20, 48, 52] ma mai 4.9 i le 18.7% (mean: 11.8%) i totonu o le maʻi-tiga tagata onosaʻi [54, 70]. O le faʻaogaina o le physiotherapy mo i latou na lipotia mai o le ulu o le ulu mai le 12.2 i le 52.0% (mean: 32.1%) i totonu o le lautele o le population [20, 48] ma mai 27.8 i le 35.0 %% (mean: 31.4%) i totonu o le falemaʻi maʻi [60, 70].

Faʻaaoga togafitiga fofo mo i latou e maua i le migraine mai le 2.0 i le 29.7% (uiga: 15.6%) i totonu o le lautele o tagata [49, 50, 71] ma mai le 10.1 i le 56.4% (uiga: 33.9%) i totonu o le ulu-falemaʻi aofaʻi tagata [53, 54, 72, 73]. Fofo / acupressure faʻaaoga mo i latou na lipotia mai o le tiga o le ulu i totonu o tiga / falemaʻi falemaʻi tagata faitau aofaʻi mai le 12.0 i le 54.0% (uiga: 32.5%) [58--60, 70].

Osteopathy e faʻaaogaina mo i latou o migraine na lipotia mai e pei o 1% i totonu o le faitau aofaʻi lautele [49]; e pei o le 2.7% i totonu ole faitau aofaʻi o le maʻisuka maʻi [53] ma le 1.7% i totonu o le osteopathy population patient [74]. Mo le tiga o le ulu o le 9% i totonu o le numera o le falemaʻi / 60 [population] ma e mai i le 2.7 i le 10.0% (mean: 6.4%) i totonu o tagata o le osteopathy [74, 75].

O le fua faʻatasi o le faʻaaogaina o le MT i le gasologa o galuega uma a MT mo i latou na i ai migraine mai 1.0 i 57.0% (mean: 15.9%) i totonu o le faitau aofaʻi lautele; na amata mai i le 2.7 i le 56.4% (uiga: 18.4%) i totonu o fuainumera o tagata mamaʻi maʻi ma sa lipotia mai e pei o le 1.7% i le tasi tagata maʻi MT. O le faʻaopoopoina o le fua faatatau o le faʻaaogaina o le MT i galuega uma a MT mo i latou na lipotia mai o le ulu o le ulu mai le 4.0 i le 52.0% (mean: 17.7%) i totonu o le faitau aofaʻi lautele; mai le 9.0 i le 54.0% (mean: 32.3%) i totonu o tagata maʻi maʻi o le maʻi maʻi ma mai le 1.9 i le 45.5% (mean: 9.25%) i totonu o tagata maʻi maʻi MT.

Faʻamatalaga ma Motugaaʻiga mo le faʻaoga MAT

E ui e leʻi lipotia lipoti o tagata gasegase sosaiete i totonu o le faitau aofai o le ulu, e tele suesuega na lipotia nei mea na maua ai e tagata faaaoga MT le pasene taua o togafitiga o le ulu e le o ni togafitiga faafomai na faaaoga e le faitau aofaʻi o tagata (tulaga 40% 86% : uiga 63%). E ui o fesuiaiga sailiga mo le maualuga o tupe maua [58, 70] ma le tulaga o aʻoga, [70, 72, 73] o lenei tagata gasegase na foliga mai e matutua [70, 72], fafine [20], e maualuga atu le fua faatatau o le komiti. tuutuuga [58, 70, 76] ma le maualuga maualuga o muamua fomaʻi asiasiga [20, 58, 70] pe a faʻatusatusa i le le faʻaaogaina kulupu. I le aotelega, o lenei kulupu na lipotia mai e sili atu le maualuga o le tiga o le ulu poʻo le tiga o le ulu nai lo tagata le faʻaaogaina [20, 54, 58, 70, 72, 77].

O le tele o suʻesuʻega i totonu o le headache-clinic populasyon ua lipotia le faʻaosofia o tagata gasegase mo le faʻaaogaina o fesoʻotaʻiga faʻaopoopo ma isi togafitiga o tiga o le ulu na faʻaaoga ai e le au faʻaoga MT se vaega taua o le faitau aofaʻi o tagata (tulaga 40% 86 63%: uiga 58%) 70]. Mai nei suʻesuʻega o le taatele masani na lipotia mai e le au suʻesuʻe, o le sailia o le tiga tiga mo le tiga o le ulu na maua ai le 72% 78% (uiga: 45.4%) o tali. O le lona lua sili ona taatele faʻaosofia o popolega onosai e faatatau i le "saogalemu poʻo le itu aʻafiaga-- o togafitiga o tiga o le ulu, faʻataʻitaʻi mo le 84.0% 60.5% (uiga: 27.2%) o tali [53.0, 43.8, 58]. 'Le faʻamalieina i togafitiga faʻafomaʻi 70% 72% (uiga: 9.2%) o tali [35.0, 26.1, 58].

O le numera faʻatapulaʻa o pepa iloiloina (uma mai Italia) lipoti i luga o le mafuaʻaga a le o le tuʻuina atu poʻo le fautuaina i le MT mo togafitiga tiga o le ulu [53, 58, 59]. Mai nei suʻesuʻega, o le faʻailoaina mai le GP i le fomaʻi faʻapitoa e amata mai i le 50.0 i le 60.8% (uiga: 55.7%), ae o le faʻafeiloaʻiga mai uo / aiga e amata mai i le 33.0 i le 43.8% (uiga: 38.7%) ma le manatu faʻapitoa na amata mai le 0 i le 16.7% (uiga: 5.6%). Mo fofo togafitiga, faʻasino mai le GP amata mai 23.2 i le 50.0% (uiga: 36.6%), ae o faʻasino mai uo / aiga mai le 38.4 i le 42.3% (uiga: 40.4%) ma a oe lava fautuaga mai le 7.7 i le 38.4% ( uiga: 23.1%). Mo acupressure, faʻasino mai le GP amata mai i le 33.0 i le 50.0% (uiga: 41.5%), ae o le faʻasino mai uo / aiga na lipotia mai o le 50% ma o latou lava fautuaga mai le 0 i le 16.6% (uiga: 8.3%). O se tasi suʻesuʻega lipotia sailiiliga mo osteopathy le mea na faʻailoa mai uma GP 'ma uo / aiga na lipotia mai o 42.8% ma o latou lava-faʻamatalaga na lipotia mai o 14.4%. I le aotelega, o le maualuga vaega o faʻasino i totonu o nei suʻesuʻega na amata mai i le GPs i le au faʻataʻitaʻi mo le tumau feteʻenaʻi-ituaiga ulu (56.2%), kulupu ulu (50%) ma le migraine (60.8%).

Faʻaaoga faʻatasi ma le Faʻatonuga o le Faʻaaogāina o Tagata Faʻapitoa i Laulotoga ma Fesoʻotaʻiga Fesootai a Tagata Uma

E tele suʻesuʻega lipoti e uiga i le tutusa tuʻufaʻatasia o fomaʻi ulu ulu puleaina ma fesoʻotaʻiga ma isi togafitiga. I na suʻesuʻega e oʻo ai le pasene sili ona tele o le aofaʻi o tagata gasegase o tagata e faʻaaogaina le MT's (laina 57.0% 86.4 62.8%: uiga 58%), [70, 78, 29.5] faʻaaogaina faʻatasi o togafitiga faʻafomaʻi na va i le va o 79.0% ma 60.0% ( uiga: XNUMX%) o le ulu tiga tagata faitau aofaʻi.

O nei suʻesuʻega faʻaopoopo lipoti i luga o le tulaga o le onosaʻi le faʻailoaina atu i fomaʻi fomaʻi e uiga i le faʻaaogaina o le MT mo ulu tiga. Le faʻailoaina mai i le va 25.5 ma 72.0% (uiga: 52.6%) o le tagata gasegase faitau aofaʻi, ma le sili ona taatele mafuaʻaga o le le faʻailoaina lipotia o le fomaʻi 'aua neʻi fesili atu, mai le 37.0 i le 80.0% (uiga: 58.5%) . Na sosoʻo ai ma le talitonu onosaʻi e le taua le iloa e le fomaʻi poʻo le leai o se pisinisi a le fomaʻi, mai le 10.0 i le 49.8% (uiga: 30.0%). Na sosoʻo lea ma le talitonuga a le o le a le malamalama le fomaʻi poʻo le "faʻalotovaivaia" nei togafitiga, mai le 10.0 i le 13.0% (uiga: 11.5%) [53, 77].

O se tasi o suʻesuʻega faavaomalo na lipotia ai le faʻatulagaina o le masani o le tausiga o le ulu o le maʻi tigaina e ala i le faʻatusatusaina o sailiiliga i le tele o atunuu mo tagata maʻi migraine [21]. O le tausiga o le Peraimeri na mulimuli mai ai ni neurologists na lipotia mai o le muamua ma le lua o mea e tuʻuina atu togafitiga o migraine mo le toeitiiti lava o atunuʻu uma na suʻeina. E na o le tasi lava le mea na tupu o Ausetalia, lea na filifilia ai e tagata e masani ona filifilia le fomaʻi e avea ma aufaigaluega masani i le tutusa o taimi i neurologists (14% mo uma) ae o i latou o loo i ai le episodic migraine filifilia chiropractors i se tele taimi i neurologists (13% versus 5%). I le faʻatusatusaina, na filifilia ai fomaʻi e avea ma faʻatoʻaga faʻapitoa mo i latou o loʻo i ai le gasegase masani e 10% i Amerika ma Kanata, 1% i Siamani ma 0% mo UK ma Farani. Chiropractors na filifilia e avea ma faʻatoʻaga faʻapitoa mo i latou e iai le migraine episodic e le 7% i Amerika, 6% i Siamani, 4% i Kanata ma 1% i Peretania ma Farani.

Faʻapitoa le lipotia o le lelei o MT Treatment Results

O le tele o le ulu ma tiga-falemaʻi faitau aofaʻi o suʻesuʻega suʻesuʻega mo le lipotia e oe lava le aoga o le MT tiga tiga togafitiga. Mo le faʻamalositino, o le tagata lava ia na te lipotia se vaega aoga o le tino, pe atoa foi le aoga o le tiga o le ulu na amata mai i le 27.0 i le 82.0% (uiga: 45.0%) [53, 58--60, 78]. Mo togafitiga fofo, onosaʻi lipotia oe lava o se vaega aoga pe atoa lelei ulu tiga fesoasoani mai 33.0 i le 64.5% (uiga: 45.2%) [53, 58, 60, 73, 78], ma mo acupressure lenei amata mai 33.4 i le 50.0% (uiga: 44.5%) [53, 58, 59]. Mo le osteopathy ma le tino togafitiga, tasi suʻesuʻega lipotia le aoga o le 17 ma le 36% i le faasologa [60].

Pe a tuʻufaʻatasia iʻuga i matata uma a le MT o le lipotia o le MT o se vaega poʻo se aoga atoatoa mai le 17.0 i le 82.0% (uiga 42.5%) [53, 58--60, 73, 78]. I se faʻaopopoga, tasi suʻesuʻega lautele faitau aofaʻi maua ai mea na maua mo ia lava-lipotia le aoga mo togafitiga faʻasolosolo ma togafitiga i le 25.6 ma le 25.1% faʻatulagaina mo i latou e muamua tiga faʻaumiumi ma 38 ma le 38% faʻasolosolo mo i latou o loʻo i ai le maualuluga tiga o le ulu [79].

Talanoaga

O lenei pepa o loʻo tuʻuina atu ai le iloiloga sili ona taua i luga o le faʻaogaina ma mea taua e fesootaʻi ma le faʻaaogaina togafitiga o togafitiga mo togafitiga o le ulu i totonu o faʻasalalauga toe iloiloina. A o suʻesuʻeina tapulaʻa faʻapitoa ma le leai o ni faʻamatalaga e taofia le faia o faaiuga malosi, o nei suʻesuʻega e faʻalauiloaina ai mataupu e tāua i tagata e faia faiga faavae, aʻoaʻo, ulu o le ulu ma suʻesuʻega i le lumanaʻi.

O la matou iloiloga na iloa ai o le faʻaaogaina o le MT sa masani ona maualuga i totonu o fomaʻi ulu-falemaʻi numera o tagata pe a faʻatusatusa i le lautele o tagata. Ae ui i lea, o le faʻaaogaina o tagata e toʻatasi e tuʻuina atu MT e eseese i le va o itulagi eseʻese ma o lenei mea e ono mafua mai i le tele o mafuaʻaga e aofia ai le fesuiaiga i nofoaga lautele, faʻasoasoani faʻasoifua maloloina ma le mauaina o MT tautua. Mo se faʻataʻitaʻiga, o le faʻaaogaina o togafitiga o le tino mo nisi ituaiga o tiga o le ulu atonu e sili atu le maualuga i vaega o Europa [20, 60] ae o le faʻaaogaina o fomaʻi mo nisi ituaiga o ulu e ono sili atu le maualuga i Ausetalia ma Amerika [19]. I le aotelega, o le taatele o le faʻaaogaina o le MT mo le tiga o le ulu e foliga mai e tele ma e ono avea ma masani masani o togafitiga faʻamalositino na faʻaaoga mo le tiga o le ulu i le tele o atunuʻu [21-19, 21]. O loʻo manaʻomia ni suʻesuʻega sili ole maualuga ole epidemiological e fua ai le salalau o le MT faʻaaoga i ituaiga eseese o ulu ma ituaiga laiti, e le gata ile lautele ole faitau aofai ma tagata lautele.

E le gata i lea, o le tele o faʻamatalaga e itiiti lava e faatatau i ai, pe faʻapefea ma pe aisea foi e mafua ai ona saili e tagata maʻi tigaina le MT. Ae mai i faʻamatalaga o loʻo maua, o manaʻoga faʻalesoifua maloloina o maʻi mamaʻi o le MA atonu e sili atu ona faigata ma tele-amio pulea i le natura pe a faʻatusatusa atu ia i latou e masani ona faia togafitiga faafomaʻi. O suʻesuʻega a le sosaiete ma tagata lautele o loʻo fautua mai ai o tagata faʻaogaina o MT ma isi togafitiga faʻapitoa ma isi togafitiga ei ai le tulaga maualuga o le le atoatoa o le maʻi tigaina ma le tumau i le faʻatusatusa i tagata e le o faʻaaogaina. O lenei sailiga e mafai ona faʻamaopoopoina ma le maualuga o le faʻaaogaina o tagata faʻaoga MT i totonu o le tumutumu-falemai ma le talafaasolopito o le tele o tofiga faafomaʻi. E ono i ai foi ni faʻafitauli mo le lumanaʻi faʻataʻitaʻiga a le MT trial e tusa ai ma le filifilia o mataupu faʻamasino mai totonu ma fafo atu o falemaʻi falemaʻi o le MAT ma le faaiuga e suʻeina ole vaʻalele MT i luga ole MT faatasi ai ma isi faʻalavelave.

O faʻamatalaga faʻamatalaga e taʻu mai ai o le tele o auala agai i le faʻaaogaina o togafitiga faafomaʻi ma togafitiga faafomaʻi e pei o le MT e taatele. E ui o sailiiliga e fautua mai ai MT e masani lava ona sailia mo mafuaʻaga o le sailia o le tiga o le maʻi tigaina, o le faʻamaoniga e lagolago ai le aoga o le MT mo le faʻalalōlōina o le maʻi tigaina ua faʻatapulaʻaina. E tatau ona manatua e le 'auʻaunaga MT le uiga lelei o faʻamaoniga mo se fofo ua tuʻuina atu mo se maʻi o le maʻi tigaina ma ia logoina tagata mamaʻi pe o fea e maua ai ni togafitiga sili atu ona lelei pe saogalemu. E tele suʻesuʻega e manaʻomia e iloilo ai nei togafitiga faʻapitoa ma e ala i auala eseese ma mo suʻesuʻega e aofia ai le tulitatao taimi umi.

O faʻamatalaga faʻamatapulaʻa i Italia, e fautuaina ai le tuʻuina atu mai GPs mo le togafitiga o le ulu o le maʻi mama e mafai ona taatele i nisi o itulagi, ae atonu o le a le salalau lautele ona o le tuʻuina atu o le maʻi e le faʻaalia i fomaʻi e uiga i le faʻaaogaina o lenei togafitiga i isi suʻesuʻega. O le tausiga sili ona maualuga o le soifua mālōlōina e manaʻomia fesoʻotaʻiga vavalalata ma manino i le va o tagata gasegase ma tagata e tuʻuina atu ma i le va o tagata e tuʻuina atu latou lava. O le le faʻaaliaina e mafai ona aʻafia ai le puleaina o togafitiga faafomaʻi e tatau i tagata e le talileleia ona manaʻomia nisi suʻesuʻega o suʻesuʻega [80] poʻo le faʻaaogaina o auala sili atu ona lelei i le puleaina o le ulu (81) poʻo le taofia o talanoaga i tulaga e ono solia ai le X [82]. E mafai ona faʻamanuiaina e le aufailautusi i le Peraimeri ni mea aoga mai le taulaʻi faapitoa i le avanoa e le faʻaalia ai togafitiga e le o togafitiga faafomaʻi. Faʻamatalaga tatala i le va o tagata e tuʻuina atu ma tagata gasegase e uiga i le faʻaaogaina o le MT mo le ulu o le ulu ona o le mea e aʻafia ai e ono faʻaleleia ai le tausiga o maʻi.

Suesuega i le lumanai

E ui i le malosi o le manaʻomia mo nisi suʻesuʻega sili ona maualuga e iloilo ai le aoga o le MT e avea ma togafitiga mo le ulu o le ulu, o le tele o le faʻaaogaina o MT e faʻapitoa i le manaoga mo le tele o suʻesuʻega i le soifua maloloina lautele ma le soifua maloloina. O le manaʻomia mo lenei ituaiga o suʻesuʻega na faʻaalia i se lipoti talu ai nei i le lalolagi e uiga i le faʻaaogaina o punaoa tau soifua maloloina o le maʻisuka [18]. O le faʻateleina o lenei faʻamatalaga e mafai ona taʻitaʻia ai le faʻaleleia atili o faiga faʻavae tau soifua maloloina ma le faʻapipiʻiina o auaunaga faʻalesoifua maloloina.

O le tele o le faʻaogaina o togafitiga faʻaletino e pei o le MT na lipotia mai i totonu o le tele o suʻesuʻega a le atunuʻu na lipotia ai le faʻafitauli o le soifua maloloina o le ulu. [3, 5, 83-85]. Tusa lava poʻo le a, o le taua o togafitiga faʻaletino i le puleaina o tiga o loʻo faʻaauau pea ona iloiloina, e masani ona faia i totonu o le tulaga lautele ma tuʻufaʻatasia ai le puleaina o tiga o le ulu [86--89]. Faʻaauauina lenei suʻesuʻega ono faʻalauteleina lo tatou malamalamaʻaga o le aoga ma taunuʻuga fesoʻotaʻi ma le sili atu multidisciplinary auala i le ulu tiga.

E le gata i lea o le manaʻomia mo nisi suʻesuʻega ina ia malamalama i auala faʻaogaina soifua maloloina e fesoʻotaʻi ma na gasegase e faʻaaogaina le MT i le latou ulu o le ulu. E itiiti se mea e iloa e uiga i le sociodemographic background, ituaiga o ulu o le ulu, maualuga o le maʻi le mautonu ma le faʻatafunaina e sili ona taatele i lenei tagata maʻi. I le isi itu, o ia faʻamatalaga e mafai ona maua ai malamalamaaga atonu e taua tele i le faia o filifiliga a le falemaʻi ma aʻoaʻoga.

tapulaa

O le ata ma sailiga o la matou iloiloga e tele ona faʻatapulaʻaina. O le ata o le iloiloga na faʻatapulaʻaina e se sailiga i totonu o Igilisi Igilisi api talaʻiaga. O lona iʻuga, o nisi suʻesuʻega i lenei mataupu atonu na misia. E ui lava o le tulaga lelei sikoa na faʻaaogaina mo lenei iloiloga manaʻomia atili faʻamaonia, o faʻamatalaga na matou aoina na faʻatapulaʻaina e le maualalo i le feololo lelei o avanoa pepa na averesi 6.4 mai 10 togi (Laulau 3). O le maualalo togi maka na mafua mai i taua metotia faʻafitauli ma le laʻititi faʻataʻitaʻiga lapoʻa fesoʻotaʻi ma le tele o le aoina pepa. O le tele o faʻamatalaga e uiga i lenei mataupu sa matuaʻi eseese lava i le natura (telefoni, faʻasalalauga faʻasalalau ma faʻatalanoaga faafesagai). Sa i ai le le lava o faʻamaonia lōia ma onosaʻi fesili fesili e lipoti ai sailiga, e pei o fesili i luga o le masani ai, lea na faʻaoga ai taimi faʻatulagaina i le va i le taimi nei,, "12 masina talu ai" ma taimi uma.

O faʻamatalaga e uiga i le faʻaogaina o le faʻaoga o le faʻaogaina o le tiga mo le ulu o le ulu na faʻatapulaʻaina i totonu o tagata taʻitoʻatasi taʻitoʻatasi a le MT, pe a faʻatusatusa atu i faʻamaumauga o loʻo maua i totonu o le faitau aofaʻi o le faitau aofai ma le tumutumu. E tele suʻesuʻega na iloiloina ai le faʻaaogaina o le MT mo le ulu e aunoa ma le faailoaina o ituaiga o le ulu. Na o le tasi le suʻesuʻega i totonu o le faitau aofaʻi o le MAT ua lipotia mai le pasene o tagata gasegase o loʻo auai mo mafuaaga o le migraine na o ia (osteopathy). O le faʻaogaina o le faʻaaogaina o le MT mo le ulu o le ulu na lipotia mai i le tele o suʻesuʻega o le faitau aofaʻi o tagata maʻi, peitaʻi o faʻamatalaga na faʻatapulaʻaina i ituaiga o maʻi tigaina. Matou te leʻi mauaina ni suʻesuʻega e lipotia ai le masani o tagata maʻi mamaʻi i totonu o togafitiga faʻafomaʻi poʻo le faʻamaloloina o tagata maʻi e faʻaaoga ai a matou sailiga suʻesuʻega.

O le le lava o faʻamatalaga mo nisi autu e manaʻomia ai le maua o faʻasalalauga faʻatasi ai ma tagata faʻaogaina isi tagata e le o togafitiga faafomaʻi faafomaʻi. O faʻamatalaga i totonu o le tele o itulagi o le atulaulau sa faʻaitiʻitiʻese ma faʻamatalaga faʻatapulaʻaina na i luga o le punavai o le tuʻuina atu i le matāʻupu o le ulu o le MAT (tolu pepa mai Italia). O nei tapulaa e lagolagoina ai le valaau mo nisi suʻesuʻega ina ia taulaʻi faapitoa i totonu o le faitau aofaʻi o MT ma vaega eseese faʻaitulagi ae leʻi mafai ona maua ni faʻamalosiaga malosi.

iʻuga

O manaʻoga oi latou e maua i le tiga o le ulu e mafai ona faigata ma tele-amio pulea i le natura. I tua atu o suʻesuʻega o falemaʻi, e manaʻomia tele suʻesuʻega o auaunaga lautele mo le soifua maloloina ma le soifua maloloina e fua ai ma iloiloina le tele o mataupu taua i le kilivaina ma le faaaogaina o MT i totonu o le puleaina o le ulu. O loʻo tumau pea manaʻoga o totoe mo le toʻatele o loʻo tigaina faʻafuaseʻi le tiga o le ulu, e tatau i fomaʻi ona nofouta i le faʻaaogaina o le MT ma tumau pea i le talanoaina o lenei auala ile puleaina ole ulu ina ia mautinoa le saogalemu, aoga ma le faʻamaopoopoina o le tiga o le ulu.

Faʻafetai

E le agavaa ai.

faatupeina

O lenei suʻesuʻega e leʻi mauaina se fesoasoani tuʻufaʻatasi mai soʻo se faʻaputugatupe faʻalapotopotoga i nofoaga faitele, faʻapisinisi pe leai-mo-polofiti vaega a o le muamua tusitala i luga o lenei pepa mauaina se PhD sikolasipi faia avanoa e le Ausetalia Chiropractors Association.

Maua o Faʻamatalaga ma Meafaitino

E le talafeagai (o faʻamaumauga uma o loʻo lipotia i le tusiga).

Fesoasoani a Tagata Tusitala

CM, JA ma DS na fuafuaina le pepa. CM na faʻatautaia suʻesuʻega, faʻamaumauga ma le filifilia. CM ma DS na tuʻuina atu le auʻiliʻiliga ma faʻamatalaga. CM ma JA na tusia le tusi. O tusitala uma na saofagā i le iloiloga sili ma le malamalama o le mafaufau. O tusitala uma na faitauina ma faamaonia le tusitusiga mulimuli.

Faʻateleina Tauiloa

Fai mai tusitala e leai ni a latou tauvaga.

Maliega mo le Lomiga

E le agavaa ai.

Faʻaaloaloina o Amio Taualoa ma Malilie e Auai

E le agavaa ai.

Lomiga a le Lomitusi

Springer Nature e tumau pea le le mautonu e tusa ai ma talosaga faʻaletulafono i luga o faʻafanua ma faʻalapotopotoga faʻalapotopotoga.

faapuupuuga

MT Faʻaaoga togafitiga
EMG Faʻafanua eletise

Faʻasinomaga Faʻamatalaga

Ncbi.nlm.nih.gov/pmc/articles/PMC5364599/

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

O le maofa o le 15% o le faitau aofai o tagata ua pagatia i migraines, o se tulaga faʻavaivaia e aʻafia ai le tagata gafatia mafai ona auai i aso uma gaioiga. E ui ina tele le malamalama seseina i suʻesuʻega i nei aso, ae ou te talitonu o le tiga o le migraine e mafai ona avea ma faʻailoga o le sili atu ona tele le faʻafitauli tau soifua maloloina. Lumbar herniated discs, poʻo discs rupia i le lumbar tuaʻoi, o se mafuaʻaga masani o lalo maualalo tiga ma sciatica. A o le malu, gel-pei o le ogatotonu o le lumbar herniated disc oomiina aʻa aʻa o le pito i lalo maualalo, e mafai ona iʻu ai i faʻailoga o le tiga ma le le toʻafimalie, numbness ma vaivaiga i lalo pito. O le mea e sili atu, o le lumbar herniated disc e mafai ona le faʻapaleniina le fausaga ma le gaioiga o le tuasivi atoa, faʻaosofia ai faʻailoga i le pito o le faʻaʻautagata e ono faʻaosofia ai migraines. O tagata e masani ona lagona le tiga o le ulu o le ulu e masani ona tatau ona alu ma le totoa i latou aso i le faʻamoemoe o le aloese mai le mumū o se isi mea tiga. O le mea e lelei ai, tele migraine tiga ma lumbar herniated disk togafitiga metotia o loʻo avanoa e fesoasoani faʻaleleia atili faʻapea foi ma puleaina faʻailoga. O isi togafitiga o togafitiga e mafai foi ona iloiloina aʻo leʻi faia se taotoga.

Tausiga e le faʻaaogaina mo le faʻamalositino o le Lumbar Disclaimer: Tausaga e valu Tausaga mo le Suʻega o Suʻega o Suʻega o Suʻega (SPORT)

lē faʻatino

Suesuega Suesue

Faʻatautalanoa faʻatasi ma le suʻesuʻeina o le kulupu faʻatasi ma le vaʻavaʻai.

faamoemoega

Le iloiloga o le 8-tausaga o le taotoga ma le le faʻapitoa.

Aotelega o Faamatalaga Muamua

E ui lava o faʻasalaga faʻavasegaina na faʻataʻitaʻiina ni eseesega puupuu mo taimi pupuu e fiafia i taotoga, o taimi umi e faʻatusatusa ai taʻaloga i togafitiga e le o togafitiga e tumau pea le fefinauai.

Metotia

Sui tauva faʻataʻitaʻi ma le ata-faʻamaonia lumbar intervertebral disc herniation fonotaga SPORT agavaʻa faʻatulagaina lesitalaina i le lumanaʻi faʻasolosolo (501 tagata auai) ma mataʻituina potopotoga (743 tagata auai) i 13 togafiti falemaʻi i 11 US setete. Faʻalavelave na masani ai matala discectomy faʻatusatusa masani masani le faʻagaioia tausiga. O metotia autu na suia o suiga mai le laina amata i le SF-36 Bodily Pain (BP) ma le Physical Function (PF) ma le Oswestry Disability Index (ODI - AAOS / Modems version) na iloiloina i le 6 vaiaso, 3 ma le 6 masina, ma le tausaga. mulimuli ane

i'uga

O mea lelei na vaʻaia mo taotoga i faʻataʻitaʻiga-e-togafitia suʻesuʻega mo le soʻotaga faʻalapotopotoga mo uma tulaga muamua ma tulaga lua faʻaiʻuga nai lo galuega tulaga; ae ui i lea, ma le tele o le le tausisi i togafitiga faʻatonuina (49% tagata mamaʻi tofia i le le-faʻamalositino togafitiga mauaina taotoga faʻatusatusa 60% o tagata mamaʻi tofia i taotoga) o nei maitauina aafiaga na laʻititi ma e le faʻamaumauga taua mo autu taunuʻuga (BP, PF, ODI ). O le mea taua, o le aotelega o faʻatusatusaga o taunuʻuga lona lua na matua tele lava ma le taotoga i le faʻamoemoega-to-togafiti faʻataʻitaʻiga (sciatica bothersomeness [p> 0.005], faʻamalieina i auga [p> 0.013], ma oe lava-faʻaleleia atili [p> 0.013]) i le tulitatao taimi umi. O se suʻesuʻega e pei ona togafitia, na faʻaalia ai le aoga o togafitiga o taʻotoga mo togafitiga autu (o lona uiga o le suiga o taotoga vs. e le o faʻagaioia; togafitiga o togafitiga; 95% CI): BP (45.3 vs. 34.4; 10.9; 7.7 i le 14); PF (42.2 vs. 31.5; 10.6; 7.7 i le 13.5) ma le ODI (? 36.2 vs.? 24.8;? 11.2;? 13.6 i le? 9.1).

iʻuga

O tagata gasegase filifilia ma le faʻaeteete oe na faia le taotoga mo se faʻataina o le lipboard disks na maua ai se faʻaleleia sili atu nai lo tagata e le o togafitia togafitiga; e itiiti lava le leai o se faʻaleagaina o taunuuga i totonu o le kulupu (faʻamalositino ma le le faʻaaoga) mai le 4 i le 8 tausaga.

uputatala: SPORT, intervertebral disordinal herniation, taotoga, tausiga e leai ni galuega, taunuuga

faʻatomuaga

Lumbar discectomy mo le toomaga o sciatica i tagata mamaʻi ma intervertebral disc herniation (IDH) o se lelei suʻesuʻeina ma masani ai faʻailoga mo tuasivi taotoga, ae o fua o lenei taotoga faʻaalia tele vaʻaiga eseesega. [1] E tele faʻataʻitaʻiga faʻataʻitaʻi ma soʻosoʻoga maualuluga na faʻamaonia mai o le taotoga e maua ai le vave faʻamalieina o tiga ma iloa ai le toe faʻamaloloina o tagata mamaʻi ua iai le herniated disc.

I se faʻataʻitaʻiga faʻapitoa a le RCT e suʻesuʻeina ai ma togafitiga e leai se togafitiga mo le lumbar IDH, Weber et al. na faʻaalia se faʻaleleia atili i le vaega o taotoga i le 1 tausaga na taua tele; o loʻo i ai foi se faʻalelei atili mo le taotoga i 4 tausaga, e ui lava e le taua tele, ae leai se eseesega manino i taunuʻuga i 10 tausaga. [2] Ae ui i lea, o le tele o faʻamaʻi i totonu o le vaega e le o galulue faʻamalosi na faia le taotoga i lena taimi, faʻamalosia le faʻamatalaga o taunuuga umi. O le Maine Lumbar Spin Study, o se tagata e mataʻituina le tausiga, na maua ai se faʻaleleia sili atu i le tausaga e tasi i le vaega taotoga lea na vavalalata i le taimi, ae tumau pea le sili atu i le vaʻaia mo le vaʻaia o le sciatica, galuega faaletino, ma le faamalieina, ae leai se eseesega mo galuega poʻo (3) O lenei lipoti e lipotia ai le 8-tausaga mai le Suesuega o Suʻega o Suʻesuʻega Spine Patient (SPORT) faʻavae i luga o le faʻaauauina o le tulituliloaina o le faʻaaogaina o le poloka o le pipiʻi ma le vaʻavaʻai.

Metotia

Suesuega Suesue

O le SPORT o se faʻataʻitaʻiga faʻataʻitaʻi ma se vaega o faʻataʻitaʻiga o loʻo vaʻaia faʻataʻitaʻi na faia i le 11 US setete i 13 falemaʻi faʻafomaʻi ma multidisciplinary tuasivi faiga. O komiti o mataupu a tagata soifua i vasega taʻitasi na auai na latou taliaina se tulafono faʻapitoa mo le maitauina ma faʻataʻitaʻiga o vasega. Onosai aofia ma faʻasologa tuʻufaʻatasia, suʻesuʻega faʻasolosolo, taunuʻuga fua, ma tulitatao faiga na lipotia muamua. [5--8]

Onosaʻi o le Onosaʻi

Tamaʻitaʻi ma fafine na agavaʻa pe a fai o latou faʻailoga ma faʻamaonia faʻailoga o le lumbar radiculopathy o loʻo tumau mo le le itiiti ifo i le ono vaiaso, disc herniation i le tutusa tulaga ma le itu i luga o ata, ma sa manatu o ni taʻitaʻifono. O mea o loʻo i ai i le taimi muamua le lesitalaina o le tausiga e leʻi faʻamaotiina mai i totonu ole feagaiga. [5 7] O lesitalaina faʻapitoa ma tulaga o tuʻu eseʻesega o loʻo lipotia mai i isi nofoaga. [6,7]

O se tausisoifua suʻesuʻe i nofoaga taʻitasi ua faailoa mai tagata auai, faʻamaonia le agavaa ma faʻaaoga se faʻasoa fefaʻasoaaʻiga mo le siakiina o le lesitalaina. O tagata na auai na ofoina atu le lesitala i le faamasinoga faʻaseesea po o le kulupu tausisia. O le lesitala na amata ia Mati o le 2000 ma faaiuina ia Novema o 2004.

Suʻesuʻega o Suesuega

O le taotoga o se tulaga masani matala discectomy ma le suesueina o le aʻafia aʻa aʻa. [7,9] O le le faʻagaoioia feagaiga na atiaʻe tausiga masani fautuaina e aofia ai sili atu: toaaga faamalositino togafitiga, aʻoga / faufautua ma le faʻamalositino fale faʻatonuga, ma leai -steroidal anti-inflammatory vailaʻau pe a faʻapalepale. O togafitiga e le faʻaaogaina na faʻapitoa mo tagata maʻi ma suʻesuʻe lelei. [5--8]

Suʻesuʻega

na tiga le tino endpoints Peraimeri (BP) ma Pule Faaletino (PF) fua o le SF-36 Fuagafanua Health [10] ma le AAOS / Modems lomiga o le Oswestry Faasino Upu e faaletonu (ODI) [11] e pei ona fuafuaina i vaiaso 6, 3 ma masina 6, ma tausaga taʻitasi mulimuli ane. Afai o le taotoga na tolopoina i tua atu o le ono vaiaso, na maua mai ai le numera 6 vaiaso ma 3 masina mulimuli ane. O taunuʻuga lona lua e aofia ai le faʻaleleia lelei ole lipoti a le tagata lava ia; tulaga faigaluega; faamalieina ma faailoga i le taimi nei ma le tausiga;. [12] ma sciatica ogaoga e pei ona fuafuaina e le bothersomeness faasino sciatica [13,14] Togafitiga aafiaga sa faamatalaina o le eseesega i le uiga suiga mai le fogaeleele i le va o le taotoga ma vaega lē faagaoioia.

Iloiloga Faʻamaumauga

Faʻavasegaina muamua faʻatusatusaga faʻauiga ma faʻavasegaina mo faʻavae tulaga onosai uiga i le va o le faʻasolosolo ma mataʻituina kulupu ma le va o le muamua togafitiga lima o le tagata ma tuʻufaʻatasia cohorts. O le lautele o le misia o faʻamatalaga ma le pasene o tagata mamaʻi o loʻo faia taotoga na fuafuaina e togafitiga lima mo faʻatulagaina tulitatao uma. Faʻavaeina taimi o taimi seʻia oʻo i le taʻotoga o togafitiga (e aofia ai ma togafitiga faʻasolosolo) i vaega uma e lua e ala i le faʻasolosolo lelei o le faʻafitauli o le faʻafitauli o loʻo tupu ai faʻatasi ai ma le fuafaatatau o le p <0.1 e ulufale ai ma le p> 0.05 e alu ese ai. O tagata vavalo o le misia o asiasiga tulitatao i vaitaimi taʻitasi tausaga e oʻo atu i le 8 tausaga na eseʻese lava na fuafuaina e ala i le faʻasolosolo lelei o le logistic. O uiga faʻavae na valoʻia le taotoga poʻo le misia o asiasiga i soʻo se taimi-taimi ona ofi atu ai lea i totonu o faʻataʻamilosaga umi o faʻaiuga muamua. O i latou na tumau lona taua i le umi faʻataʻitaʻiga o taunuʻuga na aofia ai pei o le toe fetuʻunaʻiga o covariates i mea uma mulimuli ane faʻatapulaʻaina regression faʻataʻitaʻiga e fetuʻunaʻi mo ono ono le mautonu ona o togafitiga filifilia faʻaituau ma le misia faʻamaumauga mamanu. I se faʻaopopoga, faʻavae faʻavae taunuʻuga, ogatotonu, tausaga ma kenera na aofia ai i totonu uma faʻatatau taunuʻuga faʻataʻitaʻiga.

Iloiloga a le Peraimeri faʻatusatusa i taʻaloga ma togafitiga e leai ni togafitiga e faʻaaoga ai suiga mai le laina amata i siaki taʻitasi, faʻatasi ai ma se faʻafefiloi faʻapitoa o le faʻaogaina o le umi o le regression e aofia ai se aafiaga patino faʻapitoa mo le faʻamaonia i le va o fua faʻatatau i totonu o tagata taʻitoʻatasi. O le kulupu laʻasaga na muamua suʻesuʻeina i luga o le faiga o le faʻamoemoega. [6] Talu ai ona o le faʻasalaga, na faia ai faʻasiliga faaopoopo na faʻavae e faavae i togafitiga na maua. I nei iloiloga e pei ona togafitiina, o le togafitiga o se taimi e eseese ai taimi, e mafai ai mo taimi fesuisuiai o taotoga. O fua mulimuli na fuaina mai le lesitalaina mo iloiloga-ma-togafitiga, aʻo le suʻesuʻega na faia e pei ona faʻataunuʻuina na fuaina mai le amataga o togafitiga (ie taimi o le taotoga mo le taotoga ma le taimi le lesitalaina mo le vaega e le o galulue), ma ua toe faʻafouina i luga o le siaki vave i luma o le taimi o le taotoga. O lenei faiga ei ai le aafiaga o le aofia uma o suiga mai le tulafono amata aʻo lei faia le taotoga i le fua faatatau o le togafitiga e le o togafitiga ma suiga uma pe a uma le taotoga i le fua faatatau o le taotoga. sa iloiloina e ala i faataitaiga longitudinal faavae i generalized faamatalaga e fuaina [16] ma galuega tauave sootaga linear ma logit faasologa le fua sciatica ono manatu ma taunuuga binary, e faaaoga ai lava le faamoemoe-e-meaai ma fetuunai o-faatatauina faamatalaga auiliiliga o le taunuuga autu. O faʻasalalauga faʻavalea ma mataʻituina sa tosina i latou e maua mai se faʻasologa o togafitiga faʻapitoa e pei ona togafitia. O nei taunuuga na faʻatusatusa i le faʻaaogaina o le suega a Wald i le taimi lava e tasi e faʻataʻitaʻi ai taimi uma e asiasi ai mo eseesega i le fua faatatau o togafitiga o togafitiga i le va o nei toʻalua. [15] Iloiloga mulimuli na tuʻufaʻatasia faʻatasi.

Ina ia iloiloina ia togafitiga togafitiga e lua i taimi uma lava, o le fua o le taimi o fua o taunuuga (vaega i lalo o le gasologa) mo vaega taʻitasi o togafitiga na fuafuaina e faʻaaoga ai fua faʻatatau i taimi taʻitasi mai le faʻagasologa o le faʻaogaina o taimi umi ma faʻatusatusa i le faʻaaogaina o le suega a Wald [15]

Kaplan-Meier o fua faatatau o le toe faʻaaogāina o le aofaʻi i 8 tausaga na faʻatulagaina mo cohorted randomized ma observational ma faʻatusatusaina e ala i le faʻamaumauga o le log-rank [17,18]

Fuafuaina faʻamatalaga na faʻaaogaina ai le SAS taualumaga PROC MIXED mo faʻaauau faʻamatalaga ma PROC GENMOD mo binary ma le masani ai tulaga lua tulaga lua (SAS lomiga 9.1 Windows XP Pro, Cary, NC). Fuainumera taua faʻamatalaina faʻamatalaina p <0.05 faʻavae i luga o le lua-itu faʻataʻitaʻiga suʻesuʻega ma leai ni fetuunaiga faia mo tele faʻatusatusaga. O faʻamaumauga mo nei iloiloga na aoina ia Fepuari 4, 2013.

i'uga

I le aotelega, na auai le au 1,244 SPORT ma le lumbar intervertebral disordinal disorders (501 i le vaega o le vasega, ma le 743 i le vaega o le faamanatu) (Ata 1). I totonu o le kulupu, o 245 na tofia i togafitiga faʻapitoa ma le 256 i togafitiga e le o togafitiga. O i latou na faʻataʻatia i taotoga, o 57% sa taoto i le 1 tausaga ma 60% e 8 tausaga. I le vaega na faʻasolosolo i le le faʻapitoa, o 41% o tagata gasegase sa taoto i le 1 tausaga ma 48% e 8 tausaga. I le vaega o le tausiaina, na muamua filifilia e le au 521 togafiti ma na muamua filifilia e le au 222 tagata le togafitia. O i latou na muamua filifilia le taotoga, 95% na maua le taotoga e le 1 tausaga; i 8 tausaga 12 isi tagata maʻi na faia le taotoga muamua. O i latou e filifilia togafitiga e le o togafitiga, o 20% sa taoto i le 1 tausaga ma 25% e 8 tausaga. I totonu uma o nei popo na tuʻuina atu, na maua ai e le maʻi 820 se taotoga i nisi taimi i le 8 tausaga muamua; 424 (34%) na tumau pea e le o faagaoioia. I luga o 8 tausaga, o 1,192 (96%) o uluaʻi faʻataunuʻu na faʻamaeʻaina le 1 faʻasalalauga mulimuli ma sa aofia ai i le auiliiliga (faʻapitoa o le randomized cohort: 94% ma le kulupu o le Observation 97%); 63% o faʻamatalaga muamua na tuʻuina atu faʻamaumauga i 8 tausaga faʻatasi ai ma gau talu mai le pa'ū, missed visits, or deaths (Figure 1).

Ata-1-Exclusion-Faaulufaleina-Randomization-ma-Mulimuli-Up

Ata 1: Le amanaia, lesitalaina, le faʻatauvaʻaina ma le mulimulitaʻi o tagata auai i le faamasinoga.

Uiga o le Onosai

O uiga faʻavae na lipotia muamua mai ma o loʻo aoteleina i le Pusa 1. [5,6,8] O soʻotaga aufaʻatasi na i ai le aotelega o lona uiga o tausaga e 41.7 faʻatasi ai ma ni tamaloloa e sili atu nai lo fafine. I le aotelega, o soʻotaga ma faʻataʻitaʻiga cohorts na tutusa. Ae ui i lea, o tagata mamaʻi i le vaega o faʻataʻitaʻiga sa tele atu manaʻoga faʻavae (maualuga togi ODI), na tele lava ina sili atu le fiafia i taotoga, tele na masani ona faʻamauina o latou faʻafitauli ua atili ai ona leaga, ma e foliga mai e i ai se lagona le atoatoa. Mataupu na mauaina taotoga i le aluga o le suesuega o: laiti; tau le faigaluega; sili atu ono lipotia le i luga o le aufaigaluega taui; sa i ai le sili atu ogaoga tiga baseline ma faʻatapulaʻaina galuega; toʻaitiiti soʻoga faʻatasi ma isi mea faʻatasi; sili atu le faʻamalieina ma o latou faʻailoga; sili atu ona faʻamamaluina o latou tulaga ua amata ona sili atu le leaga i le lesitalaina; ma e ono manaʻomia le taotoga. O matāʻupu na mauaina le taotoga e foliga mai e iai se suʻega lelei o vae, faʻapea foʻi ma le tele o faʻafitauli o le neurologic, sensory, ma le afi. I luga o le televise, oa latou herniations atonu na i le L4 5 ma L5-S1 tulaga ma avea posterolateral i nofoaga.

Lisi 1 Patient Baseline Characteristics Characteristics, Comorbidities and Health Status Measures

Laulau 1: Taʻiala o le faʻamaoniga o tagata faʻataʻitaʻiga, faʻasalaga ma le tulaga o le soifua maloloina e tusa ai ma le suʻega suʻesuʻe ma togafitiga na maua.

Togafitiga Faʻasologa ma Faʻafitauli

O togafitiga faʻapitoa ma togafitiga faʻapitoa na tutusa lava i le va o le toʻalua (o le Table 2). O le taotoga o le taotoga na umi se umi i totonu o le kulupu laʻasese (80.5 minute faʻasolo i vs. 74.9 minute observational, p = 0.049). O le aveesea o le toto o le 75.3cc i totonu o le kulupu faʻapitoa vs. 63.2cc i le mataʻituina, p = 0.13. E na o le 6 tagata maʻi uma e manaʻomia le faʻamalosi faʻamalosi. Sa leai ni tino faaletino. O le faʻalavelave masani faʻapitoa o taotoga o loimata (o le 3% faʻatasi). Toe faʻafouina na tupu i se 11% tuufaatasiga o mataupu e 5 tausaga, 12% e 6 tausaga, 14% e 7 tausaga, ma le 15% e le 8 tausaga talu ona maeʻa taotoga. O fua faatatau o le toe faʻatautaia e le o se eseesega tele i le va o le aufaʻatasi ma le vaʻavaʻai. E valusefulu fitu o le toe faʻaleleia o 119 na faʻamaonia le ituaiga o toe faʻaaogaina; pe tusa ma le 85% o nei (74 / 87) na lisiina e pei o le faifaipea faifaipea i le tulaga lava e tasi. E tasi le maliu na tupu i totonu ole 90 aso talu ona maeʻa le taotoga e fesootaʻi ma le taotoga o le fatu i se isi faʻalapotopotoga; o le maliu na faʻamasinoina e le fesootai ma na lipotia atu i le Komiti Faʻafoe Faʻaletausaga ma le Komiti o le Mataʻituina o Fuainumera ma le Saogalemu.

Sopoʻi Atu

O le le faʻaaloalo i togafitiga togafitiga na aʻafia uma ai togafitiga e lua: o tagata gasegase na filifili e tolopo pe teena le taotoga i le taotoga o le taotoga ma pasia i le taotoga i le lima e le o galue. (Ata 1) Eseesega taua o le gasegase o tagata gasegase i latou e le o galulue i totonu ole 8 tausaga o le lesitalaina ua matutua, sili atu le maualalo o tupe maua, itiiti le le fiafia ma o latou faailoga, atonu o le a iai se lipine ile lipine i luga o le maualuga, atonu o le a sili atu le faʻaalia o se manaʻoga maualuga mo le tausiga o le tagata, e le taumate e mafai ona latou iloa o latou faailoga e pei o le leaga i le laina, ma e itiiti ifo le tiga ma le le atoatoa (Table 3). O tagata maʻi na sopoʻia i taotoga i totonu o 8 tausaga sa sili atu ona le faamalieina i a latou faʻaʻailoga i le laina; na sili atu ona latou iloa o loʻo faasolosolo ina leaga i latou i le laina; sili atu ona faʻaalia se faʻamuamua manaʻoga mo taotoga; ma e sili atu le leaga o le faʻatinoina o le tino ma sili atu le le atoatoa o le tagata lava ia.

Lisi 3 Fuainumera Taualoa Taua o le Faʻaaloalo i Togafitiga

Laulau 3: Fuainumera iloga taua o le usitai i togafitiga i tagata gasegase RCT.

Aafiaga Autu Autu

Manatu mo le Manatu-i-Tofo I le iloiloga-i-togafitiga o le faʻapitoa o le kulupu, o faʻatulagaga uma i luga o le 8 tausaga na faʻapitoa i taotoga ae leai ni fuainumera taua o togafitiga i fua muamua o fuataga (Ripoti 4 ma le Figure 2). I le aotelega o le faʻatusatusaga i le va o togafitiga e lua i le gasologa o taimi (vaega-i lalo o le gasologa), o taunuuga maualuga na matua sili atu ma le taotoga i le sailiiliga-i-togafitiga (faʻavavesi o le sciatica (p = 0.005), faamalieina ma (p = 0.013) ma le faʻaleleia e le tagata lava ia (p = 0.013)) (Ata 3) Faʻaleleia atili le faʻavasegaina o le faʻaaogaina o le faʻasologa o mea faʻapitoa (e ui e le taua i tausaga 6 ma 7) (Laulau 4).

Ata-2-Pepa-Maualuga-i-le-Randomized-and-Observational-Cohorts

Ata 2: O taunuʻuga a le Peraimeri (SF-36 Faʻanatura Paʻa ma le Faʻatinoga Faaletino) ma le Index Oswestry Disability Index) i faʻasalalauga faʻapitoa ma mataʻituina i le 8 tausaga o tulitatao.

Ata-3-Maualuga-Maualuga-i-le-Randomized-and-Observational-Cohorts.

Ata 3: Maualuga Faʻafitauli (Sciatica Bothersomeness, Satisfaction with Symptoms, ma le Faʻatinoina o le Faʻaleleiaina o le Tagata Lava Ia) i faʻasalalauga faʻavalea ma mataʻituina i le 8 tausaga o tulitatao.

Faʻamaumauga 4 Faʻamatalaga a le Peraimeri Suʻega mo Tausaga 1 i le 8

Laulau 4: Faʻamaumauga a le Peraimeri mo tausaga 1 i le 8. Faʻaaogaina-i-togafitiga mo le kulupu faʻaseʻe ma fetuunaiga * iloiloga e tusa ai ma togafitiga na maua mo faʻasalalauga faʻavalea ma mataʻituina.

Faʻafesoʻotaʻi-Suʻesuʻeina Faʻamatalaga O le fetuʻunaʻi pei ona togafitia aʻafiaga vaaia i le faʻasolosolo ma mataʻituina na tutusa. E tusa ai, na tuʻufaʻatasia cohorts mo faʻaiʻuga mulimuli. Aafiaga togafitiga mo le muamua iuga i le tuʻufaʻatasia as-togafitia suʻesuʻega na aoga falemaʻi ma fuainumera taua mai le 8 tausaga: SF-36 BP 10.9 p <0.001 (95% CI 7.7 i le 14); SF-36 PF 10.6 p <0.001 (95% CI 7.7 i le 13.5); ODI? 11.3 p <0.001 (95% CI? 13.6 i le? 9.1) (Laulau 4). O le vaefaʻamatalaga mo le Pusa 4 o loʻo faʻamatalaina mai ai fetuʻunaʻiga o covariates filifilia mo le faʻaiuga mulimuli.

E maua mai i le Ata 2 ni faʻamatalaga mai iloiloga ma togafitiga faʻapitoa o faʻamalosi e lua. I le suʻesuʻega tuʻufaʻatasia, o le togafitiga o fuainumera e taua tele i le faʻataʻitaʻiina o taotoga mo faʻataʻitaʻiga muamua ma le lua (sei vagana ai tulaga faigaluega e le eseese i le va o togafitiga) i taimi taitasi (Ripoti 4 ma le Figure 3).

Lisi-i-Mulimuli-Up

I le 8-tausaga tulitatao, 63% o uluaʻi lesitala sapalaiina faʻamatalaga, ma leiloa ona o le toʻesea, misia asiasiga, po o maliu. Laulau 5 aoteleina le amataga uiga o latou na leiloa e tulitatao faʻatusatusa ia i latou taofi i le suʻesuʻega i 8-tausaga. O i latou na tumau i le suʻesuʻega i le 8 tausaga na - fai si matutua; sili atu ona avea ma fafine, paʻepaʻe, kolisi aʻoaʻoina, ma faigaluega i le amataga; ono le maua se malosi, mauaina o se taui, poʻo se ulaula; laʻititi faʻailoga ile amataga ma le laʻititi o le tino, sili atu le faʻagaioiga tino, laʻititi le le atoatoa ile ODI, sili atu le soifua maloloina o le mafaufau, ma le laʻititi ole sciatica faʻasoesa. O nei eseesega sa laiti ae taua fuainumera. O le siata 6 o loʻo faʻamatalaina ai ni mea puʻupuʻu na maua i le uluaʻi 2 tausaga mo i latou na taofia i le suʻesuʻega i le 8 tausaga pe a faʻatusatusa ia i latou na leiloa e toe tulitatao. O i latou na leiloa e tulitatao na sili atu le leaga o taunuʻuga i le averesi; Peitai e moni lenei mea i le taotoga ma le le-faʻagaioia kulupu ma le le taua eseesega i togafitiga aʻafiaga. O iʻuga umi na iai e ono sili atu le soona faʻamoemoe ile averesi i vaega uma e lua, ae ole faʻatusatusaga ile va ole taotoga male faʻataʻitaʻiga e foliga mai e le faʻaituʻau e ui lava ile toʻilalo umi ile tulitatao.

Lisi 5 Patient Baseline Characteristics Characteristics, Comorbidities and Health Status Measures

Laulau 5: Taʻiala o le faʻataʻitaʻiga o tagata faʻataʻitaʻiga, faʻasalaga, ma le tulaga o le soifua maloloina e tusa ai ma le faʻataʻitaʻiga o le soifua maloloina o 02 / 01 / 2013 ina ua tosoina le IDH8yr.

Faʻasologa o le 6 Taimi o le Totogi ile Faʻafitauli

Laulau 6: O le aofaʻi o taimi o togafitiga o togafitiga i 2 tausaga (AUC) mai faʻasalalauga * faʻapitoa ma faʻataʻitaʻiga o faʻasalalauga faʻasalalau faʻasoasoaina faʻamuamua tuʻufaʻatasia, e tusa ai ma togafitiga na maua ma le faʻasologa o le faʻasologa o maʻi.

Talanoaga

I maʻi ma a faʻasolosolo solo faʻamaonia e ala i faʻataʻitaʻiga ma vae vaevaega o loʻo tumau pea mo le itiiti ifo i le 6 vaiaso, o le taotoga e sili atu nai lo togafitiga e le o togafitiga i le faamamaina o faʻamaoniga ma le faʻaleleia o galuega. I le asiasiga e pei ona togafitia, o le togafitiga mo le taotoga na vaaia i le amataga o le 6 vaiaso, na foliga mai e ausia le maualuga e 6 masina ma tumau pea i luga o 8 tausaga; e taua tele le faaleleia atili o le vaega e le o faagaoioia ma o lenei alualu i luma na tumau pea i sina mea laitiiti e leai se faaleagaina o taunuuga i totonu o vaega e lua (faagaoioia ma le leai o se galuega) i le va o 4 ma 8 tausaga. I le taimi umi o le auiliiliina o togafitiga, o taunuuga uma lava na faaalia ai le itiiti o le lelei mo taotoga, ae na o taunuuga lua o le sciatica o le atuatuvale, faamalieina ma faailoga, ma le faaleleia o le tagata lava ia na taua tele. O le itiiti o le aoga i le vaega o taotoga i le aluga o le taimi, ua faia ai le fua faatatau atoa o le faamoemoe-i-togafitiga sili atu ona taua i luga o le taimi e ui lava i tulaga maualuga o le sopoia. O le tele o aʻafiaga o loʻo iai i le suʻesuʻeina faʻasalalau ina ua maeʻa fetuutuunaiga mo uiga o tagata gasegase o le crossover e fautua mai ai o le iloiloga o mea e fai-ma-togafitiga atonu e manatu faatauvaa i le aafiaga moni o le taotoga talu mai le faʻafefiloi o togafitiga ona o le crossover e mafai ona faʻamoemoeina e faia se mea e le fiafia i ai. o le leai o se mea i totonu o iloiloga o mea e fai-ma-togafitiga [4,19] O le leiloa o tagata maʻi e sili atu le leaga i le pito i lalo ma o le a sili atu ona leaga le taunuʻuga o taimi atonu e oʻo atu ai i le sili atu-faamoemoe faamoemoeina i taimi umi i le taotoga ma le leai -o loʻo faʻatinoina faʻavae ae o le le faʻasalaina o fua faatatau o togafitiga faʻapitoa.

Faatusatusaga i isi suʻesuʻega

E leai ni isi suʻesuʻega faʻavaitaimi umi e lipotia mai le tutusa laʻasaga muamua e pei o le SPORT. O iʻuga o suʻega muamua a le SPORT i le 2 tausaga e tai tutusa lava ma Peul et al ae o le umi ona tulitataoina mo le suʻesuʻega a Peul e manaʻomia mo nisi faʻatusatusaga. [4,20] E eseʻesega mai le suʻesuʻega a le Weber, o eseesega o iʻuga i SPORT i le va o vaega o togafitiga na tumau pea i le va o le 1 ma le 8 tausaga o le tulitatao. O se tasi o mafuaʻaga i lenei eseʻesega atonu o le maaleale o le taunuʻuga fua 'mo se faʻataʻitaʻiga, sciatica faʻasoesa, lea na matua eseʻese mai 8 tausaga i le faʻamoemoe-i-togafitia, atonu o se sili atu maaleale faʻailoga o togafitiga manuia nai lo le lautele iʻuga na faʻaaoga e Weber et al. [2]

O iʻuga umi ole SPORT e tai tutusa ma le Maine Lumbar Spine Study (MLSS). [21] Na lipotia e le MLSS faʻamaumauga sili atu le faʻaleleia atili i le 10 tausaga ile sciatica faʻalavelave mo le vaega o taotoga (? 11.9) faʻatusatusa i kulupu nonsurgical (? 5.8) ma aʻafiaga togafitiga o? 6.1 p = 0.004; i SPORT le faʻaleleia o le sciatica faʻalavelave i le taʻotoga vaega i le 8 tausaga na tutusa ma le 10 tausaga faʻaiuga i le MLSS (? 11) e ui lava o le le faʻagaioia kulupu i SPORT na sili atu le lelei nai lo latou MLSS paʻaga (? 9.1) peitaʻi o le togafitiga aʻafiaga i SPORT, a o laʻititi, tumau faʻamaumauga taua (? 1.5; p <0.001) ona o le tele tele atu faʻataʻitaʻiga tele. Ole faʻaleleia atili o vaega e leʻo faʻagaioia ile va o le SPORT ma le MLSS e ono fesoʻotaʻi ma eseesega i togafitiga e le o faʻagaioia ile taimi, eseʻesega ile va o vaega e lua talu mai le MLSS ma e le manaʻomia faʻamaoniga o ata ole IDH.

I luga o le 8 tausaga sa itiiti lava ni faʻamaoniga o le afaina mai togafitiga. O le 8-tausaga o le toe faʻaaogaina o 14.7%, lea e maualalo ifo nai lo le 25% na lipotia mai e le MLSS i 10 tausaga. [22]

tapulaa

E ui lava e fetuʻunaʻi a matou iuga mo uiga o le kolosi o tagata mamaʻi ma le faʻatonutonuina mo mea taua o le laina i lalo, o faʻataʻitaʻiga e pei ona togafitia e tuʻuina atu e le tutusa le puipuiga malosi mai le faʻaletonu o loʻo i ai mo se suʻesuʻega o le mafaufau loloto e togafitia ai. [4-6] Peitai, Peitaʻi, o iloiloga e faia ai faʻataʻitaʻiga e iloa e faʻaituʻau i le i ai o le le faʻamalieina i le tulaga ua maitauina i le SPORT, ma o a matou suʻesuʻega e pei ona togafitia, ua faʻaalia mai e maua ai iʻuga saʻo i lalo o manatu talafeagai e uiga i le faʻamoemoeina o le usitaʻia o taunuʻuga tumau. . [23] O le isi ono faʻatapulaʻaina o le feteʻenaʻi, o togafitiga e le o faʻagaioia togafitiga, e pei ona talanoaina i a matou pepa muamua. [5,6,8] I le iuga, manatu i lenei taimi umi suʻesuʻe suʻesuʻega o lona uiga e naʻo le 63% o uluaʻi lesitala tuʻufaʻatasia faʻamaumauga i le 8 tausaga ma tupe leiloa ona o le paʻuuʻu, misia asiasiga, po o maliu; faʻavae i luga o auiliiliga i le amataga ma i se taimi puʻupuʻu tulitatao, o lenei ono mafua ai i le soʻona soona-faʻamoemoeina fuafuaina taimi umi-taunuʻuga i uma togafitiga vaega ae o le le faʻaituʻau fua faatatau o taotoga togafitiga togafitiga.

faaiuga

I le mafau- fauga-to-treat analysis, laitiiti, fuainumera o le togafitiga o togafitiga mo togafitiga mo taunuuga autu ae taua tele tulaga taua mo le le mautonu, le faamalieina ma faailoga, ma le faaleleia o le tagata lava ia na vaaia i 8 tausaga e ui i tulaga maualuga o togafitiga sopo. O le auʻiliʻiliga faʻapitoa na faʻapipiʻiina le faʻapipiʻiina o faʻataʻitaʻiga, ma le faʻapipiʻiina lelei o mea e faʻaaogaina, faʻaalia ai le sili atu o le faʻalauteleina o le tiga, galuega, faamalieina, ma le alualu i luma o le tagata lava ia i 8 tausaga pe a faʻatusatusa atu i togafitiga e le o faʻatinoina. Ae peitai, o le vaega e le o galulue, na faaalia foi le tele o le faaleleia i le aluga o taimi, faatasi ai ma le 54% lipoti ua faamalieina i a latou faailoga ma 73% faamalieina i le latou tausiga i le 8 tausaga.

tautinoga

Le National Institute of Arthritis ma Musculoskeletal ma Paʻu Faʻamaʻi (U01-AR45444; P60-AR062799) ma le Ofisa o Suesuega i Tamaitai Soifua Maloloina, le National Institutes o le Soifua Maloloina, ma le National Inisetiute o Galuega Saogalemu ma le Soifua Maloloina, o Nofoaga Autu mo Faamaʻi Mauaina ma Puipuiga foaʻi tupe na mauaina e lagolago ai lenei galuega. Gaoioiga talafeagai tautupe i fafo atu o le tuʻuina atu galuega: faufautua, fesoasoani, faʻasoa.

O lenei suʻesuʻega e tuʻufaʻatasia i manatuaga o Brieanna Weinstein ma Harry Herkowitz, o taʻitaʻia a latou lava aia, oe na avea le lalolagi ma nofoaga e sili atu.

Faamatalaga Faʻamatalaga

O isi faʻatafunaga e aofia ai le: stroke, diabetes, osteoporosis, kanesa, fibromyalgia, cfs, PTSD, ava malosi, faʻalagolago i fualaau faasaina, fatu, pulumu, ate, fatugao, vaʻa toto, faʻalavelave o le tino, toto maualuga, migraine, popole, manava

I le faaiuga, o tagata taʻitoʻatasi o loʻo mafatia mai le tigaina o migraine e manaʻomia le ituaiga togafitiga aupito sili ona lelei ina ia mafai ai ona faʻaleleia ma faʻafoeina a latou faʻamaoniga, aemaise lava pe a fai mai o latou migraines na maua mai i le lumbar pau. O le faʻamoemoega o mataupu o loʻo taua i lalo o le faʻafesoʻotaʻi lea o tulaga e lua ma le tasi ma faʻaalia ai iuga o le suʻesuʻega i luga. O togafitiga faʻapitoa e mafai ona mafaufauina aʻo leʻi faia le taotoga mo le tigaina o migraine ma le lumbar togafitiga o togafitiga. Faʻamatalaga mai le National Center for Biotechnology Information (NCBI). O le lautele o a tatou faʻamatalaga e faʻapulaʻaina i le faʻamaʻi faʻamaʻi faʻapea foi ma manua ma tuʻutuʻu. Ina ia talanoaina le mataupu, faamolemole ia lagona le saoloto e fesili ia Dr. Jimenez pe faʻafesoʻotaʻi mai i matou 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

O le tiga o le ogaumu o se faasea masani lea e mafai ona mafua ona o le tele o manuʻa ma / poʻo tuutuuga. E tusa ai ma fuainumera, o manuʻa faʻafuaseʻi o faalavelave faʻafuaseʻi ma faʻamaʻi manuʻa o nisi o mafuaaga sili ona taatele o tiga o le kiona i le lautele o tagata. I le taimi o se faʻalavelave faʻafuaseʻi, o le faʻafuaseʻi o le aʻafiaga mai le mea na tupu e mafai ona mafua ai le le mautonu o le ulu ma le ua i totonu o soʻo se itu, ma faʻaleagaina ai fausaga faʻalavelave e siomia ai le tuilaʻau. Faʻasagaga i manoa ma liga, faʻapea foʻi ma isi mea i totonu o le ua, e mafua ai le tiga o le ua ma faʻamalamalama ai faʻamaoniga i le tino atoa.

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82. Puentedura EJ, Mati J, Anders J, Perez A, Landers MR, Wallmann HW, Cleland JA. Saogalēmū o togafiti tuiina o le faʻaʻautagata: e mafai ona puipuia ni mea leaga ma e talafeagai lelei le faia o togafiti? se iloiloga o 134 mataupu lipoti. J Man Manip Ther. 2012;20:66�74. doi: 10.1179/2042618611Y.0000000022. [PMC free article] [PubMed] [Cross Ref]

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84. Brandes JL. Faʻatupega faʻavaomalo ile tausiga ole migraine: o iʻuga mai le suʻesuʻega MAZE. CNS Drugs. 2002;16:13�8. doi: 10.2165/00023210-200216001-00003. [PubMed] [Cross Ref]

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88. Wallasch TM, Hermann C. Faʻamaoniaina o le faʻavaeina-faʻavae tofiga onosaʻi ma togafitiga lelei o se multidisciplinary modularized pulea faʻatautaia polokalama mo le ulu tiga. J Tiga le ulu. 2012;13:379�87. doi: 10.1007/s10194-012-0453-6. [PMC free article] [PubMed] [Cross Ref]

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Tapuni Faʻatasiga

Migraine ma le Cervical Disc Herniation Treatment I El Paso, TX Chiropractor

by valevalevale | Disc Disc, Migraine, Faaleleia Faaletino, Faʻatonuina Faʻasalaga Faʻatonu, Togafitiga

Migraine o se tulaga faʻavaivai e faʻaalia i le tiga o le ulu o le ulu, e masani ona faʻatasi ma le gaioiga ma lagona lelei i le malamalama ma le leo. E ui e leʻo malamalama tagata suʻesuʻe i aso nei i le mafuaʻaga moni i tua o lenei maʻi o le ulu o le tino, e toʻatele le au fomaʻi e talitonu o le sese o le tui vavalo e mafai ona taʻitaʻia ai le migraine. Ae ui i lea, o suʻesuʻega fou suʻesuʻega faʻamaonia ua faʻamoemoeina e mafai ona afaina ai ulu o le ulu o le vaʻaia o le tino, o se mataupu faʻalesoifua maloloina e fesoʻotaʻi ma faʻamaʻi intervertebral o le pito i luga. O le faʻamoemoe o le tusiga o loʻo mulimuli mai o le aʻoaʻoina o tagata ma fesoasoani ia i latou ia malamalama i le faʻapogai o a latou faʻamaoniga ma faʻaalia ai le tele o ituaiga togafitiga e lelei mo migraine ma le vavalaʻau o le tino.

Tusi Taiala Tusi a le Pepa o le Taumatau a le Peraimeri: o se Iloiloga Faʻamanatuga o Faʻataʻitaʻiga Faʻataʻitaʻiina Faʻatonu

lē faʻatino

Lenei o lo matou iloa o le muamua faʻavasega iloiloga e faʻatatau i le aoga o tusi lesona togafitiga faʻasolosolo faʻataʻitaʻiina faʻataʻitaʻi (RCT) mo uluaʻi ulu masani. O se sailiga faʻaPeretania suʻesuʻe suʻesuʻega CINHAL, Cochrane, Medline, Ovid ma PubMed faʻailoa mai 6 RCTs uma suʻesuʻe tumau-vevesi-ituaiga ulu (CTTH). O le tasi suʻesuʻega faʻaoga togafitiga faʻamalositino ma le lima suʻesuʻega faʻaaoga togafitiga. E fa suʻesuʻega na manatu o ni metotia lelei lelei e ala ile fua ole PEDro. O suʻesuʻega uma na faʻaaoga lelei pe na leai ni togafitiga e avea o se kulupu faʻatonutonu, ma naʻo le lua suʻesuʻega na alofia le tuʻufaʻatasia, e ono iʻu ai i le faʻaituau ma atili ai ona faigata le faʻauigaina o faʻaiuga. O loʻo fautua mai le RCTs o le fofō ma le togafitiga o tino e aoga i togafitiga o le CTTH. O se tasi o RCT na faʻaalia o le faʻamalosi tino e faʻaititia ai le tiga o le ulu i taimi uma ma le malosi faʻafuainumera taua e sili atu nai lo le tausiga masani a le fomaʻi. O le aoga o le physiotherapy i le maeʻa togafitiga ma i le 6 masina tulitatao tutusa ma le aoga o tricyclic antidepressants. Aʻafiaga tele o physiotherapy na oʻo atu i le 0.62. RCTs i le lumanaʻi tusi faʻataʻitaʻi togafitiga e talosagaina le talanoaina o le aoga i taimi masani migraine ma ma aunoa ma vailaʻau soona faʻaoga. I le lumanaʻi RCTs i luga o le ulu tatau tatau ona mulimulitaʻi i le International Headache Society 's taiala mo falemaʻi tofotofoga, ie taimi masani o le muamua faʻaiuga-taimi, a o le umi ma le malosi e tatau ona lua tulaga mulimuli, aloese mai le felagolagomai, aofia ai le lava faʻataʻitaʻiga tele ma mulimuli. vaitaimi mo le sili atu 6 masina.

uputatala: Faʻailoga faʻapitoa i le falemaʻi, faʻamaʻaloga o le Peraimeri tumau, Taʻiala faʻapitoa, Massage, Faʻamālōlōina, Chiropractic

faʻatomuaga

Peraimeri faaumiumi tiga ulu pei masani migraine (CM), faaumiumi feteenai-ituaiga ulu (CTTH) ma faaumiumi kulupu ulu tigaina ei ai taua soifua maloloina, tamaoaiga ma agafesootai tau. E tusa ma le 3% o le lautele o le faitau aofai o tagata o loʻo mafatia i le tiga o le ulu ma le faʻatele o fafine [1]. Le Faʻavasegaina Faʻavaomaloina o Faʻafuaseʻi Faʻaletonu III? (ICDH-III?) Faʻamatalaina CM pei? 15 ulu tiga aso / masina mo le itiiti ifo i le 3 masina ma foliga o migraine i? 8 aso / masina, CTTH ua faʻamatalaina i luga o le averesi? 15 aso / masina ma vevesi-ituaiga ulu tiga mo le itiiti ifo 3 masina, ma tiga ogaoga kulupu ulu pei o osofaʻiga le itiiti ifo i isi aso uma mo sili atu ma le 1 tausaga e aunoa ma le faʻamagaloina, poʻo ma remissions tumau <1 masina [2].

E uiga i le 80% faʻafesoʻotaʻi la latou fomaʻi muamua mo le ulu o le ulu matua masani [3], ma le togafitiga faafomaʻi o loʻo taʻua muamua o le laina muamua o togafitiga. Ae ui i lea, o le tulaga lamatia e ono mafua ai le faʻaaogaina o fualaau oona tigaina ona o osofaiga masani o le ulu. 47% o i latou na maua i le ulu o le ulu o le ulu i le televise i le lautele o Norwegian sa faʻaaogaina le togafitiga o le maʻi tigaina [1,4]. Mafaufau i le maualuga o le faʻaaogaina o vailaau faʻamalosi, o vailaʻau faʻasolosolo ma le le faʻaaogaina o vailaʻau faʻatauina e tatau ona mafaufau i le pulega [5,6]. O vailaau faʻapitoa e faʻaaogaina e le 3% i le faitau aofaʻi o Norwegian, ao taumafai 52% i le physiotherapy ma 28% ua faʻataʻitaʻi togafitiga o togafiti togafiti [3]. O le le faʻaaogaina o falemaʻi e sili atu foi le aoga o nai mea laiti ma e masani lava o mea leaga faʻalavelave faʻafuaseʻi ma e leai ni faʻamalositino fegalegaleaiga / mea leaga [7].

O iloiloga faʻapipiʻi muamua na taulaʻi atu i le RCTs mo le teteʻe-ituaiga ulu o le ulu, migraine ma / poʻo le maʻi o le maʻi tigaina, ae le o le aoga i luga o le ulu o le aliʻi matua [5,6,8-11]. Ole togafitiga ole tusi ole togafitiga ole togafitiga ole togafitiga, fomaʻi, osteopaths ma isi fomaʻi e togafitia ai tiga o le musculoskeletal ma le le atoatoa, ma e aofia ai le togafitiga massage, faʻatasi ma le faʻaaogaina [12].

O le mea lenei ia matou iloa o le uluai iloiloga iloiloga o le iloiloga o le aoga o le togafitiga o le folasia ua faʻataʻitaʻiina tofotofoga faʻataʻitaʻiina (RCT) mo le mualaʻi o le ulu o le ulu i le faʻaogaina o le tiga o le ulu e pei o le pito i luma ma le tiga o le ulu ma le malosi e pei o pito lua.

toe iloilo

Metotia

O le Igilisi tusitusiga Igilisi na faia luga CINHAL, Cochrane, Medline, Ovid ma PubMed. O upu suʻesuʻe sa; migraine, migraine faaumiumi, vevesi-ituaiga ulu, tumau feteʻenaʻi-ituaiga ulu, fuifui ulu, tigaina fuifui ulu tiga faatasi ma upu; fofo togafitiga, togafitiga o le tuasivi, faʻalaʻitiitiina o le tuasivi, togafiti togafiti, togafiti togafiti togafiti, togafitiga osteopathic poʻo le togafiti. Na matou faʻailoaina ni suʻesuʻega e ala ile suʻesuʻeina atoatoa o komepiuta O suʻega talafeagai na suʻesuʻeina mo faʻaopopoga talafeagai RCTs. O le filifilia o tala na faia e tusitala. Uma RCTs tusia i le Igilisi faʻaaogaina soʻo se tasi o tusi lesona togafitiga mo CM, CTTH ma / pe faʻafuaseʻi cluster ulu tiga na iloiloina. O suʻesuʻega e aofia ai tuʻufaʻatasiga ituaiga ulu e aunoa ma ni faʻapitoa iʻuga mo CM, CTTH ma / pe faʻaputuputu ulu ulu tiga na aveʻesea. O le iloiloga aofia ai tusi lesona RCT togafitiga o loʻo tuʻuina mai ia le itiiti ifo ma le tasi se tasi o le taua faʻamalosia tapulaʻa; tiga o le ulu, umi ma umi tiga mo CM, CTTH ma / poʻo tumau cluster ulu tiga e pei ona fautuaina e le International Headache Society 's faʻataʻitaʻi faʻataʻitaʻi falemaʻi [13,14]. O le tiga o le ulu o le taimi muamua o le mea e gata ai, ae o le umi ma le tiga o le tulaga lua lona lua. O le faʻataʻitaʻiina o le tiga o le ulu na sili ona faʻavasegaina e tusa ai ma faʻavae o le ICHD-III? poʻo lomiga talu ai [2,15-17]. O le metotia lelei o le aofia ai RCTs na iloiloina faʻaaogaina le PEDro fua, Laulau 1 [18]. O le RCT na manatu e maualuga lona tulaga peʻa fai o le PEDro togi? 6 o le maualuga togi o le 10. O le metotia lelei o le RCT na iloiloina e le AC. O le PRISMA 2009 lisi lisi na faʻaaogaina mo lenei iloiloga faʻasolosolo. Aʻafiaga tele na fuafuaina pe a mafai. Aʻafiaga tele o le 0.2 na manatu e laʻititi, 0.5 e feololo ma 0.8 o le tele [19].

Laulau 1: PEDro togi ioe pe leai mea.

O lenei iloiloga faʻaletausaga na faʻatino tonu lava e faʻavae i luga o le suʻesuʻega o le RCTs o loʻo maua ma e leʻi faamauina e fai ma faʻatalanoaga.

i'uga

O le suʻesuʻeina o suʻesuʻega na faʻaalia ai le ono RCTs na fetaui ma a tatou faʻamaumauga. E tasi le suʻesuʻega na faʻaaogaina ai le togafitiga o le massage (MT) ma suʻesuʻega e lima na faʻaaoga ai le physiotherapy (PT) [20-25]. O suʻesuʻega uma sa iloiloina CTTH, aʻo leai ni suʻesuʻega na suʻesuʻeina le CM poʻo le maʻi o le ulu o le ulu.

Uiga masani O le Ata 2 o loʻo faaalia ai o le fua o le PEDro laʻasaga o Fesoʻotaʻiga Fesoʻotaʻi mai le 1 i le 8 points. E fa RCTs na mafaufauina lelei lelei, ae o le lua RCTs na maualalo le togi.

Pusa 2 O le PEDro Score Score of Included RCTs

Laulau 2: Le faʻataʻitaʻiga o le PEDro faʻataʻitaʻiga o faʻataʻitaʻiga faʻapitoa faʻataʻitaʻiina (RCTs).

Faʻataʻitaʻiga faʻapitoa faʻataʻitaʻi (RCT) O le Ata 3 o loʻo faʻaalia ai le faitau aofaʻi o tagata, faʻasesega ma le aoga o le ono RCTs.

Laulau 3 Faʻatauga o Tomaʻi Faʻamālōlōina Faʻamaumauga o le CTTH

Laulau 3: Iʻuga o le faʻamalositino faʻataʻitaʻiga na faʻasolosolo faʻataʻitaʻiina tofotofoga (RCTs) o le masani ona faʻavauvau-o le ulu o le ulu (CTTH).

Massage togafitiga O se Sipaniolo fomaʻi faʻapitoa na faʻatautaia se 2-faʻaauupegaina crossover RCT ma paʻisaga faʻatusatusaga ma tauaso iʻuga taunuʻuga [20]. O le suʻesuʻega na aofia ai sui ma le CTTH na faʻamaonia e se fomaʻi o neula. O le ICHD-II taʻiala mo le CTTH na teuteuina, o lona uiga o le tiga na faʻamatalaina e pei o le 5 i luga o le fuainumera o le fuainumera o le 0-10, ma faʻatasi ai ma faʻailoga o le photophobia, phonophobia poʻo le nausea filemu e leʻi faʻatagaina [16]. Peraimeri ma tulaga lua faaiuga-togi e leʻi faʻamaonia. Iʻuga o loʻo faʻaalia i le Laulau 3.

Fomaʻi togafitiga O le Amerika 3-faʻaauupegaina i tua atu o le RCT na leai se tauaso iuga o gaioiga [21]. O fua faʻataʻitaʻi na? 25 aso o le ulu / masina mo> 6 masina e aunoa ma ni faʻailoga e fesoʻotaʻi ma puaʻi, puaʻi, ata- ma le phonophobia, ae e iai maso maso, e pei o le CTTH ma le agavaʻa. Tagata auai ma cervicogenic ulu poʻo neurological sailiiliga na le aofia ai. Peraimeri ma tulaga lua pito iuga e leʻi muaʻi faʻamalamalamaina, ae o le tiga o le ulu, faʻamatalaina iinei o le tiga masani taimi, o le suʻesuʻega o le iʻuga.

O se suʻesuʻega Take na faia le 2-faaauupegaina RCT faamoemoeina ma le le faʻataʻamilomiloina taunuʻuga [22]. O i latou na auai na faʻamaonia i le CTTH e tusa ai ma le ICHD-I [15]. Tagata auai ma le fefiloi ulu, neura ma faiga aliment, poʻo tagata auai na mauaina togafitiga faʻapitoa i totonu o le 6 masina ae le i faia le suʻesuʻega na faʻateʻaina. Peraimeri faʻaiuga o manatu o le ulu faʻasino igoa faʻamatalaina o le taimi masani 'ogaoga.

O se suʻesuʻega Tenimaka na faʻatautaia le 2-faʻaauupegaina RCT faamoemoeina ma tauaso taunuʻuga fua [23]. O i latou na auai na faʻamaonia CTTH e se fomaʻi faʻapitoa e tusa ai ma tuʻutuʻuga o le ICHD-I [15]. Tagata auai ma isi muamua ulu, neuralgia, neura, faʻafitauli o le tino poʻo le mafaufau poʻo vailaʻau soona faʻauigaina faʻamatalaina e pei o> 100 fualaʻau analgesic poʻo> 2 inumaga o triptans ma ergotamine i le masina na le aofia ai. O le pito iuga muamua o le ulu masani, ma o le lona lua tulaga-mulimuli o le ulu umi umi ma le malosi. O iʻuga o loʻo faʻaalia i le Laulau 3 e leʻi faʻatosinaina e le pericranial maso agamalu.

O se suʻesuʻega a Dutch na faʻatinoina ai se 2-o loʻo faʻatumuina, o le televise RCT faʻatasi ai ma le fuaina o fuataga o fuataga [24]. O tagata auai sa maua i le CTTH e se fomaʻi e tusa ai ma le ICHD-I [15]. O tagata o loʻo i ai le tele o le ulu o le ulu poʻo i latou na mauaina le physiotherapy i totonu o 6 mulimuli masina sa le aofia ai. O le pito i tua o le Peraimeri o le tele o le tiga o le ita ae o le umi ma le malosi o le pito lua-pito.

O le 2nd Dutch Dutch na faʻatinoina se 2-faʻapitoa e faʻatatau i le pragmatic, televise RCT ma faʻamaumauga faʻamuamua ma tulaga lua-lipoti, e pei o le umi o le tiga, umi ma le malosi [25]. O tagata na auai na maua e se fomaʻi e tusa ai ma le taiala o le ICHD-II [16]. O i latou na auai i le faʻamaʻi pipisi, masalomia o le valea, maitaga, le tautala i le gagana Dutch, oi latou na mauaina le physiotherapy i totonu ole 2 masina talu ai, triptan, ergotamine poo le opiods tagata faʻaaogaina na vavaeeseina.

Talanoaga

O le iloiloga o loʻo iai i le taimi nei e iloilo ai le aoga o le faʻamalositino i le TTTS mo uluaʻi ulu o le ulu na faʻaalia ai RCTs e togafitia le CTTH. O le mea lea, e le mafai ona iloiloina le aoga o le CM ma le maʻi tigaina o le kulupu masani i lenei iloiloga.

Mafaufauga faʻapitoa Ole metotia lelei ole suʻesuʻega ole suʻesuʻeina o togafitiga faʻatonutonu mo faʻaletonu ole ulu e masani ona faitio ile fai o le maualalo. Mai lea taimi i lea taimi saʻo, ae masani ona fai le metotia fuafuaina puipuia tusi lesona togafitiga mai le oʻo atu i le mea ua faʻapea o le auro tulaga faʻatatau i fale faʻataʻavaleina RCTs. Mo se faʻataʻitaʻiga, o se placebo togafitiga e faigata ona faʻatulagaina ae o le tagata suʻesuʻe e le mafai ona faʻatauasoina mo lona faʻaaoga faʻatofalaʻiga. O le averesi togi o le aofia ai suʻesuʻega o 5.8 (SD 2.6) togi ma le fa suʻesuʻega na manatu i le lelei sili ona lelei. Uma RCTs le mafai ona aofia faʻataʻitaʻiga lapoʻa? 50 i le sili laitiiti vaega. O le lava faʻataʻitaʻiga lapoʻa ma le mana fuafuaina muamua e taua e taofia ituaiga 2 mea sese. Tolu suʻesuʻega e leʻi faʻamatalaina muamua ma tulaga lua pito iuga, ia e maasiasi ai le tele-aofaʻi faʻatusatusaga, ma le aʻafiaga o le ituaiga 2 mea sese faʻamaonia mai le tele o metotia [20-22]. Faʻatautaia se tusi lesona togafitiga RCT o taimi uma ma tau faʻaalu ai, ao tauaso masani e faigata ona e leai se tasi faʻamaonia faʻamautuina sham-togafitiga e mafai ona faʻaaogaina o se pulea vaega i lenei aso. O le mea lea, uma o aofia ai suʻesuʻega na pragmatic pe faʻaaogaina leai se togafitiga o se kulupu kulupu.

E ese mai i le auai i le suʻesuʻega lata mai [21], o tagata uma e auai na maua e le fomaʻi poʻo le neurologist. O se faʻatalatalanoaga faʻasalalau o le tulaga auro, ao fesili fesili ma faatalatalanoaga faatalanoaga o ni meafaigaluega e sili atu nai lo le maʻoti e uiga ile maʻi o le ulu (26).

Sa le mafai ona faʻaaogaina faʻatasi i le lua suʻesuʻega [22,20]. E lua suʻesuʻega na faʻatino ai le iloiloga o mea e faʻatautaia e puipuia ai mai i tulaga taua ma faʻamaonia le faʻatusatusaina o le laina [24,25,27].

i'uga O le suʻesuʻeina o le massage na aofia ai naʻo le 11 tagata auai, ae o le vaega massage e sili atu le faʻaitiitia o le malosi o le maʻi o le ulu nai lo le vaega o le ultrasound [20].

54%, 82% ma le 85% o tagata na auai i le tolu o le physiotherapy RCTs na i ai le? 50% faʻaititia o le tiga o le ulu i le maeʻa ai o togafitiga [23-25], ma o le aʻafiaga na tumau i le lua suʻesuʻega na i ai le 6 masina mulimuli ane -luga [24,25]. E faʻatusatusa lenei mea i le 40-70% o tagata auai o loʻo iai a latou faʻataʻitaʻiga ile faʻaogaina ole tricyclic antidepressants [28,29]. O le aʻafiaga o le tricyclic e foliga mai e faʻaleleia i le taimi, o lona uiga pe a ova ma le 6 masina togafitiga [29]. Ae ui i lea, o tricyclic antidepressants e i ai le tele o aʻafiaga e ese mai i le physiotherapy, ae o le manual therapy e manaʻomia tele faʻatalanoaga. Lua suʻesuʻega iloiloina ulu ulu faʻavasega faʻamatalaina o le tiga masani taimi malosi [21,22]. O suʻesuʻega uma e lua na faʻaalia ai le sili atu o le faʻaleleia o togafitiga ma i le 1 masina ma le 6 masina tulitatao.

O le fa o suʻesuʻega na lipotia mai 10.1 o tausaga e matua tigaina ai, o le mea lea, o le aafiaga o loʻo matauina atonu o le a mafua ona o le togafitiga o le togafitiga ae le o le faʻaleleia le lelei poʻo le faʻafouina i le uiga [21-23,25].

E masani ona faʻaaogaina fualaau o le ulu o le ulu ona o ulu matua, ma afai e faʻafefete le tele o le ulu, o loʻo i ai se faʻalavelave maualuga mo le togafitiga o fualaau oona. O le faʻalauteleina o le faʻaaogaina o vailaʻau faʻasaina ua faʻapea ona fautuaina i le pulega mo uluaʻi ulu o le ulu (3). Talu ai o faʻafitauli a le aʻoga e foliga mai ei ai se aoga aoga e tutusa ma le aafiaga o vailaau faʻamaʻi pipisi (28,29), e aunoa ma aʻafiaga o vailaʻau faʻamalositino, e tatau ona mafaufau i togafitiga faʻataʻitaʻi i luga o se tulaga tutusa e pei o togafitiga o togafitiga.

Aafiaga lapoʻa mafai ona fuafuaina i le tolu o le ono RCTs. O le telē o le aofaʻi o le tiga o le ulu na oʻo i le 0.62, a o le mea na laʻititi e uiga i le umi ma le malosi, ae o le tiga o le ulu (frequency intensity) e oʻo atu i le 0.37 (Laulau 3). O le mea lea, o se laʻititi e feololo le aoga o le lapoʻa atonu e ono tele i le tagata, ae maise o le mafaufau e lata i aso uma le tiga o le ulu o lona uiga o le 12/14 aso ua faʻaititia i le 3/14 aso [25], o le fea e tutusa? 75% faʻaititia o le ulu tiga masani. E masani lava o le? 50% faʻaititia e masani ona faʻaaogaina i ala o tiga, peitaʻi o le mafaufau i le mea moni e faigata ona togafitia le CTTH, o isi tagata suʻesuʻe e faʻatautaia ma le? 30% faʻaleleia atili o le aoga muamua faʻataʻitaʻiga faʻatusatusa i le placebo [30].

tapulaa O le suʻesuʻega o loʻo i ai i le taimi nei e mafai ona iai ni faʻafitauli. O se tasi oi latou o le lolomiina o lomiga e pei ona le faia e tusitala se taumafaiga e faailoa mai RCTs e leʻi faasalalauina. E ui na matou faia se suʻesuʻega auiliili, matou te faʻaalia e mafai ona misia se tasi poʻo le RCT, ae maise lava le le gagana Igilisi.

iʻuga

O le togafitiga o le tusitaulima e taua tele i le puleaina o le CTTH e tutusa tutusa ma vailaʻau faʻasolosolo faʻamaʻi ma le tricyclic antidepressant. I le taimi nei e leai ni suʻesuʻega suʻesuʻega e iai o le gasegase masani poʻo le ulu o le ulu o le ulu. Lotoga i le lumanaʻi i le lumanaʻi O faʻataʻitaʻiga i luga o le ulu o le ulu o le ulu masani e tatau ona tausisi i le fautuaga a le Society International Headache Society, o lona uiga o le pito pito i luma o le ulu o le ulu ma le pito lua-pito o le umi ma le malosi. O suʻesuʻega i le lumanaʻi suʻesuʻega i luga o CM ma e aunoa ma le faʻamaʻiina o vailaau, e tatau foi, talu ai o nei suʻesuʻega e le oi ai nei.

Faʻateleina Tauiloa

Fai mai tusitala e leai ni a latou tauvaga.

Tusitala 'Saofaga

AC saunia le uluai kopi ma faatino le iloiloga masani o suʻesuʻega ua aofia ai. MBR na i ai le uluai manatu o le suʻesuʻega, fuafua le mamanu atoa ma toe faʻaleleia le tusiga faʻatulagaina. Ua uma ona faitau ma faamaonia e tusitala ia tusitusiga mulimuli.

Tusitala 'Faʻamatalaga

Aleksander Chaibi o le BPT, MChiro, PhD tamaiti aʻoga ma Michael Bj rn Russell o se polofesa, MD, PhD, DrMedSci.

Faʻafetai

Akershus University Hospital, Nouei, agalelei na tuʻuina atu nofoaga mo suʻesuʻega.

Faatupeina: O suʻesuʻega na maua mai Extrastiftelsen, le Norwegian Chiropractic Association i Norway ma le Iunivesite o Oslo.

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

O le vavalaʻau o le vavalaʻau o se tulaga taatele lea e tupu pe a oʻo atu i le ua, poʻo le vavalaʻau faʻapitoa, vaeluaina ma lona malu, pei o le faʻaputu e pei o le gel i totonu o le aulaʻau, faʻapipiʻi atu i aʻa aʻa. O faʻamaʻi pipisi e mafai ona faʻaalia ai faʻamaʻi, tiga ma vaivaiga i le ua, tauau, pusa, lima ma lima faʻapea foʻi ma le faʻaalia o faʻamaoniga i pito pito i lalo. E mafai foi ona avea le migraine ma faailoga e fesootaʻi ma pusa ua faaleagaina i le ua. A o tatou matutua, o le va o le intervertebral disks e masani lava ona amata ona faasolosolo malie, ma atili ai ona faigofie ona faaleagaina pe manua. O mafuaʻaga masani o le vaʻaia o le vavalaʻau e aofia ai le ofutino ma le loimata, suiga faifaipea, le talafeagai, siitia, manua, gaʻo ma genetics.

Faʻaauau le tumau o le Cervical Intervertebral Disord Herniation i Tagata o loʻo togafitia ma Vasega Faʻapitoa ma Suʻega Faʻapitoa: o se Suʻesuʻega Faʻapitoa o Suʻesuʻega Faʻaauau

lē faʻatino

tua

O le faʻataʻitaʻiga o le vavalalata o le vavalaʻau faʻatasi ma le tiga o le paʻu o se faʻalavelave masani lea o loʻo faʻaauau pea ona tupu, ma o se mafuaʻaga masani mo le vaʻaia ma le faʻaogaina o togafitiga faʻapitoa ma isi vailaʻau (CAM) i Korea. Ae ui i lea, o suʻesuʻega i ona aafiaga umi taimi e tau le maua.

Metotia

O se tasi o tagata 165 faʻamaʻi na maua ile Ianuari Ianuari 2011 ma Setema 2014 i le falemaʻi lea e maua ai togafitiga faʻapitoa ma le Korea faʻatasi ma le CAM e pei o le tulaga sili ona taua na matauina i se suʻesuʻega mo suʻesuʻega. Na togafitia e tagata maʻi togafitiga CAM e togafitia e fomaʻi vailaʻau faʻataʻitaʻi (KMDs) e tusa ai ma se faʻamuamua faʻamuamua mo le umi o le falemaʻi, ma togafitiga faʻaopoopo masani e fomaʻi fomaʻi (MDs) e pei ona taʻua e KMD. O taunuʻuga pupuu na iloiloina i le lafoaia ma le tulituliloaina o taimi uumi na faia e ala i faatalanoaga i telefoni ina ua maeʻa le faʻatagaina. Fuainumera fuainumera numera (NRS) o le ua ma le faʻaalia o le tiga o lima, le faʻamaumauga o le atoʻatoa o le ua (NDI), le 5-point patients i le lalolagi atoa o suiga (PGIC), ma mea na aʻafia ai fua o le faamalieina i taimi umi i le PGIC.

i'uga

I le 165 tagata mamaʻi na mauaina togafitiga o gasegase 20.8? ? 11.2 aso, 117 maeʻa le toe tulitatao umi i le 625.36? ? 196.7 aso talu ona ulufale. Eseesega i le NRS i le va o le faʻaulufaleina ma le faʻateʻaina i le taimi umi mulimuli vaega (n? =? 117) o 2.71 (95% CI, 2.33, 3.09) mo tiga ua, 2.33 (95% CI, 1.9, 2.77) mo tiga tiga. , ma le NDI 14.6 (95% CI, 11.89, 17.32), ma togi tutusa i le kulupu tulitatao e le umi (n? =? 48) e 2.83 (95% CI, 2.22, 3.45) mo tiga o le ua , 2.48 (95% CI, 1.84, 3.12) mo tiga o le lima, ma le NDI e 14.86 (95% CI, 10.41, 19.3). Eseesega i le taimi umi NRS o le ua tiga ma lima tiga mai le amataga o le 3.15 (95% CI, 2.67, 3.64), ma le 2.64 (95% CI, 1.99, 3.29). O le PGIC na lipotia mai e faʻamalieina pe maualuga i le 79.5% o tagata mamaʻi i le tulitatao taimi umi.

faaiuga

E ui o le natura mataʻitu o lenei suʻesuʻega e faʻatapulaaina ai i tatou mai le faʻataunuʻuina o se faaiuga sili atu, ae o nei taunuuga e taʻu mai ai o togafitiga faʻapitoa e taulai atu i le CAM i totonu o le initaneti IDH e mafai ona maua ai ni taunuuga lelei i le tiga ma le faʻaleleia o galuega.

Faamauina o le Faamasinoga

ClinicalTrials.gov Faailoaina: NCT02257723. Faʻamaumau Oketopa 2, 2014.

uputatala: Ole vavalaʻau ile vavalaʻau faʻapitoa, vailaʻau faʻapitoa ma vailaʻau, togafitiga faʻapitoa, togafitiga ile Inpatient

tua

O le tiga o le ua o se tausisi masani lea o lona manatu lautele e faʻatatau i le 10-18%, ma le olaga atoa oʻo atu i le 30--50%. Ole faʻateleina ole tiga ole ua ile faitau aofai o tagata e 40 tausaga pe sili atu e tusa ma le 20% [1, 2]. O le tiga o le ua e fesoʻotaʻi foʻi ma le faʻatapulaʻaina o le ua [3], ma e masani ona oʻo faatasi ma le tiga o le ulu, niniva, faʻaletonu o le vaʻai, tinnitus, ma le autonomic neura (4, 5]. O faʻasolosolo faʻasolosolo faʻailoga e aofia ai le pito i luga tiga ma faʻafitauli neura [6], ma ua tiga tiga ua foi tumau i le tele o mataupu e mafua ai le leiloa galuega ona o le le mautonu [7]. O le le atoatoa e fesoʻotaʻi ma le ua e masani ona sili atu le ogaoga i tagata mamaʻi ma le susulu o le tiga nai lo le tiga faʻatapulaʻaina i le ua eria [8, 9], ma o le autu uiga o cervical intervertebral disc herniation (IDH) o le tiga tiga i le itulagi totoa i le herniated disc level ma / pe faʻapipiʻi le aʻa neura [10, 11].

O le tele o togafitiga o loʻo avanoa mo le IDH o le faʻaʻautagata e telē, e aofia ai togafitiga faʻasolosolo i ituaiga eseese o taotoga. Togafitiga faʻapitoa e aofia ai NSAIDs, oral steroid, steroid injection, patient patient, rest, Thomas collars, ma faamalositino togafitiga [12--14]. O togafitiga taotoga e mafai ona mafaufau iai pe a le manuia togafitiga faʻasao. Neuropathy mai le faʻaaogaina o le uaula o se faʻailoga atoatoa mo taotoga. O isi faʻailoga e aofia ai faʻailoga o le faʻaaogaina o aʻa aʻa ma fesoʻotaʻi i le afi ma leiloa leiloa. Faʻailoga fesoʻotaʻiga ono aofia ai le faʻaititia o le tulaga lelei o le olaga ona o le faaumiumi tumau tiga [15]. E ui o togafitiga taotoga e ono aoga i nisi tagata mamaʻi o loʻo tigaina i faʻamaʻi ogaoga o le neura, o le tele o suʻesuʻega i le tiga o le neuropathic o le tuasivi, o aafiaga umi e le taua. E ui lava o suʻesuʻega i le aʻafiaga o togafitiga faʻapitoa i gasegase o le mafaufau o le IDH na lipotia mai i nisi taimi, pe e aoga, ae o loʻo avea pea ma mataupu o finauga, ma e i ai le le lava o suʻesuʻega i le aʻafiaga o togafitiga faʻaopoopo ma isi vailaʻau (CAM).

E tusa ai ma Faamanuiaga e ala i le tele o taimi o faʻamaʻi mai faʻamaumauga mai le 2013 Korean National Health Insurance Statistical Yearbook [21], na maua e 5585 togafitiga mo faʻafitauli o le disord disks mo 99,582 aso i tausiga tausi maʻi, o aso 100,205 na puipuia e le National Health Insurance, ma le fomaʻi tupe faʻaalu togafitiga e mafai ona totogi mo le toe totogiina o le 5,370,217 Korean Won, faʻatasi ai ma le 4,004,731 Korea Won toe faʻaaogaina. O le faaletonu o le vaʻaia o le 12th o le tele o mafuaʻaga mo le ulufale atu i falemai falemaʻi Korea, e faʻaalia ai e le o se mea fou le maua o le tausiga o le maʻi ile IDH tausi maʻi.

O nei togafitiga a le CAM e pei o le acupuncture, pharmacopuncture, togafitiga o fualaau aina, ma le togafitiga faafomaʻi o loo sailia lelei i Korea i le faamoemoe o le mauaina o se togafitiga e le maua ai se togafitiga, e le o se taotoga o togafitiga. Jaseng Hospital o togafitiga Korea, o se falemaʻi o le falemaʻi Korean ua faʻatagaina e le Korea Ministry of Health ma le Uelefea e faʻapitoa i vailaau o le vavaelaʻau, togafiti i le 900,000 maʻi faʻamaʻi toto i le tausaga. O lenei falemaʻi e faʻatautaia tagata mamaʻi i se faiga faʻavae e faʻaaogaina togafitiga masani ma Korea, lea e galulue faatasi ai fomaʻi ma fomaʻi faʻasoifua maloloina a Korea (KMDs) mo taunuʻuga lelei togafitiga. O fomaʻi masani e auai i suʻesuʻega e faʻaaoga ai tekinolosi faʻataʻitaʻi e pei ole X-ray ma MRI, ma i togafitiga e ala i le tausia o se pasene laitiiti o tagata gasegase atonu o loʻo manaʻomia le tele o maʻi tigaina. KMDs e vaavaaia ma pulea le togafitiga autu o tagata gasegase uma, ma filifili pe manaʻomia e le tagata maʻi se faʻamautinoaga faaopoopo ma togafitiga mai se fomaʻi masani. O tagata maʻi IDH o loʻo mafatia i le tiga o le ua poʻo le susuluina o le tiga e le mafai ona maua togafitiga o togafitiga e tuʻuina atu ai togafitiga faʻapitoa e leai ni taotoga aʻo talia.

E ui lava i le lautele o le faʻaaogaina o togafitiga faʻamaʻi mo le IDH tausi maʻi e aofia ai le tele o togafitiga togafitiga, o suʻesuʻega i lona togafitiga i maʻi ua faʻamaonia mo le IDH tausi maʻi. E le mafai ona maua lautele e le augasegase togafitiga ile togafitiga o le CAM, ma o le faamoemoega o lenei suʻesuʻega o le faʻalauiloaina ma iloilo le aoga ma le umi o le faʻaaogaina o lenei faʻataʻitaʻiga mo togafitiga i faʻamaʻi ma le IDH i le faʻaaogaina o se mamanu suʻesuʻega.

Metotia

Suesuega Suesue

O lenei suʻesuʻega o se suʻega suʻesuʻeina lelei. Matou te matauina tagata mamaʻi i se faitioga ogaoga o le tiga o le ua poʻo le faʻaalia o le tiga o le lima ua iloa o le IDH tausi maʻi ma faʻaalia mai ia Ianuari 2011 ia Setema 2014 i le Jaseng Hospital o Korea i vailaʻau Korea i totonu o Korea. Na faia e le tusitala se tulitulimatagau umi i le faatalanoaina o telefoni i le aso Mati 2015. Faʻavae o fuataga e aofia ai vaega 5: numera o le fuainumera (NRS), faʻamau faʻafitauli o le ua (NDI), faʻataʻitaʻiga o le suiga o le lalolagi i le suiga (PGIC), taotoga faʻapitoa pe a uma le faʻatagaina, ma togafitiga o loʻo iai nei.

O lenei suʻesuʻega o se lipoti i se vaega o le resitalaina o aoina o faʻamatalaga e ono mafai ona maua i luga o togafitiga faʻapitoa mo tagata gasegase o le musikalokeletal (ClinicalTrials.gov Identifier: NCT02257723). O le suʻesuʻega suʻesuʻega na faʻatagaina e le Komiti o Iloiloga Faʻatonu a Jaseng Hospital o togafitiga a Korea. O i latou uma na auai na latou tuʻuina atu se faʻatagaga tusitusia tusitusia ao le i auai.

Tagata e Auai

O faʻataʻitaʻiga o loʻo mulimulitaʻi i tulaga nei na aofia ai.

Faʻatagaina mo togafitiga o le ua poʻo le faʻavelaina o le tiga o le lima
Le IDH Cervical ua faʻamautuina i le MRI
Faʻamatalaga e le KMD o le mafuaʻaga autu o le faitioga (tiga o le ua poʻo le susuluina o le tiga) o le IDH faʻapitoa

O tagata maʻi na faʻamalieina taʻiala nei na le aofia.

Faasea ogaoga nai lo tiga o le ua poʻo le faʻaalia o le tiga
Faʻasalaga faʻasoa o le musukalokeletal (eg le maualalo le tiga, tiga o tulivae)
Faʻaiʻuga o le ua faʻauʻuina e le fesootai i le IDH tausi maʻi (faʻamaʻi toto, o maitaga, o le gasegase o le maʻisuka)
Le musu e auai i le suʻesuʻega po o le leai o se avanoa i le aoina ma le faʻaaliaina o faʻamatalaga patino mo faamoemoega o suʻesuʻega

Na iloiloina e le KMD le mafuaʻaga o le tiga o le ua i le taimi nei po o le tiga o le lima o loʻo faʻasino i fua o le suʻesuʻega o le neurology (o le gau o le mafaufau, le vaivai o le masini, ma le tendon reflex) ma le IRRI faitauina e tagata tomai faapitoa i le leitio. O tagata maʻi na ausia tuʻutuʻuga na tuʻuina atu na asia i le falemaʻi i le aso muamua o le faʻatagaga mo le iloiloga a le KMD, ma mulimuli i le faʻaaogaina o se faatalanoaga ma se suʻesuʻega i luga o le faʻamalolo. Afai o le tagata gasegase na taliaina i le tele o taimi i le taimi o le suʻesuʻega, naʻo le uluai faʻamaumauga na faʻatagaina na faʻamaonia ma aofia ai.

Faʻatonu

E ui o le togafitiga togafitiga e aofia ai togafitiga e masani ona togafitia mo tagata maʻi IDH, o soʻo se togafitiga uma e le aofia i le togafitiga togafitiga na faʻatagaina ma avanoa mo fomaʻi ma tagata gasegase ma faʻaogaina o nei togafitiga (ituaiga ma taimi) na tusia i le falemaʻi faamaumauga faʻasolosolo. O togafitiga masani e pei o vailaau faʻamaʻi ma iniseti faʻataʻitaʻiga (faʻaaogaina o meaola faʻapitonuʻu e pei o le lidocaine, steroids, ma adjuvous anti-adhesion) na faʻatautaia e se fomaʻi masani faʻafouina e ala ile KMD. E le gata i togafitiga faʻapitoa sa faʻatagaina aʻo talia.

Maliega Faʻapitoa ma Togafitiga Faʻafomaʻi

O vailaau faʻalaʻau na maua 3 taimi / aso i le pill (2 g) ma le pepa teuteu o le vai (120 ml) (Ostericum koreanum, Eucommia ulmoides, Acanthopanax sessiliflorus, Achyranthes bidentata, Psoralea lemonia, Saposhnikovia divaricata, Cibotium barometz, Lycium chinense, Bosnia rossica, Cuscuta chinensis, Glycine max, ma Atractylodes japonica). O nei laau na filifilia ma le faaeteete mai laau e masani ona faʻamatalaina mo le togafitiga o le IDH i Tomai FaʻaSaienisi FaʻaSaina ma le Korean Medicine [22] ma o le faʻasalalauga na faʻaleleia atili e ala i togafitiga faafomaʻi [23]. O mea autu o fualaau o loʻo faʻaaogaina i lenei suʻesuʻega (Acanthopanax sessiliflorus Seem, Achyranthes japonica Nakai, Saposhnikovia divaricata Schischk, Cibotium barometz J. Smith, Glycine max Merrill, ma Eucommia ulmoides Oliver) ua suesueina i vivo ma in vitro e pei o GCSB- 5 mo a latou anti-inflammatory [24], ma le nerve [25] ma aafiaga puipuia faatasi [26], ma le aoga mo le le maualalo i le saogalemu ma le aoga pe a faatusatusa ia Celecoxib i togafitiga o le oseoarthritis [27].

Acupuncture na faʻatautaia le 1-2 sauniga / aso i le faʻaautagata Ah-shi togi ma manatu faʻasolosolo e faatatau i tiga o le ua. Ah-shi point acupuncture e faʻasino i le faʻasolosoloina o le nila o tiga poʻo nofoaga faʻasolosolo. Ah-shi togi e le fetaui lelei ma togi vaivai poʻo Buding, Tianying togi, ae masani ona tutusa ma manatu e mafua ai le malologa poʻo le tiga ile palpation [28].

Na saunia le fofo o le pharmacopuncture faatasi ai ma mea e talitutusa ma togafitiga faafomaʻi (Ostericum koreanum, Eucommia ulmoides, Acanthopanax sessiliflorus, Achyranthes bidentata, Psoralea corylifolia, Saposhnikovia divaricata, Cibotium barometz, Lycium chinense, Boschniakia rossica, Cuscuta chinensis, Glycine max, ma Atractylodes japonica) e ala i le teu ma faʻamago le vevela, ona faʻafefiloi lea o le paʻu ua saunia ma le saline masani ma fetuutuunai mo le eletise ma le pH. O le Pharmacopuncture sa faia 1 aso / aso i le Hyeopcheok o le tino (Huatuo Jiaji, EX B2) ma Ah-shi i luga i le 1 cc e faʻaaoga ai ni tui faʻaogaina (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co. Korea).

O le vailaʻau oona o le Bee-venom na faʻaaoga pe a fai o le paʻu le tali atu i le bee-venom e leaga. Faʻafefeteia bee-venom solution (faʻafefiloi ma masima masani i le aofaʻi o le 1000: 1) na tuiina i le 4-- cervical Hyeopcheok (Huatuo Jiaji, EX B5) ma Ah-shi togi i le faitalia a le fomaʻi. Na tuiina togi taʻitasi e tusa ma le 2 cc e oʻo atu i le aofaʻi o le 0.2 0.5 cc e faʻaaoga ai nila nila tui (CPL, 1 cc, 1G x 26 syringe, Shinchang fomai co. Korea)

Chuna spinal manipulation [29], o se auala togafiti a Korea e tuʻufaʻatasia ai metotia masani o le faʻataʻitaʻia ma le saoasaoa o le saoasaoa, maualalo le lolofi o tuleiga i soʻoga laʻitiiti i tua atu o le pasifega o gaioiga, ma le tusi faʻamalosi malosi i totonu o le pasia laina, na faʻatautaia 30-- 3 sauniga / vaiaso.

Fua faʻatatau

O taunuʻuga uma na iloiloina e KMD oe na mauaina muamua aʻoga ma aʻoaʻoga. O uiga tau amio ma le soifua maloloina (faʻafeusuaiga, tausaga, galuega, ulaula, ava malosi, ma le faʻamaʻi pipisi) na aoina i le aso muamua o le faʻatagaina e faʻaaoga ai suʻesuʻega pupuu i luga o faʻasalaga o loʻo i ai nei ma suʻega o le neurology. Na mulimulitaʻia mulimuli ane i le 2 vaiaso talu ona faʻaulufaleina pe i luga o le faʻamalolo ma pe a maeʻa ona faʻatagaina.

NRS [31] faʻaaogaina le fua o le 11-togi e iloilo ai le tiga o le ua o loʻo i ai ma le susuluina o tiga pe a leai se tiga e faʻaalia e le0, ma le tiga sili ona leaga e manatu i ai le '10 '. Na iloiloina le NRS i le faʻaulufaleina, faʻateʻaina, ma le tulitatao umi. Ona o le le lava o faʻasino i luga ole laʻititi taua taua eseesega (MCID) o le ua tiga poʻo susulu tiga mo NRS, MCID mo vaʻaia fua analog (VAS) na faʻaaogaina mo nisi iloiloga o NRS.

O le NDI [32] o se suesuega o le 10-mea e iloilo ai le tikeri o le le atoatoa mai le 0 i le 5 i le faataunuuina o gaoioiga i aso taitasi. O le aofaʻiga o loʻo vaevaeina e 50, ona faʻateleina lea e 100. Na iloiloina le NDI i le taliaina ma le tuʻuina atu.

O le PGIC [33] na faʻaaogaina e iloilo ai le faʻamalieina o le tulaga o le tulaga o loʻo i ai nei ina ua maeʻa ona taliaina. Na faʻamalieina le faʻamalieina o le 5-scale scale mai i mea e sili ona faamalieina, faamalieina, maualalo le faamalieina, le faamalieina, ma le matua le faamalieina i le lafoaia ma le tulituliloaina o le umi.

Tagata na auai na faia suʻesuʻega faʻaletino ma le mafaufau i le taimi na ulufale ai ma faʻateʻaina ai mo le faʻatutuina o le afi ma le tofoina o le iloiloga o le faʻaʻautagata. Tele o gaioiga (ROM) mo ua fusi ma faʻaopoopoina, faʻalavelave, faʻalavelave, Valsalva, Spurling, Adson's, ma foloina tofotofoga, ma pito i luga o le malosiaga afi ma faʻataʻitaʻiga tofotofoga ma loloto tendon reflex tofotofoga na faia.

Iloiloga o le Saogalemu

O gaioiga leaga uma e ono tutupu e uiga i togafitiga, e afua mai i paʻu ma tali atu i le lotoifale i tali atu a le tino, ma e aofia ai le suia poʻo le leaga o faiga o tiga na maitauina ma le totoʻa, faʻamaumauina ma lipotia i le taimi o le taliaina. O mea leaga na tutupu e fesoʻotaʻi ma bee-venom therapy e iloa e amata mai i tali a le paʻu i tali atu o le puipuiga o le tino, ma o le mea lea e le lelei ai le tali atu o faʻataʻitaʻi e pei o le antihistaminic agents. . Toto sela sela, ate ma fatugaʻo gaioiga faʻataʻitaʻiga, ma faʻalavelave gaioiga faʻataʻitaʻiga na faia i tagata mamaʻi uma i le ulufale, ma afai ei ai se le masani ai sailiiliga manaʻomia le siakiina e pei ona iloiloina e KMDs ma masani fomaʻi, talafeagai faʻailoga na toe siakiina. O le aofaʻi o 46 tagata mamaʻi na faʻamasinoina e manaʻomia le tulitataoina i le faʻaulufaleina e KMDs ma fomaʻi masani ma na mulimulitaʻia tusa ai i le taimi o le falemaʻi nofo, o le 9 tagata mamaʻi na faʻaalia ni mea le lelei i le ate gaioiga i le ulufale. Na siaki le gaioiga ole ate ile nei gasegase e iva. O le iai o le manua o le ate na fuaina foi e iloilo ai le ono aafia o fualaʻau i le ate mai le vailaʻau poʻo vailaʻau masani e faaaoga ai le faʻamatalaga o le (a) ALT poʻo le DB faʻateleina o le 2-- poʻo luga atu o le tapulaʻa maualuga o le masani ai (ULN) poʻo le (b) tuʻufaʻatasia AST, ALP, ma TB faʻateleina, pe a fai o se tasi o latou i luga atu o le 2?

Faʻamaumauga Faʻamaumauga

O suʻesuʻega uma na faʻatinoina faʻafuainumera afifi SAS lomiga 9.3 (SAS Institute, Cary, NC, USA), ma p?

i'uga

I le vaitaimi o le suʻesuʻega, e toʻa 784 tagata gasegase na aafia i le ua, na aofia ai, ma e toʻa 234 tagata mamaʻi na maua i le IDH o le faʻaʻautagata, ae leai seisi faʻasea i musculoskeletal. Mai i le 234 faʻaʻautagata IDH tagata mamaʻi, e 175 tagata mamaʻi e leai ni mea taua na le maua i le NRS ma le NDI i le faʻaulufalega ma i le 2 vaiaso talu ona faʻaulu mai poʻo le faʻateʻaina (taimi puʻupuʻu tulitatao). Sefulu tagata gasegase na toe taliaina ma ina ua maeʻa aofia ai ma le amataga faʻamaumauga faʻamaumauga pe a fai o le faʻaulufaleina sa i ai i le taimi o le vaitaimi aʻoga, 165 tagata mamaʻi na totoe. O suʻesuʻega mo se taimi umi na faia i 117 tagata mamaʻi. I le vaega le mulimulitaʻi tului (n? =? 48), 23 tagata gasegase e leʻi taliina le telefoni, 10 na musu e auai i le tulitatao taimi umi, ma le 15 talu mai le suia numera pe na ulufale mai faʻatapulaʻaina ( Ata 1). O uiga faʻavae e ala ile vaega tulitatao umi ma le kulupu tulitatao umi ole lisi o loʻo lisiina ile Laulau 1. E ui lava e leai ni isi eseesega iloga i le va o vaega e 2, e 29 tagata mamaʻi ile vaega mulimuli tulitata na fautuaina le taotoga (24.8%), ae naʻo le 1 tagata maʻi i le vaega e mulimulitaʻi le umi (0.02%) na fautuaina.

Ata 1: Fuga o le Ata o le Suesuega

Faʻataʻitaʻiga 1 Baseline Characteristics Characteristics

Laulau 1: Faailoga o le faitau aofai o tagata.

Ole averesi o le umi ole nofo ile falemaʻi ile 20.8? ? 11.2 aso. Ole toʻatele o tagata na aʻafia na maua togafitiga ile falemaʻi na faʻamuamua ile vailaʻau a Korea ma le CAM. O vailaʻau o vailaʻau na ave e tusa ma le togafitiga o togafitiga i le decoction form e le 81.8% o tagata mamaʻi ma le foma i le 86.1%, ae o isi gasegase na faʻatonuina atu isi vailaʻau i le pule faitalia a le KMD. I le faʻaaogaina o togafitiga masani e leʻo faʻamaoti mai i le CAM togafitiga faʻataʻitaʻiga, 18.2% tagata mamaʻi na faʻaaluina vailaʻau na tuiina tui poʻo tui faʻasolosolo i se averesi 2.7? "? 2.3 taimi, ma le 4.8% tagata mamaʻi na faʻatautaia 1.6?"? 0.5 epidural injection i le taimi na nofo ai le falemaʻi (Laulau 2 ). Matou te leʻi faʻatagaina ni tapulaʻa i togafitiga tau vailaʻau mo mafuaʻaga suʻesuʻega, ma faʻatagaina fomai faʻapitoa vailaʻau atoa saolotoga e iloiloina ma faʻatonuina vailaʻau masani e pei ona manatu le fomaʻi talafeagai mo le tagata maʻi. NSAIDs, antidepressants, ma maso relaxants o le autu vailaʻau faʻaaogaina, ma opioids na faʻatautaia i le puʻupuʻu taimi i naʻo 2 tagata mamaʻi.

Laulau 2 Length o le Falemaʻi ma Faʻasalaga Faʻatinoina i le taimi o le Nofo

Laulau 2: Umi o le falemaʻi tumau ma faʻalavelave na faʻatinoina i le taimi o le nofo.

NRS o le ua tiga, NRS o susulu tiga, ma NDI uma paʻu maualalo tele i le lafoa ma i le taimi mulimuli tulitatao pe a faatusatusa i le laina amata (ulufale) (Laulau 3). O le nofoaga autu o tiga o le ua ma susulu tiga lima faʻaalia ai le faʻaititia tele atu nai lo MCID (NRS faʻaititia o 2.5 pe tele atu i le ua tiga poʻo susulu tiga), ma NDI togi faʻaleleia foi i luga o le MCID togi o 7.5 [34, 35]. Eseesega ile NRS ile lafoa ile vaega umi tulitatao (n? =? 117) ole 2.71 (95% CI, 2.33, 3.09) mo tiga ole ua, 2.33 (95% CI, 1.9, 2.77) mo tiga ole lima, ma ole vaega ole NDI, 14.6 (95% CI, 11.89, 17.32). Eseesega i le NRS i se taimi umi tulitatao mo tiga le ua ma lima tiga mai le amataga o le 3.15 (95% CI, 2.67, 3.64) ma le 2.64 (95% CI, 1.99, 3.29). Eseesega ile NRS ile faʻamatuʻuina ile vaega le tulituliloaina o le umi (n? =? 48) ole 2.83 (95% CI, 2.22, 3.45) mo tiga ole ua, 2.48 mo tiga ole lima (95% CI, 1.84, 3.12) , ma le NDI e 14.86 (95% CI, 10.41, 19.3). O le va-vaega eseʻesega i le va o le faʻatagaina ma le faʻateʻaina i le taimi umi mulimuli-tulitatao ma le umi-taimi mulimuli gasegase e le taua (NRS o le ua tiga: p-taua? =? 0.741; NRS o susulu tiga lima: p-aoga? =? 0.646; Faʻailoga o manaʻoga o le ua: p-aoga? =? 0.775).

Faʻamaumauga o le 3 Faʻataʻitaʻiga o Fua Faʻatatau o Faʻamaumauga, Faʻasalalau o Paʻu Paʻu ma le Aotelega o Faʻafitauli Faʻafitauli

Laulau 3: Faatusatusaga o le fuainumera o fuainumera mo le ua ma le faʻaalia o le lima o le tino ma le faamaʻi o le ato i le kulupu o le tulituliloaina o le umi ma le kulupu e le o toe umi.

O le averesi vaitaimi mai le ulufale i le umi tulitatao-mulimuli o 625.36? ? 196.7 aso. O tagata mamaʻi 165 uma na taliina le PGIC i le faʻateʻaina, ma o nei gasegase 84.2% na tali mai o lo latou setete e "faʻamalieina" pe maualuga atu foi. E 117 tagata mamaʻi na tali atu i le PGIC i se taimi umi o le tulitatao, ma le 79.5% na faʻamauina le latou setete o loʻo iai nei e "faʻamalieina" pe maualuga atu. O le PGIC na lipotia mai e sili ona faʻamalieina i 48 tagata mamaʻi (41.0%), faʻamalieina i le 45 (38.5%), laʻititi faʻamalieina i le 18 (15.4%), ma le le faʻamalieina i le 6 (5.1%). E toaiva tagata gasegase na faia o latou taotoga (7.6%), ae 21 tagata mamaʻi na tali mai o loo latou mauaina nei togafitiga. O tagata gasegase o loʻo faʻagasolo nei togafitiga, e toʻa 10 (8.5%) na faʻaauau pea ona maua CAM, e toʻa 12 (10.3%) na filifilia togafitiga faʻapitoa, ma e toʻatasi na gasegase na mauaina uma (Laulau 1).

Laasaga 4 Vaitaimi mai le Aso Faʻasalaga i Taimi Umi Mulimuli Lelei ma Onosaʻi Faʻaalia o Suiga i le Lalolagi

Laulau 4: Vaitaimi mai le aso ulufale i le tulituliloaina o le umi, ma le onosaʻi i le lalolagi atoa o suiga, taotoga faʻapitoa ma togafitiga o loʻo iai nei i le kulupu mulimuli.

Feusuaiga, tausaga, ma unilateral susulu tiga faʻamalieina p?

Iloiloina o le 5 Iloiloga Faʻatatau Faʻatatau

Laulau 5: Iloiloina o matāʻupu faʻavae faʻamuamua e fesoʻotai ma le fua o le faamalieina.

O le gaioiga o le gaioiga sa fuaina i tagata uma na gasegase i le taliaina, ma e toaiva tagata gasegase o le enzyme o le ate i le taliaina na maua ai suʻega o toto i le taimi o le faʻasalaga. Fofo o le enzyme na toe foi atu i le masani i le 6 maʻi i le lafoaia, aʻo 2 na taofia le leve o le enzyme, ma o le 1 maʻi na togafitia le ate ma i le isi suʻesuʻega na maua i le hepatitis malosi o faʻaalia ai le Hbs antigen positive ma Hbs antibody negative. E leʻi i ai ni faʻafitauli o le faʻaleleia o le faʻamalosia o le faʻamaʻi faʻamaʻiina o le venom e manaʻomia ai togafitiga faʻaopopo ma leai se isi mea leaga na tutupu na lipotia.

Talanoaga

O nei iʻuga ua faʻaalia ai o togafitiga ile falemaʻi na taulaʻi lava ile CAM o loʻo tumau ona tumau ile aʻafiaga ole tiga ma le faʻaleleia atili ole gasegase ole IDH ile tiga ole ua poʻo le susulu ole tiga ole lima. NRS ma le NDI togi i le faʻamatuʻuina ma i le taimi umi tulitatao uma faʻaalia taua taua. E le gata i lea, ona o le taua tele ma le taua o le falemaʻi, na matou siakiina mo MCID ma faʻamaonia ai o togi uma o le NRS ma le NDI na faʻaleleia atili i luga o le MCID. MCID na lipotia i le 2.5 i le VAS mo le ua tiga ma susulu tiga lima, ma le 7.5 i le NDI togi [34, 35]. Ole averesi o le faʻamalieina o tiga ma faʻataʻitaʻiga o fua uma na sili atu nai lo MCID, ma o nei taunuʻuga e foliga mai e atagia mai ile onosaʻi faʻamalieina fua faatatau. Mai le 165 tagata mamaʻi, e 128 tagata mamaʻi (84.2%) na latou mauaina le latou tulaga o iai nei e pei ona faʻamalieina pe maualuga atu i le faʻateʻaina. I se taimi umi tulitatao, 9 (7.6%) mai le 117 tagata mamaʻi na faʻamaonia na maua i le ua, ma o le tele o tagata mamaʻi na faʻaauau pea le faʻaititia o le NRS ma le NDI. I se faʻaopopoga, 96 tagata mamaʻi (82.1%) i le taimi nei latou te leʻi mauaina togafitiga mo tiga o le ua faʻailoga, ma 93 tagata mamaʻi (79.5%) na tali mai o latou setete e "faʻamalieina" pe maualuga atu foi. Ile faʻatusatusaga ole eseesega ile va ole vaega ole suʻega mo taimi umi ma tagata e leʻo umi, e leʻi fuafuaina se priori, o nei faʻamaumauga e ono avea ose suʻesuʻega o faʻamaumauga. O le va-vaega eseʻesega i le va o le faʻatagaina ma le faʻateʻaina i le taimi umi tulitatao ma le umi-taimi mulimuli gasegase e le taua, ma i MCID, lea e mafai ona mafaufauina o se sili atu falemaʻi fuataga, o le 2 kulupu na faʻatulagaina faʻatusatusaga iʻuga. .

E ui i le mea moni e faapea o tagata gasegase uma lava na togafitia togafitiga faafomaʻi a Korea mo le umi o le falemaʻi, e leai ni mea leaga na tutupu e faatatau i togafitiga na lipotia, e faʻaalia ai le saogalemu o vailaau faʻavae faʻatasi ma le taulaʻi i le CAM. Na muamua faia e le tusitala se suʻesuʻega talu ai nei e iloilo ai le saogalemu o togafitiga o fualaau oona ma le faʻaaogaina o togalaau ma togafitiga faʻapitoa i suʻesuʻega o le fofo galuega o 6894 falemaʻi ile falemaʻi ile falemai ile Korean, ma faʻataʻitaʻiga o le vaʻaia o le vaʻalele gasegase na aofia ai i le suʻesuʻega nei o loʻo faʻamatalaina foi [36].

O se malosiʻaga tele o lenei suʻesuʻega o loʻo faʻaalia mai ai le faʻataʻitaʻiina o togafitiga ma o iʻuga e atagia mai ai togafitiga e pei ona masani ai i Korea i togafitiga masani ma togafitiga faʻafuaseʻi Korea o loʻo faʻatatau i le CAM. Faʻamalositino togafitiga na faʻataʻitaʻia ma aofia ai faʻatosinaaga o lona aoga ua faʻamaonia i pailate suʻesuʻega ma masani ona faʻaaogaina i falemaʻi faʻataʻitaʻi, ae o le maliega faʻatagaina na faʻatagaina foi mo le suʻega o tagata taʻitasi e tusa ai ma uiga onosai ma faʻailoga e pei ona vaʻaia e le KMD, ma le pasene ma taimi o nei sa faʻamamafaina faʻasesega. O le tulaga faʻamalieina na iloiloina i le faʻateʻaina e le gata ina atagia mai ai le onosaʻi agaʻi i togafitiga togafitiga, ae faʻapena foi le faʻateleina o tau faʻafomai e ala i le aofia ai o togafitiga eseese. I le amanaʻia ai o tagata na auai i lenei suʻesuʻega e leʻo tagata gasegase na faʻaulufaleina e ala i faʻasalalauga, ae o tagata mamaʻi na asia le falemaʻi vailaʻau a Korea mai a latou lava filifiliga e le maua se taui tau tupe mo le auai i suʻesuʻega, o le mea moni o le tele o tagata maʻi na faʻamalieina le fua faatatau na maualuga lona taua. O iʻuga o lenei suʻesuʻega saofaga i se faʻamaoniga faʻavae mo sili atu le aoga o tuʻufaʻatasiga togafitiga nai lo togafitiga taʻitasi i tagata mamaʻi ua maua i le faʻaʻautagata IDH, ma faʻamaonia le talafeagai o le faʻagaioiga o falemaʻi ma le mafaufau loloto mo le faʻateleina o le tuʻufaʻatasia o tau togafitiga.

Ole faʻatapulaʻa tele ole matou suʻesuʻega atonu ole uiga masani ole suʻesuʻega o le suʻesuʻega e leai se pule. Matou te le mafaia ona faia ni faʻaiuga pe o le fautuaina CAM tuʻufaʻatasia togafitiga e sili atu nai lo le toaga faʻatonutonuina (eg taʻotoga, faʻapitoa l non taʻotoga faʻalavelave) poʻo le masani ala o faʻamaʻi. Le isi faʻatapulaʻaina o le heterogeneity o le gasegase kulupu ma togafitiga faʻavae. O tagata na auai o ni gasegase IDH o le eseesega o auga, ogaoga ma masani ai o lona alualu i luma e masani ona iloa e eseese, ma o gaioiga na aofia ai ma togafitiga masani e pei o epidural injection poo tiga tiga i nisi tulaga. O le mea lea e sili atu le saʻo e faʻamaonia nei taunuʻuga o le aʻafiaga o le masani ma Korea vailaʻau tuʻufaʻatasia togafitiga togafitiga nai lo naʻo le CAM tuʻufaʻatasia togafitiga. O le tausisia o le 74% (n? =? 175) i le 2 vaiaso peʻa maeʻa le taliaina poʻo le lafoa i fafo mai o le 234 tagata mamaʻi na taliaina e maualalo, ae maise lava pe a mafaufau i le puʻupuʻu tulitatao taimi. Lenei maualalo usitaʻi mafai ona fesoʻotaʻi ma onosaʻi agaʻi agaʻi i le aʻoga auai. Talu ai latou te leʻi mauaina se totogi tuʻusaʻo mo le auai i faʻamasinoga, atonu ua leai so latou lagona faʻaosofia e faʻaauau pea le auai, ma o le avanoa e le taliaina ai e le au suʻesuʻe suʻesuʻe suʻega le taliaina o togafitiga. Iloiloga umi na faia e le faatalanoaga telefoni i le 117 tagata mamaʻi (70%) mai le 165 tagata auai i le amataga vaega ona o le maeʻa o le taimi, lea na faʻatapulaʻa ai le aofaʻi ma le lelei o taimi uumi faʻamatalaga e mafai ona aoina ma taʻitaʻia atili ai onosaʻi leiloa mai leiloa o faʻafesoʻotaʻi

O le isi tapulaa o le le mafai ona matou faia ni suʻesuʻega faʻalauiloa atili. Mo se faʻataʻitaʻiga, e ui lava o tagata auai na maua o le faʻatalanoaga o le herniation e avea ma togafitiga autu e faavae i luga o faitauga o le IRM ma faʻamaoniga o le neurology e le KMD, o faʻamatalaga faaopoopo o faʻamatalaga e pei o le disasite disc level ma le mamafa o le herniation e leʻi aoina. E le gata i lea, o faʻamaumauga i luga o faʻaopoopoga mulimuli ane, o le umi o faʻasologa uma ma pe o nisi sa matua faʻamaloloina e leʻi aofia i iloiloga o le tulituliloaina o taimi uumi, e faʻatapulaʻa ai le iloiloga multidimensional. E le gata i lea, ae o nei tagata maʻi IDH e manaʻomia le faʻatagaina mo le mamafa o le ua ma le tiga o le lima ma le le atoatoa o le malosi o le tino, o le mea moni lava o le osofaʻiga muamua lea o le tiga o le susu mo le toatele atonu o se mafuaaga mo se taunuuga lelei.

Ae ui i lea, o le aʻafiaga o le tulituliloaina o le tulituliloaina o taimi uumi atonu e le gata i le avanoa ae mafai ona fesoʻotaʻi ma togafitiga mo togafitiga uumi. O le eseesega o uiga o le tulituliloaina o taimi uumi ma tagata e le o umi le umi e mulimuli mai, e mafai ona atagia mai i ni taimi pupuu e iloiloina i le lafoaia ma ituaiga ma le aofaiga o togafitiga masani faaopoopo, o le mea moni e le o mafaufau lenei suʻesuʻega mo nei tulaga aʻafiaga e ala i faʻasiliga faaopoopo o se isi tapulaʻa o lenei suʻesuʻega.

O loʻo faʻataʻamiloina lava e feteʻenaʻiga le aoga o togafitiga mo le IDH o le faʻaʻautagata E ui o le epidural steroid injections o se mea masani masani o le faʻasao o togafitiga na faʻaaogaina i totonu o le Iunaite Setete [37] eseese faʻavasega iloiloga faʻaalia o aʻafiaga e matua fesuisuiaʻi ma e le o mautinoaina [38-44]. Lua auala e lautele faʻaaogaina i epidural tui: interlaminar ma transforaminal auala. O le transforaminal auala na faitioina mo le saogalemu lamatiaga [45--50], ma e ui lava e sili atu le saogalemu nai lo le transforaminal auala, o le interlaminar auala faʻapea foi taofiofia ono lamatiaga [51--56]. O lipoti i le aoga o vailaʻau masani mo tiga o le neuropathic o loʻo faʻaalia ai feteʻenaʻi taunuuga [57--61], ma suʻesuʻega faʻaiuga i togafitiga faʻafomaʻi e le ogatasi foi [62-64].

Gebremariam et al. [65] iloilo le aoga o togafitiga o le IDH o le falemai i se iloiloga lata mai, ma faaiuina e ui lava o le suesuega e tasi na lolomiina i togafitiga faasao ma le taotoga na faaalia ai o le taotoga na mafua ai ona sili atu taunuuga nai lo le togafitia togafitiga, leai se auiliiliga o vaega, e leai se faamaoniga e lagolagoina ai tasi togafitiga e maualuga atu. E ui i fautuaga mo uluai togafitiga ma le puleaina, e mafai e nisi tagata gasegase ona filifilia le taotoga mo le IDH tausi maʻi i le autu autu o le faʻaitiitia o le tigaina o le neuropathy ma puipuia ai le alualu i luma o le faaleagaina o le neurological i le mitelopathy [66]. E ui lava o le faʻamaoniga o faavae o togafitiga masani ma togafitiga faʻapitoa mo le IDH tausiʻoʻo e faʻamanuiaina ai ma e le lava le togafiti, o le vaega na suʻesuʻeina lautele, aʻo iai le tele o suʻesuʻega faʻasalalau i le CAM.

Manchikanti et al. [67] taʻua i le 2 tausaga suʻesuʻe suʻesuʻega faʻatusatusaina epidural tui togafitiga ma le tutupocaine ma le fefiloi o le lidocaine ma vailaʻau mo cervical IDH o le NRS i le lidocaine kulupu o 7.9? ? 1.0 i le laina amata, ma 3.8? o le 1.6 tausaga tulitatao, ae o le NRS i le lidocaine ma le kulupu steroid na 2? ? 7.9 i le amataga, ma le 0.9? ? 3.8 i le 1.7 tausaga tulitatao. O le NDI i le vaega o le lidocaine e 2? ? 29.6 i le laina amata, ma le 5.3? ? 13.7 i le tulituliloaina o le 5.7 tausaga, ma le NDI i le vaega o le tutupocaine ma le steroid o 2? ? 29.2 i le laina amata, ma le 6.1? 14.3 i le 6.9 tausaga tulitataoina. Pe a faʻatusatusa i le matou suʻesuʻega, e ui o le faʻaleleia atili o le NRS e fai lava sina lapoʻa i le suʻesuʻega e Manchikanti et al., O le NDI e tutusa. O le laina amata NRS na maualuga i le 2 i lenei suʻesuʻega muamua, ma latou te leʻi eseʻesega i le va o tiga o le ua ma susulu tiga i le iloiloga NRS.

O le 1 tausaga tulitatao taunuʻuga faʻatusatusa faʻataʻitaʻiga lelei togafitiga ma plasma disc decompression (PDD) mo aofia cervi IDH faʻaalia ai o VAS togi faʻaititia 65.73, ae NDI faʻaititia 16.7 i le PDD kulupu (n? =? 61), ma o VAS togi faʻaititia 36.45 , ma le NDI na faʻaititia le 12.40 i le vaega o togafitiga faʻasao (n? =? 57) [68]. Ae ui i lea, o le suʻesuʻega mataupu na faʻatapulaʻaina i totonu o le faʻaʻautagata IDH, o le iʻuga o le tiga o le VAS e puipuia ai faʻatusatusaga tuusaʻo, ma o le taimi o le tulitatao na puʻupuʻu nai lo le matou suʻesuʻega.

O le faʻataʻitaʻiga o togafitiga tuʻufaʻatasi na faʻaaogaina i le falemaʻi vailaʻau a Korea e ono matua eseʻese lava mai CAM togafitiga faʻataʻitaʻi na faʻaaogaina i atunuʻu i Sisifo. E ui lava o le CAM togafitiga ua faʻateleina lauiloa i Sisifo, o le CAM e masani ona faʻatapulaʻaina i le "faʻamalositino" ae le o le "fesuiaʻi" vailaʻau, ma e masani ona faʻataʻitaʻia e le au faʻataʻitaʻi masani o se faʻaopoopoga i togafitiga masani pe a maeʻa aʻoaʻoga i le acupuncture / naturopathy / etc. pe ala i le faʻasino i le CAM faʻapitoa, o nisi e le o umiaina tagata lava ia aia tatau. I leisi itu, Korea faʻaaogaina se lua faʻafomaʻi faiga faʻataʻitaʻi o loʻo taofia ai e le au faʻataʻitaʻi le tutusa o faʻataʻitaʻi, ma na te le faʻaaogaina se faiga faʻavae e faʻataʻitaʻia e le aiga, faʻatagaina ai tagata mamaʻi o le saolotoga o filifiliga muamua mo togafitiga masani poʻo togafitiga faʻafomaʻi Korea. . O i latou na auai i lenei suʻesuʻega o tagata mamaʻi na asiasi atu ma faʻaulufale i se falemaʻi vailaʻau a Korea mo togafitiga faʻafomaʻi Korea o le cervical IDH, ma o le tuʻufaʻatasia o togafitiga faʻataʻitaʻi na faʻatautaia i lenei falemaʻi falemaʻi Korea e le faʻaaogaina ai le CAM o se faʻaopoopo fesoasoani. O le mea lea, togafitiga aofia ai ma togafitiga CAM pei o acupuncture, vailaʻau faʻafomaʻi, Chuna togafiti, ma bee-vailaʻau vailaʻau vailaʻau i le tele o tagata mamaʻi, ma masani togafitiga na faʻatautaia e fomaʻi masani e ala i le faʻasino i nisi filifilia. O le aofaʻi 18.2% o tagata mamaʻi na mauaina vailaʻau na faʻatonuina vailaau faʻasaina 2.7 taimi i luga o le averesi ulufale vaitaimi o 20.8 aso, e tutusa ma le 1--2 aso aoga 'talavai (fuafuaina o 2 taimi / aso), ma epidural tui na faʻatautaia na o 4.8 %, lea e maualalo le manatu o nei tagata mamaʻi manaʻomia ulufale. E mafai ona masalomia o le autu autu o le faʻaulufaleina i le faʻasao o togafitiga mo le tele o tagata o le mafaufau IDH o le faʻaitiitia o tiga. O le mea moni o le tele o gasegase na faʻaalia tiga taua ma toe faʻaleleia mea faigaluega i lenei suʻesuʻega taofia talafeagai mo tagata mamaʻi mafaufau filifilia le falemai faʻafomaʻi Korea mo faʻasao togafitiga i luga o taotoga. E le gata i lea, o tagata gasegase na faʻamaonia na latou faʻaauauina le latou tulaga faʻaleleia atili i taimi umi mulimuli ai, ma naʻo le 9 na mauaina taotoga mai le 117 tagata mamaʻi na suʻesuʻeina i le taimi umi.

Na vaevaeina tagata mamaʻi i vaega 2 e ala i le faamalieina o le fuataga e pei ona iloiloina i le tulituliloaina o le taimi umi ma le PGIC, ma le suʻesuʻeina o fuainumera o le logistic logistics e tele na mafai ona faia i luga o uiga faavae e iloilo ai mea e ono tutupu mo le faamalieina ma le le fiafia. O le matua o le matua na fesoʻotai ma le maualuga o le faamalieina, ma o se tasi o le faʻalauiloaina o le tiga na faʻaalia e fesoʻotai ma le maualuga o le faʻamalieina nai lo le leai o se faʻavauvau. E le gata i lea, o tagata na maua togafitiga CAM na fesoʻotaʻi ma fuataga maualuga maualuga pe a faʻatusatusa atu ia i latou e le o mauaina togafitiga. O lenei mea e mafai ona faʻamatalaina i se isi vaega e le mea moni o le tele o tagata matutua matutua atonu e maualuga atu le tiga ma o loʻo i ai i tulaga sili atu ona maualuga o le faʻaleagaina, ma mafua ai ona sili atu le lelei ma le lelei o taunuʻuga tau togafitiga. I se tulaga tutusa, o tagata gasegase e maua mai le tigaina o le tiga e afaina ai faailoga o le neurological atonu e sili atu ona ogaoga nai lo i latou e aunoa ma se afaina o le tiga. E le gata i lea, o loʻo faaauau pea ona maua togafitiga o le CAM i togafitiga e sili atu ona lelei i le CAM, ma maua ai le maualuga o le faamalieina.

E ui o le tele o suʻesuʻega umi mo suʻesuʻega umi mo le umi o faʻataʻitaʻiga na faia i togafitiga o togafitiga poʻo taotoga, oi latou o loʻo togafitia togafitiga CAM ma togafitiga faʻamaʻi e toalaiti. O taunuʻuga o lenei suʻesuʻega e faʻatusatusa i taunuʻuga e umi se umi o togafitiga tui. E leʻi tele ni suʻesuʻega sa faia i le faʻatagaina o faʻamaʻi mo tagata mamaʻi na iai se faitioga autu o le IDH tausi maʻi, lea atonu e fesoʻotaʻi ma le eseesega o le soifua maloloina lautele.

faaiuga

I le faʻaiuga, e ui lava o le mataʻituina o lenei suʻesuʻega faʻatapulaʻaina i tatou mai le faia o ni faʻaiuga sili ona taua e le o iai se faʻatonutonu, 3 vaiaso 'i totonu o le falemaʻi togafitiga faʻapitoa aofia ai o le CAM o loʻo faʻatulagaina i nofoaga tonu o falemaʻi e ono iʻu ai i faʻamanuiaga lelei ma le tiga ma le faʻaleleia atili o galuega e tumau i le umi. vaitaimi i le ua tiga poʻo le susulu lima tiga tagata mamaʻi ua maua i le faʻaʻautagata IDH.

Faʻafetai

O lenei galuega na lagolagoina e Jaseng Medical Foundation.

faapuupuuga

IDH Intervertebral disordinal herniation
CAM Vaʻaiga faʻapitoa ma vailaʻau faʻapitoa
KMD Fomaʻi togafitiga Korea
NRS Tau fuainumera numera
NDI Taʻitoʻatasi o le Disability Disability
PGIC Malamalama i le lalolagi atoa o suiga
MCID Vaevaega taua ole aoga
VAS Vaaia o le faʻaaliga faʻaalia
ROM Nofoaga o le lafo
ULN Lisi maualuga o masani
CI Talitonuga taimi
OR Telefoni fua
PDD Faʻasalaga o le vaʻaia o le plasma

Faamatalaga Faʻamatalaga

Tauvaga malie: Fai mai tusitala e leai ni a latou tauvaga.

Saofaga a tusitala: SHB, JWO, JSS, JHL ma le IHH na mafaufau i le suʻesuʻega ma tusia tusitusiga, ma o le SHB, MRK ma le IHH na tusia le tusitusiga mulimuli. SHB, JWO, YJA ma le ARC na auai i le mauaina o faʻamaumauga, ma le OSP na faia le suʻega fuainumera. YJL, MRK, YJA ma le IHH na fesoasoani i le auiliiliga ma le faʻamatalaina o faʻamatalaga. SHB, JWO, JSS, JHL, YJL, MRK, YJA, ARC, KBP, BCS, MSL ma IHH na fesoasoani i le suʻesuʻega ma faia ni toe iloiloga taua. Ua uma ona faitau ma faamaonia e tusitala uma le tusitusiga mulimuli.

Faamatalaga faʻasoa: Ncbi.nlm.nih.gov/pmc/articles/PMC4744400/

I le faaiuga, o togafitiga o migraine ma togafitiga o le tino e pei o le faʻamalositino faʻataʻitaʻiga faʻapea foi le tuʻufaʻatasia o fesoʻotaʻiga ma isi vailaau faʻasoifua maloloina e mafai ona aoga i le faʻaleleia atili ma le puleaina o latou faʻamaoniga. Faʻamatalaga mai le National Center for Biotechnology Information (NCBI). O suʻesuʻega o suʻesuʻega i luga o loʻo faʻaogaina ai auala eseese e faʻauʻu ai iuga mulimuli. E ui lava o faʻamatalaga na faʻaalia e avea o se gasegase lelei ma togafitiga o le vavalaʻau o le tino, e manaʻomia nisi suʻesuʻega suʻesuʻega e faʻamautinoa ai le aoga moni. O le lautele o a tatou faʻamatalaga e faʻapulaʻaina i le faʻamaʻi faʻamaʻi faʻapea foi ma manua ma tuʻutuʻu. Ina ia talanoaina le mataupu, faamolemole ia lagona le saoloto e fesili ia Dr. Jimenez pe faʻafesoʻotaʻi mai i matou 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

blog blog ataata pepa lapopoa

FAʻAALIGA TOPIC: TUʻUʻU FAʻATASI: O Oe Lelei Oe!

AUTU TULAGA FAATINO: FAʻAALIGA: Taʻaloga Taʻaloga? | Vincent Garcia | Patient | El Paso, TX Chiropractor

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mau faasino

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Tapuni Faʻatasiga

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Tapuni Faʻatasiga

Lelei Faʻaaogaina mo togafitiga o Migraine I El Paso

by valevalevale | Faʻafefete, Faafomai e faaaogaina i, Migraine, Faaleleia Faaletino

Ole togafitiga o togafitiga o migraine, poo togafiti togafitiga, o se togafitiga faʻale-tino lea e faʻaogaina ai ni metotia faʻapitoa e togafitia ai le tele o manuʻa ma / poʻo tuutuuga. O togafitiga faʻaaogaina tusi e masani lava ona faʻaaogaina e fomaʻi, togafitiga faʻapitoa ma togafitiga o massage, faatasi ai ma isi tomai faʻapitoa tau soifua maloloina, faʻapitoa ma togafitia ai mea mama ma tiga faʻatasi. O le tele o tagata tomai faapitoa ile soifua maloloina e fautuaina le togafitiga o le aʻoga, poo togafiti togafitiga e pei o se togafitiga mo le tiga o le ulu o le ulu. O le faʻamoemoe o le tusiga o loʻo mulimuli mai o le aʻoaʻoina lea o tagata gasegase i aʻafiaga o togafitiga faʻataʻitaʻi mo le togafitiga o migraine.

Taʻiala Tusi Taʻiala mo Migraine: o se Iloiloga Faʻaletausaga

lē faʻatino

O le Migraine e tupu i le 15% o le faitau aofaʻi lautele. E masani lava ona togafitia le migraine e vaifofo, ae o nisi o tagata gasegase e le mafai ona toleniina fualaau oona ona o aʻafiaga o le itu poʻo le manaʻo e aloese mai fualaau mo isi mafuaaga. O le le faʻaaogaina o falemaʻi o se isi togafitiga togafitiga. Na matou iloiloina ma le faʻaleleia le tuʻuina atu o faʻataʻitaʻiga i le falemaʻi (RCTs) i luga o faʻataʻitaʻiga mo togafitiga mo migraine. Fai mai le RCTs o togafitiga massage, togafitiga o togafitiga, faʻamalologa ma togafitiga o togafiti faʻamaʻi e mafai ona tutusa tutusa ma le propranolol ma le topiramate i le puleaina o le migraine. Ae ui i lea, o faʻataʻitaʻiga o le RCTs na i ai le tele o mea faʻaletonu. O le mea lea, soʻo se faaiʻuga mausali o le a manaʻomia ai le lumanaʻi, faʻataʻitaʻiga o le RCTs i luga o tusi faʻataʻitaʻi mo migraine.

uputatala: Tusi faʻavae tusi, massage, togafitiga, togafitiga, migraine, togafitiga

faʻatomuaga

E masani lava ona togafitia le migraine e vaifofo, ae o nisi o tagata gasegase e le taliaina togafitiga ma / poo le gasegase e mafua mai i aʻafiaga, poʻo le faʻailogaina e mafua mai i le le mautonu o le maʻi o le myocardial poʻo le fomaʻi i isi. O nisi tagata gasegase e mananao e aloese mai fualaau mo isi mafuaaga. O le mea lea, o le le faʻaaogaina o vailaʻau e pei o le massage, physiotherapy ma le faʻasolosolo atonu o se isi togafitiga togafitiga. O togafitiga massage i totonu o aganuu i Sisifo e faʻaaogaina ai masini mataʻutia, mea e faʻamalosi ai, faʻasaʻolotoga ma isi muso mimilo i isi togafiti togafitiga lea e faʻaaogaina i le tino maso. O le faʻaogaina o le vailaau faʻaonaponei e taulai i le toe faʻaleleia ma le faʻamalositino, aʻo le togafitiga o togafitiga e faʻamaonia ai le faʻasologaina o le fale, gaioiga o le tino, faʻalauteleina, faʻamalosia ma le faʻafefe o le faʻaaogaina ma le faʻaaogaina o metotia. O le faʻapipiʻiina o loʻo masani ona faʻamatalaina o le gaioiga o sooga i totonu o le televise o le lafo [1]. O faʻataʻitaʻiga masani e sili ona taatele o le eseesega ma le Gonstead, lea e faʻaaoga e 91 ma 59% o chiropractors [2]. O le togafiti faʻamaʻi (SM) o le faʻaogaina lea o le faʻaogaina o le maualuga o le maualuga, o le maualalo o le maualuga o le eletise e faʻasolosolo i se faʻapitoa faʻasolosolo o le gasegase o le gaioiga, e aunoa ma le faʻasalaga faʻaonaponei [1]. O le talosaga ma le umi o togafitiga eseese o le tusi e eseese lava i latou oe faia. O le mea lea, o togafitiga ole lima e le o se toniga e pei, mo se faʻataʻitaʻiga, togafitiga faʻapitoa ma se fualaau faasaina ile fualaau.

O lenei pepa o loʻo iloiloina ma le faʻaleleia iloiloga faʻataʻitaʻiina (RCTs) suʻesuʻeina le aoga o togafitiga faʻaleaʻoʻoga i luga o migraine, o lona uiga, massage, physiotherapy ma le faʻamalosi.

faiga

O suʻesuʻega tusi na faia ile CINAHL, Cochrane, Medline, Ovid ma PubMed. O upu su'esu'e o le migraine ma le chiropractic, manipulative therapy, massage therapy, osteopathic treatment, physiotherapy po'o le spinal mobilization. O RCT uma na tusia i le Igilisi e faʻaaoga ai le faʻataʻitaʻiga lima i luga o migraine na iloiloina. O le Migraine na sili ona faʻavasegaina e tusa ai ma tulaga o International Headache Societies mai le 1988 poʻo lona toe iloiloga mai le 2004, e ui lava e le o se manaʻoga atoatoa [3, 4]. O suʻesuʻega e tatau ona iloilo ia le itiiti ifo ma le tasi le fua o le migraine e pei o le malosi o le tiga, taimi, poʻo le umi. O le tulaga faʻapitoa o suʻesuʻega RCT na aofia ai na iloiloina tutoʻatasi e tusitala. O le iloiloga na aofia ai le faitau aofaʻi o suʻesuʻega, faʻalavelave, fuaina o aʻafiaga, faʻamatalaga faʻamatalaga ma auʻiliʻiliga (Laulau 1). Ole togi maualuga ole 100 points ma le 50 points e manatu ole auala e lelei lelei [5].

i'uga

O suʻesuʻega tusitusiga na faʻaalia ai le fitu RCT i luga o le migraine na fetaui ma a matou tuʻufaʻatasiga, o lona uiga, lua suʻesuʻega faʻamaʻi massage [8, 9], tasi suʻesuʻega physiotherapy [10] ma suʻesuʻega faʻasolosolo faʻasolosolo faʻasolosolo faʻasolosolo (CSMT) [11-14], aʻo matou e leai ni suʻesuʻega a le RCT i luga o le faʻaogaina o le tui poʻo le osteopathic e fai ma fesoasoani mo migraine.

Lelei Tulaga Masani o TTTS

Laulau 2 o loʻo faʻaalia ai e le au tusitala le averesi o togi faʻapitoa o suʻesuʻega RCT e aofia ai [8-14]. O le averesi o togi e ese mai le 39 i le 59 points. E fa RCTs na manatu e iai se sikoa lelei o metotia metotia (?50), ma e tolu RCT na maualalo sikoa.

Faʻatonuina Faʻataʻitaʻiina Faʻataʻitaʻiga

O le laulau 3 o loʻo faʻaalia ai faʻamatalaga ma taunuʻuga autu o suʻesuʻega RCT eseese [8-14].

Massage Therapy

O se suʻesuʻega a Amerika na aofia ai le 26 tagata auai i le gasegase masani na maua i fesili fesili [8]. O le togafitiga massage na i ai le taua tele i luga o le mamafa o le tiga pe a faatusatusa i le pulea. O le malosi o le tiga na faʻaitiitia ai le 71% i le vaega massage ma e le suia i le vaega o loʻo pulea. O le faʻamatalaina o faʻamatalaga e faigata i se isi faiga e ese ai, ma o le tele o taimi e misi ai le migraine ma le umi o loʻo misi.

O se suʻesuʻega a Niu Sila na aofia ai 48 tagata migraineurs na faʻamaonia e fesili fesili [9]. O le umi o le taimi o le osofaʻiga o le migraine o 47 h, ma le 51% o tagata na auai na sili atu ma le tasi le osofaʻiga i le masina. O le suʻesuʻega na aofia ai le 3 vaiaso tulitatao vaitaimi. O le migraine taimi na faʻaititia tele i le massage vaega pe a faʻatusatusa i le kulupu kulupu, ae o le ogaoga o osofaʻiga e leʻi suia. Iʻuga ile umi ole migraine o loʻo misi. E leʻi suia le faʻaogaina o vailaʻau, ae o le lelei o le moe na faʻaleleia atili i le kulimi (p <0.01), ae leʻo le vaega faʻatonutonu.

Ata o se toeaina ua maua togafitiga faʻamaʻi e faʻaleleia ai lo latou migraine | El Paso, TX Chiropractor

Faaletino Faaletino

O se suʻesuʻega o togafitiga faʻamalositino a Amerika e aofia ai tamaʻitaʻi migraineurs ma osofaʻiga masani na maua e se fomaʻi o neula e tusa ai ma tulaga o le International Headache Society [3, 10]. O faʻafitauli togafitiga na faʻamatalaina o le> 50% faʻalelei i le tiga o le ulu. O togafitiga faʻafomaʻi na maitauina i le 13% o le faʻamalositino kulupu kulupu ma le 51% o le vaega malolo (p <0.001). O le faʻaititia ole faʻaititia o le tiga o le ulu na 16 ma le 41% mai le amataga i le maeʻa ai o togafitiga ile faʻamalositino ma vaega malologa. O le aʻafiaga na tumau i le 1 tausaga tulitatao i vaega uma e lua. O le vaega lona lua o le suʻesuʻega na ofoina atu i tagata e aunoa ma se aʻafiaga i le vaega muamua o le suʻesuʻega, o le isi togafitiga filifiliga. O le mea e mataʻina ai, o le falemaʻi na maitauina i le 55% o i latou na mauaina togafitiga faʻamalositino i le taʻamilosaga lona lua e leai ni aʻafiaga o le falemaʻi mai le malologa, aʻo le 47% na i ai ni aʻafiaga mai le malologa i le taʻamilosaga lona lua. Ole uiga ole faʻaititia ole tiga ole ulu e 30 ma le 38% ile faʻamalositino male vaega malologa. Ae paga lea, o le suʻesuʻega e leʻi aofia ai se vaega faʻatonutonu.

Ata o se toeaina ua maua togafitiga faʻaleagaina mo migraine | El Paso, TX Chiropractor

Togafitiga togafiti

O se suʻesuʻega a Ausetalia e aofia ai tagata e masani ona faʻatautaia e le neurologist [11]. Na vaeluaina tagata auai i ni vaega se tolu; togafitiga o le tino e le fomaʻi, togafitiga o le tino e le fomaʻi maʻi poʻo le fomaʻi, ma le faʻamalosia o le tino e physiotherapist poʻo fomaʻi. O le osofaʻiga o le osofaʻi o le migraine i le tolu tausaga, na vavalalata i vaega e tolu, talu ai e sili atu le umi o le togafitiga o le tino e le fomaʻi (30.5 h) nai lo togafiti faʻapitoa e le physiotherapist poʻo le fomaʻi (12.2 h) ma le kulupu kulupu (14.9 h). O le suesuega sa i ai le tele o tagata sailiili ma togafitiga i totonu o vaega taitasi na i luga o le tulafono e aunoa ma se totogi mo le togafitiga. E leʻi iai se eseʻesega taua i le va o vaega e tolu. Sa maitauina le faʻaleleia i vaega uma e tolu ina ua maeʻa togafitiga (Laulau 3). A o le i faia le faamasinoga, sa talitonu ma le fiafia le au faʻataʻitaʻi i le aoga o togafitiga o le tino, aʻo masalosalo ma fomaʻi sa masalosalo e uiga i le taua. O le suʻesuʻega e leʻi aofia ai se vaega o loʻo pulea e ui lava o loʻo faʻapitoa le faʻapipiʻiina o le tino o le vaega o loʻo pulea i le pepa. O le mulimuli i le 20 masina ina ua maeʻa le faamasinoga na faʻaalia atili le faʻaleleia atili i vaega uma e tolu (Laulau 3) [12].

O Dr Jimenez e galue i le neck_preview o le fagatuaga

O se suʻesuʻega a Amerika na aofia ai le 218 migraineurs na maua e tusa ai ma tulaga o le International Headache Society e fomaʻi [13]. O le suʻesuʻega e tolu vaega togafitiga, ae leai se vaega e pulea. O le tiga o le vevela i luga o aso ma le ulu tiga e le suia i vaega uma e tolu. O le tele o taimi na faaitiitia tutusa i vaega e tolu (Laulau 3). I luga o le taligalu (OTC) na faʻaitiitia ai vailaʻau mai le laina amata i 4 vaiaso na maeʻa togafitiga ma le 55% i le vaega CSMT, 28% i le amitriptyline group ma le 15% i le CSMT ma le amitriptyline tuʻufaʻatasia.

O le suʻesuʻega lona lua a Ausetalia na faʻavae i luga o suʻesuʻega o fesili i migraine [14]. O tagata na auai na agavaʻa mo le 18.1 tausaga. O le aʻafiaga o le CSMT e sili atu lona taua nai lo le kulupu o loʻo pulea (Ripoti 3). O le faʻaitiitiga ole faʻaitiitia o femalagaiga, o le malosi ma le umi mai le faasologa ma mulimuli o 42, 13, ma le 36% i le CSMT, ma le 17, 5, ma le 21% i le kulupu faʻatonutonu (faʻamaumauga na faʻatulagaina e le au suʻega e faʻavae i fuainumera mai le pepa).

Talanoaga

Mafaufauga Faʻatau

O le taatele o femalagaaʻi na tutusa lava i luga o se fesili ma se fomaʻi faʻatautaia na faia le faatalanoaga, ae na mafua ona o le tutusa lelei ma le leaga o le faʻailogaina e le fesili ninii [15]. O se faʻamaʻi maʻoti saʻo e manaʻomia ai se faʻatalatalanoaga e fomaʻi poʻo isi tagata tomai faʻapitoa i le soifua maloloina i faʻamaʻi pipisi. Tolu o le fitu RCTs na faʻamautinoaina tagata auai e se fesili, faatasi ai ma le le mautonu le faʻamaonia na faʻaalia mai e lenei (Laulau 3).

O le suʻesuʻega lona lua a Amerika na aofia ai tagata auai e le itiiti ifo ma le fa aso tiga i masina taʻitasi [13]. O le maualuga o le tiga o le ulu i aso ma le ulu tiga i le laina faʻavae e ese mai le 4.4 i le 5.0 i luga o le 0-10 pusa fua i vaega e tolu o togafitiga. O lona uiga o tagata na auai na maua faʻatasi le tiga o le ulu, talu ai o le tiga o le ulu o le ulu e masani lava ona fesuisuiai i le va o le 1 ma le 6 (agalelei pe feololo), aʻo le malosi o le ulu e mafai ona fesuisuiai i le va o le 4 ma le 9 (agalelei pe ogaoga), ae masani lava. o se tiga ogaoga i le va o le 7 ma le 9 [16, 17]. O le tiga o le ulu i aso ma le ulu ulu e leʻi suia i le va o le laina faʻavae ma le tulitatao, e faʻaalia ai o le aʻafiaga na matauina e le naʻo se aʻafiaga i luga o le ulu, ae o se aʻafiaga foi i luga o le tiga-ituaiga ulu.

O RCTs e aofia ai se vaega e pulea e aoga tele i RCTs e faʻatusatusa i togafitiga e lua, ona o le aafiaga i le nofoaga placebo e seasea lava e leai se mea ma masani ona fesuisuiaʻi. O se faʻataʻitaʻiga o le RCTs i luga o togafitiga ogaoga o migraine e faʻatusatusa ai le aoga o le sumatriptan ma le placebo na maua ai tali i le va o 10 ma 37%, aʻo le togafitiga, o lona uiga, o le aoga o le sumatriptan e itiiti le aoga o le placebo na tutusa lava [18, 19]. O le isi faʻataʻitaʻiga o se TTT i luga o togafitiga faʻasolosolo o migraine, faʻatusatusa i le topiramate ma le placebo [20]. O le faʻaititia o le osofaʻiga na faʻapupulaina faatasi ai ma le faʻaopoopoga o fualaʻau o XNA, 50 ma 100 mg / aso. O le tele o osofaʻiga o le migraine na faʻaitiitia mai le 200 i le 1.4 osofaʻiga i le masina i vaega pito i luga ma le 2.5 osofaiga i le masina i le nofoaga placebo mai le laina faʻavae, faatasi ai ma osofaʻiga osofaʻiga mai le 1.1 i le 5.1 osofaiga i le masina i vaega e fa.

O le mea lea, o le faʻamatalaga o le aoga i le fa RCTs e aunoa ma se vaega faʻatonutonu e le saʻo i luma [9-12]. O le tulaga faʻapitoa o RCT uma e fitu na i ai le avanoa mo le faʻaleleia atili ona o le maualuga o le sikoa 100 e mamao mai le faʻamoemoe, aemaise lava o se faʻamaʻi saʻo o le migraine e taua.

O nisi o suʻesuʻega e aofia ai ni nai tagata auai, atonu e ono mafua ai le ituaiga 2 sese. O le mea lea, o le aofaʻiga o le mana ao lei faia suʻesuʻega e taua i suʻesuʻega i le lumanaʻi. E le gata i lea, e tatau ona mulimulitaʻia taiala mai falemaʻi mai le International Headache Society, faʻataʻitaʻiga, o taimi masani o se pito i luma, ae o le umi ma le malosi e mafai ona avea ma pito pito i luga [21, 22].

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

O togafitiga faʻapitoa, e pei o togafitiga massage, togafitiga faʻapitoa ma togafitiga o togafiti togafitiga o togafitiga faʻapitoa e masani ai togafitiga o migraine ua fautua mai e fomai tausi soifua e fesoasoani e faʻaleleia ma pulea ai faʻamaʻi tiga e fesootaʻi ma le tulaga. O maʻi e le mafai ona faʻaaogaina vailaʻau ma / poʻo vailaau, e aofia ai i latou atonu e sili ona filifili e aloese mai le faʻaaogaina o nei mea, e mafai ona aoga mai togafitiga tusi mo togafitiga o migraine, e tusa ai ma le tusiga o loʻo mulimuli mai. O suʻesuʻega suʻesuʻega faʻavae suʻesuʻe ua faʻamoemoeina e mafai ona tutusa lelei togafitiga o le tusi lesona mo togafitiga o migraine o vailaʻau ma / poʻo vailaʻau. Ae ui i lea, o le iloiloga faʻaletausaga ua faʻamoemoe ai o le lumanaʻi, faʻatautaia lelei faʻataʻitaʻiga o le falemaʻi i le faʻaogaina o togafitiga tusi mo le tiga o le ulu o le migraine e manaʻomia e faʻamaeʻa ai sailiiliga.

i'uga

O RCTs e lua i luga ole togafitiga massage na aofia ai ni nai tagata auai, faʻatasi ai ma vaivaiga o loʻo taʻua i le Laulau 3 [8, 9]. O suʻesuʻega uma e lua na faʻaalia ai o togafitiga massage e sili atu le lelei nai lo le vaega e pulea, e ala i le faʻaitiitia o le malosi o le migraine ma le tele o taimi. O le 27-28% (34-7% ma le 30-2%) togafitiga faʻamaʻi i le faʻaitiitia o taimi ole migraine e ala ile togafitiga massage e faʻatusatusa i le 6, 16 ma le 29% faʻamaʻi togafitiga i le faʻaitiitia o taimi ole migraine e ala ile togafitiga faʻamalosi ma le topiramate 50, 100 ma le topiramate. 200 mg/aso [20].

O suʻesuʻega e tasi ile physiotherapy e tele, ae le aofia ai se kulupu e pulea [10]. O le auiliiliga o faʻamatalaga o suʻesuʻega e maua ai le 50% pe sili atu le faʻaitiitia i le malosi o migraine. O le fua faatatau o le faifaʻatasiga i togafitiga faʻale-tino, naʻo 13% i le vaega muamua o le suʻesuʻega, aʻo 55% i le kulupu na le aoga mai le malologa, aʻo le numera o le faifaʻatonu o malolo, o le 51% i le vaega muamua o le suʻesuʻega ma le 47% i le kulupu e le aoga mai togafitiga faʻale-tino. O le faaitiitia o le malosi o le migraine e masani lava ona fetaui ma le faaitiitia o femalagaiga. Mo le faʻatusatusaga, o le numera o le faila o 39, 49, 47 ma 23% faʻatasi ma i latou oe na maua Xirama 50, 100 ma 200 mg / aso ma le placebo e pei ona faʻamalamalamaina e le 50% pe sili atu le faʻaitiitia i le migraine frequency [20]. O se suʻesuʻega o suʻesuʻega 53 i togafitiga faʻasolosolo faʻatasi ma propranolol na faʻaalia ai le 44% faʻaitiitia i le gaoioiga o migraine [23]. O le mea lea, e foliga mai o le togafitiga faaletino ma le malologa e tutusa lelei lona aafiaga e pei o topirama ma propranolol.

E naʻo le tasi o le fa RCTs i le chiropractic spinal manipulative therapy (CSMT) e aofia ai se vaega e pulea, ae o isi suʻesuʻega faʻatusatusa i isi togafitiga malosi [11-14]. O le suʻesuʻega muamua a Ausetalia na faʻaalia ai na faʻaititia le tele o le migraine i vaega uma e tolu pe a faʻatusatusa le laina faʻavae ma le 20 masina mulimuli ane [11, 12]. O le au fomaʻi na matua faʻaosofia i togafitiga CSMT, ae o fomaʻi ma fomaʻi e sili atu ona masalosalo, atonu na aʻafia ai le taunuuga. O se suʻesuʻega a Amerika na faʻaalia ai o le CSMT, amitriptyline ma le CSMT + amitriptyline na faʻaititia ai le migraine frequency 33, 22 ma le 22% mai le laina faʻavae i le maeʻa togafitiga (Table 3). O le suʻesuʻega lona lua a Ausetalia na maua ai le faʻaitiitia o le migraine i le 35% i le vaega CSMT, aʻo faʻaititia le 17% i le vaega e pulea. O le mea lea, o le togafitiga faʻapitoa e tutusa ma le topiramate 100 mg / aso ma o le aoga e tutusa ma le propranolol [20, 23].

E tolu lipoti o mataupu e tulaʻi mai ai popolega e uiga i le chiropractic cervical SMT, ae o se suʻesuʻega faʻapitoa talu ai nei na maua ai le leai o ni faʻamatalaga malosi e uiga i le aʻafiaga poʻo le faʻateleina o faʻafitauli leaga pe a uma le chiropractic cervical SMT [24-27]. O le a le taimi e faʻafeiloaʻi ai tagata gasegase o le migraine i togafitiga faʻapitoa? O maʻi e le tali atu pe faʻafeiloaʻi vailaʻau faʻamaʻi poʻo e manaʻo e aloese mai vailaʻau mo isi mafuaʻaga, e mafai ona tuʻuina atu i togafitiga massage, togafitiga faʻaletino poʻo togafitiga faʻamaʻi faʻamaʻi, ona o nei togafitiga e saogalemu ma ni nai faʻalavelave leaga [27-29].

iʻuga

Fai mai le RCTs o loʻo i ai nei, o togafitiga massage, togafitiga o togafitiga, faʻamalologa ma togafitiga faʻasolosolo togafitiga e ono tutusa le lelei o le propranolol ma le topiramate i le puleaina o le migraine. Ae ui i lea, o se faaiuga mausali e manaʻomia, i le lumanaʻi, ni faʻataʻitaʻiga lelei faʻataʻitaʻiina e aunoa ma le tele o le faʻaogaina o le faʻaogaina o le RCTs i luga o faʻataʻitaʻiga. O ia ituaiga suʻesuʻega e tatau ona mulimuli i faʻataʻitaʻiga faʻapitoa o faʻataʻitaʻiga mai le International Headache Society [21, 22].

Feeseeseaiga o Tului

Leai se tasi na faʻaalia.

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I le faaiuga,'o fomaʻi, fomaʻi faʻapitoa ma fomaʻi faʻamaʻi, faʻatasi ai ma isi faʻapolofesa faʻasoifua maloloina agavaa ma le poto masani, fautuaina togafitiga faʻapitoa e fai ma togafitiga mo le tiga o le ulu o le ulu. O le faʻamoemoega o le tusiga o le aʻoaʻoina o tagata mamaʻi i aʻafiaga o togafitiga faʻapitoa mo togafitiga o migraine. E le gata i lea, o le suʻesuʻega faʻapitoa na faʻamoemoeina o le lumanaʻi, faʻataʻitaʻiina lelei faʻataʻitaʻiga faʻapitoa faʻapitoa e manaʻomia e faʻamaeʻa ai suʻesuʻega. Fa'amatalaga fa'asino mai le National Center for Biotechnology Information (NCBI). O le lautele oa matou faʻamatalaga e faʻatapulaʻa i le chiropractic faʻapea foʻi ma manuʻa ma tulaga. Ina ia talanoaina le mataupu, faamolemole lagona le saoloto e fesili ia Dr. Jimenez pe faafesootai matou i 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

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FAʻAALIGA TOPIC: TUʻUʻU FAʻATASI: O Oe Lelei Oe!

AUTU TULAGA FAATINO: FAʻAALIGA: Taʻaloga Taʻaloga? | Vincent Garcia | Patient | El Paso, TX Chiropractor

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mau faasino

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29. Zeppos L, Patman S, Berney S, Adsett JA, Bridson JM, Paratz JD. Physiotherapy i tausiga tigaina e saogalemu: o se suʻesuʻega mataʻituina. Aust J Physiother. 2007;53: 279--283. [PubMed]

Tapuni Faʻatasiga

Faʻasoifua togafitiga o le maʻi o Migraine ma le faʻamaʻi | El Paso, TX

by valevalevale | Faʻafefete, Faafomai e faaaogaina i, Migraine

O le tiga o le migraine o se tasi lea o tulaga sili ona taatele ma le vaivai o le faitau aofaʻi o tagata soifua. O se taunuuga, o le tele o mataupu i migraine e tele lava ina le amanaiaina, e mafua ai ona le talafeagai le togafitiga. Faʻatasi ai ma togafitiga talafeagai, ae ui i lea, o le soifua maloloina atoa ma le soifua manuia o se maʻi ma le lelei o le olaga e mafai ona faaleleia lelei. E le gata i lea, o le aʻoga faʻapitoa e manaʻomia e fesoasoani ai i tagata gasegase e faia ni mea e tatau ai ma le faʻalogoina pe faapefea ona feagai ma le natura masani o latou tulaga. O togafitiga togafiti togafiti faʻamaʻi ma le faʻaaogaina o vailaʻau na muaʻi faʻatusatusaina i le fuafuaina o le lelei o mea taitasi mo le tiga o migraine. O le faʻamoemoe o le tusiga o loʻo mulimuli mai o le faʻaalia lea o le aoga o togafitiga o gasegase taʻitasi.

O se Faʻataʻotoga o Faʻataʻitaʻiga o Migraine Suʻega i le maea ai o se Faʻamatalaga Faʻataʻitaʻiga Faʻafofo

lē faʻatino

sini: Le tuʻuina atu o uiga o mataupu e fa o migraine, oe na aofia ai e auai i se faʻamoemoega faʻapitoa i togafitiga faʻapitoa mo togafitiga mo le migraine.
Metotia: Tagata na auai i se suʻega suʻesuʻe suʻesuʻega i migraine, na toe iloiloina mo faʻamaoniga poʻo foliga o le falemaʻi ma a latou tali i le faʻamalositino.
Tali: O mataupu filifilia e fa o migraine na tali atu tele i le SMT, faʻatasi ai ma le tele o faʻamaumauga o le tagata lava ia o loʻo faʻaalia pe faʻamalo pe faʻaitiitia. O le faaitiitia o taimi na tutupu na faaititia i le averesi e le 90%, le umi o mea taitasi e 38%, ma le faʻaaogaina o vailaʻau ua faʻaititia e 94%. I le faʻaopoopoga, o le tele o faʻamaoniga e tele na faʻaititia, e aofia ai le gasea, vomiting, photophobia ma phonophobia.
Talanoaga: O mataupu eseese ua tuʻuina atu e fesoasoani ai i fomaʻi e faia se faʻamatalaga sili atu ona malamalama.
Faʻamatalaga Faasino Igoa (MeSH): Migraine, suʻesuʻega, togafitiga faʻasolosolo.

faʻatomuaga

Migraine, i ona foliga eseese, e aafia ai le 12 i le 15% o tagata i le lalolagi atoa, faatasi ai ma se fua faatatau i Amerika o 6% o tane ma 18% o fafine (1). Faʻalagolago i le ogaoga o osofaiga faʻaleagaina e manino ai o le tele, pe a le o mea uma, e mafai ona aʻafia ai le tino (2). O le mafuaʻaga o le migraine e mafua ai le taufaamatau i tagata e masani ona masani ai, lea e faʻamalosia ai i latou i le fesuiaiga o tikeri mai sina laʻititi (3).

One early definition of migraine highlights some potential difficulties in research assessing treatment for migraine. �A familial disorder characterised by recurrent attacks of headache widely variable in intensity, frequency and duration. Attacks are commonly unilateral and are usually associated with anorexia, nausea and vomiting. In some cases they are preceded by, or associated with neurological and mood disturbances. All of the above characteristics are not necessarily present in each attack or in each patient� (4). (Migraine and headache of the World Federation of Neurology in 1969).

O nisi o faʻatelega masani o migraine e aofia ai le ulu o le ulu, o le aura, scotoma, photophobia, phonophobia, scintillations, nausea ma / poʻo le vomiting (5).

O le faʻapogai o le tiga i migraines o le a maua i totonu o vaʻa toto i totonu ma le extracranial (6). O puipui o le toto e pagatia i le faʻalavelave, tuai poʻo le faʻafefe. O le faʻavaivai faʻavaivaia o vaʻa toto, faatasi ai ma le faateleina o se mea e maua ai le tiga, e mafua ai le tiga o le ulu ona o le ulu o le migraine (7).

Ua faʻaalia le faʻaitiitia o le migraine i le togafitiga o togafiti faʻamaʻi (8-18). E le gata i lea, o isi suʻesuʻega ua fautuaina ai se tulaga e mafai ona iai i tulaga o le musika i le suesuega o migraine (19-22). O le le malamalama i le migraine poʻo le ulu o le ulu o le tino e mafai ona maua ai se auala leaga e faʻaleleia ai (23). O le mea lea, e tatau ona faia se faʻamaoniga saʻo, e faʻavae i luga o le lafoga taliaina aloaia.

Ua faʻavaeina se faʻafouina fou o le ulu o le ulu mai le Headache Classification Committee o le International Headache Society (IHS), o loʻo i ai se vaega autu e aofia ai le migraine (24). Ae ui i lea, o lenei vaega o lafoga e iai pea le tele o vaega e ono mafai ona gafatia pe fefinauai e uiga i le siama o le maʻi tiga (23).

O lenei pepa o loʻo tuʻuina mai ai mataupu e tolu o migraine ma le aura (MA) ma le tasi o migraine e aunoa ma se maliliega (MW), auiliiliina o latou faailoga, foliga o le falemaʻi ma le tali i le Spinal Manulative Therapy (SMT). O loʻo faʻamoemoe le tusitala e faʻaleleia le silafia e le au failotu mo tulaga o migraine e mafai ona tali lelei i le SMT.

Vaega o le Migraine

O le IHS o loʻo faʻamatalaina migraines o loʻo i ai le le itiiti ifo ma le lua o mea nei: tasi le tulaga, pulsating lelei, feololo pe ogaoga malosi, faʻateleina e masani faʻamalositino gaioiga. I le taimi o le ulu tiga o le tagata e tatau foi ona oo i le lagona o le niniva & / pe puaʻi, ma photophobia & / po phonophobia (24). I se faʻaopopoga, e leai se fautuaga a le i le tala faʻasolopito, tino poʻo le suʻesuʻega o suʻesuʻega o le tagata ua i ai le ulu tiga lisiina i kulupu 5-11 o latou faʻavasegaga faiga (23-25).

A previous study by the author has detailed features of the different classifications of migraine (8). The aura is the distinguishing feature between the old classifications of common (MW) and classic migraine (MA) (24). It has�been described by migraine sufferers as an opaque object, or a zigzag line around a cloud, even cases of tactile hallucinations have been recorded (6,7). The most common auras consist of homonymous visual disturbances, unilateral parathesias &/or numbness, unilateral weakness, aphasia or unclassifiable speech difficulty.

E le malamalama lelei le faʻaaogaina o masini mo eseese migraine. O loʻo i ai le tele o aioioiga ua fuafuaina i tusitusiga, ae leai se tasi e foliga mai e mafai ona faʻamatalaina uiga uma e ono maua e migraine sufferers (26). O le IHS o loʻo faʻamatalaina suiga i le toto ma le galuega o le platelet o se mea e faʻamalosia. Faʻagasologa o loʻo tupu i totonu o le faiʻai e faʻaaogaina e ala atu i le trigemino-vascular system ma le iniseti ma le extracranial vasculature ma perivascular spaces (24).

Auala

E tusa ai ma se suʻesuʻega na lipotia talu ai (9) lea na aofia ai ma le 32 suʻega na maua le SMT mo le MA, e tolu mataupu na tuʻuina atu na filifilia ona o suiga taua na maua e le tagata maʻi.

Na faasalalauina tagata na i ai femalagaiga mo le auai i le suʻesuʻega, e ala i le leitio ma nusipepa i totonu o le eria o Sini. Na faʻatumu e le au talosaga uma se fesili, na atiae mai Vernon (27) ma ua lipotia i se suʻesuʻega talu ai (9).

O tagata na auai e auai i le faamasinoga na filifilia e tusa ai ma tali i le fesili fesili o uiga faapitoa. O taiala mo MA suʻesuʻeina o le usitaia lea o le 5 e sili atu i faʻataʻitaʻiga nei: tali i le tiga e manaʻomia ai le faʻamutaina o gaoioiga poʻo le manaʻo e saili se nofoaga pogisa filemu; tiga e latalata i malumalu; tiga ua faamatalaina e pei o le sasaina; fesoʻotaʻiga faʻamaonia o le nausea, vomiting, aura, photophobia poʻo phonophobia; migraine e afaina mai suiga o le tau; migraine e faʻamaualuga i le ulu poʻo le aga; faʻamatalaga muamua o le migraine e se fomaʻi; ma se talafaasolopito o aiga o migraine.

O tagata auai foi sa tatau ona aafia i le femalagaaʻi ia le itiiti ifo ma le tasi i le masina, ae le o aso uma ma le migraines e le mafai ona amataina e le vevesi. O tagata auai na le aofia i le suʻesuʻega pe afai ei ai ni faʻasaga-faʻamaoniga i le SMT, e pei o le maningitis poo le cerebral anerysm. I le faʻaopoopoga, o tagata auai i le tino, o le maualuga o le totoga o le intracranial poʻo le vaeluaga o avanoa, na faʻateʻaina foi ona o tulaga saogalemu.

The trial was conducted over six months, and consisted of 3 stages: two months pre-treatment, two months treatment, and two months post treatment. Participants completed diaries during the entire trial noting the�frequency, intensity, duration, disability, associated symptoms and use of medication for each migraine episode. In addition, clinic records were compared to their diary entries of migraine episodes. Concurrently, the subjects were contacted by telephone by the author every two weeks and asked to describe the migraine episodes for comparison to their diaries.

A detailed history of the patients� subjective pain features was taken during the initial consultation. This included the type of pain, duration, onset, severity, radiation, aggravating and relieving factors. The history also included medical features, a systems review for potential pathologies, previous treatments and its effects. Assessment of subluxation included: orthopaedic and neurological testing, segmental springing, mobility measures such as visual estimation of range of motion, assessment of previous radiographs, specific chiropractic vertebral testing procedures, as well as response of the patient to SMT.

E le gata i lea, o nisi suʻesuʻega tetele sa faia pe a faʻaalia, lea e aofia ai: suega o le tui o le vertebral, faʻataʻitaʻiga o faaosoosoga, suʻesuʻega o le toto, ma le suʻega o le suʻega o le anateysm.

I le taimi o togafitiga, na faaauau pea ona tusia faamaumauga a migraine i totonu o la latou api o talaaga, ma maua telefoni mai tagata tusitala. Togafitiga e aofia ai le pupuʻu puupuu, o le maualuga o le saoasaoa o le faʻasolosolo, ma vaega o le faʻamautuina ua fuafuaina e le suʻega faaletino. O le faʻatusatusaga sa faia i uluaʻi faʻasologa o vaevaega o migraine aʻo lei amataina le suʻesuʻega ma i le ono masina talu ona maeʻa.

tulaga 1

A 25 year old, 65kg Caucasian male presented with neck pain which had commenced in early childhood, that he felt may have been related to his prolonged birth. During the history the patient stated that he suffered a regular migraine headaches (3-4 per week) which he supposed was related to a motor vehicle accident, two years prior to his presentation. He reported that his �migraine� symptoms were a unilateral throbbing headache, an aura, nausea, vomiting, vertigo, and photophobia. Sleep tended to alleviate the symptoms and he required Allegren medication (25mg) on a daily basis.

From diaries the patient was required to complete in the study, a migraine would occur 14 times a month, last an average 12.5 hours and he could perform duties after 8 hours. In addition a visual analogue scale score (VAS) for an average episode was 8.5 out of a possible maximum score of ten, corresponding to a description of �terrible� pain.

I luga o le suʻega, na maua o ia i le suboccipital ma le maualuga o le musika, ma faʻaitiitia le tulaga o le lafo i le va o le occiput ma le muamua o le vertebra, o le atlanto-occipital facet joint (Occ-C1), faʻatasi ai ma le tiga i le feliuliuai ma le faʻaopoopoga o le tui vavalo. Sa i ai foi sona faaitiitia iloga o le gaioiga o le tuilaʻau ma le faateleina o le toto.

faiga

Na maua e le tagata gasegase fetuutuunaiga faʻapitoa (faʻaalia i luga) i lona C-C1 faʻatasi, pito i luga luga o le thoracic ma le musculature ua aafia. O se amataga o le 16 eseese togafitiga faafomaʻi sa faia e avea o se vaega o se polokalame suʻesuʻe lea na auai ai le tagata maʻi. O le polokalame e aofia ai le tele o mea mo gaioiga migraine uma, e aofia ai le numera o mataitusi, taimi, vailaau ma taimi aʻo leʻi mafai ona toe foi i le masani gaoioiga. E le gata i lea, na faʻaalia o ia i nisi o faʻalava ma isi gaioiga mo ona ua ma ua faʻamaonia.

Taunuʻuga

The patient reported a dramatic improvement after the course of treatment and had noticeably reduced frequency and intensity of migraines. This had continued when the patient was contacted at a period of 6 months after the study had ceased (Fig 1). At that point the patient reported having 2 migraines a month, with a VAS score of 5 out of ten, and the average duration had fallen to 7 hours (Fig�s 1-3). In addition, he now used no medication and noted that he no longer experienced nausea, vomiting, photophobia or phonophobia (Table 1).

Lisi 1 Iloiloga o Filifiliga Faʻatino Avanoa ma le Migraine

tulaga 2

A 43 year old female university clerk presented complaining of chronic recurring headaches each lasting on average five days, sinus trouble due to allergy, and disturbed vision. The patient stated she experienced �migraines� which had been occurring since the age of eight. During the migraines she experienced nausea, visual disturbances, photophobia, phonophobia and scotoma. The pain usually began around her right eye but would often change to the left temple. She did not describe the pain as throbbing and the pain only stopped activities on a few occasions each year.

O le gasegase na taʻu mai na ia maua le migraines e tasi i le masina, sei vagana ai taimi o le tautotogo, pe a oʻo i le vaiaso i le vaiaso. Na faʻatautaia ia te ia le togafitiga o le homone (HRT) mo le sefululua masina i le mavae ai o le taʻavale, lea e leʻi suia ai le gasegase. Na ia lipotia foi se score o le VAS o le valu mo se mea na tupu ma o se mea na tupu na i ai ile ono i le valu itula.

In her history she reported that she had experienced many falls while horse riding between the ages of eight to ten. However, she believed that no bones were broken at the time of the falls, although this was not confirmed by radiographs at the time of injury. She had two children and was active, currently playing tennis, walking and was a keen gardener. Her past treatment included non- prescription medication for her sinus problems (Teldane),�however this did not seem to relieve the migraine. The patient stated she had previously had pethadine injections due to the severity of the migraines.

I le suʻesuʻega na ia maua ai le numera o le tui, o le faʻasalaga o Trapezius e fesoʻotaʻi ma mafuaʻaga. Na ia faʻaalia se laʻititi (scoliosis) (le lelei i le suʻega o Adams) i le lumbar ma le vailaʻau. O le tagata gasegase na i ai foi le tapulaa masani i le vavalalata o le vavae, e masani lava i le itu agavale agavale ma le saʻo saʻo.

faiga

Treatment consisted of diversified chiropractic spinal adjustments, especially to the C1-2, T5-6, L4-5 joints to correct the restriction of movement. Vibrator massage, and infra-red therapy were used to complement the�treatment, releasing muscles spasm of the region before the adjustments were delivered. The patient was given 14 treatments over the two months of the research trial. Following the initial treatment she experienced some moderate neck pain which resolved following the next session.

Ata 1 Suiga i le Taimi o Episodes Episodes mo Faʻa Fa

Ata 2 Suiga i VAS Scores of Migraines mo le Fa Fa

Ata 3 Suiga i le Umi o Migration mo Faʻa Fa

Ata 4 Suiga i le Medication o Migraines mo Mea e Fa

Taunuʻuga

When contacted six months following the study, the patient stated the migraines had not experienced a migraine in the last four months. The last episode she had noted a VAS score reduced to four, the average duration had reduced to three days and she had now reduced her medication to nil (Fig�s 1-4). In addition, she now experienced minor nausea, no photophobia or phonophobia, and she had substantially improved neck�mobility. She had continued to have chiropractic treatment at a frequency of once a month, following the end of the research trial.

tulaga 3

O se 21 tausaga le matua, 171cm maualuga Caucasian na tuʻuina atu i ai se faitioga sili o agavaʻa matautia. O mea taʻitasi na tumau i le lua i le fa itula, i le taimi o le tolu i le fa vaega i le vaiaso, ma e lima tausaga na tupu ai. O le maʻi na lipotia mai le tiga ma le tiga o le auga, e fesoʻotai ma migraines. Na talitonu foi o ia o le amataga o le migraine e mafua mai i le atuatuvale ma isi tulaga na atili ai ona faateteleina ona o lagona faalelagona. Na lipotia mai e le maʻi le leai o isi faafitauli tau soifua maloloina sei vagana ai le vavalalata tele, lea na ia le tago ai i fualaau.

The patient�s migraines were located in the frontal, temporal and occipital regions bilaterally. No symptoms occurred premonitory to the onset of her migraines, nor did she experience visual disturbances prior to or during the migraine episodes. She described the pain as a constant dull ache, which was local and she did not complain of any parathesias.

I le asiasiga muamua, na ia tauina ai migraine taitasi i le va o 4 ma 5 i luga o VAS o 1-10. Na ia maitauina foi na ia maua le gasea, vomiting, totogia, photophobia ma phonophobia.

O taotoga o le gaioiga o le lafo na faatapulaaina, aemaise lava i le saʻo saʻo. O faʻamaoniga o le tala na manino i le trapezius, suboccipital ma supra scales muscles ona o le faateleina o le leo, lanu ma le vevela. O le faʻamalosaga o le lafo na faʻaalia ai le faʻatapulaʻaina o le faʻaogaina o le C1-2 facet faʻatasi i le itu taumatau. O nisi faʻataʻitaʻiga o le supra scapular ma le suboccipital o loʻo faʻaalia mai ai le mea e faʻaaogaina ai aʻu. O suʻesuʻega mai le neurology e pei o Rhombergs, ma le vertebrobasilar (Maines), e leaga.

faiga

O le muamua togafitiga o maso fofoina auala fesoasoani i le masini masini masimasi i le isi itu maso maso o le trapezius, suprascapularis ma le tumau itulagi. O le tagata maʻi na i ai foi le faʻatulagaina o le faʻaautagata o le C1-2, ma le fetuʻunaʻiga i vaega T3-4 & T4-5.

The patient was seen three days later, at which point she reported that her neck was less painful. However, she still complained of right neck pain and dizziness. Examination revealed passive motion restriction at C1-2 motion segment. Her thoracic spine was found to be restricted at segment T5-6. In addition, she had mild to moderate hypertonicity in suboccipital and cervical paraspinal muscles and supra scapular area. She was again treated�with adjustments and soft tissue technique. The C1-2 restriction to the right was adjusted with a cervical adjustment. The T5-6 restriction was also adjusted and the myofibrotic tissues were treated with the masseter.

Na toe foʻi mai le maʻi i le fa aso mulimuli ane. Na ia lipotia mai ua faaleleia lona ulu. Na te le toe mauaina ni faailoga o se migraine e le masani ai. Ae ui i lea, o le mamafa o le lagona sa i ai i lona ulu, ae itiiti ifo nai lo le amataga o togafitiga. Leai se tiga o le ua na lipotia. O le suʻesuʻega na faʻaalia ai se faʻasologa o le motusia o le C1-2 vaega o le lafo. Sa i ai le telefoni i le suboccipital ma maso pito sili. O le tagata gasegase na togafitia i le faʻaogaina o le tino i le C1-2 ma le muscle i luga o maso luga. Na fautuaina foi le faʻaaogaina o ogaumu.

Lisi 2 Suiga i Fua Faʻatatau o le Migraine Episodes mo le Uiga o Mea e Fa

O le tagata gasegase na vaaia le sefulutolu taimi i le sili atu i le lua masina, ma fai mai na laʻititi le faʻaitiitia o ona vae i le togafitiga mulimuli. E le gata i lea, ua le o toe i ai le tiga o le ua. Na faʻamaonia le faʻamaonia o le faʻaaogaina o le taʻavale i le C1-2, lea na faʻaititia e ala i le fetuunaiga.

Taunuʻuga

The patient was contacted six months after the trial for a follow-up, at which point she reported she had experienced a reduction of migraine episodes to once every two months. However, her VAS scores for an average episode was now 5.5, but the duration of an average episode was reduced by 50%. In addition, she noted a reduction in photophobia and phonophobia, but still experienced some dizziness. The patient also noted a reduction in use of medication from three Nurofen a week (12 per month) to three per month, representing a 75% reduction (Fig�s 1- 4).

tulaga 4

A 34 year old, 75kg Caucasian male presented with neck pain and migraines which had commenced after he had hit his head whilst surfing at a beach. This incident occurred when the patient was 19 years old but the patient said the migraines had peaked at 25 years of age. The patient stated that at 25 years of age he suffered a�migraine headaches (three to four times per week) but now in the last year prior to his presentation he experienced them twice a week. He reported that his migraines started in the suboccipital region, and radiated to his right eye. He also reported they were a unilateral throbbing headache, an aura, nausea, vomiting, vertigo, and photophobia. The patient stated taking aspirin and mersyndol medication approximately four to five times a week.

The patient reported that an average episode lasted twelve to eighteen hours and he could perform duties after eight to ten hours. In addition a visual analogue scale score (VAS) for an average episode was 7.0 out of a possible maximum score of ten, corresponding to a description of �moderate� pain. He also reported that he had osteopathic treatment approximately three years earlier, which had given some short term relief, however, physiotherapy had proven ineffective.

I le suʻesuʻega, na maua ai le faʻaitiitia o le faʻaitiitia o le tui o le tuilaʻau ma le faʻalauteleina o le toto o le tui, ma faʻaitiitia le tulaga o le lafo i le va o le muamua ma le lona lua vertebra (C1-2), le atlanto-occipital facet joint (Occ -C1), faatasi ai ma le tiga i le feliuliuai ma le faʻaopoopoga o le tui vavalo. Sa i ai foi ia te ia le musika ma le maualuga o le muscle, aemaise lava i luga o le maso o Trapezius.

faiga

Na maua e le tagata gasegase fetuutuunaiga fetuutuunai i lana C1-2, o le pito i luga o le tuala ma le musculature ua aafia. I le maeʻa ai o se togafitiga o togafitiga 14 (faʻataʻitaʻiina o se vaega o se polokalame suʻesuʻe) na maua e le tagata maʻi se tasi o migraine i vaiaso taʻitasi. Na lipotia mai foi e le tagata gasegase ua faaitiitia le taoto ma o le avega e le taua tele.

The patient reported the improvement after the initial treatment had continued when the patient was contacted 6 months after the study had ceased. At that point the patient reported having one migraine a month, and that the VAS score had fallen to 6 out of ten. However, the average duration and return to normal activities time had remain the same as before the treatment had commenced. The patient reported that he now used only one medication per month and that he no longer experienced nausea, vomiting, and the aura (Fig�s 1-4).

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

"E faʻapefea ona ese le aoga o togafitiga faʻasolosolo ma le faʻaaogaina o vailaau pe a oo mai i tiga o le migraine?"�Chiropractic migraine pain treatment, such as chiropractic spinal manipulative treatment or spinal manipulation, is commonly utilized to help improve as well as manage migraine symptoms. Many healthcare professionals also frequently use medication, such as amitriptyline, to help relieve migraine symptoms although this treatment option may only temporarily relieve the symptoms rather than treat the condition from the source. Chiropractic care and the use of medication can be used together to help increase the relief of the treatments, as recommended by a healthcare professional. Several evidence-based studies, like the ones in the article, have demonstrated the effectiveness of chiropractic migraine pain treatment, however, more research studies are required to determine their specific result on migraine pain management. Furthermore, other research studies have shown that medication may be as effective as chiropractic spinal manipulative treatment but was associated with more side effects. Common side effects of medications like amitriptyline include: drowsiness, dizziness, dry mouth, blurred vision, constipation, trouble urinating or weight gain. Additional assessments on the effectiveness of spinal manipulation and amitriptyline is needed.

iʻuga

O nei suʻesuʻega e fa o loʻo faʻaalia ai se faʻaititia o le faʻafitauli o le le atoatoa e fesootaʻi ma migraines (Table 1). E le gata i lea, e le gata i lea, o le suʻesuʻega e leʻo aofia ai se vaega faʻafoe mo le faʻatusatusaga o le tulaga o le placebo. O le mea lea e foliga mai o le SMT faʻapitoa na faʻaitiitia ai le vaivai o le migraine mo nei tagata.

E manaʻomia e le au fomai ona faʻapitoa le iloa o tulaga faʻamaonia pe a tuʻuina atu suʻesuʻega poʻo tulaga suʻesuʻega i le aoga o le togafitiga (8). E taua tele lenei mea i le faʻaaogaina o suʻesuʻega faʻasolosolo ma togafitiga faʻaleagaina (12, 23).

Suiga i fuataga o fuaina o migraine mo le uiga o mataupu e fa o loʻo faʻaalia ai nisi o mea taua na maua (Laulau 2). E pei ona mafai ona vaaia i le laulau, o le tele o taimi ma le faʻaaogaina o vailaʻau na matua faʻaitiitia mo mataupu e fa. Ae ui i lea, e le mafai e se tasi ona faʻataunuʻuina e mafai ona avea lea ma tulaga mo isi tagata mai fafo o loʻo mafatia ona o le numera itiiti o mataupu ua tuʻuina mai.

Faʻafetai

E matua talisapaia lava e le tusitala le saofaga a Dr Dave Mealing i le saunia o le pepa.

O se Faʻataʻitaʻiina Faʻataʻitaʻiina o Faʻamatalaga o togafitiga faʻapitoa mo togafiti faʻamaʻi mo Migraine.

lē faʻatino

sini: Le iloiloga o le aoga o le togafitiga o togafiti faʻamaʻi (SMT) i le togafitiga o migraine.
Design: O se faʻataʻitaʻiga faʻatonuina o le 6 masina. O le faamasinoga e aofia ai vaega o le 3: 2 masina o le aoina o faʻamaumauga (aʻo lei togafitiga), 2 masina o togafitiga, ma isi masina 2 o le aoina mai o faʻamaumauga (pe a uma togafitiga). O le faʻatusatusaga o taunuʻuga i uluai faʻailoga autu na faia i le faaiuga o masina 6 mo se vaega SMT ma se vaega e pulea.
Faatulaga: Chiropractic Research Center o le University of Macquarie.
Tagata auai: E selau luasefulu-fitu tagata ofo mai i le va o tausaga o le 10 ma le 70 tausaga na faʻatautaia e ala i faasalalauga faasalalauga. O le suʻesuʻega o le migraine na faia i luga o le faʻavae o le International Headache Society, ma le itiiti ifo ma le tasi le migraine i le masina.
Faʻalavelave: Lua masina o le SMT (fesuisuiai auala) faʻataʻitaʻiga i le faʻamautuina o le vertebral fuafuaina e le lōia (maualuga o togafitiga 16).
Faʻamaumauga autu: O tagata na auai na latou faʻamaonia ni faʻataʻitaʻiga masani i le taimi atoa o le faamasinoga ma matauina le televave, o le malosi (sikoa vaaia tutusa), taimi, le atoatoa, faailoga e fesootaʻi, ma le faʻaaogaina o vailaʻau mo gaioiga taʻitasi.
Tali: O le averesi o tali a le vaega o togafitiga (n = 83) na faʻaalia ai le faʻaleleia atili o fuainumera o taimi i le tele o taimi ole migraine (P <.005), umi (P <.01), le atoatoa (P <.05), ma le faʻaaogaina o vailaʻau (P <.001 ) pe a faʻatusatusa i le kulupu pulea (n = 40). E toʻafa tagata na le mafai ona faʻamaeʻaina le faʻamasinoga ona o le tele o mafuaʻaga, e aofia ai le suia o le nofo ai, se taʻavale afi faʻalavelave faʻafuaseʻi, ma le faʻateleina o migraine taimi. Faʻailoa i isi faaupuga, 22% o sui na lipotia sili atu nai lo le 90% faʻaititia o migraines o se faʻaiuga o le 2 masina o SMT. E tusa ma le 50% sili atu tagata auai na lipotia le alualu i luma o le faʻaletonu o vaega taʻitasi.
Faaiuga: O iʻuga o lenei suʻesuʻega na lagolagoina ai iʻuga muamua na faʻaalia ai o nisi tagata ua lipotia le faʻaleleia atili o le migraines ina ua maeʻa le SMT. O se pasene maualuga (> 80%) o tagata na auai na lipotia le popole o se mea taua tele mo a latou migraines. E foliga mai o le togafitiga faʻafomaʻi e iai lona aʻafiaga i tulaga o le tino e faʻatatau i le mafatiaga ma o nei tagata e faʻaititia ai aafiaga o le migraine.

Lafoaʻiina o le Spinal vs. Amitriptyline mo le togafitiga o Taʻaloga Tuai - Faʻasalaga Faʻasalalau: Faʻataʻitaʻiga o le Falemaʻi Randomized

lē faʻatino

sini: Le faʻatusatusaina o le aoga o togafiti faʻamaʻi ma togafitiga faafomaʻi (amitriptyline) mo le masani ai o le tiga o le ulu.
Design: Faʻataʻitaʻiga faʻapitoa faʻataʻitaʻiina e faʻaaoga ai ni vaega se lua. O le suʻesuʻega na aofia ai le vaitaimi o le 2-wk, se vaitaimi o le togafitiga 6-wk ma le 4-wk posttreatment, taimi mulimuli.
Faatulaga: Chiropractic college outpatient clinic.
Tagata maʻi: E selau ma le limasefulu gasegase i le va ole tausaga o le 18 ma le 70 faʻatasi ai ma se faʻamaoniga o le faʻavauvau o le ulu-ulu o le umi o le 3 masina i se taimi o le itiiti ifo ma le tasi i le wk.
Faʻalavelave: 6 wk o togafitiga togafiti e togafitia e fomaʻi poʻo 6 wk o togafitiga amitriptyline e togafitia e se fomaʻi maʻi.
Faʻamaumauga autu: Suiga i le maʻi o loʻo lipotia i aso taʻitasi o le vevela, faʻavaiaso o le tiga o le vaiaso, faʻaaogaina o fualaau oona ma le soifua maloloina (SF-36).
Tali: O le aofai o tagata 448 na tali atu i faasalalauga faʻapitoa; 298 na faʻateʻaina i le taimi o suʻesuʻega. O le 150 maʻi na sainia i le suʻesuʻega, na tuʻuina atu le 24 (16%) i le 5 (6.6%) mai le togafiti togafiti ma le 19 (27.1%) mai le vaega amitriptyline therapy group. I le vaitaimi o togafitiga, na faʻaleleia vaega uma e lua i fua tutusa tutusa i taunuʻuga autu uma. I le fesoʻotaʻiga i fua faʻatatau i le 4 wk i le maeʻa ai o togafitiga, na faʻaalia ai e le vaega o togafiti faʻamaʻi le faʻaitiitia o le 32% i le vevela maualuga, 42% i taimi masani, 30% i luga o le faʻamalo ma le faʻaleleia o 16% i soifua maloloina soifua maloloina. I le faʻatusatusaina, o le amitriptyline therapy group e leʻi faʻaalia se faʻaleleia atili poʻo se faʻaleagaina tele mai tulaga taua o loʻo i totonu o nei auala taua e fa. O le puleaina o eseesega o laina, o eseesega o vaega i le 4 wk i le maeʻa ai o le togafitiga na mafaufauina e taua tele ile aoga ma sa taua tele. O maʻi na maeʻa le suʻesuʻega, o le 46 (82.1%) i le vaega o le amitriptyline therapy na lipotia ai aʻafiaga aʻafiaga e aofia ai le moe, pala mago ma le mamafa. E toʻatolu ni gasegase (4.3%) i le vaega o togafiti faʻamaʻavale na lipotia ai le tiga o le ua ma le malosi.
Faaiuga: O taunuʻuga o lenei suʻesuʻega o loʻo faʻaalia ai le togafitia o togafiti faʻamaʻi o se togafitiga lelei mo le vevesi o le ulu. Amitriptyline togafitiga sa sili atu ona aoga i le faaitiitia o le tiga i le faaiuga o le vaitaimi o togafitiga ae na aʻafia ai ma aʻafiaga sili atu. E fa vaiaso talu ona maeʻa le togafitiga, ae ui i lea, o tagata gasegase na maua togafitiga o togafiti togafitiga na maua ai le manuia o le togafitiga i mea taua uma lava e ese mai i le gasegase na maua le amitriptyline togafitiga, o le na toe liliu i tulaga taua. O le faʻasologa o togafitiga faʻasolosolo faʻatasi ma togafiti faʻamaʻivale na foliga mai na mafua ai le faʻaitiitia o le manaʻomia mo vailaau faʻasaina. E iai se manaʻoga e iloilo le aoga o le togafitiga o togafiti i tua atu o le fa vaiaso ma ia faʻataʻitaʻi togafitiga togafiti i se nofoaga talafeagai e pei o togafiti i togafitiga i le lumanai.

I le faaiuga,�the following research studies demonstrated the effectiveness of chiropractic spinal manipulative therapy while one research study compared it with the use of amitriptyline for migraine. The article concludes that both chiropractic migraine pain treatment as well as medication were significantly effective in the improvement of migraine headache, however, amitriptyline is reported to present various side effects. Finally, patients may choose the best possible treatment for their migraine pain, as recommended by a healthcare professional. Information referenced from the National Center for Biotechnology Information (NCBI). The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

blog blog ataata pepa lapopoa

FAʻAALIGA TOPIC: TUʻUʻU FAʻATASI: O Oe Lelei Oe!

AUTU TULAGA FAATINO: FAʻAALIGA: Taʻaloga Taʻaloga? | Vincent Garcia | Patient | El Paso, TX Chiropractor

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mau faasino

1. Lipton RB, Stewart WF. Migraine i le Iunaite Setete: o se toe iloiloga o le faʻamaʻi ma le faʻaogaina o le soifua maloloina. Neurology 1993; 43 (Provid 3): S6-10.
2. Stewart WF, lipton RB, Celentous DD, et al. Faʻaauau o le ulu o le ulu i le United States. JAMA 1992; 267: 64-9.
3. King J. Migraine i le Nofoaga Autu. Faʻamatalaga. Ausetalia Brain Foundation 1995. Hawthorn, Victoria.
4. Wolff�s Headache and other head pain. Revised by Dalessio DJ. 3rd Ed 1972 Oxford University Press, New York.
5. Linet OS, Stewart WF, Celentous DD, et al. O se suʻesuʻega faʻamaʻi o le ulu o le ulu i le va o talavou ma talavou matutua. JAMA 1989; 261: 221-6.
6. Anthony M. Migraine ma lona Pulega, Ausetalia Family Physician 1986; 15 (5): 643-9.
7. Sjasstad O, Fredricksen TA, Sand T. O le faʻavasegaina o le uluaʻi osofaʻiga: o se faʻatusatusaga i le va o vaʻa masani ma le ulu o le tino. Neurology Lelei 1989; 4: 73-8
8. Tuchin PJ, Bonello R. Classic migraine pe le o masani migraine, o le fesili lena. Aust Chiro & Osteo 1996; 5: 66-74.
9. Tuchin PJ. Le aoga ole Chiropractic Spinal Manipulative Therapy (SMT) I Le Togafitiga O Migraine - O se Suʻesuʻega Pailate. Aust Chiro & Osteo 1997; 6: 41-7.
10. Parker GB, Tupling H, Pryor DS. O se Faʻasalaga Faʻatautaia o le Faʻamālōlōina o Cervical mo Migraine, Aust NZ J Med 1978; 8: 585-93.
11. Hasselburg PD. Komisi Suesue i Chiropractic. Chiropractic i Niu Sila. 1979 Government Printing Office Niu Sila.
12. Parker GB, Tupling H, Pryor DS. Aisea e Faaleleia Atili ai le Migraine I le taimi o se Togafitiga Falemai? Isi Faʻamataʻuga mai se Faʻamatalaga o le Faʻailoga o le Cervical for Migraine. Aust NZ J Med 1980; 10: 192-8.
13. Vernon H, Dhami MSI. Vertebrogenic Migraine, J Canadian Chiropractic Assoc 1985; 29 (1): 20-4.
14. Wight JS. Migraine: O se Suʻesuʻega Faʻafuainumera o Togafitiga Faʻamaʻi. J Am Chiro Assoc 1978; 12: 363-7.
15. Vernon H, Steiman I, Hagino C. Cervicogenic Faʻafitauli i le muscle contraction ulu ma migraine: suʻesuʻega faʻamatalaga. J Manipulative Physiol Ther 1992; 15: 418-29.
16. Whittingham W, Ellis WS, Molyneux TP. Le aʻafiaga o le togafiti (Faʻataloiloina le faʻaaogaina o mea faʻapitoa) mo ulu o le ulu ma le pito i luga o le tino o le tino: o se suʻesuʻega mataupu. J Manipulative Physiol Ther. 1994; 17 (6): 369-75.
17. Lenhart LJ. Faʻamaʻi faʻafefe o le Migraine e aunoa ma le Aura: O se suʻesuʻega. JNMS 1995; 3: 20-6.
18. Tuchin PJ, Scwafer T, Brookes M. O se Suʻesuʻega o Tiga Taugata. Aust Chiro Osteo 1996; 5: 47- 53.
19. Nelson CF. O le le mautonu o le ulu, migraine continum: O se manatu. J Manipulative Physiol Ther 1994; 17 (3): 157-67.
20. Kidd R, Nelson C. Faʻasologa o musika o le ua i migraine ma le vevela. Faʻaiʻuga 1993; 33: 566-9.
21. Milne E. O le faʻaaogaina ma togafitiga o migraine ma isi faʻafitauli o le gasegase o le tino ma le faʻailoga. Cephalgia 1989; 9 (Aseta 10): 381-2.
22. Young K, Dharmi M. O le malosi o togafitiga o le tino e ese mai i togafitiga faafomaʻi i le togafitiga o tagata maʻi migraine. Faʻatauga o le Consortium mo le Suesueina o Chiropractic. 1987.
23. Marcus DA. Migraine ma le faʻafefeteina o le ulu o le ulu: o le faʻamaonia le aoga o le faʻavasegaga o le faʻavasegaga. Paʻu 1992; 8: 28-36.
24. Vaega o le Faʻatulagaga o le Mateʻaʻa o le International Headache, Sosaiete. Faʻavasegaga ma tulaga o le faʻamaʻiina mo maʻi o le ulu, maʻi o le tino ma le tiga o le tino. Cephalgia 1988; 9 (Aseta 7): 1-93.
25. Rasmussen BK, Jensen R, Schroll M, Olsen J. O fegalegaleaiga i le va o migraine ma le faʻafefeteina o le ulu o ulu o le ulu i le lautele. Arch Neurol 1992; 49: 914-8.
26. Vernon H. Upper Cervical Syndrome: Cervical Diagnosis and Treatment. I Vernon H. (Ed): Faʻamatalaga Eseese o le Paʻa. 1988 Baltimore, Williams ma Wilkins.
27. Vernon HT. Lapataiga o le toto ma le tiga o le ulu o le tino. J Manipulative Physiol Ther 1989; 12: 455-68.

Tapuni Faʻatasiga

Migraine Headache Chiropractic Treatment | El Paso, TX Chiropractor

by valevalevale | Faʻafefete, Faafomai e faaaogaina i, Migraine

O le migraine e masani ona faailoaina i se tulaga talafeagai i le tiga matuitui poo le lagona o lagona, e masani lava i le tasi itu o le ulu, e masani lava ona o mai faatasi ma le nao, vomiting ma lagona loloto i le malamalama ma le leo. O le tiga o le ulu o le migraine e mafai ona tumau mo le tele o itula i aso uma ma e mafai ona matua ogaoga ia faailoga atonu latou te le mafai. E tele fomaʻi e mafai ona togafitia le tele o tiga o le ulu, peitaʻi, o le faʻaaogaina o fualaau faasaina ma / poʻo vailaʻau e mafai ona faʻamalieina mo sina taimi ia faʻamaʻi tiga. O suʻesuʻega faʻavae suʻesuʻe e pei o le faʻamatalaga o loʻo i lalo, ua faʻamoemoe e mafai ona togafitia togafitiga o togafiti faʻamaʻi toto e faʻalelei atili ai le ulu o le migraine. O le faʻamoemoega o le tusiga o le aʻoaʻoina lea o tagata gasegase i le migraine ulu o le togafiti.

O se suʻega o le togafitiga faʻapitoa mo togafitiga faʻapitoa mo togafitiga faʻapitoa mo le togafiti

lē faʻatino

sini: Le iloiloga o le aoga o le togafitiga o togafiti togafitiga o Chiropractic (SMT) i le togafitiga o migraine.
Design: O se faʻamoemoega ole suʻega ile sefulu lua masina le umi. O le faamasinoga e aofia ai vaega ole 3: lua masina muamua togafitiga, lua masina togafitiga, ma le lua masina i le maea ai o togafitiga. O le faʻatusatusa o taunuʻuga i uluai faʻailoga autu na faia ma faʻapea foʻi le 6 masina talu ona maeʻa le suʻesuʻega.
Faatulaga: Chiropractic Research Center o le University of Macquarie
Tagata auai: E tolusefulu lua tagata volenitia, i le va o vaitausaga o le 20 i le 65 na faʻatautaia e ala i faasalalauga faasalalau. O le suʻesuʻega o le migraine na faʻavaeina i luga o se suʻega auiliiliga auiliili, ma le itiiti ifo i le tasi migraine i le masina.
Faʻalavelave: Lua masina o le SMT i le vertebral fixations na filifilia e le lōia, e ala i togafitiga faʻapitoa ma faʻataʻitaʻiga.
Faʻamaumauga autu: O tagata auai na faia ni faila i le taimi o le faamasinoga atoa e matauina le televave, malosi (sikoa vaaia vaaia), umi, le atoatoa, faailoga fesootai ma le faʻaaogaina o vailaʻau mo gaioiga taʻitasi.
Tali: O uluaʻi 32 sui na faʻaalia le taua tele (p <0.05) faʻaleleia atili o le migraine taimi, VAS, le atoatoa, ma le faʻaogaina o vailaʻau, pe a faʻatusatusa i tulaga amata amata. O se isi iloiloga o taunuʻuga i le maeʻa ai o le ono masina tulitatao (faʻavae i luga o le 24 tagata auai), faʻaauau pea ona faʻaalia fuainumera taua faʻaleleia i migraine taimi (p <0.005), VAS (p <0.01), le atoatoa (p <0.05), ma vailaʻau faʻaaogaina (p <0.01), pe a faʻatusatusa i tulaga amata amata. I se faʻaopopoga, faʻamatalaga na aoina e faʻatatau i ni suiga i le ua tiga pe a maeʻa le SMT o le chiropractic. O iʻuga na taʻu mai ai e 14 tagata auai (58%) na lipotia le leai o se faʻaopoopoga i le ua tiga ona o se taunuuga o le lua masina o le SMT. E toalima tagata na auai (21%) na lipotia sina siitaga, e toatolu tagata auai (13%) na lipotia mai le tiga malie, ae toalua tagata auai (8%) na lipotia mai le feololo o le tiga.
Faaiuga: O taunuʻuga o lenei suʻesuʻega e lagolagoina ai le manatu o le ChiPractic SMT o se togafitiga lelei mo migraine, i nisi o tagata. Ae ui i lea, o se suʻesuʻega e sili atu ona pulea e manaʻomia.
Faʻamatalaga Faasino Igoa (MeSH): Migraine; fomaʻi; togafiti; faʻamoemoe faʻatino; ua.

faʻatomuaga

O le tui vavalalata o se mafuaʻaga o le tiga o le ulu ua lelei ona faamatalaina i tusitusiga (1,2). O le Komiti Faʻatulagaina o le Faʻatonuina o le Headache o le International Headaches Society, ua faʻamalamalamaina le ulu o le ulu, e faaopoopo atu i isi ituaiga o ulu o le ulu, e aofia ai le migraine ma le teteʻe ituaiga (3).

Ae ui i lea, o le matafaioi o le ogatotonu (aemaise lava o le vavalaʻau) ma a latou togafitiga faʻatasi mo le migraine e leai se faʻamautuina o le mafutaga poʻo le manino auala o le aetiological (4-7). E le gata i lea, o migraine e masani lava ona iai ni mea e le mautonu pe faʻaogaina ai suʻesuʻega e pei ona avea ai ma sui o le tui o le tino e avea o se mea e sili atu le taua (8,9).

Migraine Headache Chiropractic Treatment | El Paso, TX Chiropractor

O migraines o se tulaga taatele ma le faʻavaivai ae talu ai ona o lenei suʻesuʻega le mautinoa, o le togafitiga sili ona fetaui talafeagai e leʻi faavaeina (9,10). O le tele o faataitaiga aetiological e fesootaʻi ma mafuaʻaga masani o migraine, lea e foliga mai e amataina i le toto i le cerebrum ma sosoo ai ma le vasodilatry extracranial ao faagasolo le taimi o le tiga (11,12). Ae ui i lea, o isi ata o le aetiological e foliga mai e fesoʻotaʻi ma suiga tetele e fesoʻotaʻi ma mafuaʻaga o le neurology ma faʻalavelave faʻasolosolo serotonergic (10). O le mea lea, o togafitiga muamua ua taulai atu i vailaau faafomaʻi o suiga o le toto poʻo le poloka o le taligata o le serotonin (11).

O lenei pepa o le a iloilo ai le aoga o le togafitiga togafiti togafiti i togafitiga o le togavao i le taimi o se suʻega faʻapitoa i le falemaʻi e sefulu lua masina.

Togafitiga faʻamaʻi

SMT faʻateleina o loʻo faʻamatalaina o se gaioiga faʻasolosolo i le taimi lea e faʻatautaia ai le tolu mafutaga faʻatasi e sili atu nai lo le tulaga masani o le gaioiga o le gaioiga e aunoa ma le sili atu i tuaoi o le faʻamaoni faʻatau (4). E manaʻomia e le SMT se malosi malosi i se taʻiala patino, e masani lava i se pupuʻu puʻupuʻu e faasaʻo ai se faafitauli o le faʻaitiitia o le vevelala motion poʻo le faʻailoga tulaga. Togafitiga e masani lava ona i ai le televave o le vavao, o le maualuga o le solo i luga o le togavao (auala eseese), i luga o vaega o le vetebral fixation fuafuaina e se falemai ma le suʻega faaletino.

Ua galue Dr Jimenez i le neck_preview | El Paso, TX Chiropractor

The most commonly used factors to locate vertebral fixation (denoted vertebral subluxation complex by�chiropractors) are a clinical history relating to mechanical pain patterns and medical details to excluded possible non- mechanical causes (4). These findings would then be confirmed by a thorough physical examination, by assessing which tests/signs (orthopaedic and chiropractic) were able to reproduce the presenting symptom (7).

O suʻesuʻega i le aoga ma le taugata o togafitiga mo le toe maua o tiga ua maua ai se aoga tele mo le togafitiga o togafiti togafiti (SMT). O nei suʻesuʻega ua auiliiliina i se lomiga na muamua atu e lenei tusitala i luga o le fomaʻi i totonu o le faiga o taui a le aufaigaluega (13). E le gata i lea, o le tele o suʻesuʻega ua faʻaalia ai le faʻaleleia atili o le tiga o le ua ma le ulu o le ulu pe a maeʻa le SMT (4,7,14-17).

O lenei pepa o le a suʻeina ai se manatu e faapea o aʻafiaga o le eleele e foliga mai e saofaga i le aioio ma le faʻaleagaina o le migraine.

Auala

O le suʻesuʻega o le suʻega o le aʻoga e 12 masina o loʻo aofia ai ma le 32 suʻega na latou mauaina le lua masina masina o le SMT. Togafitiga e aofia ai le pupuʻu puupuu, o le maualuga o le saoasaoa o le faʻasolosolo o togafiti (togafiti faʻasolosolo), i luga o vaega o le vetebral subluxation ua fuafuaina e le suʻega faaletino.

O tagata na auai na mauaina e ala i le leitio ma nusipepa i le itu a Sini. Na faʻamaeʻaina e le au talosaga ni fesili na tuʻuina atu, ma na filifilia e tusa ma a latou tali i faʻailoga nei. O tagata na auai na manaʻomia le laʻititi ifo o le 5 o faʻailo o le IHS o loʻo sosoʻo: tali atu i tiga e manaʻomia ai le taofia o gaioiga, le manaʻoga e sailia se pogisa filemu, tiga unilateral tuʻufaʻatasia, tiga faʻamatalaina pei o tatamu / tata, faʻatonutonu faʻailoga o le niniva & / poʻo le puaʻi, photophobia & / poʻo le phonophobia, migraine faʻateteleina i le ulu poʻo le ua faʻagaioiga, ma le talaʻaga o le aiga o migraine (3).

O le aofia ai sa faʻavae foi i luga o tagata o loʻo auai i le sili atu ma le tasi migraine i le masina. O le faʻaaogaina na faʻavae i luga o faʻamatalaga e le o migraine o se migraine i aso taʻitasi poʻo le mafuaʻaga o le faʻaleagaina. O tagata auai foi na le aofia mai le suesuega pe afai ei ai ni itu-faailoga i le SMT, e pei o le maningitis poo le cerebral anerysm. E le gata i lea, o tagata na auai i le tino, o le maualuga o le toto o le intracranial poo le va o le vaalele e le aofia ai ona o tulaga saogalemu.

Participants completed diaries during the initial six month trial noting the frequency, VAS, duration, disability, associated symptoms and use of medication for each migraine episode. Participants were instructed how to complete the diary which contained a table and an�instruction sheet. Participants had to note the date of the migraine, an intensity score based on a visual analogue scale, the hours the migraine lasted and the time before they could return to normal activities. In addition, participants noted associated symptoms using a letter abbreviation and they noted the type and strength of medication for each migraine episode.

O le tauaso o le tagata maʻi na ausia e tagata o loʻo auai e faʻamalamalama e mafai ona tofia i latou i se vaega e pulea lea o le a maua se togafitiga nofoagabo (e leai se aoga). E tutusa lava, na "faatauaso" ia lōia i togafitiga muamua, o le tuuina atu o le faagasologa o taualumaga ma isi fuafuaga.

O le vaega muamua o le faamasinoga na faia i luga o le ono masina, ma e aofia ai vaega ole 3: lua masina muamua togafitiga, lua masina togafitiga, ma le lua masina i le maea ai o togafitiga. Na faʻafesoʻotaʻi e le tusitala le isi ono masina i le maea ai o le uluaʻi faʻataʻitaʻiga ma talosagaina e faʻamaeʻaina se isi fesili e tusa ai ma a latou vaitau o migraine oi ai nei mo le faʻatusatusa i faʻamaumauga autu. O le fesili na tuʻuina atu i luga na sailia ai faʻamatalaga i luga o fua tutusa, e pei ona faʻamatalaina i faʻamaumauga faʻamatalaina i luga.

O le faʻatusatusaga na faia i le amataina o fuataga o fuataga o migraine ao leʻi amataina le SMT, faʻamaumauga i le faaiuga o le lua masina i le SMT, ma le ono masina faʻasologa o faʻamaumauga. O suʻesuʻega faʻafuainumera na aʻafia ai le faʻatusatusaina o suiga o fua eseese o fuataga ole taimi, VAS, umi, le atoatoa, ma le faʻaaogaina o vailaau i taimi uma o le faamasinoga. O suʻesuʻega faʻamaumauga na faʻafaigaluegaina o se suʻega tuʻufaʻatasia e suʻeina ai se eseesega tele i le va o vaega taʻitasi ma se tasi auala o le iloiloga o le eseesega (ANOVA) e suʻe ai suiga mo vaega uma.

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

"E faʻafefea e togafiti togafiti togafiti togafiti togafitiga fesoasoani ona fesoasoani i loʻu pulea o loʻu tiga o le migraine?"�Although researchers today don’t know the definitive cause behind these complex headaches, many healthcare professionals believe migraines are often the result of an underlying issue along the cervical spine, or neck. If you suffer from migraine headache pain, chiropractic treatment can help correct spinal misalignments, or subluxations, in the cervical spine to improve the severity of the headache and decrease their frequency. It’s not necessary to rely on drugs and/or medications to relieve the painful symptoms, however, these may be used if properly directed by a healthcare professional. Rather than focusing on the head pain alone, a doctor of chiropractic will target the source of the issue and help improve your overall health and wellness.

i'uga

E tolusefulu tagata auai, i le va o vaitausaga o le 23 i le 60, na auai i le suʻesuʻega ma o iai 14 tane ma 18 tamaitai. O le Ata 1 o loʻo tuʻuina mai ai fuainumera faʻatusatusa faʻatusatusa mo le kulupu. O le umi o le taimi sa i ai tagata malaga i le va o 5 i 36 tausaga mo le kulupu, ma o le averesi o 18.1 tausaga. O le umi o se mea na masani ai le migraine na tupu i le va o 0.75 i 108 itula mo le kulupu, ma o le avega o 23.3 itula. O le le atoatoa (le umi o le taimi ao le mafai e le tagata ona toe foi i gaoioiga masani) o se migraine masani masani i le va o 0 i 108 itula mo le kulupu, ma le avega o 25.0 itula.

Faʻamaumauga 1 Fuainumera Faʻatusatusaga mo le Vaega ao leʻi amataina le Suesuega | Dr. Alex Jimenez | El Paso, TX Chiropractor

O le pasene mo tali taʻitasi o faʻataʻitaʻiga o taiala a le IHS o loʻo faʻamatalaina i le laulau 2 (Ripoti 2). O tali sili ona maualuga mo photophobia (91%), nausea (88%), tali i le tiga e manaomia ai le tagata e saili se nofoaga filemu filemu (84%), phonophobia (72%), uiga faʻamaʻi tiga (69%), parieto- tiga o le tino (69%), le mafai ona faʻaauau galuega masani (66%), ma talafaasolopito o aiga (63%).

Faʻataʻotoga 2 IHS Criteria Fesili Faʻamatalaga mo Tali ao leʻi amataina le Suesuega | Dr. Alex Jimenez | El Paso, TX Chiropractor

O le suʻesuʻeina o le IHS ma tali sili ona maualalo o le gasegase lea (31%), faʻaleagaina le ulu i le ulu poʻo le faamaʻi (53%), ma le vomiting (56%). O se numera faʻatusa (44%) o tagata e leʻi faʻaalia le gaioiga e avea o se ata, ae ui i lea, na latou faamatalaina pe o suiga vaaia eseese poʻo parapese. O le mea lea, o le numera o tagata o loʻo feagai ma femalagaaʻi ma le aura (MA) mo lenei vaega e luasefulu fa (75%) o le aofaiga atoa o le tolusefulu lua.

Na faʻaalia e le kulupu le faʻaleleia atili o fuainumera (p <0.05) i taimi o migraine, VAS, umi ma le le atoatoa, pe a faʻatusatusa i tulaga amata amata. O le masani na faʻaititia e 46% mo le kulupu, ogaoga faʻaititia e 12%, umi faʻaititia e 20%, le atoatoa faʻaititia e 14% naʻo le tasi tagata auai (3.1%) lipotia mai o latou migraine episodes na sili atu le leaga ina ua mavae le lua masina o SMT, ae e leʻo lagolagoina lenei mea ile lua masina talu mai togafitiga faʻasolosolo taimi. O le siata 3 o loʻo faʻaalia mai ai fesuiaʻiga togi i vasega taʻitasi e ono mo le tolu vaega o le faamasinoga.

Lisi 3 Faʻatusatusa Taunuʻuga mo le kulupu ao leʻi amataina le suʻesuʻega | Dr. Alex Jimenez | El Paso, TX Chiropractor

From the initial thirty two participants who entered the study, four participants failed to complete the entire trial, one due to alteration in work situation, one due to a fractured ankle, one due to soreness after SMT, and one ACO�following a perceived worsening of their migraine due to chiropractic SMT. In addition, four people failed to return their six month follow up data, and were excluded from the assessment. Therefore the assessment of changes in migraine at the twelve month period was based on 24 participants. Table 4 gives the comparative statistics for this group at the end of the 12 month period.

Lisi 4 Suiga i Fua o Galuega Faatino mo Laʻasaga Faʻavae Laʻasaga Faatusatusa i le 12 Month Follow Up | Dr. Alex Jimenez | El Paso, TX Chiropractor

O le averesi tali ile sefulu ma le lua masina (n = 24) na faʻaalia ai le faʻaleleia atili o fuainumera o taimi i le tele o taimi ole migraine (p <0.005), VAS (p <0.01), umi (p <0.05), ma le faʻaaogaina o vailaʻau (p <0.01), pe a faʻatusatusa i amataga tulaga amata (Ata ????). O le pito sili ona tele mo le faʻaleleia o le tele o vaega (60% faʻaititia), ma le fesoʻotaʻiga ogaoga o migraine taʻitasi (14% faʻaititia). I se faʻaopopoga, o le umi o le migraine (20% faʻaititia) ma le faʻaaogaina o vailaʻau, faʻaititia tele mulimuli ane i le SMT faʻalavelave (36% faʻaititia). Lisi 3 faʻaalia uiga fesuiaʻi togi mo le tolu vaega o le tofotofoga ma fuainumera taua i le auiliiliga o eseesega (ANOVA).

O le isi isi faʻasili e fesoʻotai ma le tiga o le ua. E sefulufa tagata auai (58%) na lipotia mai le leai o se faateleina o le tiga o le ua ona o se taunuuga o le lua masina o le SMT. E toalima tagata na auai (21%) na lipotia mai se tiga itiiti, e tolu tagata na auai (13%) na lipotia le tiga tiga, ma e toalua tagata na auai (8%) na lipotia mai tiga matuia.

Talanoaga

O le toʻatele o tagata na aʻafia ai, na masani ona maua ile migraine ile 18.1 tausaga. Peitaʻi, o iʻuga na faʻaalia ai le taua (p <0.005) faʻaititia o latou vaega o le migraine ma a latou fesoʻotaʻiga faʻapitoa. O le numera numera o migraines ile masina na faʻaititia mai le 7.6 i le 2.6 vaega.

O se suʻesuʻega o se masina sefululua e maua ai le taua tele ona o le faitioina o suʻesuʻega muamua e faapea o le umi o le faamasinoga e puupuu tele e le mafai ai ona maua le natura o migraines (18). Ae ui i lea, o le suʻesuʻega na faʻatapulaʻaina i le tele o le faʻataʻitaʻiga ma le mea moni o le faamasinoga o se suʻesuʻega masani lea e leʻi mafaufauina po oa vaega o le SNIT na faʻamalosia ai le faʻaleleia atili o le migraines.

In addition, the study was limited due to the lack of a control group. However, it could be argued that participants acted as their own form of control, due to the�baseline two months data collection, especially given the fact that this group were chronic migraine sufferers.

O le isi tapulaʻa o lenei suʻesuʻega, e pei o isi suʻesuʻega o migraine poʻo le ulu o le ulu o loʻo i ai le tele o le siama ma le faʻavasegaina o migraines. O le fesili na faʻaaogaina i lenei suʻesuʻega na faʻamaonia le lelei, ae ui i lea, o loʻo i ai le fautuaga malosi e mafai e le toʻatele o tagata pagatia o le ulu ona sili atu ma le tasi le ituaiga o maʻi o le ulu (6-9). O se faʻatagaga ma le mamanu o lenei suʻesuʻega, e tusa lava po o le a tonu le "suʻesuʻega" o le migraine, o le faaleleia o lipoti a le tagata lava ia o fuataga e mafai ai le iloiloga o le aoga o le togafitiga e fesiligia (4).

O lenei suʻesuʻega e foliga mai e faʻamaonia ai o loʻo i ai se numera o mea faʻapitoa poʻo mea faʻateleina e aʻafia ai i vaega o migraine ma o le mea lea o se tasi togafitiga togafitiga e ono le aoga i le umi (4,5,9,15).

O faifeʻau e tatau ona nofouta i togafitiga eseese togafitiga ma o latou lelei lelei poʻo le tapulaa.

O le mea taua, o le tele o faʻamaoniga na aʻafia ai tagata auai i le faamasinoga na lipotia mai o le a faʻaitiitia i le mulimuli i le SMT. O aʻafiaga e fesoʻotaʻi na faʻaitiitia i le maea ai o le faamasinoga na aofia ai le faʻaaogaina (41% o tagata auai na lagona le faʻaitiitia), photophobia (31% lagona faʻaitiitia), vomiting (25% lagona faaitiitia), ma phonophobia (25% lagona faaitiitia). O aʻafiaga e masani ona lipotia mai lea e masani ona faateleina pe a maeʻa togafitiga faafomaʻi e aofia ai le gasea, vomiting, vaivai, tiga o le fatafata, faʻamalologa, pagatia, syncope, vertigo ma le masani ai faʻamalosia o le inrial. E le gata i lea, o faʻamatalaga lata mai ua faʻamaonia ai le sumatriptan e avea ma mafuaaga e mafua ai le faaletonu o le fanau ma le faʻaleagaina o le myocardial (19,20).

O Dr Jimenez e galue i tua i togafitiga i Push crossfit competition | El Paso, TX Chiropractor

E ui lava e le o se mea na matauina e le IHS, o le atuatuvale e tusa lava pe o se mea e sili ona leaga pe mafua ai le taua na taʻua e le 73% o tagata auai. E le gata i lea, o le 66% o tagata na lipotia le tiga o le ua i le taimi o le migraine, faatasi ai ma le isi 31% o tagata na lipotia mai le tiga maualuga (o nisi tagata na lauiloa i le taimi e tasi).

O le mea e maofa ai, e lima tagata i le faaiuga o le 12 masina na mulimuli mai e leai ni feoai ma na faʻaititia le manaʻomia mo togafitiga e le 100% mulimuli i le SMT. E leai se gasegase na lipotia mai ua faateleina lo latou femalagaaʻi ona o le faaiuga a le SMT.

iʻuga

O taunuʻuga o lenei suʻesuʻega e lagolagoina ai le manatu o le ChiPractic SMT o se togafitiga lelei mo migraine, i nisi o tagata. Ae ui i lea, ona o le telefactorial natura o migraine, ma o le sailiiliga e masani ona faaitiitia le faasolosolo i lalo o soʻo se gaioiga, e manaʻomia ai suʻesuʻega e sili atu ona tele.

O se faʻataʻitaʻiga faʻapitoa e faʻatautaia e faʻaaogaina le faʻaaogaina o le EPT (faʻafefefeleiga), se vaega faʻamalosi ma se vaega SMT ua latalata i le faaiuga. O loʻo faʻamoemoeina o lenei faamasinoga o le a maua ai nisi faʻamatalaga o le aoga o Chiropractic SMT i le togafitiga o migraine ma le aura.

I le faaiuga,�because migraine headache pain can be significantly debilitating, it’s essential for patients who suffer from this complex type of head pain to understand the effectiveness of chiropractic spinal manipulative therapy. According to the results of the research study above, migraine headache chiropractic treatment can be effectively used to as migraine treatment. Regardless of the results of the twelve month clinical trial, further research studies are still required. Information referenced from the National Center for Biotechnology Information (NCBI). The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

blog blog ataata pepa lapopoa

FAʻAALIGA TOPIC: TUʻUʻU FAʻATASI: O Oe Lelei Oe!

AUTU TULAGA FAATINO: FAʻAALIGA: Taʻaloga Taʻaloga? | Vincent Garcia | Patient | El Paso, TX Chiropractor

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mau faasino

1. Bogduk N. Cervical mafuaʻaga o le maʻi tigaina ma le vevela. I: Greive GP (ed) Faʻasologa o le faʻaaogaina o le laupepa vertebral. 2nd ed 1994. Churchill Livingstone, Edinburgh. p3l7-31.
2. JUL GA. Cervical Headache: o se toe iloiloga. I: Greive GP (ed) Faʻataʻitaʻiga o le Modem o le laina vertebral. 2nd ed 1994. Churchill Livingstone, Edinburgh. p 333-34,6
3. Vaega o le Faʻatulagaga o le Mateʻaʻa o le International Headache, Sosaiete. Faʻavasegaga ma tulaga o le faʻamaʻiina mo maʻi o le ulu, maʻi o le tino ma le tiga o le tino. Cephalgia 1988, 9. Faletupe. 7: 1-93.
4. Tuchin PJ. Le aoga ole togafitiga ole faʻasolosolo ole togafiti faʻamalosi tino (SMT) ile togafitia ole migraine - ole suʻesuʻega pailate. Aust Chiro & Osteo 1997; 6: 41-7.
5. Milne E. Le faiga ma le togafitiga o migraine ma isi faaletonu o le gasegase o le tino ma le meli. Cephaigia 1989; 9, Suppi 10: 381-2.
6. Kidd R, Nelson C. Faʻasologa o musika o le ua i migraine ma le vevela. Faʻaiʻuga 1993; 33: 566-9.
7. Tuchin PJ, Bonello R. Classic migraine pe le o masani migraine, o le fesili lena. Aust Chiro & Osteo 1996; 5: 66-74.
8. Marcus DA. Migraine ma le faʻafefeteina o le ulu o le ulu: o le faʻamaonia le aoga o le faʻavasegaga o le faʻavasegaga. 1992; Paʻu 8: 28-36.
9. Rasmussen BK, Jensen R, Schroll M, Olsen J. O fegalegaleaiga i le va o migraine ma le faʻafefeteina o le ulu o ulu o le ulu i le lautele. Arch Neurol 1992; 49: 914-8.
10. Lance JW. O se manatu o le migraine ma le sailiga mo le togafitiga sili o le ulu. Faʻaiʻuga 1990; 1: 17-23.
11. Dalassio D. O togafitiga o migraine. Clin J Pain 1990 6: 235-9.
12. Moskowitz MA. Faʻavae autu i le maʻi vevela. Neurol Clin 1990; 16: 157-68
13. Tuchin PJ, Bonello R. Iloiloga Muamua a le Suʻesuʻega o le Faʻaaogaina o Faʻafitauli Faʻaleagaina ma le Tau i Tagata Faigaluega Faʻaagaga o Niu Sila i Saute. J Manipulative Physiol Ther 1995; lg: 503-11.
14. Tuchin PJ, Scwafer T, Brookes M. O se Suʻesuʻega o Mataupu o le Maʻi Uli o le ulu. Aust Chiro & Osteo 1996; 5: 47-53.
15. Parker GB, Tupling H, Pryor DS. O se Faʻasalaga Faʻatoʻaina o le Faʻamālōina o le Cervical mo Migraine. Aust NZ J Med 1978; 8: 585-93.
16. Young K, Dharmi M. Le aoga o togafitiga o le tino e ese mai i togafitiga faafomaʻi i le togafitiga o tagata maʻi migraine. Faʻatauga o le Consortium mo le Suesueina o Chiropractic. 1987.
17. Vernon H, Steiman I, Hagino C. Cervicogenic faʻafitauli i le muscle contraction ulu ma migraine: suʻesuʻega faʻamatalaga. J Manipulative Physiol Ther 1992; 15: 418-29
18. Parker GB, Tupling H, Pryor DS. Aisea e faaleleia atili ai le gasegase i le taimi o se suʻega faʻapitoa? Isi faʻamatalaga mai se faʻataʻitaʻiga o togafitiga faʻapitoa mo migraine. Aust NZ J Med 1980; 10: 192-8.
19. Ottervanger JP, Stricker BH. Faʻaleagaga o le cardiovascular i le sumatriptan: faʻapogai mo popolega? CNS Drugs 1995; 3: 90-8.
20. Simmons VE, Blakeborough P. Le talaaga saogalemu o le sumatriptan. Rev Contemp Pharmacother 1994; 5: 319-28.

Tapuni Faʻatasiga

Togafitiga o Paga o Migraine | Dr. Alex Jimenez

by valevalevale | Faʻafefete, Faafomai e faaaogaina i, Migraine

O le migraine o lo'o fa'aalia e pei o se ulu e feololo i le tiga, e masani ona fa'atasi ma le faufau ma le maaleale i le malamalama ma le leo. Toeitiiti atoa le 1 i le 4 o aiga i le Iunaite Setete e aofia ai se tasi e maua i le migraine. O le mea moni, o le migraine ua manatu o le 3rd sili ona taatele tulaga i le lalolagi. E le'i fa'ailoaina e le au su'esu'e se mafua'aga tonu mo migraines, peita'i, e tele mea e talitonuina e fa'aosoina ai le tiga lavelave o le ulu, e aofia ai le fa'aletonu i le tui fa'a'au'au. O le tausiga o le Chiropractic o se isi togafitiga lauiloa e faʻaaogaina e fesoasoani e togafitia ai le ulu o le ulu ma faʻaleleia auga. O le faʻamoemoega o le suʻesuʻega o loʻo mulimuli mai o le faʻaalia lea o aʻafiaga o togafitiga faʻasolosolo ile puleaina o tiga o migraine.

Se Faʻataʻitaʻiga o le Faʻailoaina o Migraine I le maea ai o le Tausiga o Chiropractic

lē faʻatino

Manulauti: Tuʻuina atu se suʻesuʻega faʻataʻitaʻiga o le maʻi migraine na i ai se faʻaleleia tele ina ua maeʻa togafitiga faʻamaʻi faʻamaʻi (CSMT).
Clinical features: The case presented is a 72-year�old woman with a 60-year history of migraine headaches, which included nausea, vomiting, photophobia, and phonophobia.
Faʻalavelave ma taunuʻuga: O le averesi o taimi o migraine aʻo leʻi faia togafitiga o le 1 i le 2 i le vaiaso, e aofia ai le nausea, vomiting, photophobia, ma le phonophobia; ma o le averesi o le umi o vaega taitasi e 1 i le 3 aso. O le tagata maʻi na togafitia i le CSMT. Na ia lipotia uma vaega na faʻaumatia pe a uma le CSMT. Na mautinoa e le tagata maʻi e leai se isi suiga o le olaga na mafai ona fesoasoani i lona faʻaleleia. Sa ia fa’ailoa fo’i o le fa’aaogaina o ana vaila’au ua fa’aitiitia i le 100%. O le tulitatao 7-tausaga na faʻaalia ai e leʻi maua lava e le tagata se mea e tasi o le migraine i lenei vaitau.
Fa'ai'uga: O lenei mataupu o lo'o fa'amamafaina ai e mafai e se vaega o tagata ma'i migraine ona tali lelei ile CSMT. E ui o se suʻesuʻega faʻataʻitaʻiga e le faʻaalia ai faʻamaoniga faʻasaienisi taua, i le faʻamatalaga ma isi suʻesuʻega na faia, o lenei suʻesuʻega o loʻo fautua mai ai o se suʻesuʻega o le CSMT e tatau ona mafaufauina mo le faʻamaʻi o le ulu o le ulu, aemaise lava pe a le tali atu tagata gasegase i vailaʻau pe manaʻo e faʻaoga isi togafitiga. metotia.
Faʻamatalaga autu o le faasino igoa: Migraine, Chiropractic, togafiti togafiti

faʻatomuaga

O le Migraine o loʻo tumau pea le tulaga masani ma faʻavaivaia.[1, 2] E i ai se fua faatatau o le 6% i tane ma le 18% i fafine.[2] O se su'esu'ega i Ausetalia na maua ai le tau o pisinisi e tusa ma le $750 miliona.[3] Na maua e Lipton et al o migraine o se tasi lea o mafuaʻaga e masani ona faʻatalanoaina ma fomaʻi lautele, e aʻafia ai le va o le 12 miliona ma le 18 miliona tagata i tausaga taʻitasi i le Iunaite Setete.[4] O le tau fuafuaina i le Iunaite Setete e $25 piliona i le leiloa o le gaosiga ona o le 156 miliona aso faigaluega tumau ua leiloa i tausaga taitasi.[5] O faʻamatalaga lata mai ua fautua mai ai o nei fuainumera matutua o loʻo i luga o loʻo iai pea, ae o loʻo faʻamaualaloina foi, ona o le tele o tagata mamaʻi e le o taʻua o latou faʻafitauli ona o se faʻailoga leaga lautele.[6]

O le Brain Foundation i Ausetalia e matauina o le 23% o aiga e aofia ai le itiiti ifo ma le tasi le migraine. Toeitiiti lava o tagata uma e mafatia i le migraine ma le 60% o i latou o loʻo i ai le faʻalavelave-faʻapitoa o le tiga o le tino faʻaitiitia faʻafitauli i gaoioiga faʻaagafesootai ma le gafatia galuega. O tau tuusaʻo ma le tuusaʻo o migraine na o le $ 1 piliona i le tausaga [3]

O le Komiti o le Faʻatonuina o le Mateʻaina o le International Headache Society (IHS) o loʻo faʻamatalaina ai migraines e pei ona i ai: tulaga le tasi, faʻaleleia o le lelei, faʻaititia poʻo le ogaoga, ma faʻateleina e ala i gaoioiga faifai pea. I le taimi o le tiga o le ulu, e tatau foi i le tagata ona aafia i le nausea ma / poo le vomiting, photophobia, ma / poo le phonophobia [7] I le faaopoopo atu, e leai se fautuaga pe mai le tala faasolopito poʻo le suʻega faʻapitoa poʻo le neurologic e iai le ulu o le ulu o le tagata i vaega 5 i le 11 o la latou faʻavasegaga. [7] Groups 5 i le 11 o le faʻavasegaga faʻapitoa e aofia ai le ulu tiga e fesootaʻi atu i le ulu o le tino, vascular disorders, disabranial nonvasvas, vailaʻau po o le aveeseina o maʻi, maʻi faʻamaʻi, poʻo le faʻaleagaina o le suka , ua, mata, isu, sinuses, nifo, gutu, poʻo isi fausaga poʻo foliga o le tino.

O nisi le mautonu e fesoʻotaʻi ma le uraaura foliga e faʻamamafa ai le migraine ma le aura (MA) ma le migraine e aunoa ma le aura (MW). O le aura e masani lava ona aofia ai ma le le vaʻaia o vaʻaiga vaʻaia, unilateral paresthesias ma / poʻo le leai o se mea, unilateral vaivaiga, aphasia, poʻo le faʻamatalaina faigata tautalaga. [7] O nisi migraineurs faʻamatalaina le aura o se opaque mea, poʻo se zigzag laina faʻataʻali se ao; e oʻo lava i mataupu o togafiti faʻapitoa na faʻamaumauina. [8] O faʻaupuga fou MA ma MW suia le tuai tuʻaiga masani migraine ma masani migraine, faʻatulagaina.

O le suʻesuʻega o le IHS mo MA (vaega 1.2) o le 3 sili lea o mea nei:

Tasi pe sili atu fa'ailoga aura e mafai ona fa'afo'i atoatoa e fa'ailoa mai ai le fa'aletonu o le fai'ai.
E le itiiti ifo ma le 1 le aura fa'ailoga e tupu malie ile silia ma le 4 minute po'o le 2 pe sili atu fa'ailoga e tupu fa'asolosolo.
E leai se fa'ailoga aura e sili atu i le 60 minute.
O le tiga o le ulu e mulimuli i le aura ma se vaeluaga e itiiti ifo i le 60 minute.

Ole tele o suʻesuʻega ua faʻaalia ai le faʻaitiitia o fuainumera i migraines ina ua maeʻa togafitiga o togafiti (CSN). [9-10]

O lenei tusiga o le a talanoaina ai se tagata maʻi na tuʻuina atu ma le MW ma lana tali pe a uma le CSMT. O le talanoaga o le a faʻamalamalamaina ai foi tulaga faʻamaonia faʻapitoa mo migraine ma isi ulu matua e faatatau i fomaʻi, osteopath, poʻo isi fomaʻi.

Tulaga Lipoti

O le 72-tausaga `` paʻepaʻe 61-kg paʻepaʻe fafine na faʻaalia i le ulu ulu na amata i le amataga o tamaiti (tusa o le 12 tausaga). E le mafai e le tagata maʻi ona faʻafesoʻotaʻi se mea i le amataga o lana migraines, e ui lava na ia talitonu o loʻo i ai se talaʻaga a le aiga (tama) o le tulaga. I le gasologa o le tala faasolopito, na taʻua ai e le tagata maʻi, sa tigaina lava o ia i le tiga o le ulu o le ulu (1-2 i le vaiaso) lea na ia lagona ai foi le faafaufau, puaʻi, vertigo, ma le photophobia. Na ia manaʻomia le taofia o gaioiga e faʻaitiitia ai faʻailoga, ma e masani ona manaʻomia e ia le acetaminophen ma le codeine vailaʻau (25 mg) poʻo le sumatriptan succinate mo le mapusaga tiga. O le tagata maʻi na aveina foi le verapamil (calcium ion antagonist, mo le maualuga o le toto maualuga), calcitriol (calcium aveina, mo osteoporosis), pnuemenium i aso uma, ma carbamazipine (antiepileptic, neurotropic vailaʻau) faalua i aso uma.

Na lipotia e le tagata gasegase o le averesi o le mea na tupu 1 i le 3 aso ma e le mafai ona ia faia gaioiga o aso uma mo le itiiti ifo i le 12 itula. I se faʻaopopoga, o se vaʻaia fua faʻatusatusa fua togi mo se averesi mea na tupu 8.5 mai le ono togi maualuga o le 10, tutusa ma se faʻamatalaga o le 'tiga matuitui. Na taʻua e le tagata maʻi o le popole poʻo le feteʻenaʻi o le a oso ai se migraine ma o le malamalama ma le pisapisao na faateteleina ai lona tulaga. Na ia faʻamatalaina le migraine o se tiga o le ulu na tu i le vaega o le parietotemporal ma e masani ona tauagavale.

O le tagata maʻi na i ai muamua le talaʻaga o le pulmonary embolism (2 tausaga ae le i faia togafitiga) ma sa i ai se vaega hysterectomy 4 tausaga ae le i faia togafitiga. Na ia taʻua foi sa i ai le toto maualuga na pulea. O ia o se fafine ua maliu lana tane ma e toʻa 2 lana fanau, ma e leʻi ulaula lava. Na faʻataʻitaʻia e le tagata maʻi le gasegase o le acupuncture, physiotherapy, tele o nifo togafitiga, ma le anoanoaʻi o isi vailaʻau; ae leai se mea na suia lana faʻataʻitaʻi migraine. Na ia taʻua foi na te leʻi faia muamua se togafitiga o le togafitiga o le mafaufau. Na taʻua foi e le tagata gasegase, sa togafitia o ia e se fomai o fomai neura mo le `` migraines '' i le tele o tausaga.

I luga o le suʻega, na maua ai o ia i le maʻisipi ma le maualuga o le musika ma faʻaitiitia le tulaga o le lafo i le va o le occiput ma le vetebra muamua (Occ-C1), faʻatasi ai ma le tiga i le feliuliuai ma le faʻaopoopoga o le tui vavalo. Sa i ai foi lona faaitiitia o le faaitiitia o le gaioiga o le tuilaʻau ma le faateleina o le faateleina o lona toto.

O le suʻega o le toto na faʻaalia ai le maualuga o lona ita (178 / 94), o le maʻi na lipotia mai o se avega maualalo (o le maualuga o le 2 maualuga e faʻaaoga ai le Komiti a le National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Press Pressure 7).

Faʻavae luga o le IHS Headache Classification Komiti faʻavasegaga ma faʻavasega tulaga, o le tagata maʻi na i ai le MWcategory 1.1, na taʻua muamua o le migraine masani (Laulau 1). Na aliali mai le tulaga lua i le feololo o le faʻaaoga o le faʻaautagata i le faʻaautagata ma le feololo e feololo i le suboccipital ma le cerular paraspinal myofibrosis.

Laulau 1: Fa'avasegaga o le ulu (IHS Headache Classification Committee)

O le tagata maʻi na mauaina le CSMT (faʻafetaui eseesega ') i lona soʻoga o le Occ-C1, pito i luga o le itu (T2 e oʻo atu i le T7), ma le musele o le hypertonic ua aʻafia. Na faʻasaʻoloto maso Hypertonic e ala i le fofō malie ma le faʻaloaloa. O le amataga vasega o 8 togafitiga na faʻatautaia i taimi masani o faʻalua i le vaiaso mo le 4 vaiaso. O le polokalame togafitiga na aofia ai foʻi ma le puʻeina o ni vaega mo vaega uma o le migraine. Na aofia ai taimi, togi faʻatusa ata, umi vaitaimi, vailaʻau, ma taimi ae latou te leʻi toe foʻi i gaoioiga masani.

O le maʻi na lipotia mai se faʻaleleia tele ina ua maeʻa lana togafitiga muamua ma maitauina ai le faʻaitiitia o lona malosi ma lona ua. Na faʻaauauina lenei faʻataʻitaʻiga ma le maʻi na lipotia mai e leai se faʻafitauli i le uluai masina o togafitiga. O isi togafitiga ua fautuaina ina ia faateleina ai le tele o le gaioiga, faateleina ai le musika, ma faaitiitia le gasegase o le gasegase. E le gata i lea, o le mataʻituina o ona migraine faailoga na faaauau. O se polokalame o togafitiga i se taimi e tasi i le vaiaso mo isi 8 vaiaso na amataina. A maeʻa le isi laasaga o togafitiga, na maitauina e le tagata gasegase le mamafa o le ua, sili atu le femalagaaiga, ma le leai o se aga. E le gata i lea, na te le toe faʻaaogaina fualaau faʻamaʻi (acaminaminophen, codeine, ma le sumatriptan succinate) ma maitauina e le i oʻo ia te ia le gasea, vomiting, photophobia, poʻo le phonophobia (Table 2). Na faʻaauau le togafitiga o le maʻi ile 2-vavaiaso vaiaso ma taʻua ai, ina ua maeʻa masina 6, na mou ese atu ana vaega o migraine. E le gata i lea, ua le o toe i ai le tiga o le ua. O le suʻesuʻeina na faʻaalia ai le leai o se tiga i le gaioiga o le ua; ae ui i lea, o loʻo i ai pea se faʻasologa o le motusia i le itu o le C1-2.

Laulau 2: Vaega 1: migraine (Komiti Fa'avasegaina ole Ulu ole IHS)

O le maʻi o loʻo togafitia i le taimi nei togafitiga uma 4, ma o loʻo ia lipotia pea le le toe foʻi mai o ona migraine episodes poʻo le tiga o le ua. O le tagata gasegase e leʻi oʻo i le taimi nei i soʻo se taimi e sili atu nai lo le 7 tausaga talu mai lana mea na tupu mulimuli ane, lea na vave oʻo i le taimi na muamua ai lana togafitiga muamua.

Dr Jimenez White Coat

Dr. Alex Jimenez's Insight

O le tiga o le Migraine o se faʻafitauli faʻavaivai lea e mafai ona pulea lelei ile tausiga ole chiropractic. Chiropractic togafitiga e maua ai le tele o filifiliga o auʻaunaga e mafai ona fesoasoani i tagata gasegase i manuʻa eseese ma / poʻo tulaga, e aofia ai faʻamaoniga o tiga tumau, faʻatapulaʻaina o le gaioiga ma le tele o isi faʻafitauli tau soifua maloloina. Chiropractic tausiga e mafai foi ona fesoasoani e pulea le atuatuvale e fesootai ma migraine. Ua naunau le matou aufaigaluega e togafitia gasegase e ala i le taulai atu i le puna o le mataupu nai lo le faʻamalolo le tumau o faʻamaoniga e faʻaaoga ai vailaʻau ma / poʻo vailaʻau. O le faʻamoemoega o le tusiga o le faʻaalia lea o faʻamaoniga faʻavae i luga o le faʻaleleia atili o le migraine e faʻaaoga ai togafitiga faʻamaʻi ma ia aʻoaʻoina tagata mamaʻi i le ituaiga sili o togafitiga mo a latou mataupu tau soifua maloloina. Chiropractic togafitiga e maua ai le toomaga mai le tiga o le migraine faʻapea foʻi ma le soifua maloloina atoa ma le soifua manuia.

Talanoaga

O faʻatinoga faʻatinoga e le fausia ai ni tulaga maualuga o faʻamatalaga faasaienisi. Ae ui i lea, o nisi mataupu e maua ai ni mea taua na maua. Mo se faʻataʻitaʻiga, o faʻamatalaga umi (faʻasolosolo) ma / poʻo faʻamaʻi faʻapitoa e mafai ona faʻaalia ai isi togafitiga togafitiga. Faʻatasi ai ma suʻesuʻega faʻapitoa e pei o lenei, e i ai lava se avanoa e mafai ai e le faʻailoga ona foia i se taimi e aunoa ma se aoga mai togafitiga. O le mataupu na tuʻuina mai ai se faʻamaoniga o se isi togafitiga togafitiga. O se faʻamatalaga 7-tausaga na faʻaalia e faapea e leʻi i ai se mea na tupu i le taimi muamua i le tagata. O le tagata gasegase na mautinoa e leai lava se isi ituaiga olaga na suia e mafai ona fesoasoani i lona faʻaleleia atili. Na ia maitauina foi o le migraines na taofia ina ua uma lana togafitiga muamua.

O le tele o taimi o lona faimalaga ao lei togafitiga o 1 i le 2 i le vaiaso, faatasi ai ma faʻamatalaga e masani ona aofia ai le gasea, vomiting, photophobia, ma le phonophobia. E le gata i lea, o le umi o le taimi o mea taʻitasi na tutupu i 1 i le 3 aso aʻo leʻi mauaina le CSMT. Na matauina foi e le tagata e faapea, o le faʻaaogaina o ana vailaau e faʻamalolo ai le tiga na faʻaitiitia foi e le 100% (Table 3).

Lisi 3 Aotelega o suiga autu mo lenei mataupu

Laulau 3: Aotelega o suiga taua mo lenei mataupu

O migraines o se tulaga taatele ma faʻavaivai; ae o le mea e leai se masalosalo, e masani lava ona le manino le faiga o togafitiga talafeagai. [16] O faʻataʻitaʻiga etiologia muamua na faʻamatalaina ai faʻasologa o gasegase o migraine, lea e foliga mai e amataina ai le toto i le cerebrum sosoo ai ma le vasodilation extracranial i le taimi o le maʻi tiga O le mea lea, o togafitiga muamua na taulai atu i vailaau faafomaʻi o suiga o le toto poʻo le poloka o le taligata serotonin. [8] O le mea lea, o togafitiga faʻasolosolo na faʻapipiʻiina i suiga fesuiaiga e fesoʻotaʻi ma suiga o le neurologic ma faʻalavelave faʻavasegaina o serotonergic [9]

Studies examining the role of the cervical spine to headache (ie, �cervicogenic headache�) have been well described in the literature.[18-30] However, the relation of the cervical spine to migraine is less well documented.[10-15] Previous studies by this author have demonstrated an apparent reduction in migraines after CSMT.[10, 11] In addition, other studies have suggested that CSMT may be an effective intervention for migraine.[14, 15] Although, previous studies have some limitations (inaccurate diagnosis, overlapping symptoms, inadequate control groups), the level of evidence gives support for CSMT in migraine treatment.[11] However, practitioners need to be critically aware of potential overlap of diagnoses when reviewing migraine research or case studies on effectiveness of their treatment.[18-22] This is especially important in comparison of migraine patients who may be suitable for chiropractic manipulative therapy.[23-28]

I le va o le 40% ma le 66% o maʻi ma migraine, aemaise lava i latou e osofaʻi i osofaʻiga ogaoga o le migraine, latou te le sailia se fesoasoani mai se fomaʻi. [29] Faatasi ai ma i latou e faia, e le o faaauau pea asiasiga faafomaʻi masani [30] ona o gasegase ua le lava le malamalama mai le fomaʻi ma le talitonuga e le mafai e fomai ona togafitia lelei le migraine. I se suesuega a le 1999 British, 17% o le 9770 migraineurs e le i fesiligia se fomaʻi aua latou te talitonu o le a le amanaiaina le latou tulaga; ma le 8% e leʻi vaʻaia se fomaʻi ona latou talitonu o vailaʻau migraine oi ai na le aoga. [30] O le mafuaaga sili ona masani mo le le sailia o se fautuaga a le fomaʻi (taʻua e le 76% o maʻi) o le talitonuga o tagata latou te le manaʻomia se fomaʻi manatu e togafitia a latou osofaiga o migraine.

O le mataupu na tuʻuina atu e fesoasoani i fomaʻi e faia ai se faʻamatalaga sili atu ona malamalama i le togafitiga o filifiliga mo migraines. O le taunuuga o lenei mataupu e talafeagai foi e faatatau i isi suʻesuʻega e faaiʻu ai o le CSMT o se togafitiga sili ona lelei mo nisi tagata. E mafai e fomai ona mafaufau i le CSMT mo migraine e faavae i mea nei:

Fa'atapula'aina o gaioiga o le ua.
Suiga i le fa'asolo o maso o le ua, foliga, po'o le tali atu i le fa'aloaloa ma le fa'aitiitiga.
Fa'alēmanu'a le masani o le vaega suboccipital.
O le tiga o le ua aʻo leʻi oʻo i le amataga o le migraine.
Tali muamua ile CSMT.

E pei o lipoti uma, o iuga e gata i le faaaogaina i tagata lautele. E tatau ona faʻaaoga togafitiga faʻamautinoa ile togafitiga pe'ā faʻaaogaina nei taunuʻuga i isi tagata gasegase ma tulaga faʻapitoa.

iʻuga

O lenei mataupu o loʻo faʻaalia ai o nisi o loʻo mafatia i le migraine e mafai ona tali lelei i togafitiga tusi, lea e aofia ai le CSMT. O le mea lea, o tagata gasegase e leʻi mauaina se faʻataʻitaʻiga a le CSMT e tatau ona faʻamalosia e mafaufau i lenei togafitiga ma iloilo soʻo se tali talafeagai. Afai e leai ni fa'alavelave i le CSMT, e ono fa'amaonia se su'ega muamua o togafitiga. I le mulimuli ai i faʻataʻitaʻiga o vailaʻau faʻamaonia, e tatau i fomaʻi ona faʻatalanoa le CSMT ma tagata gasegase o le migraine e fai ma filifiliga mo togafitiga.

I le faaiuga, o le tiga o le migraine ose tulaga masani lea e aafia ai le to'atele o tagata. E ui lava e leʻo malamalama atoatoa le mafuaʻaga o migraines, o togafitiga mo le tiga lavelave o le ulu e mafai ona fesoasoani i le puleaina o faʻamaoniga. Chiropractic spinal manipulative therapy, poʻo le CSMT, e mafai ona faʻaleleia ai le migraine i tagata maʻi ma atonu o se togafitiga taua e mafaufau i ai. Ae ui i lea, e manaʻomia nisi suʻesuʻega suʻesuʻega e faʻaalia atili ai faʻaiuga. Fa'amatalaga fa'asino mai le National Center for Biotechnology Information (NCBI). O le lautele oa matou faʻamatalaga e faʻatapulaʻa i le chiropractic faʻapea foʻi ma manuʻa ma tulaga. Ina ia talanoaina le mataupu autu, faamolemole lagona le saoloto e fesili ia Dr. Jimenez pe faafesootai matou i 915-850-0900 .

Faʻailoina e Dr. Alex Jimenez

Aʻoaʻoga Faʻaopoopo: Neck Pain

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FAʻAALIGA TOPIC: TUʻUʻU FAʻATASI: O Oe Lelei Oe!

AUTU TULAGA FAATINO: FAʻAALIGA: Taʻaloga Taʻaloga? | Vincent Garcia | Patient | El Paso, TX Chiropractor

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