An exploration of the origin and flow of the development of traditional Chinese medicine orthopedic and chiropractic massage

Traditional Chinese medicine(TCM)chiropractic massage is a kind of orthopedic therapy that corrects the abnormal anatomical position of bone or joint and corrects the dislocation of joint by manipulation so that the bone is soft and the Qi and blood are reconciled(Qi:The intangible,high-mobility nutritive substance that maintains vital activities).Manipulation treatment is the first of the four major orthopedic diseases.At the same time,TCM chiropractic massage is also an essential part of TCM.TCM orthopedic chiropractic practice originated from the struggle between humanity and nature,sprouted from the Warring States period to the two Han Dynasty,formed in the Sui,Tang,and Song Dynasties,matured in the Ming and Qing Dynasties,and flourished in the modern era.In more than 2,000 years of development,many practical techniques have been produced,which have profoundly influenced the inheritance and development of modern techniques,making the TCM orthopedic chiropractic massage in the contemporary era form the characteristics of“tendon and bone”and“point-line-face combination”.At present,the development of TCM chiropractic massage is facing the great challenges of modern medicine and modern advanced science and technology such as American chiropractic and the limitations of its development.Therefore,in the future,the development direction of Chinese medicine orthopedic chiropractic massage should be“hybrid to treat”.In the face of modern medicine,we should take its essence to its dross,eclectic,organically integrate its advantages into itself,enrich its theoretical framework,and strengthen the construction of disciplines and departments to enhance its competitiveness.It is believed that Chinese medicine orthopedic chiropractic massage can have better development in the future and can make more contributions to the health of the world’s people.

美式脊椎矫正学为脊椎疾病康复干预注入新的内容与活力

目的:阐述美式脊椎矫正学(Chiropractic)的发展史与现状,从人体健康的平衡观、整体观及脊椎、脊柱的力学结构方面介绍脊椎矫正学的理论体系。方法:查阅关于美式脊椎矫正学的国外3部著作,同时检索2002-10/2006-01中国期刊全文网关于美式脊椎矫正学的相关文献,检索词为“美式脊椎矫正”。结果:脊椎矫正学的主要目标是针对人体脊椎功能异常和/或与神经系统的关系,找出并恢复位移异常的脊椎,去除对神经系统的影响,使身体回到健康自然的状态。其主要治疗特点是针对性强,无创伤,无痛苦,疗效显著,安全系数高,是绿色疗法、纯自然疗法。结论:脊椎矫正学从人体健康的平衡观、整体观出发,对脊椎、脊柱的力学结构进一步重新认识,从而对脊椎、脊柱常见病、多发病已经形成了自己独到的理论体系,以及相应的诊疗方法,这些理论和方法过去和现在已经被越来越多的临床实践所证实。

西方Chiropractic手法的特点

西方现代手法治疗学Chiropractic具有很强理论性和实践性,以脊柱相关疾病理论为出发点,从一个新的角度揭示了许多常见病及疑难病的发病原因及诊治规律,打破了以往的分科界限。

西方Chiropractic手法的特点

介绍西方现代特色手法治疗学Chiropractic的特点、执业要求和应用。

A MISDIAGNOSED CASE OF SACROILIAC JOINT INJURY AND MALPOSITION

Sacroiliac joint malposition is one of the main causes evoking lumbocrural pain. Because its clinical symptoms are similar to those induced either by lumbar intervertebral disc protrusion or by ankylosing spondylitis （AS） at the early stage, and because X-ray results taken at its early stage were not evident for differentiating the diseases,

Vertebral Artery Dissection Probably Caused by Massage: A Case Report

MASSAGE has been recommended to more people as an adjunct to health care. We illustrate a case of vertebral artery dissection(VAD) probably caused by massage that almost resulted in the patient's death. The patient experienced sudden cardiac arrest and paralysis. After treatment with anticoagulation and antiplatelet, he finally discharged without any sequelae.

颈椎曲度的影像学分析在颈椎病诊断和治疗中的意义

目的通过研究明确颈椎曲度异常是颈椎内在不平衡的外在反映,消除引起颈椎曲度异常的病因-半脱位,可以控制颈椎病的发展过程。方法测量方法1说明所有颈椎病的患者曲度均不正常,测量方法2说明引起曲度异常的内在因素是‘半脱位"。治疗方法采用西方的chiropractic手法。结果症状消除和影像改善2989例,占92.5%。结论所有颈椎病的患者颈椎曲度均异常,有效治疗‘半脱位'可以控制颈椎病的发展。

Radiographic, Pain, and Functional Outcomes in an Adult Post-Fusion Patient Using a Scoliosis Activity Suit: Comparative Results after 8 Months

There are few conservative treatment options for adult patients with idiopathic scoliosis who are status post-fusion surgery. These typically include pharmacologic pain management, epidural injections, and generalized CAM treatments such as massage and chiropractic manipulation in the non-fused areas of the spine. The purpose of this study was to compare the post-treatment results in an adult post-fusion patient who wore a scoliosis activity suit for 8 months. Pain was evaluated using a quadruple visual analog scale (QVAS), while function was measured using an SRS-22r questionnaire. After 8 months of wearing the scoliosis activity suit, her pain scores improved, here SRS-22r improved, and a significant correction in radiographic Cobb angle was observed. This case report is the first to document a Cobb angle change in an adult patient wearing a scoliosis activity suit who is status post-fusion. Given that pain and dysfunction are primary reasons for scoliosis treatment in the adult population, more studies need to address the disparity between available treatments for adult scoliosis and the incidence of adult scoliosis, especially in the post-meno-pausal population. Future prospective studies should consider evaluating treatment effects of this suit using intent-to-treat methodology.

Spinal Manipulation and Dynamic Neuromuscular Stabilization Care for a 4-Year-Old Patient with Agenesis of the Corpus Callosum

The purpose of this case study is to describe the chiropractic care of a 4-year-old male patient with agenesis of the corpus callosum. Methods: Chiropractic care plan consisted of weekly appointments with the inclusion of at-home exercises coupled with academic intervention of physical and occupational therapies and assistive gait devices. Functional changes were monitored via objective clinic findings, independent clinical examination, and parental observation. Results: Agitated flexion contracted non-weight bearing child with gastrointestinal dysfunction and developmentally shunted growth responds to co-managed chiropractic care. Focus on aiding structural balance helped improve the weight bearing movement and mobility, physical calmness and contentment, emotional and verbal communication, as well as gastointestinal function. Discussion: This therapeutic approach decreased aberrant posture and enhanced quality of life. Conclusion: Chiropractic care in combination with academic intervention improved this child’s postural abnormalities, attitude, and cognitive development warranting consideration in subsequent care investigation.

KINEMATIC ANALYSIS OF THE POSTERIOR ELEMENT OF LUMBAR SPINE IN ROTATORY CHIROPRACTIC

Rotatory chiropractic is one of the key manipulations in the treatment of low-er backache. The present paper reports the kinematic changes in the posterior element oflumbar spine during rotatory manipulation, using motion segments of lumbar spine fromfresh cadavers as specimens and an electromechanical system for the measurements. Theanalysis of the angle-displacement curve and the load-angle curve reveals that rotatorychiropractic is a kind of complicated 3-D. 6-degree-of-freedom motion. Correctmanipulation may adjust the volume of the nerve root canal and relax the articulation be-tween the upper and lower joint processes so as to relieve the adhesion of the enclosuresin the nerve root canal and relieve the adhesion of the facet joints, and bring aboutimprovement of local circulation and amelioration of symptoms.

New Proposal of Evaluation of the Thoracic Outlet

The present article comprehensively reviews the thoracic outlet syndrome (TOS), its etiology and assessment, with reference to the usual conservative treatment and surgical therapy, highlighting new definitions and reporting obsolete tests. The syndrome affects about 8% of the population, with higher prevalence in females, and rarely affects the children. Conservative, non-surgical treatment produces good results, and it becomes important to know which specific areas need to be treated. Currently, there is no rehabilitation scheme, either osteopathic or chiropractic, considered as a valid tool for a precise localization of the pathologic condition, probably due to the lack of a manual assessment process to evaluate bones and muscular components of the thoracic outlet. In this situation, the manual treatment performed is usually generic. The present article proposes a manual evaluation that can be used to identify the anatomical area which needs to be treated. This hypothesis of assessment should be carried out after the clinician has ruled out the necessity of surgery with instrumental examinations.

Resolution of Amenorrhea and Chronic Constipation in an Adult Patient with Idiopathic Scoliosis Wearing a Scoliosis Activity Suit for 6 Months: A Case Report

Objective: To report the symptomatic and radiographic changes in an adult scoliosis patient with a history of amenorrhea and chronic constipation. Clinical Features: Patient presented for treatment with an 8-year history of amenorrhea and chronic constipation. Radiographic study showed a right thoracic/left lumbar double major scoliosis. Intervention and Outcome: Patient was fitted for a scoliosis activity suit and given instructions for continued home use, building up to 3 - 4 hours total daily. After 6 months of use, her amenorrhea and chronic constipation had resolved, and both scoliosis Cobb angles also improved. Scores on before and after SRS-22r questionnaires, as well as a quadruple numerical pain rating scale, also improved. Conclusion: A patient wearing a scoliosis activity suit for 6 months reported symptomatic changes as well as radiographic, pain, and quality of life improvements. The results of this case cannot be generalized. More investigation into the association of scoliosis and other organic symptoms is warranted.

Chiropractic Rehabilitation of a Scoliosis Family: Results from a 9-Year Follow-Up

Scoliosis bracing is typically prescribed when the curvature reaches to between 30° - 50°. Although there has been a vast amount of bracing literature published, the results remain equivocal. Many patients face issues of compliance, comfort, and decreased self-esteem due to social stigmas with bracing. This has caused many patients to seek non-bracing options. Although these treatments are plausible, they lack the research background that bracing has. Therefore, many physicians are reluctant to prescribe exercise-based rehabilitation for their scoliosis patients. This study reports on 3 patients who sought non-bracing, exercise-based chiropractic rehabilitation for their scoliosis. Their results before, after, and at long term follow up are included.

Pain and Radiographic Changes in Adult Scoliosis Patients Using a Scoliosis Activity Suit: Case-Controlled 10-Year Follow-Up Results

Scoliosis in adult patients is known to increase across the lifespan and increases the chance of chronic pain in later adulthood. Non-surgical scoliosis treatment options for adults are not widely recommended, largely due to lack of research in this area. Pain management options for adults are focused primarily on treating scoliosis-related pain, and not necessarily the scoliosis itself, such as epidural injections, prescription pain medications, and general physical therapy. Recent studies reporting non-surgical, scoliosis-specific treatment methods in adults are encouraging, but their study designs limit extrapolation. The current study reports the self-reported pain and radiographic outcomes in adult patients wearing a scoliosis activity suit for at least 10 years. A total of 22 patient charts that fulfilled the inclusion criteria were selected for review. Cobb angle radiographic measurements and self-rated quadruple numerical pain rating scale (QVAS) at baseline and 10-year follow-up were used as the outcomes. Cobb angle measurements were compared at baseline and 10 years and subdivided according to scoliosis curve pattern. At 10 years, 68% of patients had improvements in their Cobb angle > 5˚, with an overall average of approximately 9˚. Significant differences were also observed in the 10-year Cobb angle measurements when compared to the predicted 10-year Cobb angles based on the established rate of linear progression in adults. A statistically significant change was also observed in the 10-year QVAS scores. These results suggest a potential role of the scoliosis activity suit for improving Cobb angles in adults and reducing scoliosis-related pain.

Using simulation in complementary medicine education:an overview of clinical trials

Backgroundand Aim:Using simulation in learning medical interventions is a common practice.Simulation techniques provided a safe environment for trainees and students to acquire clinical skills and knowledge to practice in a real clinical environment.The aim of this review is to assess the use of health simulation in the field of complementary medicine education.Methods:Three medical databases were searched from inception to 15 November 2021.The inclusion criteria were clinical trials that used simulation in the field of complementary medicine training and in English language and the full text can be retrieved.Results:After searching,495 articles were retrieved,235 articles were excluded for duplication and 249 articles were excluded after screening of titles/abstracts and applying inclusion and exclusion criteria.Finally,11 articles were included in this review.These clinical trials had 719 participants and reported positive impact of using simulation in complementary medicine education.Conclusion:Simulation wasused for training of some complementary medicine therapies such as chiropractic,acupuncture,massage therapy,cupping therapy and osteopathy.Using simulation in complementary medicine education is recommended to ensure a safe environment for training.Conducting high quality clinical trials to evaluate the use of simulation in complementary medicine education is highly recommended.

关于脊骨神经医学进入中国的几点思考

世界卫生组织2005版《世界卫生组织脊骨神经医学基础培训和安全性指南》(后文一律简称做“指南”)无疑是世界各国、各地区在引进诞生于北美1895年,迄今已经有100多年历史“脊骨神经医学(chiropractic)”是最具权威性、指导性、实操性的标准文件。“指南”最需要的是正确和精准的解读、严谨和完整的贯彻和坚决的执行。如若不然,“指南”所特指的“脊骨神经医学(chiropractic)”!世界卫生组织的“指南”意义也就不复存在了。

Treatment on 42 cases of simple pediatric diarrhea with chiropractic therapy

Objective To observe the clinical efficacy of treating simple pediatric diarrhea by chiropractic therapy. Methods Forty-two cases of simple diarrhea were treated with chiropractic therapy along the points from Guiwei （龟尾） to Dazhui （大椎 GV 14）, once a day, with a total of three times. The clinical efficacy was observed. Results Thirty-eight cases were cured （90.5%） and 4 cases were improved （9.5%） with the total effective rate of 100%. Conclusion The chiropractic therapy has good efficacy in treating simple pediatric diarrhea and worthy of clinical promotion.

Therapeutic effect observation on Nie-pinching the spine manipulation for infantile diarrhea due to spleen deficiency

Objective： To observe the influence of Nie-pinching the spine manipulation on the excretory rate ot urine D-xylose in the infants with diarrhea due to spleen deficiency, and to assess the clinical effects. Methods： Sixty infants in conformity with the diagnostic criteria of diarrhea due to spleen deficiency were randomly divided into a treatment group and a control group by the random digital table, 30 cases in each group. The infants in the treatment group were treated by Nie-pinching the spine manipulation and traditional infantile tuina, in addition to the routine basic treatment. The infants in the control group were treated by the same traditional infantile tuina in addition to the routine basic treatment. The infants in the two groups were treated once every day, 4 weeks as a course. Totally, the treatment was given for a course. The symptom integrals of spleen deficiency were used to assess the improvement in the symptoms. The colorimetry was used to determine the excretory rate of urine D-xylose. Results： in the comparison of the same group before and after the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose in the two groups were statistically significant （all P〈0.01）. After the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose between the two groups were all statistically significant （both P〈0.01）. Conclusion： Chiropractics can reduce the integrals of spleen deficiency symptoms and elevate the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, so as to enhance the therapeutic effects by alleviating the symptoms of spleen deficiency and the absorptive function of the small intestine.

Efficacy observation on pediatric tuina plus Chinese medicine for exogenous fever in children

Objective: To observe the clinical effects of pediatric tuina plus Chinese medicine for exogenous fever in children. Methods: A total of 150 children withexogenous fever were randomly divided based on the random digital table into a control group (75 cases) and a treatment group (75 cases). The control group was treated with oral Xiao'er Chaigui Tuire Keli (<1 year old, 0.5 bag/time;1-3 years old, 1 bag/time;4-6 years old, 1.5 bags/time), 4 times/day. The treatment group was treated with pediatric tuina plus the intervention of the control group. The amount and usage of Chinese medicine were the same as those of the control group;tuina was conducted 1 time/day. The clinical effects and adverse reactions were observed after 3 d of treatment in both groups. The recurrence was observed within 7 d after the end of treatment. Results: The total effective rate was 92.0% in the treatment group and 81.3% in the control group. The difference between the two groups was statistically significant (P<0.05). There were no obvious adverse reactions in the two groups after treatment. The recurrence rate was 1.5% in the treatment group and 13.1% in the control group. The difference in the recurrence rate between the two groups was statistically significant (P<0.05). Conclusion: Pediatric tuina plus Chinese medicine is effective in treating children with exogenous fever.

Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs for pediatric anorexia due to dysfunction of spleen in transportation:a randomized controlled trial

Objective:To observe the clinical efficacy of Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs in treating pediatric anorexia due to dysfunction of spleen in transportation.Methods:A total of 64 kids were randomized into an observation group and a control group by the random number table method,with 32 cases in each group.Patients in both groups received Jian Pi Kai Wei(strengthening spleen and stomach)powder according to pattern differentiation of traditional Chinese medicine(TCM).In addition,patients in the observation group received Nie-pinching the spine and puncturing Sifeng(EX-UE 10).Nie-pinching the spine was applied twice a week,and puncturing Sifeng(EX-UE 10)was performed once a week,with 2 weeks counted as 1 course of treatment.After 2 courses of treatment,the body mass index(BMI),peripheral blood leptin level and the microelements Zn,Fe and Se were compared at different time points(before treatment,after the first and second courses of treatment),as well as the therapeutic efficacy and onset time.Results:After 2 courses of treatment,31 cases in each group were evaluated.After the 1st course and the 2nd course,the BMI and serum Zn,Fe and Se levels in the observation group increased significantly(all P<0.05),the leptin level decreased substantially(both P<0.05);the BMI in the control group showed a substantial rise(P<0.05),while the Zn,Fe and Se levels slightly increased showing no statistical significance(all P>0.05),and the leptin level decreased but the difference showed no statistical significance(P>0.05).After the 1st and the 2nd courses of treatment,the BMI,serum Zn,Fe and Se levels increased more significantly(all P<0.05),and the serum leptin level decreased more significantly(both P<0.05)in the observation group than in the control group.After the 2nd course,the total effective rate and recovery rate in the observation group were both higher than those in the control group(both P<0.05),together with a quicker onset time(P<0.05).Conclusion:Nie-pinching the spine,puncturing Sifeng(EX-UE 10)plus Chinese herbs is effective for pediatric anorexia due to dysfunction of spleen in transportation.It can decrease leptin,increase Zn,Fe and Se levels,alleviate apositic symptoms and increase BMI in the kids.