Spinal manipulation (original) (raw)
المعالجة النخاعية (بالإنجليزية: Spinal manipulation) هي طريقة تداخل علاجي تجرى على المفاصل النخاعية والتي هي . هذه المفاصل في الحبل الشوكي قابلة لأن تتعرض للمعالجة النخاعية وتتضمن والمفاصل القطنية العجزية . المصادر التوجيهية الوطنية اختلفت في المعالجة النخاعية، فقسم منها لا ينصح به، أما القسم الآخر فجعله خيارا في العلاج، أما القسم الآخر فينصح بفترة علاجية قصيرة للمرضى الذين لا يستجيبون لأنواع أخرى من العلاج.
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| dbo:abstract | المعالجة النخاعية (بالإنجليزية: Spinal manipulation) هي طريقة تداخل علاجي تجرى على المفاصل النخاعية والتي هي . هذه المفاصل في الحبل الشوكي قابلة لأن تتعرض للمعالجة النخاعية وتتضمن والمفاصل القطنية العجزية . المصادر التوجيهية الوطنية اختلفت في المعالجة النخاعية، فقسم منها لا ينصح به، أما القسم الآخر فجعله خيارا في العلاج، أما القسم الآخر فينصح بفترة علاجية قصيرة للمرضى الذين لا يستجيبون لأنواع أخرى من العلاج. (ar) La manipulació vertebral (o manipulació de columna vertebral o, senzillament manipulació de columna) és una intervenció realitzada en articulacions de la columna vertebral, que s'afirma que és terapèutica. Aquestes articulacions a la columna vertebral susceptibles de ser tractades amb la manipulació són les articulacions , , lumbosacra, sacroilíaca, i . Les directrius dels EUA arriben a conclusions diferents respecte a la manipulació de la columna vertebral, algunes no ho recomanen i d'altres ho recomanen en aquells que no milloren amb altres tractaments durant poc temps. Una revisió de Cochrane del 2004 va trobar que la manipulació de la columna vertebral no era ni més ni menys eficaç que altres teràpies d'ús com els medicaments contra el dolor, la fisioteràpia (amb els exercicis, l'escola a l'esquena, ...) o l'atenció d'un metge de capçalera. No hi ha prou dades per establir la seguretat de les manipulacions de la columna vertebral. (ca) La manipulation vertébrale est une technique manuelle médicale définie par Robert Maigne comme une « manœuvre unique, brève et sèche qui porte un segment mobile au-delà de son jeu habituel tout en restant dans les limites anatomiques. Elle s'accompagne en général d'un bruit de craquement ». Cette définition exclut donc les techniques de mobilisation, les étirements, les tractions, les massages et les techniques myotensives. La manipulation vertébrale est une manœuvre forcée contrairement à la mobilisation qui est non-forcée. En France seuls les médecins ayant suivi une formation en ostéopathie, les ostéopathes D.O.[Quoi ?] ayant un certificat de non contre-indication et les chiropracteurs sont habilités à ces manœuvres forcées au niveau du rachis cervical La manipulation vertébrale est indiquée en cas de douleur du rachis en rapport avec un ou plusieurs dérangements intervertébraux mineurs, qui semble la conséquence de la contracture maintenue de certains faisceaux des muscles mono ou paucisegmentaires (multifidus et rotateurs). La règle de la « non-douleur et du mouvement contraire » signifie que toute manipulation vertébrale doit se faire dans la direction trouvée libre et indolore à l'examen, donc à l'opposé du mouvement passif douloureux . Les manipulations de l'articulation sacro-iliaque ainsi que celles concernant les articulations des membres (articulations périphériques) ont des particularités propres et sont pour l'instant moins codifiées que les manipulations vertébrales. (fr) Spinal manipulation is an intervention performed on spinal articulations, synovial joints, which is asserted to be therapeutic. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. National guidelines come to different conclusions with respect to spinal manipulation with some not recommending it, and others recommending a short course in those who do not improve with other treatments. A 2012 Cochrane review found that spinal manipulation was no more effective than other commonly used therapies. There is not sufficient data to establish the safety of spinal manipulations. (en) Manipulação vertebral é uma intervenção realizada nas articulações sinoviais da coluna vertebral e que se alega possuir capacidades terapêuticas. Existem diferentes conclusões nas recomendações sobre a eficácia desta intervenção, não sendo recomendada por algumas, enquanto outras a recomendam durante um curto período de tempo em pessoas que não melhoram com outros tratamentos. Uma revisão sistemática de 2004 concluiu que a manipulação vertebral não era nem mais nem menos eficaz do que outras terapias comuns como analgésicos, fisioterapia, exercício físico ou os cuidados prestados por um médico de medicina geral. Não existem dados suficientes para determinar a segurança da manipulação vertebral. (pt) |
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| rdfs:comment | المعالجة النخاعية (بالإنجليزية: Spinal manipulation) هي طريقة تداخل علاجي تجرى على المفاصل النخاعية والتي هي . هذه المفاصل في الحبل الشوكي قابلة لأن تتعرض للمعالجة النخاعية وتتضمن والمفاصل القطنية العجزية . المصادر التوجيهية الوطنية اختلفت في المعالجة النخاعية، فقسم منها لا ينصح به، أما القسم الآخر فجعله خيارا في العلاج، أما القسم الآخر فينصح بفترة علاجية قصيرة للمرضى الذين لا يستجيبون لأنواع أخرى من العلاج. (ar) Manipulação vertebral é uma intervenção realizada nas articulações sinoviais da coluna vertebral e que se alega possuir capacidades terapêuticas. Existem diferentes conclusões nas recomendações sobre a eficácia desta intervenção, não sendo recomendada por algumas, enquanto outras a recomendam durante um curto período de tempo em pessoas que não melhoram com outros tratamentos. Uma revisão sistemática de 2004 concluiu que a manipulação vertebral não era nem mais nem menos eficaz do que outras terapias comuns como analgésicos, fisioterapia, exercício físico ou os cuidados prestados por um médico de medicina geral. Não existem dados suficientes para determinar a segurança da manipulação vertebral. (pt) La manipulació vertebral (o manipulació de columna vertebral o, senzillament manipulació de columna) és una intervenció realitzada en articulacions de la columna vertebral, que s'afirma que és terapèutica. Aquestes articulacions a la columna vertebral susceptibles de ser tractades amb la manipulació són les articulacions , , lumbosacra, sacroilíaca, i . Les directrius dels EUA arriben a conclusions diferents respecte a la manipulació de la columna vertebral, algunes no ho recomanen i d'altres ho recomanen en aquells que no milloren amb altres tractaments durant poc temps. (ca) La manipulation vertébrale est une technique manuelle médicale définie par Robert Maigne comme une « manœuvre unique, brève et sèche qui porte un segment mobile au-delà de son jeu habituel tout en restant dans les limites anatomiques. Elle s'accompagne en général d'un bruit de craquement ». Cette définition exclut donc les techniques de mobilisation, les étirements, les tractions, les massages et les techniques myotensives. (fr) Spinal manipulation is an intervention performed on spinal articulations, synovial joints, which is asserted to be therapeutic. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. National guidelines come to different conclusions with respect to spinal manipulation with some not recommending it, and others recommending a short course in those who do not improve with other treatments. (en) |
| rdfs:label | معالجة نخاعية (ar) Manipulació vertebral (ca) Chirotherapie (de) Manipulation vertébrale (fr) Spinal manipulation (en) Manipulação vertebral (pt) |
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