| Avtor/Urednik | Turk, Zmago | |
| Naslov | Manipulacijske tehnike pri zdravljenju bolečine na gibalnem sistemu | |
| Tip | članek | |
| Vir | Rehabilitacija | |
| Vol. in št. | Letnik 3, št. 3-4 | |
| Leto izdaje | 2004 | |
| Obseg | str. 43-7 | |
| Jezik | slo | |
| Abstrakt | Author reviews and discusses techniques of manipulation therapies in the world. Techniques of manipulation therapies are manual medicine, chiropractic, osteopathy. Diferences between these techniques are based on educational approaches used. Chiropractic therapists have a specific education and do not have medical degree. Manual therapy is practised by medical doctors. Education system of osteopathy was developed in United States and Canada, and is organised as a postgraduate degree after medical degree. European school of manual medicine was developed in Great Britain by James Cyrlax and in Czech Republic by Karel Lervit. Manual medicine is divided into manual diagnostic and manual therapy. Manual medicine is based on a theory where each structural change cause also a functional change. When structural change (pathology) is treated, the function is treated as well. Block of joint or dynamic segment represents structural reposition of individual segments. Accurate history and clinical exarnination are crucial for manual medicine. Using these two parameters, exact osteopathy approach is applied. Contraindications for manual medicine are osteoporosis, neoplasms, chronic disease and spondylosthesis. Accurrate diagnosis of subject physical health needs to be established first, before performing manipulative technigues. Author recommends a module of manual medicine as a cirriculum for medical doctors, specialised in physical rehabilitation, orthopaedic medicine and neurology. Scientific data regarding manual medicine are published and collected in Cochrane and Pedro systems. Most of the systematic reviews conclusions are not scientifically based and therefore it is important to conduct randomised control trials to find a scientific evidence of manual medicine benefits. | |
| Izvleček | Avtor v svojem referatu analizira oblike manipulativne terapije v svetu. Oblike so manualna medicina, kiropraktika in osteopatija. Razlika je v izobrazbi terapevtov. Kiropraktiki nimajo medicinske fakultete in imajo specifično izobrazbo. Manualno medicino izvajajo zdravniki. Osteopatska edukacija je vezana na Združene države in Kanado ter je nadgradnja medicinske izobrazbe. Evropska šola manualne medicine se je razvila v Veliki Britaniji (ortoped Cyriax) in na Češkem (nevrolog Karel Lewit). Manualna medicina se deli na manualno diagnostiko in manualno terapijo. Temelji na principu, da vsaka strukturalna sprememba povzroči tudi funkcionalno motnjo tega področja. S sanacijo strukturalne spremembe se sanira tudi funkcija predela. Blokada sklepa ali dinamičnega segmenta predstavlja strukturalno repozicijo posameznih segmentov. Pri manualni medicini je potrebna natančna anamneza, klinični pregled in na podIagi tega ekzaktni osteopatični pristop. V koniraindikacijah avtor posebej poudarja osteoporozo, maligne neoplazme, kronične bolezni in spondilolisteze. V zaključku poudari, da je potrebno natančno analizirati zdravstveno stanje bolnika pred samim manipulativnim posegom ter predlaga, da se v Sloveniji znotraj fiziatrične izobrazbe formira modul izobrazbe s področja manualne medicine za fiziatre, ortopede in nevrologe. Svetovna medicinska znanost zbira podatke s tega področja v Evidence base analizi (EBI) Cochrane in Pedro sistemu. Ni bilo narejenih veliko meta analiz, ki bi znanstveno dokazovale eksplicitnost manualne medicine, zato je potrebno pristopiti k znanstveni analizi te oblike terapije, ki je vsekakor koristna. | |
| Deskriptorji | PAIN MANIPULATION, ORTHOPEDIC CHIROPRACTIC |