操纵疗法的神经生物学机制

English | PDF | 1978 | 464 Pages | ISBN : 1468489046 | 44.2 MB

At the request of a Subcommittee of the United States Senate, in February, 1975, the National Institute of Neurological Disorders and Stroke (now the National Institute of Neurological and Communi­ cative Disorders and Stroke) conducted a Workshop on the Research Status of Spinal Manipulative Therapy. The Workshop was held in response to the Senate Subcommittee's request for an "independent unbiased study of the fundamentals of the chiropractic profession. " Since spinal manipulative therapy is a key tenet of chiropractic, the Institute felt a research workshop focused on that issue would provide a useful base upon which to examine the broad concept of the role of biomechanical alterations of the spine in health and disease. This would include the pathophysiologic and clinical hypotheses formulated by medical and osteopathic physicians as w~ll as chiropractors. Why the relatively sudden interest of the Senate Subcommittee in chiropractic? There were probably many reasons for that interest, but suffice to say anticipation of discussion on the role of chiro­ practic in any national system of health insurance could in itself have provided adequate stimulus for the request. In any case, the NINCDS was asked to review what was and what was not known about the fundamentals of chiropractic. I stress "fundamentals" since as a research organization, the NINCDS is not charged with review­ ing matters such as clinical education, licensure or clinical prac­ tice. A small expert committee of scientific consultants helped the Institute design the format and agenda for the Workshop.

在1975年美国参议院 Subcommittee 的请求下，神经和精神障碍研究所（现更名为神经与通讯障碍研究所）于2月举办了一次脊椎 Manipulative疗法研究状况研讨会。该研讨会是为了回应参议院小组委员会要求进行“独立的、无偏见的研究，以了解矫形学的基本原理”。由于脊椎 Manipulative疗法是矫形学的关键要旨之一，因此研究所认为专注于这个话题的研究工作坊可以为探讨生物力学脊椎变化在健康和疾病中的作用提供一个有用的平台。这包括了医学及骨科医生以及矫正医师所提出的病理生理假设与临床假设。为什么参议院小组委员会对矫正学突然表现出兴趣？其中可能有很多原因，但可以说期待讨论国家保健保险体系中矫正学的作用本身就能成为提出要求的一大激励因素。无论如何，NINCDS 被请来审查有关矫形学基本原理的所知和未知。我要强调“基本原理”，因为作为研究组织，NINCDS 并不负责审查诸如临床教育、执照或临床实践等问题。一个小的专家委员会作为科学顾问帮助研究所设计了研讨会的形式和议程。

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