Iqiniso eliyiqiniso, akusikho ucwaningo oluningi kulo mbuzo othize, futhi iningi lalokho okushicilelwe ngesimo socwaningo lwezifundo. Mayelana nokuthembeka kokwaziswa kuya, izibalo ze-case rate zingaphansi nje kombono wochwepheshe. Ngomqondo othile, banjengenguqulo yocwaningo lwezokwelapha lobufakazi bokuthi u-anecdotal. Iningi lezifundo ezibhekene nokuphathwa komgogodla ngemuva kokuhlinzwa kwangemuva nazo zibuyele emuva, okusho ukuthi ulwazi luqoqwe kumarekhodi omtholampilo ngemuva kokuthola imithi.
Lolu hlobo lwesifundo somcwaningi lungashiya ulwazi olubucayi emiphumeleni ngoba aluhlelwe kusengaphambili.
Ukulungiswa Emva kwe-Microdiscectomy
Lokho kusho ukuthi ukuhlolwa okungahleliwe okulawulwa ngokungahleliwe (isakhiwo esiphezulu sokutadisha esetshenziselwa ukuqhathanisa ukwelashwa) sathola ukuthi ngemva nje kokuvulwa kwe-laser microdiscectomy evulekile, okuvuselela ukulungisa kabusha-okubandakanya amasu asetshenziswa yi- chiropractics- eyehlile ukunciphisa ubuhlungu bomlenze.
Ucwaningo lwabandakanya iziguli ezingu-21 ezaziphakathi kweminyaka engama-25-69. Abahlanganyeli babehlukaniswe ngokungahleliwe baba ngamaqembu amabili-noma iqembu elivuselelayo lokuvuselela noma "iqembu lokulawula elisebenzayo." Esikhathini sokulawula okusebenzayo kuphela iqembu labantu abangu-9% kuphela ekunciphiseni ubuhlungu bomlenze ngemuva kokusebenza, kodwa kuqembu elivuselelayo lokuvuselela, inombolo iqhubekele ku-55%.
Ucwaningo luqhutshwa ngabacwaningi baseKorea, uKim, et. al. futhi kuthiwa, "Ukuvuselelwa kwangasese kokuqala okusobala ngokulandela i-ldar laser microdiscectomy kuthuthukisa ukukhubazeka kokusebenza kokuqala kokusebenza emva kokusebenza: Ukutadisha okuqhutshwa ngokungahleliwe, okulawulwayo." Yanyatheliswa kumagazini ka-Mashi 2015 we- Journal of Back no-Musculoskeletal Rehabilitation
Ukuhlinzwa kokuthunyelwa kwe-Cox Flexion Ukuguquguquka Kwama Technique
Isihloko se-2011 sikaKruse noCambron sibukeze amashadi weziguli zombhali ukuthola labo abaphathwa ngekhambi leCox flexion yokuphazamisa ngemuva kokuhlinzwa kokusebenza kwesikhala esikhathini esingangeminyaka eyishumi. Abacwaningi babika ngamarekhodi angu-32.
Bathola ukuthi lezo ziguli ezathola kakhulu ukwelashwa ziye zahlinzwa ngokuhlanganyela, ngamanye amazwi, i-discectomy ene-laminectomy noma i- fusion . Ababhali bacabanga ukuthi isizathu esenza leli qembu lenze kahle kakhulu ngoba abaningi baqala ukulinganisa ubuhlungu obukhulu (ngakho kwakukhona indawo enkulu yokuthuthukisa). Abalobi bathi futhi iqembu elazuzisa okungenani ukwelashwa kwe-chiropractic kwakuyiqembu elilodwa kuphela le-fusion. Basikisela ukuthi izizathu zazingenxa yokuthi abantu kuleli qembu babekhulile futhi babe nesikhathi esengeziwe phakathi kokuhlinzwa kwabo kanye nokwelashwa kwabo kwe-chiropractic.
Uma usesebuhlungu ngemuva kokuhlinzwa kwakho emuva, noma uma unesifo esisha, xoza izinketho zakho nodokotela wakho. Yisho intshisekelo yakho ekutholeni ukwelashwa kwe-chiropractic. Kungcono ukusebenza njengethimba uma ukwazi. Njengoba isifundo esincane sikaKruse noCambron siphakamisa, kungenzeka ukuthi ukusetshenziswa kwe-chiropractic ukuphatha ubuhlungu be-post-kuhlinzwa kuncike ezingaphezu kweyodwa-kunalokho okubhekene nobuhlungu, ukuthi ukuhlolwa kwakho kwangaphambi kokuhlinzwa kwakungakanani, ukuthi uhlobo luni lokuhlinzwa olwenalo, nolunye izinto.
Imithombo:
> Kim, B., Ah, J., Cho, H., Kim, D., Kim, T., Yoon B. Ukuvuselelwa kwangasese okuphambene nokulandelana okulandelayo kulandela ukukhubazeka kokusebenza kokuqala kokusebenza okulandelayo: . Ukubuyela emuva kwe-Musculoskelet Rehabil. Mashi 2015.
I-Kruse, RA, DC, i-Cambron, i-DC, i- Ph.D. Ukuphathwa kwe-Chiropractic ye-Postsurgical Lumbar Spine Pain: Ukufundwa okubukeziwe kwamacala angu-32. I-Journal of Therapeutics Yokuqapha Nokuziphendulela. Umqulu 14, No. 6.