Effects of acupuncture on neuromuscular control of the head/J.Choi/J.Cholewicki

针灸对头部神经肌肉控制的影响/J.Choi/J.Cholewicki

• 批准号: 8093481
• 负责人: Jacek Cholewicki
• 金额: --
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-10-01 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8093481
• 关键词: Accounting; Acupuncture Therapy; Acupuncture procedure; Address; Adopted; Aftercare; Analgesics; Area; Articular Range of Motion; Biomechanics; Caregivers; Clinical; Development; Disease; Effectiveness; Electric Stimulation; Evaluation; Fostering; Goals; Head; Head and neck structure; Individual; Intervention; Literature; Manuals; Measurement; Measures; Medical; Methods; Mission; Musculoskeletal; Musculoskeletal Pain; Musculoskeletal System; Neck Pain; Pain; Patients; Performance; Philosophy; Placebos; Positioning Attribute; Primary Care Physician; Primary Health Care; Reporting; Research; Role; Sensory; Spasm; Spinal; Surveys; System; Techniques; Testing; Workers' Compensation; alternative treatment; base; cost; improved; motor control; neuromuscular; osteopath; tool; tool development; willingness

Neck pain (NP) is one of the three most frequently reported musculoskeletal complaints, affecting 70% of individuals at some point in their lives. One treatment option that appears to be effective in relieving musculoskeletal pain in the head-neck area is osteopathic manipulative therapy (OMT). However, in most studies, the measures used to support these findings have been limited to subjective tests such as manual range of motion estimates by therapists, and survey statements provided by patients. Therefore, these research efforts are not sufficient to accurately determine the effectiveness of the therapy, characterize its mechanisms, or optimize treatment. The overall goal of the proposed project is to develop sensitive and objective clinical research tools for the assessment of motor control of the head-neck system. Objective control-oriented performance measures will be the basis for clinical research tool development. The first aim of this exploratory-type study will be to apply these tools to measure changes in position and force control of the head-neck system in patients with NP following OMT. The second aim will be to assess differences in position and force control of the head-neck system between patients with NP and healthy individuals. If these tools demonstrate differences between NP patients and healthy individuals and following OMT, more extensive research into the precise mechanisms of impairment and improvement from OMT can then be fully justified.

颈部疼痛 (NP) 是三种最常报告的肌肉骨骼疾病之一，影响着 70% 的人一生中的某个阶段。 整骨手法治疗（OMT）似乎是有效缓解头颈部肌肉骨骼疼痛的一种治疗选择。 然而，在大多数研究中，用于支持这些发现的措施仅限于主观测试，例如治疗师手动估计的运动范围以及患者提供的调查陈述。 因此，这些研究工作不足以准确确定治疗的有效性、表征其机制或优化治疗。 该项目的总体目标是开发敏感且客观的临床研究工具来评估头颈系统的运动控制。 以客观控制为导向的绩效衡量将成为临床研究工具开发的基础。 这项探索性研究的首要目标是应用这些工具来测量 OMT 后 NP 患者头颈系统的位置和力控制的变化。 第二个目标是评估 NP 患者和健康个体在头颈系统的位置和力量控制方面的差异。如果这些工具证明了 NP 患者和健康个体之间以及 OMT 之间的差异，那么对 OMT 损害和改善的精确机制进行更广泛的研究就完全合理。