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AIM: The clinical situations of subluxation of sacroiliac joint were analyzed and overall retrospected in order to offer basis for clinical diagnosis and treatment. METHODS: The related documents on subluxation of sacroiliac joint were collected, arranged, analyzed and summarized. RESULTS: ①The chief etiopathogenisis included external force, gender and age. ②The pathological factors were concerned with the trauma of the local soft tissue around the subluxation joint,and the nerves and blood vessels were stimulated and compressed by the aseprtic inflammation and edema surrounding the subluxation joint,in addition,synovialinterposing in sacroiliac joint. ③The diagnosis of subluxation in sacroiliac joint was mainly based on related trauma history, symptoms, physical signs and the result of X-ray examination,and the diseases with similar manifestations was eliminated. ④The existing problems were located in complicated denominations and lack of objective index on diagnosis and the evaluation on therapeutic effect. CONCLUSION: For diagnosis and treatment, pathology, clinical manifestation and the cause of subluxation of sacroiliac joint, traditional Chinese medicine has a set of more complete system. For the treatment of subluxation of sacroiliac joint, the manipulation has characteristics. However, lacking objective index in the standard of diagnosis and treatment, it is necessary to carry out further improvement.
ABSTRACT
@#ObjectiveTo describe 64 cases of cerebrovascular accidents temporally associated with cervical vertebra manipulation therapy in terms of patients' characteristics, potential risk factors, nature of complication, and neurologic sequelae.MethodsThree researchers using a uniform data abstraction instrument performed an independent review of 64 previously medicine records describing cerebrovascular ischemia after cervical vertebra manipulation. Descriptive statistics were calculated for characteristics of the patients and the complications. Means and standard deviations were computed for continuous variables. Frequencies were computed for continuous variables. Frequencies and proportions were calculated for categorical variables.ResultsProposed risk factors include age, gender, migraine headaches, hypertension, diabetes, birth control pills, cervical spondylosis, and smoking. It was unable to identify factors from the clinical history and physical examination of the patient that would assist a physician attempting to isolate the patient at risk of cerebral ischemia after cervical manipulation.ConclusionsCerebrovascular accident after manipulation appear to be unpredictable and should be considered an inherent, idiosyncratic, and rare complication of this treatment approach.