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Báo cáo y học: "Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropractic"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Carpal tunnel syndrome and the "double crush" hypothesis: a review and implications for chiropractic. | Chiropractic Osteopathy BioMed Central Open Access Review Carpal tunnel syndrome and the double crush hypothesis a review and implications for chiropractic Brent S Russell Address Associate Professor Division of Clinical Sciences Life University College of Chiropractic 1269 Barclay Circle Marietta Georgia 30060 USA Email Brent S Russell - brussell@life.edu Published 21 April 2008 Received 21 December 2006 Chiropractic Osteopathy 2008 16 2 doi 10.1186 1746-1340-16-2 Accepted 21 April 2008 This article is available from http www.chiroandosteo.com content 16 1 2 2008 Russell licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Upton and McComas claimed that most patients with carpal tunnel syndrome not only have compressive lesions at the wrist but also show evidence of damage to cervical nerve roots. This double crush hypothesis has gained some popularity among chiropractors because it seems to provide a rationale for adjusting the cervical spine in treating carpal tunnel syndrome. Here I examine use of the concept by chiropractors summarize findings from the literature and critique several studies aimed at supporting or refuting the hypothesis. Although the hypothesis also has been applied to nerve compressions other than those leading to carpal tunnel syndrome this discussion mainly examines the original application - double crush involving both cervical spinal nerve roots and the carpal tunnel. I consider several categories experiments to create double crush syndrome in animals case reports literature reviews and alternatives to the original hypothesis. A significant percentage of patients with carpal tunnel syndrome also have neck pain or .