nattellu krithrimam

nattellu aartikkileshanukalil, sinovial sandhikalil nadathunna oru edapedalaanu nattellu krithrimathvam, ithu chikilsaamaanennu avakaashappedunnu. nattellile eee vyak tamakal, nattellu kaikaaryam cheyyaavunna chikilsaykku anuyojyamaayavayil isad-joyintukal, atlaanto-osippittal, atlaanto-axial, lumbosacral, sacroiliac, costotranswezhs, costovertebral joyintukal enniva ulppedunnu. 
deseeya maargganirddeshangal nattellu krithrimathvavumaayi bandhappett vyathyastha nigamanagalil athunnu, chilar athu shupaarsha cheiyunnilla, mattullavar mattu chikilsakal mechappedaathavaril oru hraswa kozhs shupaarsha cheiyunnu.
2012 leeii oru cochrain avalokanam, saadhaaranayaayi upayogikkunna mattu chikilsakalekkaal nattellu krithrimathvam kooduthal phalapradamallennu kandethi. nattellu krithrimathvangalude suraksha sthaapikkaan mathiyaya daatta illa.
falaprapti.
naduvedana.
saadhaaranayaayi upayogikkunna mattu chikilsakalekkaal nattellu krithrimathvam (sm) kooduthal phalapradamallennu cochrain avalokanangal kandethunnu. hraswa, idatharam, deerghakaala fooloo-appinayi saadhaaranayaayi upayogikkunna mattu edapedalukalumaayi thaarathamyappeduthumbol vedanayilum pravartthanatthilum thulyamo mikachatho aaya mechappeduthal sm nedumennu mikka padanangalum soochippikkunnuvennu 2010 leeii chittayaya avalokanam kandethi. vittumaaraatha thaazhnna naduvedanaykkulla shupaarsha cheyyappetta chikilsakalumaayi sm thaarathamyappeduthaavunna phalangal nalkiyennu 2019 leeii chittayaya avalokanam nigamanam cheythu, athesamayam hraswakaala pravarthanaparamaaya mechappeduthalinaayi shupaarsha cheyyaatha chikilsakalekkaal mechappetta phalangal sm nalkunnuvennu thonni. svayam paricharana oopshanukal upayogichu mechappedaatha rogikalkku nattellu krithrimathvam pariganikkaan 2007 ll american koleju oof physicians american paine sosaittiyum samyukthamaayi shupaarsha cheythu. cheythu 2008lum prasidheekaricha avalokanangal soochippikkunnathu thaazhnna naduvedanaykkulla sm mattu saadhaaranayaayi upayogikkunna edapedalukaleppole falapradamaanu ennaanu. 2007 leeii oru saahitya synthesis thaazhnna naduvedanaykku ezz. emm., mobilisation ennivaye pinthunaykkunna nalla thelivukal kandethi. 2000 num 2005 num idayil prasidheekaricha naalu chittayaya avalokanangalil onnu sm shupaarsha cheyyukayum moonnu shupaarshakal nalkunnathinu mathiyaya thelivillennu prasthavikkukayum cheythu. 2017 leeii oru avalokanam nigamanam cheiyunnu, "nonkronik, nonradikulaar ell. bii. pii ulla rogikalkku, labhyamaya thelivukal saadhaarana medical therapic purame nattellu krithrimathvamo vyayaama therapio upayogikkunnathine pinthunaykkunnilla." 
kazhuthu vedana.
kazhuthu vedana, krithrimathvam, samaharanam enniva samanamaaya mattangal srishtikkunnu, koodaathe maanuval therapy vyayaamavum mattu thanthrangale apekshichu kooduthal falapradamaanu. kazhuthu vedana chikilsikkunnathinulla nattellu krithrimathvathinte falaprapti vilayiruthunna uyarnna nilavaaramulla thelivukalonnumillennu 2015 leeii oru cochrain chittayaya avalokanam kandethi. chila marunnukalumayi thaarathamyappeduthumbol onniladhikam nattellu krithrimam sessionukal mechappetta vedana aashvaasavum pravartthanatthil mechappeduthalum nalkumennu mithamayathum thaazhnnathumaaya thelivukal soochippikkunnu. nattellu krithrimathvavumaayi bandhapetta apakadasadhyathakal kaaranam, nattellu krithrimathvathinte klinikkal punk nirnnayikkaan uyarnna nilavaaramulla kramarahithamaya niyantritha pareekshanangal aavasyamaanu. 2007 leeii oru chittayaya avalokanam report cheythath, vittumaaraatha kazhuthu vedanayullavar, viplash moolamalla, kaii vedana thalavedana illaathe, nattellu krithrimathvathil ninno samaharanathil ninno klinikkal praadhaanyamulla mechappeduthalukal kaanikkunnu ennathinu mithamayathum uyarnna nilavaramullathumaaya thelivukal undennaanu. hraswakaala nettangalundengilum nattellu krithrimam viplashinu phalapradamaaya deerghakaala chikilsayaanennu soochippikkaan mathiyaya thelivukalilla.
noonn-musculaskelital disordezhs.
charitraparamaayi, kairopraaktik professionile chilar nattellinte krameekaranangal visaral pravarthanangalil shaareerika phalangal undaakkunnuvennum athinaal musculoskelital avasthakalkkappuram mothatthilulla aarogyathe baadikkunnuvennum avakaashappettittund. pathonpathaam noottaandil daniel david pamarude yadhaartha prabandhatthil ninnu eee kaazhchappaad uthbhavichu, pala rogangalum sublexationukal moolamaanu undaakunnath. kaalakramena, eee sidhaantham patholajiyeyum rogatheyum kurichulla nammude aadhunika daaranayumaayi poruthappedunnillenna theliyikkappettittund, koodaathe "kyropraaktarukal, austiyoppathi, mattu maanuval medisin daathaakkal ennivarude oru cheria anupatham maathrame noonn-musculoskelital disordezhs kaikaaryam cheyyaan [ing] spinal manipulative therapy (smt) upayogikkunnulloo. ennirunnaalum, noonn-musculaskelital disordezhs thadayunnathino chikilsikkunnathino ulla eee edapedalukalude falapraptiyum falapraptiyum vivaadamaayi thudarunnu."
8 rajyangalil ninnulla 50 gaveshakarum 18 kairopraaktik oorganaiseshanukalil ninnulla 28 nireekshakarum" ulppedunna 2019 leeii aagola uchakodi saahithyathekkurich chittayaya avalokanam nadatthi, 50 ll 44 perum "shishukkalude udarakudalile vankudal, balyakaala aasthma, uyarnna rakthasammardham, praadhamika dysmenoria, migraine ennivayulppedeyulla musculoskelital ithara vaikalyangal kaikaaryam cheiyunnathinu smt yude falathekkurichu thelivukalonnum kandethiyilla. smt upayogichu nattellu thakaraarukal chikilsikkunnathu avayavangalilum avayude pravartthanatthilum shaareerika swaadheenam cheluthumenna sidhaanthathinte saadhuthaye eee kandethal velluvilikkunnu."<ruffer peru =" "cote _ hartvigzen _ exén _ leboeuf-yte _ 2/17/2021" "> </rf>
marunnu allengil anaesthesiayude sahayam.
marunnukaludeyo anastheshyayudeyo sahaayathode krithrimam cheiyunnathinekkurichu, 2013 leeii oru avalokanam, vittumaaraatha nattellu vedanaykku athinte upayogathe pinthunaykkunnathinu mikacha thelivukalkku yojip illennu nigamanam cheiyunnu.
suraksha.
nattellu krithrimathvangalude suraksha sthaapikkaan mathiyaya dattayilla, prathikoola sambhavangalude nirakk anjjaathamaanu. nattellil krithrimathvam palappozhum mithamayathum mithamayathumaaya thaalkkaalika prathikoola falangalumaayi bandhappettirikkunnu, koodaathe sthiramaaya vaikalyathino maranatthino kaaranamakunna apoorva gurutharamaaya phalangalum undu. yukeyile deseeya aarogya sevanam parayunnath, pakuthiyolam aalukalkkum nattellu krithrimathvathethudarnna prathikoola phalangal anubhavappedunnathaayi report cheythittundu. nattellu krithrimathvathinte kramarahithamaya klinikkal pareekshanangalil prathikoola sambhavangal kooduthalaayi report cheyyappedunnundenkum 2010 leeii kansortt maarganirddeshangalil shupaarshakal undaayirunnittum report cheyyappedunnilla. kazhuthu vedanaykku nattellu krithrimathvathinte falaprapti nokkunna kramarahithamaya niyantritha pareekshanangalil pakuthiyiladhikam avayude reportukalil prathikoola phalangal ulppeduthiyittillena 2015 leeii oru cochrain chittayaya avalokanam abhiprayappettu. ennirunnaalum, nattellu krithrimam prathikoola sambhavangal apoorvamaanennu sameepakaala reportukal report cheythittundu.
kazhuthu krithrimathvathinte apakadasadhyathakal.
servical nattellu kaikaaryam cheiyunnathumaayi bandhapetta gurutharamaaya apakadasaadhyathakalude alavu anishchithathvathilaanu, doshasaadhyathayude thelivukal kuravaanu, ennaal surakshayude thelivukalum kuravaanu. servical krithrimathvathil ninnu strokkilekkum maranathilekkum nayichekkaavunna vertebral artari dissection apakadasaadhyathayekkurich vivaadangalundu. niravadhi maranangal eee saankethikavidyayumaayi bandhappettirikkunnu, eee bandham kaaranamaanennu abhipraayappettittund, ennaal ithu theliyikkappettittille vishwasikkunna pala chiropractormaarum ithu tharkkikkunnu.
nattellil krithrimam kaanikkunna chikithsayekkurichulla pradhana vimarsanathinu rakthakkuzhalukalile apakadangalaanu kaaranamenn manassilakkaam. ennirunnaalum, "manipulative therapy vimarshakar servical maanipyuleshanusesham dhamanikalile aaghaatham moolam gurutharamaaya parikkukalkkulla saadhyatha oonnipparayunnu, prathyekichu braine stemil. parichayasambannaraaya kaikal kondu kurachu prathikoola paarshwafalangalode prayojanakaramaaya phalangal nalkunna oru chikitsa prakriya apakeerthippeduthaan eee apakadangalekkurichu valare apoorvamaaya reporting maathrame aavashyamulloo. valare apoorva sandarbhangalil, durbalanaaya oru rogiyude servical nattellile krithrima krameekaranam avasana nuzhanjukayatta pravartthanamaayi maarunnu, ithu valare gurutharamaaya prathyaaghaathathinu kaaranamaakunnu.
falapraapthikkulla thelivukal kuravaanennum prathikoola falangalkku chila thelivukalundennum athinaal, nadapadikramatthe jaagrathayode sameepikanamennum, prathyekichu mukalile nattellu bhramanathiloode nirbandhithamaayi kaikaaryam cheyyanamennum edsard ernst kandethi.
2007 leeii oru chittayaya-avalokanathil, neriya muthal mithamaaya prathikoola phalangaludeyum servical artari vichedanavumaayi apoorvamaayi, anjjaathamaaya sambhavangalumaayum parasparabandham kandethi.
kazhuthu krithrimathvavum servical artari vichedanavum thammilulla paraspara bandhathe pinthunaykkunna daatta valare durbalamaanennum kaaranathinu bodhyappeduthunna thelivukalonnumillennum 2016 leeii chittayaya avalokanathil kandethi.
sambhavam report cheyyappedaathirikkaanulla saadhyatha.
servical nattellu kaikaaryam cheiyunnathumaayi bandhapetta parikkukalkk sambhava reporting vishwaasyathayekkurichulla sthithivivarakkanakkukal vyathyaasappedunnu. 10 kesukalil 1 ennam maathrame report cheyyappettittulloo ennu rand patanam anumaanichu. ennirunnaalum, vividha tharatthilulla pariseelakar servical nattellu kaikaaryam cheyth 24 manikorinullil sambhavikkunna gurutharamaaya neurological sankeernathakalkkaayi edsered ernst brittanile neurologistukale sarway cheythu; prathikaricha 24 neurologistukal 35 kesukal kandu, pakshe kesukalonnum report cheyyapettilla. kanakkukal "asambandham" ennu visheshippikkunna, kuranja reporting 100%-nuu aduthaanennu addeham nigamanam cheythu."athinaal "doctormar avarude rogikalodu jaagrathayode sameepikkaan parayukayum apakadasaadhyatha ettavum kooduthalaayi thonnunna nattellu krithrimathvam ozhivaakkukayum cheyyanamennu addeham nirddeshichu oru bhramana ghadakam upayogichu nattellu shakthiyaayi kaikaaryam cheyyuka."surveik vivarashekharanathil reethishaasthraparamaaya prashnangalundennu enhs sentar phoor reviews aandu desemination prasthaavichu. daatta shekharanathinte sarway reethiyil pakshapaatham oru prashnamaanennu enhs ernstum abhiprayappettu.
strock" jenalil 2001-ll nadatthiya oru padanatthil, oru kyropractor sandarshikkaatha niyanthranangale apekshichu, muun aazhchayil oru kyropractor sandarshicha 45 vayassinu thaazheyullavaril vertebrobassilar apakadangal (vii. bii. eiii. ezz) anchu madangu kooduthalaanennu kandethi. 45 vayassinu mukalilullavarkku kaaryamaaya asosiyeshanukalonnum kandethiyitla. rachayithakkal nigamanam cheythu "njangalude vishakalanam cheruppakkaarile oru nalla bandhavumaayi poruthappedunnu... uyarnna alavilulla kairopraaktik chikitsa undaayirunnittum vii. bii. esinte apoorvatha eee bandhathe padikkaan budhimuttaakkunnu."sarway padanangalekkaal kuranja thirichuvilikkal pakshapaatham ulppedunna administrative daatta upayogichukondu eee patanam vasthunishtamaayi daatta shekharichuvennu enhs abhipraayappedunnu, ennaal daatta munkaala praabalyathode shekharikkukayum orupakshe krithyathayillaaymakal adangiyirikkukayum cheythu.
thettaaya attaartment prasnangal.
strokineyum krithrimathvatheyum kurichulla padanangal ellaayppozhum eathu professionalaanu krithrimathvam nadathiyathennu vyakthamaayi thirichariyunnilla. chila sandarbhangalil ithu ashayakkuzhappathinum thettaaya kuttaaropithathvathinum kaaranamaayittund. 1995-leeii oru padanatthil, kairopraaktik gaveshakanaaya alan terret, dissy eee prashnam choondikkaanichu
servical nattellu (emm. sii. ezz) kaikaaryam cheiyunnathinte apakadasaadhyathakaleyum nettangaleyum kurichulla shaasthreeya saahithyathinte 1999 leeii avalokanathil eee pishak kanakkileduthu. ulppettirikkunna ellah thozhilukalum, athupole thanne eathenkilum parikkukalkkum/allengil maranangalkkum kaaranamakunna krithrimathvathinte tharavum shariyaayi thirichariyaan saadhyamaakumbozhellaam prathyeka shradha chelutthi. chelutthi 1925num idayil prasidheekaricha 116 lekhanangalil report cheyyappetta 177 kesukal vishakalanam cheyyukayum samgrahikkukayum cheythu
avalokanathile chithram 1 ll, servical nattellu kaikaaryam cheythathinu kaaranamaaya parikkukalude tharangal kaanikkunnu, koodaathe chithram 2 thathfalamaayundaakunna parikkukalil ulppettirikkunna parisheelakante tharavum kaanikkunnu. thaarathamyathinaayi, tetattinte kandethalukalkkanusaricha parisheelakante tharam krameekarichu.
avalokanam ingane nigamanam cheythu
charithram.
parambaraagatha asthi krameekaranam polulla naadodi vaidyathil verukalullathum aayirakkanakkin varshangalayi vividha samskaarangal upayogikkunnathumaaya oru chikitsa edapedalaanu nattellu krithrimathvam. vaidyashaasthrathinte pithaav" hippocratus purathana eejipthukaareyum mattu pala samskaarangaleyum pole krithrima saankethikavidyakal upayogichirunnu. pathonpathaam noottaandinte avasaanathil vadakke amerikkayil austiyoppathik, kairopraaktik vaidyashaasthrathinte aavirbhaavathode manipulative therapic aadhunika oonnal nalki. nalki nattellu krithrima chikitsa mukhyadharaa vaidyashaasthrathil amgeekaaram nedi.
daathaakkal.
vadakke amerikkayil, physical theraappistukal, austiyopathik doctormar, okyupeshanal theraappistukal, kyropraaktarukal ennivaraanu ithu saadhaaranayaayi nadathunnathu. europil physiotherapistukal, austiyoppathi, kyropraaktarukal ennivaraanu bhooribhaagam daathaakkal, ennirunnaalum krithyamaaya kanakk raajyangalkkidayil vyathyaasappedunnu. 1992ll, thaazhnna naduvedana chikilsaykkaayi nalkunna ellah krithrima chikilsakalilum 90 sathamaanathiladhikam kyropraaktarukal nadathumennu kanakkaakkappettirunnu. 2012ll amerikkayil nadatthiya oru sarveyil prathikaricha aadyathe professional physical therapy prograamukalil 99 sathamaanavum eathenkilum tharatthilulla thrastt joyint maanipuleshan padippikkukayaanennu kandethi.
padavali.
krithrimathvam mattu niravadhi perukalil ariyappedunnu. britiish orthopedic sarjan eiii. ezz. blundell bankart thante "manipulative sarjari" enna vaachakathil "maanipuleshan" enna padam upayogichu. kyropraaktarukal palappozhum nattellu sandhikalude krithrimathvathe oru 'krameekaranam' ennu vilikkunnu. jiophari maitlaand vikasippicha labeling samvidaanathe pinthudarnnu, krithrimathvam grade vii mobilisationte paryaayamaan. athinte prathyeka biomechanics kaaranam (chuvadeyulla vibhaagam kaanuka), hye velosity loow amplitude (echvla) thrastt enna padam palappozhum krithrimathvavumaayi parasparam maattiyedukkaan upayogikkunnu.
biomechanics.
kainettiks, kainemattiks ennivayiloode biomechanics vazhi mobilisation polulla mattu maanuval therapy edapedalukalil ninnu nattellu krithrimathvam verthirichariyaan kazhiyum. 
nattellu krithrimathvangal vedana niyanthranatthil oru chikitsa falamaayi varthikkumenkilum, prakadanam vardhippikkunnathinulla avayude falaprapti anishchithathvathilaanu. nattellu krithrimathvathinu vidheyamaakunna vyakthikalude phalangal oro rogikkum anusarichu vyathyaasappedunnu.
chalanathmakatha.
adutha kaalam vare, nattellu kaikaaryam cheyyumbol alakkunna fozhsu-time charithrangal moonnu vyathyastha gattangal ulkkollunnathayi vivarikkappettirunnu preload (allengil prethrest) ghattam, thrastt ghattam, resolution ghattam. prethrest ghattathinulla thayyaareduppinaayi rogi uchithamaaya sthaanathekku nayikkappedunna kaalayalav vivarikkunnathin evens breen naalaamathe 'ooriyanteshan' ghattam chertthu.
kainamattiks.
oru samboornna nattellu chalana vibhaagathinte kainamattiks, athinte gadakamaaya nattellu sandhikalilonnu kaikaaryam cheyyumbol, oru swatantra peripheral sinovial joyint kaikaaryam cheyyumbol sambhavikkunna kainamattiksinekkaal valare sankeernamaanu. praadeshikavum praadeshikavum ennu padanangal kandethiyathinte kaaranam ithu vishadeekarikkaam. nattellu kaikaaryam cheiyunnathu samanamaaya rogiyude falangalkku kaaranamaakunnu.
nirddeshicha samvidaanangal.
nattellu krithrimathvathinte phalangalil inipparayunnava ulppedunnuvennu theliyikkappettittund
nattellu krithrimathvathinte saadhaarana paarshwafalangal mithamayathum mithamaayathumaayavayaanu, avayil iva ulppedaam praadeshika aswasthatha, thalavedana, ksheenam allengil vikiranam cheiyunna aswasthatha.

