하지길이균차에 대한 임상평가와 치료

Clinical Evaluation and Treatment of Leg Length Inequality

Objectives : Visual check and X-ray are commonly used by chiropractors to estimate leg length inequality. This study have three categories: diagnosis for anatomic leg length inequality; difference between anatomic and functional leg length inequality; theraphies for anatomic or functional leg length inequality. Methods : We referred to a PubMed site by using word of leg length [JU] J Manipulative Physiol Ther , only items with abstracts. Results : We searched 26 articles in J Manipulative Physiol Ther with the key word-leg length. Conclusion : 1. Radiographs were most accurate and commonly used by chiropractors to measure anatomic leg length inequality, clinically wood block, tape measure, visual check are acceptable. 2. There was no article about difference between anatomic and functional leg length inequality. 3. Heel lift was commonly used with conservative theraphy for anatomic leg length inequality. 4. Chiropractors have not yet proved that the supposed positive effects are a result of a reduction of subluxation. The detection of the manipulative lesion in the sacroiliac joint depends on valid and reliable tests. Because such tests have not been established, the presence of the manipulative lesion remains hypothetical. Great effort is needed to develop, establish and enforce valid and reliable test procedures.