腰痛 と 注意 を 払わ なけれ ば なり ませ ん
Jan Hartvigsen1, Mark J Hancock2, Alice Kongsted1
1Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.
Lancet (London, England)
|March 26, 2018
まとめ
腰痛は 世界中のあらゆる年齢層や国で 障害を引き起こす主な原因です 特に低所得国において その負担は増加しており 緊急に研究と世界的な行動が求められています
科学分野:
- 公衆衛生
- 流行病学について
- 痛みの管理
背景:
- 腰痛は普遍的な健康問題であり,すべての所得国や年齢層に共通しています.
- 世界的に見て,LBPによる障害は人口増加と高齢化により54%増加し,低所得国や中所得国に不均衡な影響を及ぼしました.
- LBPは世界中の障害の主な原因であり,特定の病理的な原因は少数の場合しか特定されていません.
研究 の 目的:
- 公共衛生上の問題として 背中の痛みという 世界的な重荷を強調するためです
- 低腰痛の危険因子と予測要因を特定する
- 腰痛の管理のための研究とグローバルなイニシアチブの必要性を強調する
主な方法:
- この研究は,腰痛の流行,障害,リスク要因に関する既存の世界的なデータと研究結果をまとめています.
- 分析には,腰痛による障害調整寿命年数 (DALYs) の傾向が含まれています.
- 慢性腰痛における中央痛みの調節と痛みの認知の役割に関する証拠をまとめました.
主要な成果:
- 腰痛は世界的に障害の主な原因で 障害年数が著しく増加しています
- 腰痛を報告する危険因子には,身体的に厳しい仕事,併発性疾患,喫煙,肥満,低社会経済的地位が含まれます.
- 持続的な腰痛は,中央の痛みメカニズムに影響を受け,高い初期疼痛の強度,心理的苦痛,多部位疼痛と関連しています.
結論:
- 腰痛は 特に資源が限られている地域では 世界的な公衆衛生上の課題となっています
- 効果的な管理には 危険因子に対処し 痛みのメカニズムを理解し 社会経済文化的な文脈を考慮する必要があります
- 緊急で強化された研究と 協調されたグローバルな戦略は 腰痛の増大する負担を軽減するために不可欠です
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