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相关概念视频

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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相关实验视频

Updated: Jun 14, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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这位患者是否会出现持续的残疾性腰痛?

Roger Chou1, Paul Shekelle

  • 1Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, MC BICC, Portland, OR 97239, USA. chour@ohsu.edu

JAMA
|April 8, 2010
PubMed
概括
此摘要是机器生成的。

识别持续致残的腰痛对于有效的管理至关重要. 适应不良的应对行为,非有机体征和功能障碍是不良结果的关键预测因素.

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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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科学领域:

  • 医学研究 医学研究
  • 临床流行病学临床流行病学
  • 疼痛管理 疼痛管理

背景情况:

  • 腰部疼痛是一种普遍的疾病,影响着相当一部分人群.
  • 早期识别有持续残疾症状风险的个体对于指导治疗和后续策略至关重要.

研究的目的:

  • 系统地审查个体风险因素和临床仪器的预测效用,以识别可能患有持续致残腰部疼痛的患者.
  • 综合有关与持续残疾疼痛和恢复相关的因素的证据.

主要方法:

  • 进行了对MEDLINE和EMBASE数据库的系统电子搜索,并通过审查相关文章的书目进行了补充.
  • 包括8周以下腰痛患者的前性研究,计算临床发现的概率比率 (LRs).
  • 数据提取和评估由两位作者独立进行,以确保可靠性.

主要成果:

  • 对20项研究 (10,842名患者) 的分析确定了非有机征兆 (LR,3.0),不适应性应对疼痛行为 (LR,2.5),高功能障碍 (LR,2.1),精神病并发症 (LR,2.2) 和低一般健康状况 (LR,1.8) 作为较差结果的预测因素.
  • 低恐惧回避 (LR,0.39) 和低功能障碍 (LR,0.40) 与恢复有关.
  • 工作环境,基线疼痛,根茎病变,先前发作和人口统计数据显示预测价值有限.

结论:

  • 不适应性疼痛应对行为,非有机体征,功能障碍,一般健康状况和精神病相关疾病是持续残疾腰部疼痛的最重要的预测因素.
  • 虽然存在风险预测工具,但它们的验证是有限的,个别因素往往提供可比的预测信息.