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身体检查是否对慢性中部关节肌痛病的预后有价值?

Céline F L Mulder¹, Arco C van der Vlist², Marienke van Middelkoop³

¹Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, the Netherlands.

Journal of science and medicine in sport

|July 23, 2023

概括

基线疼痛诱导测试预测了阿基里斯肌病的结果. 在开始时疼痛较小的患者在24周的炼后报告了功能和疼痛的更好改善.

科学领域:

整形外科整形外科整形外科
运动医学运动医学
康复科学康复科学康复科学

背景情况:

阿基里斯肌病是影响运动员和活跃个体的常见疾病.
患者报告的结果 (PROs) 对于评估治疗有效性至关重要.
在阿基里斯肌病症中,PROs的预测标志物对个性化治疗策略有价值.

研究的目的:

调查基线物理测试对慢性中部分阿基里斯肌病的患者报告结果的预后价值.
为了确定特定的身体检查发现,预测治疗反应.

主要方法:

前性队列研究分析随机试验数据.
80名患有慢性中部阿基勒斯肌病的患者进行了渐进式的小腿肌肉炼计划.
基线和后续评估包括维多利亚体育评估研究所-阿基里斯 (VISA-A) 问卷和体力测试 (运动范围,力量,跳跃高度,疼痛诱发测试).
混合线性模型被用来评估基线测试和VISA-A改进之间的关联.

主要成果:

24周后,VISA-A分数显著改善 (平均变化:20分).
随着膝盖曲的脚背部屈曲与改善的VISA-A分数相关 (β=0.2,P=0.049).
基线疼痛诱导测试 (视觉模拟尺度对触摸和10跳) 显示了与VISA-A改善的显著负相关性 (β=-0.2至-0.3,P<0.001).

结论:

在基线时,简单的疼痛诱发测试对阿基里斯肌病的患者报告结果具有临床相关的预后价值.
在这些测试期间,患有较低基线疼痛的患者在疼痛,功能和活动水平方面经历了更好的改善.
这些发现支持使用疼痛刺激测试来指导治疗期望和个性化治疗阿基里斯肌病变.

关键词:

阿基里斯肌运动运动运动.注射方式注射方式肌肉骨系统的疾病预测预后预测预测美国VISA-A签证

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