[肌问题的诊断和管理]
J Hans Zwerver1,2, Frank Boersma3
1Ziekenhuis Gelderse Vallei, SportsValley, afd. Sportgeneeskunde, Ede.
Nederlands tijdschrift voor geneeskunde
|July 26, 2023
概括
肌病,四肢疼痛和功能障碍的常见原因,涉及复杂的病理生理学超越炎症. 管理侧重于患者教育,负载管理和渐进性炼,对其他治疗方法的证据有限.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 肌问题,如肌病,显著影响生活质量.
- 肌病症的特征是负载依赖的疼痛和功能损失,与肌炎不同.
- 了解病理生理学对于有效的管理至关重要.
研究的目的:
- 澄清肌病的首选术语和病理生理学.
- 为管理引入肌病的连续性模型.
- 审查肌病的诊断和治疗策略.
主要方法:
- 文献综述和综合目前对肌病的理解.
- 讨论诊断方法,包括病史,临床检查和成像.
- 评估治疗原则和选择.
主要成果:
- 肌病是负载诱导的肌疼痛和功能障碍的首选术语.
- 肌病变的连续模型概述了三个与负载相关的阶段.
- 诊断主要依赖于临床评估;成像具有有限的诊断和预后价值.
- 患者教育,负载管理和渐进式负载练习是主要的治疗方法.
结论:
- 肌病管理应优先考虑负载管理方法.
- 虽然保守治疗是基本的,但对替代疗法的证据仍然有限.
- 需要进一步的研究,以建立耐火性肌病的有效治疗方法.
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