为患有运动诱导腿部疼痛 (EILP) 的患者开发诊断框架:范围审查
Fatma Bosnina1, Nat Padhiar2,3, Stuart Miller1
1Sports & Exercise Medicine, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK.
Journal of foot and ankle research
|November 22, 2023
概括
本综述澄清了运动诱导腿部疼痛 (EILP) 疾病的诊断标准. 它为九个常见的EILP原因提供了初步框架,有助于临床诊断和共识.
科学领域:
- 运动医学 运动医学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 诊断标准开发 发展诊断标准
背景情况:
- 运动引起的腿部疼痛 (EILP) 涵盖了许多缺乏明确诊断指南的疾病.
- 一个范围审查是必要的,以定义和建立常见的EILP条件的诊断标准.
研究的目的:
- 澄清九种普遍存在的EILP疾病的定义和诊断标准.
- 建立初步诊断框架,以进行临床考虑和达成共识.
主要方法:
- 在EILP条件下搜索了三个数据库 (从开始到2022年4月) 的英语原始手稿.
- 包括对成年人进行的研究,报告了EILP的诊断标准.
- 评估方法质量并提取/分类定义,病史元素,症状,身体征兆,调查工具和诊断标准.
主要成果:
- 保留了119份手稿;质量是中等的 2/5.5.
- 诊断依赖于病史,疼痛位置,症状,身体发现和调查,细节因次诊断而异.
- 详细介绍了慢性劳力区综合征 (CECS) 和中部骨应力综合征 (MTSS) 的具体发现,还分析了应力骨折 (SF),骨动脉陷综合征 (PAES) 等数据.
结论:
- 针对九种最常见的EILP疾病,已经制定了最初的诊断框架和定义.
- 这些框架适合临床考虑和未来的共识确认.
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