背部形态和行走模式意味着在青少年的腰椎间盘的手术后13.8年
Livia Ruehr1,2,3, Sebastian Blomé3, Gránit Kastrati3
1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Pain reports
|March 19, 2024
概括
由于腰椎间盘 (LDH) 进行手术治疗的青少年几年后表现出改变的行走模式. 这些与疼痛和运动相关的步态变化,突出了早期手术后潜在的长期残疾.
科学领域:
- 生物医学工程 生物医学工程
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 在许多疾病中,持续的疼痛是常见的,即使在组织愈合后也是如此.
- 与对照人群相比,手术治疗腰椎间盘 (LDH) 的青少年在手术后13年体验到更差的健康状况和增加的椎间盘退化.
- 手术治疗LDH青少年的步态与长期结果之间的关系尚不清楚.
研究的目的:
- 调查LDH手术治疗青少年的步态,背部形态和健康结果之间的关联.
- 为了确定手术治疗的LDH青少年和长期随访的对照群之间的行走模式是否不同.
主要方法:
- 一项队列研究比较了23名为LDH (病例) 手术治疗的青少年和23名对照者的步行模式,背部形态和健康结果.
- 步态分析侧重于头部和干的角度.
- 通过使用标准化措施评估健康结果.
主要成果:
- 在病例和对照组之间观察到头部和干部角度的显著差异,病例表现出与疾病相关的姿势 (P=0.021).
- 步态差异主要是由主观疼痛和运动习惯解释的,而不是客观的磁盘退化.
- 与对照组相比,病例报告的整体健康状况较差.
结论:
- 在青少年LDH手术后的十多年里,与对照人群相比,个人体验到更糟糕的健康结果.
- 头部和干部角度的改变表明,持续的疼痛影响了最初受伤后很长时间的运动模式.
- 步态分析可以作为一种有价值的工具,以了解青春期为LDH进行手术治疗的个体疼痛和残疾的持续性.
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