在年轻的退伍军人身上体和腰椎间盘:一个案例系列
Akongnwi Jungong Cheo1, Dominic Nkafu Nkemngong2, Michael Mortenson3
1Transitional Year Residency, University of North Dakota, Fargo, ND 58102, USA.
Military medicine
|March 30, 2024
概括
沉重的盔甲和过重的负载有助于早期开始的腰部疼痛和退伍军人的椎间盘. 这种与服役有关的问题影响退伍军人平均年龄为35岁,需要进一步研究长期影响.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 军事医学 军事医学
- 脊柱生物力学 脊柱生物力学
背景情况:
- 士兵携带重型盔甲 (超过33磅) 和过度负荷,显著影响他们的肌肉骨系统.
- 这种体重对退伍军人腰椎的长期影响尚不清楚.
- 年轻的退伍军人越来越多地出现非创伤性腰部疼痛,促使对其原因进行调查.
研究的目的:
- 探索体重量和过度承载负载对军人退伍军人的腰椎间盘椎间盘带根痛的影响.
- 调查与服务相关的身体负担与退伍军人的早期腰部疼痛之间的潜在联系.
主要方法:
- 采用了回顾案例系列设计,选择了前10名向法戈VA手术医生介绍的退伍军人.
- 数据收集包括电子健康记录审查和调查,详细说明战斗状态,盔甲特点,载荷和感知疼痛原因.
- 对于Fargo VA的这个案例系列,不需要机构审查委员会批准.
主要成果:
- 该研究中的退伍军人在平均35岁时经历了腰部疼痛和椎间盘,比非服役的男性早至少5年.
- 椎间盘L4-L5和L5-S1水平最常受到的影响.
- 所有10名退伍军人都将腰部疼痛归因于服役,60%的退伍军人有与服役有关的残疾.
结论:
- 退伍军人早期出现的腰部疼痛和椎间盘可能与在服役期间携带重型盔甲和负载有关.
- 这些发现表明,年轻退伍军人的腰部问题可能与服役有关的病因.
- 样本规模较小限制了推断因果关系的能力,突出了进一步调查的必要性.
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