除了脊椎疼痛之外的考虑:不同的同时出现的下肢关节疼痛是否会对身体功能和生活质量等级产生不同的影响?
Shawn McGargill1, Michael Sein1, Kimberly T Sibille1
1Department of Physical Medicine and Rehabilitation, College of Medicine, University of Florida, PO Box 112730, Gainesville, FL, 32611, USA.
BMC musculoskeletal disorders
|April 8, 2024
概括
患有背部疼痛的患者在额外的下肢疼痛部位存在时,身体功能和生活质量会恶化. 同时处理多个疼痛部位可能会改善治疗结果并减少残疾.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 物理医学和康复 康复
背景情况:
- 背部疼痛经常与其他关节疼痛 (部,膝盖,脚/脚) 一起发生.
- 多个疼痛部位对背部疼痛患者的身体功能和生活质量 (QOL) 的影响尚未得到充分证实.
研究的目的:
- 为了确定并发的下半身疼痛部位如何影响背部疼痛患者的功能结果和QOL.
- 为了比较仅仅背痛患者与其他疼痛部位的患者之间的结果.
主要方法:
- 骨关节炎倡议 (OAI) 队列的横截面分析 (N=1,642) 年龄在45-79岁之间,背部疼痛.
- 根据部,膝盖和脚/脚部疼痛的存在/不存在,患者被分为9组.
- 结果包括KOOS,WOMAC,SF-12分数,自我报告的功能和基于表现的测试 (步行时间,椅子上升).
主要成果:
- 五个部位 (背部,双侧部,膝盖,脚/脚) 的疼痛与明显更差的KOOS,WOMAC和SF-12分数 (39%-86%的下降) 有关.
- 包括部和膝盖疼痛 (背部-部-膝盖,背部-膝盖-脚/脚) 的组合显示出比单独的背部疼痛更糟糕的结果.
- 基于表现的措施,如步行时间和椅子上升测试,在所有五个部位疼痛的个体中都受到影响.
结论:
- 同时存在的下肢疼痛部位的数量和位置显著影响背部疼痛患者的感知和基于表现的功能评估.
- 综合管理策略解决背部疼痛和并发的下肢疼痛部位对于最大限度地发挥功能益处和以患者为中心的目标至关重要.
- 同时针对多个疼痛部位可以有效地减轻残疾并改善整体生活质量.
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