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[从肩膀的肌肉骨病变中获得实质性临床益处的预后因素]

S Soliño¹, F Mignone¹, P Policastro¹

¹Unidad de Kinesiología, Hospital Carlos G. Durand, Ciudad Autónoma de Buenos Aires, Argentina.

Acta ortopedica mexicana

|June 11, 2024

概括

骨折诊断和肩部症状持续时间在七个月以下,预测肩部疼痛患者的临床益处很大. 这些因素可以改善临床实践和治疗后患者的治疗结果.

科学领域:

整形外科整形外科整形外科
疼痛管理疼痛管理
临床预后临床预后

背景情况:

肩部疼痛是一个普遍的疾病.
准确的诊断和预后是具有挑战性的.
识别预后因素可以提高临床实践.

研究的目的:

确定与实质性临床益处 (SCB) 相关的初始人口和临床因素.
在治疗后一个月或在出院时评估肩膀疼痛患者的SCB.

主要方法:

一个前性队列研究的二次分析.
后勤回归模型用于识别SCB的预测因素.
在全球变化评级 (Global Rating of Change) 级别上,SCB被定义为+5分.

主要成果:

分析了101名患者 (平均年龄55岁,54.5%为女性).
骨折作为入院原因与SCB独立相关 (aOR 11.8,p=0.024).
症状持续时间短于7个月与SCB相关 (aOR为4.63,p=0.001).

结论:

骨折诊断是SCB的重要预测因素.
较短的症状持续时间 (<7个月) 与更好的结果有关.
这些因素可以帮助预测肩部疼痛的治疗反应.

关键词:

预后预后预后康复康复康复康复康复康复肩膀肩膀,肩膀肩膀,这是一个很大的问题.肩部骨折肩部骨折肩部骨折肩部疼痛肩部疼痛肩部疼痛

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