软弱的发病率和介导因素之间的差异报告和观察到的腿部软弱在患有 sciatica 的人
Lucy Dove1,2, Georgios Baskozos1, Thomas Kelly3
1Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, The University of Oxford, West Wing Level 6, Oxford, OX3 9DU, UK.
概括
许多 sciatica 患者报告腿部软弱,但临床检查通常不会显示. 腿部疼痛的严重程度和年龄可能解释了报告与观察到的弱点之间的差异.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 物理医学和康复 康复
背景情况:
- 坐骨髓炎,以腿部疼痛和潜在的软弱为特征,影响着众多个体.
- 评估阴茎 sciatica 患者的腿部软弱包括患者自我报告和客观的临床检查.
- 报告和观察到的症状之间的差异可能会影响治疗疗效和患者管理.
研究的目的:
- 确定在 sciatica 患者中报告与观察到的腿部软弱的患病率.
- 评估主观患者报告与客观的腿部软弱临床发现之间的一致性.
- 确定可能解释报告和观察到的腿部软弱之间的差异的因素.
主要方法:
- 在英格兰NHS医院对68名被诊断患有 sciatica的患者进行了审查.
- 主要结局包括坐骨髓炎烦指数 (报告的弱点) 和医学研究委员会尺度 (观察到的弱点).
- 使用科恩的卡帕和类内相关系数 (ICC) 来评估协议,并对影响因素如疼痛和年龄进行调解分析.
主要成果:
- 发现了显著的差异:85%的患者报告了腿部软弱,而只有34%的患者表现出可观察到的软弱.
- 科恩的卡帕和ICC都表明报告和观察到的弱点之间的差异很小 (p<0.05对于ICC).
- 报告和观察到的弱点之间的差异显著介于腿部疼痛严重程度和患者年龄.
结论:
- 报告的腿部软弱在 sciatica 中非常普遍,但在客观的临床评估中反映得很差.
- 腿部疼痛的严重程度和患者的年龄是导致主观和客观弱点测量之间的差异的关键因素.
- 需要进一步的研究,以探索客观的措施,与患者报告的软骨 sciatica.
相关概念视频
01:11Assessing Blood pressure in the Leg
2.3K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
2.3K
01:27Assessment of the Cardiovascular System III: Palpation
307
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
307