在子或肩膀? 在肩膀疼痛患者中建立脊柱查共识:一项国际修改的Delphi研究
Néstor Requejo-Salinas1,2, Rubén Fernández-Matías3, Angela Cadogan4
1Department of Physical Therapy, Superior Center for University Studies La Salle, Autonomous University of Madrid, C/ La Salle, 10, 28023 Madrid, Spain.
Physical therapy
|September 6, 2024
概括
查脊柱对于肩膀疼痛患者至关重要. 专家们就关键评估因素达成共识,包括部疼痛史和辐射症状,以指导临床实践和研究.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 在肩膀疼痛患者的脊柱查方面缺乏共识.
- 了解脊柱在肩膀疼痛中的作用对于有效管理至关重要.
研究的目的:
- 探索脊柱在肩膀疼痛中的作用.
- 制定关于肩膀疼痛患者脊柱查的建议.
主要方法:
- 经过修改的Delphi研究与国际物理治疗师专家小组.
- 在临床推理,病史和体检项目上达成共识.
- 艾肯有效性指数≥0.7定义共识.
主要成果:
- 在临床推理,病史和体检等30个项目上达成共识.
- 脊椎和肩部疾病可以并存并相互影响.
- 辐射疼痛被确定为脊柱损伤的关键指标.
结论:
- 专家们同意了查标准:远部症状,部疼痛史,部运动的症状变化,神经病症症状.
- 建议对宫/宫胸部运动进行评估,并进行特定测试 (Spurling,症状修改).
- 结果通过告知预后和管理影响临床实践,通过确保均的研究样本确保研究.
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