在考虑肩膀疼痛患者的宫贡献时,基于亚分类的诊断的流行:从以前的研究中得到的二次分析
Alberto Roldán-Ruiz1,2, Javier Bailón-Cerezo3,4, María Torres-Lacomba1,3,5
1Faculty of Medicine and Health Sciences, Physiotherapy and Nursing Department, University of Alcalá, Madrid, Spain.
The Journal of manual & manipulative therapy
|December 20, 2024
概括
旋转手套疼痛是最常见的肩膀诊断,通常与椎问题同时发生. 这项研究强调了宫贡献与旋转手套疼痛之间的显著关联,这表明肩膀状况存在潜在联系.
科学领域:
- 整形外科 整形外科 整形外科
- 肌肉骨系统疾病 肌肉骨系统疾病
- 诊断算法 诊断算法
背景情况:
- 肩部疼痛的诊断可能是复杂的,有各种各样的因素.
- 功能分类方法有助于区分肩部病理.
- 椎脊柱的干扰是公认的,但有时被忽视的,为肩部症状做出贡献.
研究的目的:
- 使用定义的排除类型算法来确定肩部诊断的流行率.
- 分析宫贡献与其他肩部诊断之间的关系.
- 调查宫贡献与常见的肩部疾病的共存.
主要方法:
- 一种功能分类诊断算法应用于60名受试者.
- 诊断包括:宫贡献,关节关节疼痛,硬肩,无创性不稳定的肩膀,旋转手套相关的肩膀疼痛等.
- 在宫脊查后,宫贡献被确定为>30%的症状修饰.
主要成果:
- 与旋转相关的肩部疼痛最为普遍 (36.7%),其次是肩部硬 (30%).
- 在13.3%的受试者中诊断出宫贡献.
- 在宫贡献和旋转手套相关的肩部疼痛之间发现了显著的关联 (p=0.002),其中71.4%的RC患者显示宫参与.
结论:
- 与旋转相关的肩部疼痛是最常见的诊断,经常与宫贡献有关.
- 宫贡献可以是一个独立的诊断或与其他肩部疾病并存.
- 旋转带疼痛的患者显著更有可能经历宫贡献.
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