青少年脊柱疼痛的临床过程:在脊椎治疗环境下进行可行性研究
Laura Rc Montgomery1, Steven J Kamper2, Anika Young3
1Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia laura.montgomery@sydney.edu.au.
BMJ open
|January 31, 2025
概括
这项研究发现,从脊柱疼痛的青少年中采集使用手术治疗的数据是可行的,显示出高响应和保留率. 然而,对于更大的研究,招聘需要改进.
科学领域:
- 整形手术和肌肉骨健康
- 临床可行性研究临床可行性研究
- 青少年健康研究 青少年健康研究
背景情况:
- 青少年经历中度至严重的脊柱疼痛,需要有效的管理策略.
- 大规模的临床队列研究对于了解和改善对这一群体的护理至关重要.
- 在大规模实施之前,可行性研究对于完善方法至关重要.
研究的目的:
- 评估大规模临床队列研究数据收集方法的可行性.
- 为了调查脊柱疼痛的青少年接受手术护理的经历.
- 为未来关于青少年脊柱疼痛的研究设计提供信息.
主要方法:
- 一项涉及青少年 (12-17岁) 脊柱疼痛 (≥4/10强度) 的前性可行性研究.
- 数据收集包括基线和12周后续调查问卷,以及每周发送关于疼痛强度和恢复的短信报告.
- 整形外科医生在澳大利亚悉尼提供常规护理;可行性通过招聘,响应和保留率进行评估.
主要成果:
- 20名手术医生在13.5个月内招募了45名青少年,平均招聘率为0.6名青少年/手术医生/月.
- 在手术师问卷上获得了100%的响应,在青少年基线上98%的响应,在每周的短信中94%的响应,以及93%的青少年记忆力.
- 招聘受到COVID-19相关的8个月暂停的影响.
结论:
- 青少年的高响应率和保留率表明,对于这一群体来说,数据收集方法是可行的.
- 较低的招聘率凸显出需要扩大临床医生的数量和类型,以便在未来进行研究.
- 这些发现为设计有效的大规模关于青少年脊柱疼痛的队列研究提供了宝贵的见解.
相关概念视频
01:22Somatic Spinal Reflexes
1.7K
Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
One of the most well-known somatic spinal reflexes is the stretch reflex, which is activated by the sudden stretching of a muscle. This reflex involves the activation of specialized sensory receptors called muscle spindles, which are located in the muscle tissue and detect changes in the length and speed of muscle contractions. When a muscle is suddenly...
1.7K
01:54The Spinal Cord
29.1K
The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.
29.1K
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
572
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
572