在慢性非特异性腰部疼痛中,形脊骨骨对齐参数与疼痛和功能障碍的相关性
Rajib Sarkar1, Samriddhi Sarkar2, Siddharth Keswani1
1Orthopaedics, ICARE Institute of Medical Science and Research, Haldia, IND.
Cureus
|November 3, 2025
概括
盆腔发病率与腰椎主症不匹配与慢性腰痛患者的残疾和疼痛有显著的相关性. 根据个体的盆腔发作量身定制治疗对于控制疼痛和改善功能至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 生物机械工程 生物机械工程
- 物理疗法物理治疗
背景情况:
- 在脊柱的生物力学中,角脊柱的脊柱骨对齐至关重要.
- 在慢性非特异性腰部疼痛 (CNSLBP) 中,脊椎皮层参数与疼痛/残疾之间的关系需要进一步量化.
研究的目的:
- 评价在CNSLBP患者中形脊骨皮层对齐参数和疼痛/残疾之间的相关性.
- 确定影响功能障碍和疼痛严重程度的关键脊椎骨盆参数.
主要方法:
- 90名患有CNSLBP的成年人接受了临床 (VAS,ODI) 和放射性评估 (PI,PT,SS,LL,Roussouly类型).
- 相关性和回归分析检查了放射性参数和临床分数之间的关系.
主要成果:
- 盆腔发病率-腰椎病 (PI-LL) 的不匹配与奥斯韦斯特里残疾指数 (ODI) 有显著的相关性,并与视觉模拟量表 (VAS) 显示出中度的关联.
- PI-LL不匹配是残疾的独立预测因素.
- 罗斯苏利类型与结构参数相关,但与临床严重程度无关.
结论:
- PI-LL不匹配是CNSLBP疼痛和残疾的重要决定因素.
- 治疗考虑应该考虑个体的骨盆发病率,而不是一个固定的值.
- 需要进一步的研究来探索患者特异性的不匹配纠正,以改善临床结果.
关键词:
慢性非特异性腰部疼痛 慢性非特异性腰部疼痛腰部主病是指腰部主病.奥斯韦斯特里残疾人指数盆腔发生率的发生率.骨盆倾斜的情况电池将出现不匹配的情况.交叉骨斜率的斜率是什么脊皮皮层对齐 脊皮层对齐视觉模拟尺度 (VAS) 是一种视觉模拟尺度.更多相关视频
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