探索年轻人关节超运动和慢性疼痛之间的关系:诊断挑战和贝顿尺度
William S Frye1, Sydney R Ward1, Giovanni Cucchiaro2
1Department of Psychology, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
PM & R : the journal of injury, function, and rehabilitation
|November 6, 2025
概括
在患有慢性疼痛的年轻人中,关节过度运动是常见的,但诊断不一致. 疼痛往往发生在超移动关节之外,需要多学科治疗.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 临床疼痛管理 临床疼痛管理
- 超流动性综合征 超流动性综合征
背景情况:
- 在儿科慢性疼痛患者中经常观察到关节过度运动.
- 贝顿尺度是一个常见的,但潜在的不可靠的工具来评估超流动性.
- 青春期的超移动性和慢性疼痛之间的确切关系尚不清楚.
研究的目的:
- 在患有慢性疼痛的年轻人中确定Beighton尺度正分数的流行率.
- 评估Beighton尺度得分的一致性及其与超移动性诊断的联系.
- 评估慢性疼痛,高移动性和关节脱之间的关联.
主要方法:
- 对患有慢性疼痛的儿科患者的回顾性图表审查.
- 分析电子医疗记录,包括贝顿尺度得分和诊断.
- 从专门的儿科慢性疼痛诊所收集1年时间的数据.
主要成果:
- 几乎一半 (46.7%) 患有慢性疼痛的年轻人有积极的比顿尺度得分.
- 不同的提供商之间发现了显著的分数不一致 (52.7%).
- 超运动性诊断是不一致的,有时具有负的比顿分数.
- 在超移动关节和非超移动关节,甚至在无痛的超移动关节都报告了疼痛.
结论:
- 在患有慢性疼痛的年轻人中,超移动性很普遍,需要仔细评估.
- 诊断和评分超流动性的不一致性凸显了对标准化标准和培训的需求.
- 这种人群中的慢性疼痛是复杂的,不仅仅是通过超运动来解释的.
- 包括物理治疗在内的多学科方法对于管理患有慢性疼痛和超移动性的青少年至关重要.
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