核心肌肉的软弱可能是发展足底筋炎的危险因素
Stewart A Bryant1, Daniel L Brinton2, Griffin J Salzer3
1Department of Orthopaedic Surgery, Stanford Health Care, Palo Alto, USA.
Cureus
|November 24, 2025
概括
由于潜在的核心软弱,剖腹产和腰椎融合手术后,腹膜炎 (PF) 的风险增加. 加强核心可能有助于预防或治疗PF.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 流行病学 流行病学
背景情况:
- 脚部带炎 (PF) 是全球普遍存在的肌肉骨疾病.
- 理论上,核心肌肉缺陷通过改变运动机制,有助于导致下肢损伤,包括PF.
- 核心弱点与PF发展之间的关联需要进一步调查.
研究的目的:
- 调查可能导致过渡性核心软弱的手术与新诊断的脚下带炎发病率之间的关联.
- 确定剖腹产和后腰部融合手术是否与发展PF的风险增加有关.
主要方法:
- 一项回顾性病例控制研究使用了Truven Health MarketScan数据库.
- 在剖腹产,后腰部融合或匹配的控制程序后一年内确定了新的PF诊断.
- 使用后勤回归分析计算PF发展的调整赔率比率.
主要成果:
- 与阴道分娩 (OR 1.241) 相比,接受剖腹产的女性在12个月内患上PF的几率增加了24.1%.
- 与对照组相比,接受后腰融合治疗的患者患上PF的几率增加了11.7% (OR 1.117).
结论:
- 可能导致暂时核心肌肉衰弱的程序与脚部筋膜炎的风险增加有关.
- 核心强化和康复策略可能对PF的预防和治疗有益.
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