在腰部疼痛患者中,常见的体力活动的暂时和长期风险
Pradeep Suri1,2, Andrew K I Timmons1, Anna M Korpak1
1Seattle Epidemiologic Research and Information Center, Veterans Affairs (VA) Puget Sound Health Care System, Seattle, Washington.
JAMA network open
|December 9, 2025
概括
一些体力活动暂时增加腰痛 (LBP) 发作风险,但不会影响长期功能. 参与更多的活动并没有导致LBP患者的长期结果更好或更差.
科学领域:
- 整形外科 整形外科 整形外科
- 物理医学 物理医学
- 康复 康复 康复 康复
背景情况:
- 身体活动与腰部疼痛 (LBP) 有着复杂的关系,提供了潜在的伤害和益处.
- 了解特定活动的短期和长期影响对于管理LBP至关重要.
研究的目的:
- 评估10种常见的体力活动对LBP恶化 (爆发) 的过渡性 (短期) 风险.
- 评估这些活动在1年内对LBP相关功能限制的累积 (长期) 风险.
主要方法:
- 一个前性的,纵向的案例交叉研究,嵌入在一个队列中.
- 招募的成年人最近的医疗保健访问LBP.
- 在1年内跟踪参与者,收集有关身体活动暴露和LBP结果的数据.
主要成果:
- 每小时增加的举起,曲,推/拉,扭转和坐的参与,与随后的LBP爆发的风险更高有关.
- 长时间坐着与下腰痛发作风险降低有关.
- 在最初的8周内,在活动中花费的平均时间和在1年的随访时的功能限制之间没有发现任何联系.
结论:
- 某些体力活动对LBP爆发造成短期的过渡性风险.
- 没有证据表明这些活动会影响LBP患者的长期功能限制.
- 参与这些活动似乎不会改变与LBP相关的长期功能结果.
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