腰椎脊柱狭窄症患者的客观体能和运动测试:一个系统的范围审查
Ramin Kordi1, Iman Menbari Oskouie2, Mobina Taghva Nakhjiri3
1Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
BMC sports science, medicine & rehabilitation
|January 26, 2026
概括
客观的身体性能测试有助于诊断和管理腰椎脊柱狭窄症 (LSS). 步行测试是评估LSS最可靠的,加速度计也显示出评估行走能力的希望.
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
- 临床诊断 临床诊断 临床诊断
背景情况:
- 腰椎脊柱狭窄症 (LSS) 是一种普遍的疾病,特别是在老年人中,由于不一致的标准和图像-症状相关性差,这给诊断带来了挑战.
- 客观的体力表现和运动测试对于评估LSS严重程度和治疗有效性至关重要,补充主观报告.
研究的目的:
- 系统地评估和绘制客观的身体表现和运动测试的现有科学知识,用于诊断为腰椎脊柱狭窄的患者.
主要方法:
- 一个全面的范围审查,遵循乔安娜·布里格斯研究所的方法和PRISMA-ScR指南.
- 在多个数据库 (CINAHL,MEDLINE,Cochrane,Embase,Web of Science,Scopus) 进行系统的文献搜索,截至2025年12月.
- 由两名审稿人进行独立选和数据提取,并对调查结果进行叙事综合.
主要成果:
- 57项研究符合纳入标准,LSS诊断通常结合临床评估和MRI.
- 运动测试被分为步行,跑步机,骑自行车,站立的腰部延伸,加速度计和功能性移动性/平衡测试.
- 步行测试,特别是测量神经性听的测试,被认为是非常有效和可靠的.
结论:
- 客观的运动测试对于LSS诊断,评估和康复有价值,有助于临床决策和结果测量.
- 步行测试是最有效的客观措施,而加速度计评估有效地衡量行走.
- 需要进一步的研究来标准化协议,并了解残疾严重程度对测试结果的影响.
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