在患有腰部疼痛的年轻运动员中利用成像
1Physical Therapy Ithaca College.
International journal of sports physical therapy
|February 4, 2026
概括
运动医学医生经常为年轻的运动员下腰痛预订早期成像. 减少不必要的成像可能是有益的,因为大多数病例通过保守治疗得到改善.
科学领域:
- 运动医学 运动医学
- 儿科整形外科 儿科整形外科
- 放射学 放射学是一门学科.
背景情况:
- 年轻运动员 (6-18岁) 患有延伸性腰部疼痛 (EBLBP) 通常由体育医学医生治疗.
- EBLBP通常与机械原因有关,如脊髓解剖或脊髓解剖.
- 目前的成像实践缺乏共识,引发了人们对辐射暴露和成本的担忧.
研究的目的:
- 调查体育医学医生关于他们对患有EBLBP的年轻运动员的成像实践.
- 识别与可能过度利用成像相关的医生和实践因素.
- 为制定基于证据的成像推提供信息.
主要方法:
- 一项关于成像和治疗偏好的在线调查被发送给2,185名体育医学医生.
- 通过使用描述性统计数据,分析了397名医生的反应.
- 小组分析探讨了实践环境和多年的经验等因素.
主要成果:
- 68%的医生在EBLBP的首次诊断时订购了X射线图.
- 13.1%的人最初订购了高级成像,而27.2%的人在四周内订购.
- 磁力共振成像是首选的先进模式,其次是SPECT和CT. 在骨科办公室和私人诊所中,放射图的使用率最高.
结论:
- 体育医学医生经常在患有EBLBP的年轻运动员身上使用早期放射和高级成像.
- 研究结果表明,在保守的管理成功的情况下,有可能减少不必要的成像.
- 需要更明确的,基于证据的指导方针来对这一群体进行成像.
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