The Role of Orthoses in Chronic Axial Spinal Conditions.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2024-06-01 Epub Date: 2024-02-26 DOI:10.1007/s11916-024-01233-7

John Freeman, Devin Nikjou, Jillian Maloney, Stephen Covington, Scott Pew, Christopher Wie, Natalie Strand, Alaa Abd-Elsayed

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引用次数: 0

Abstract

Purpose of review: Bracing represents a prevalent conservative, non-surgical approach used in the management of chronic spinal conditions such as spondylosis, degenerative disc disease, and spondylolisthesis. A wide variety of orthoses are available to aid in addressing cervical, thoracic, lumbar, thoracic, and SI joint pain. In this review, we aim to comprehensively examine brace types with their current applications and implications of usage.

Recent findings: There are multiple cervical bracing options, such as soft and rigid collars, to assist in managing acute trauma and chronic degenerative conditions. The review highlights the nuanced decision-making process between hard and soft collars based on the severity of bone or ligamentous injury and neurological findings. Orthoses for low back pain are commonly used. The review highlights the challenges of chronic neck and lower back pain, emphasizing the importance of clinicians exploring all treatment strategies including braces which can improve function and reduce pain.

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矫形器在慢性轴性脊柱疾病中的作用

审查目的：矫形器是治疗脊椎病、椎间盘退行性病变和脊椎滑脱症等慢性脊椎病的常用保守非手术方法。有多种矫形器可用于辅助治疗颈椎、胸椎、腰椎、胸椎和 SI 关节疼痛。在这篇综述中，我们旨在全面研究支架类型及其当前应用和使用意义：有多种颈椎支具可供选择，如软颈圈和硬颈圈，可帮助治疗急性创伤和慢性退行性病症。这篇综述强调了根据骨骼或韧带损伤的严重程度以及神经系统的检查结果，在硬颈圈和软颈圈之间进行微妙决策的过程。矫形器是治疗腰背痛的常用工具。综述强调了慢性颈部和下背部疼痛所带来的挑战，强调了临床医生探索所有治疗策略的重要性，包括可以改善功能和减轻疼痛的矫形器。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.