慢性非特异性腰痛患者髋关节运动学评估。德尔菲研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-11-15 DOI:10.1016/j.msksp.2024.103215

Maya Abady Avman, Peter G. Osmotherly, Suzanne J. Snodgrass

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引用次数: 0

摘要

背景：慢性非特异性腰痛（CNSLBP）与髋关节运动障碍（MI）有关。然而，支持这一观点的证据并不一致。专家的一致意见可能为CNSLBP患者髋关节评估提供理论依据和建议。目的：就髋关节MIs是否与CNSLBP相关、是否应进行评估以及推荐何种运动类型和方向，获得专家共识。方法通过三轮e-Delphi过程，该领域的国际专家对与评估CNSLBP患者拟议的髋关节MI相关的生成主题及其潜在理由的同意程度进行了评级。共识被先验地定义为在李克特量表上评分≥75%且IQR≤1。结果国际专家小组由研究人员和临床医生组成，其中大多数人都参与其中。第一轮的应答是27人，第二轮是21人，第三轮是26人。对于CNSLBP中主动和被动髋关节心肌梗死的关联及其评估达成了共识。关于腰椎代偿性运动的基本原理和髋关节被动运动的评估，特别是伸展，达到100%的一致性。评估髋关节被动屈曲、伸展、旋转和外展、主动屈曲、伸展和外展也取得了共识。关于被动附件运动没有达成一致意见。结论专家认为主动和被动髋关节心肌梗死的评估在CNSLBP的管理和研究中是适当的和有价值的。

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Hip joint kinematic assessment in chronic non-specific low back pain patients. A Delphi study

Background

Chronic nonspecific low back pain (CNSLBP) has been associated with movement impairment (MI) of the hip joint. However, evidence supporting this is inconsistent.

Agreement from experts may provide rationale and recommendations for the assessment of the hip joint in the management of CNSLBP patients.

Objective

Gain expert consensus on whether hip MIs are related to CNSLBP, whether they should be assessed and which movement types and directions they recommend.

Methods

Through a three-round e-Delphi process, international experts in the field rated levels of agreement for generated themes pertaining to assessing proposed hip joint MI in individuals with CNSLBP and underlying rationales. Consensus was defined a priori as ≥75% ratings on Likert scales with an IQR≤ 1.

Results

International expert panel consisted of a mix of researchers and clinicians with the majority involved in both. Response for round I was 27, round 2 was 21 and round III was 26 individuals.

Consensus was achieved for the association of active and passive hip joint MI in CNSLBP and their assessment. 100% agreement was achieved for the rationale regarding compensatory movement of the lumbar spine, and the assessment of passive hip movements, in particular extension. Consensus was also achieved for assessing hip passive flexion, extension, rotations, and abduction, active flexion, extension, and abduction. No agreement was attained regarding passive accessory movement.

Conclusion

The assessment of active and passive hip joint MI is regarded by experts as appropriate and informative in the management of and research pertaining to CNSLBP.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.