腰痛和功能障碍的综述:相关的危险因素和管理

IF 1.7 Q2 REHABILITATION
Walid Kamal, A. Sulieman
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引用次数: 1

摘要

最近,腰痛(LBP)已成为世界范围内致残的主要原因。80%的人在某种程度上患有慢性腰痛。腰痛的发病率呈上升趋势,尤其是在老年人中,男性比女性更常见。一个人生活的不同方面,如精神病史、超重、吸烟、缺乏锻炼、年龄增长、久坐不动的生活方式,都增加了患腰痛的可能性。根据研究,有许多原因和促成因素加在一起,为残疾人带来了沉重的代价。慢性腰痛的功能性残疾部分是由疾病本身以外的原因引起的,如心理和职业变量,并可能限制个人生活、工作生活和家庭生活。根据最近的一项研究,超过80%的功能性残疾患者被归类为中度至重度损伤。因此,我们提出了这一综述,以澄清适当的评估和干预方式,以减少残疾。腰痛的诊断可能需要体格检查和影像学检查,以排除其他疾病的可能性,如骨折。有不止一种技术来治疗下腰痛的潜在原因。干预措施包括几种方式,包括药物治疗、物理治疗、手工治疗、注射和手术。在疼痛治疗方面,我们可以在非处方非甾体抗炎药(NSAIDs)和处方药之间进行选择。背部痉挛可以用其他放松背部肌肉的药物来治疗。物理治疗可以帮助一个人建立保护脊柱的核心肌肉。物理治疗不仅可以增加活动范围,还可以帮助个人保持无损伤状态。紧张的肌肉可以放松,疼痛可以减轻,姿势和对齐可以通过一系列的会议加强。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Overview on Low Back Pain and Functional Disability: Associated Risk Factors and Management
Recently, low back pain (LBP) has been a major contributor to disability worldwide. Chronic LBP affects 80% of the population at some point. The incidence of LBP is on the rise, especially among the elderly, and it is more common in men than in women. The different aspects of one’s life, such as a history of mental illness, being overweight, smoking, not getting enough exercise, getting older, and leading a sedentary lifestyle, all increase the likelihood of developing LBP. According to research, there are a number of causes and contributing factors that add up to a hefty price tag for disabled people. Functional disability in chronic LBP can be caused in part by causes other than the disease itself, such as psychological and professional variables, and can put restrictions on one’s personal life, work life, and family life. According to a recent study, more than 80% of those with a functional disability were classified as having a moderate-to-severe impairment. Therefore, we have proposed this review to clarify the appropriate assessment and interventional modalities for LBP and reduce disability. The diagnosis of LBP may need physical examination as well as imaging procedures to rule out the possibility of other ailments, such as broken bones. There is more than one technique to treat the underlying causes of LBP. Interventions include several modalities, including medication, physical therapy, manual therapy, injections, and surgery. In terms of pain treatment, we could choose between over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) and prescribed drugs. Back spasms can be treated with other medications that relax the muscles in the back. Physiotherapy can help an individual build up the core muscles that protect the spine. Physical therapy can help individuals to stay injury-free by doing more than just increasing the range of motion. Tense muscles can be relaxed, pain can be lessened, and posture and alignment can be enhanced through a series of sessions.
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
13
审稿时长
16 weeks
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