预防慢性脊柱疼痛

Florian Bailly
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引用次数: 0

摘要

腰痛(LBP)是法国和世界范围内致残的主要原因,并且在法国和世界范围内呈上升趋势。这种负担主要与慢性腰痛有关,因为它对个人、经济和职业都有影响。这篇文章的目的是详细说明预防腰痛的好处。筛查有慢性腰痛风险的人群对于确定最合适的治疗方法很重要。预防腰痛可以是初级(当没有腰痛时),二级(减少其发展的持续时间)或三级(减少慢性残疾或复发的患病率)。在所有阶段,体育活动都是可实现的最佳预防措施,如果可能的话,再加上以保证为基础的信息和教育。限制脊柱成像也可能有利于二级预防。预防和促进身体活动在两种危险情况下尤为重要:重度或经常重复负重的职业情况和怀孕。工作场所的人体工程学尚未被证明是非常有效的。鞋垫和腰带在初级或二级预防中无效,在一般人群中或在工作中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prévenir la chronicisation de douleurs rachidiennes

Low back pain (LBP) is the leading cause of disability in France and worldwide and is increasing in France and worldwide. The burden is mainly related to chronic low back pain due to its personal, financial and professional repercussions. This article aims to detail the benefits of prevention of low back pain. Screening for people at risk of chronic low back pain is important to identify the most appropriate management. Prevention of LBP can be primary (when no LBP is present), secondary (to reduce the duration of its development) or tertiary (to reduce the prevalence of chronic disability or recurrence). At all stages, physical activity is the best achievable prevention, if possible coupled with information and education based on reassurance. Limiting spinal imaging could also be beneficial for secondary prevention. Prevention and promotion of physical activity is particularly important in two risk situations : occupational situations with heavy or frequently repeated load bearing and pregnancy. Workplace ergonomics has not yet proven to be very effective. Insoles and lumbar belts are not effective in primary or secondary prevention, in the general population or at work.

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