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腰骶部束腰在症状性退行性腰椎管狭窄症中的有效性。

The effectiveness of lumbosacral corset in symptomatic degenerative lumbar spinal stenosis.

作者信息

Prateepavanich P, Thanapipatsiri S, Santisatisakul P, Somshevita P, Charoensak T

机构信息

Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 2001 Apr;84(4):572-6.

PMID:11460971
Abstract

Lumbosacral corset is a spinal support widely used for patients suffering from low back pain due to various conditions. To evaluate the effectiveness of the corset in symptomatic degenerative lumbar spinal stenosis, twenty one patients (mean age 62.5 +/- 5.2 years) with neurogenic claudication (mean onset 9.0 +/- 9.3 months) were recruited for and completed a self controlled comparative study (with and without a corset). Quantitative and qualitative assessment in terms of walking distance and pain score (0-10 point visual analog scale) in daily activities respectively, compared between wearing and not wearing the corset were measured. The outcome of the study showed statistically significant improvement in walking distance (393.2 +/- 254.0 m and 314.6 +/- 188.8 m) and decrement of pain score in daily activities (4.7 +/- 1.4 and 5.9 +/- 1.0) with and without corset dressing respectively. This result supports the positive effect of the lumbosacral corset in pain relief and functional improvement of the degenerative lumbar spinal stenosis condition.

摘要

腰骶束腰矫形带是一种广泛用于因各种病症而患有腰痛的患者的脊柱支撑器具。为了评估该矫形带对有症状的退行性腰椎管狭窄症的疗效,招募了21例患有神经源性间歇性跛行(平均发病时间为9.0±9.3个月)的患者(平均年龄62.5±5.2岁),并完成了一项自身对照比较研究(佩戴和不佩戴矫形带)。分别测量了佩戴和不佩戴矫形带时日常活动中的行走距离和疼痛评分(0-10分视觉模拟量表)的定量和定性评估。研究结果显示,佩戴和不佩戴矫形带时,行走距离(分别为393.2±254.0米和314.6±188.8米)和日常活动中疼痛评分的降低(分别为4.7±1.4和5.9±1.0)在统计学上有显著改善。这一结果支持了腰骶束腰矫形带对退行性腰椎管狭窄症的疼痛缓解和功能改善具有积极作用。

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