电诊断在腰痛评估中的作用。

The role of electrodiagnosis in the evaluation of low back pain.

作者信息

Mulford Gregory J, Cohen Stephen J

机构信息

Atlantic Health, 95 Mount Kemble Avenue, Morristown, NJ 07960, USA.

出版信息

Clin Occup Environ Med. 2006;5(3):591-613, vi. doi: 10.1016/j.coem.2006.05.002.

DOI:10.1016/j.coem.2006.05.002

PMID:16963377

Abstract

Establishing a specific diagnosis is important in the effective management of individuals who present with a complaint of low back pain. Electrodiagnostic studies are an integral part of the diagnostic evaluation when the history or physical examination suggests that neural structures may contribute as symptom generators. Lumbo-sacral radiculopathies, plexopathies, and peripheral nerve injuries are of primary concern when evaluating individuals with low back pain, and electrodiagnostic studies assist in identifying and quantifying neurophysiologic injuries and abnormalities using techniques. A thorough, thoughtful, and individualized electrodiagnostic study performed by qualified physicians as an extension of a detailed history and physical examination can be an important and useful component in the proper evaluation of individuals with low back pain.

摘要

对于出现下背痛主诉的个体，确立明确的诊断对于有效管理至关重要。当病史或体格检查提示神经结构可能是症状产生的原因时，电诊断研究是诊断评估不可或缺的一部分。在评估下背痛个体时，腰骶神经根病、神经丛病和周围神经损伤是主要关注的问题，电诊断研究有助于通过技术手段识别和量化神经生理损伤及异常情况。由合格医生进行的全面、细致且个性化的电诊断研究，作为详细病史和体格检查的延伸，在对下背痛个体进行恰当评估时可以是一个重要且有用的组成部分。