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全科医疗中的步态与姿势评估

Gait and posture - assessment in general practice.

作者信息

Sweeting Kent, Mock Michael

机构信息

Griffith University, Queensland, Australia.

出版信息

Aust Fam Physician. 2007 Jun;36(6):398-401, 404-5.

Abstract

BACKGROUND

A basic analysis of a patient's gait and posture provides information about the body and the capability of the musculoskeletal system to adjust to physical stressors. An understanding of normal gait and posture is essential for identifying and treating musculoskeletal pain.

OBJECTIVE

This article discusses normal gait and how to assess gait. It also outlines common musculoskeletal conditions and their association with abnormal gait and posture. General practitioners can detect faulty postural syndromes and abnormal gait by visual scanning and awareness of pain referral patterns.

DISCUSSION

Awareness of pain that can arise from faulty gait and posture will assist GPs to shift their focus away from structural diagnoses and unhelpful radiological investigations. The GP can become an effective facilitator of the prevention and rehabilitation of pain problems where abnormal gait and posture are found to be a main contributing factor.

摘要

背景

对患者步态和姿势进行基本分析可提供有关身体以及肌肉骨骼系统适应身体应激源能力的信息。了解正常步态和姿势对于识别和治疗肌肉骨骼疼痛至关重要。

目的

本文讨论正常步态以及如何评估步态。它还概述了常见的肌肉骨骼疾病及其与异常步态和姿势的关联。全科医生可以通过视觉扫描和对疼痛转诊模式的了解来检测错误的姿势综合征和异常步态。

讨论

意识到由错误的步态和姿势引起的疼痛将有助于全科医生将注意力从结构性诊断和无益的放射学检查上转移开。在发现异常步态和姿势是疼痛问题的主要促成因素时,全科医生可以成为疼痛问题预防和康复的有效促进者。

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