与年龄相关的脊柱后凸：病因、后果和管理。
Age-related hyperkyphosis: its causes, consequences, and management.
机构信息
Department of Physical Therapy an Rehabilitation Science, University of California, San Francisco, CA 94143-0625, USA.
出版信息
J Orthop Sports Phys Ther. 2010 Jun;40(6):352-60. doi: 10.2519/jospt.2010.3099.
Abstract
SYNOPSIS
Age-related hyperkyphosis is an exaggerated anterior curvature in the thoracic spine that occurs commonly with advanced age. This condition is associated with low bone mass, vertebral compression fractures, and degenerative disc disease, and contributes to difficulty performing activities of daily living and decline in physical performance. While there are effective treatments, currently there are no public health approaches to prevent hyperkyphosis among older adults. Our objective is to review the prevalence and natural history of hyperkyphosis, associated health implications, measurement tools, and treatments to prevent this debilitating condition.
LEVEL OF EVIDENCE
Diagnosis/prognosis/therapy, level 5.J Orthop Sports Phys Ther 2010;40(6):352-360, Epub 15 April 2010. doi:10.2519/jospt.2010.3099.
摘要
概要
与年龄相关的脊柱后凸是一种常见于老年人的胸椎过度前凸畸形。这种情况与低骨量、椎体压缩性骨折和退行性椎间盘疾病有关，并导致日常活动困难和身体机能下降。虽然有有效的治疗方法，但目前还没有针对老年人脊柱后凸的公共卫生预防措施。我们的目标是回顾脊柱后凸的流行程度和自然病史、相关健康影响、测量工具和预防这种使人衰弱疾病的治疗方法。
证据水平
诊断/预后/治疗，5 级。J Orthop Sports Phys Ther 2010;40(6):352-360，2010 年 4 月 15 日在线发表。doi:10.2519/jospt.2010.3099.
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J Am Geriatr Soc. 2009 Sep;57(9):1569-79. doi: 10.1111/j.1532-5415.2009.02391.x. Epub 2009 Jul 21.
2
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7
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9
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