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肌肉骨骼疾病早期诊断:职业医学环境中的回顾性研究。

Musculoskeletal disorders early diagnosis: A retrospective study in the occupational medicine setting.

机构信息

Occupational Medicine South, 712 E Bay Ave, Manahawkin, New Jersey, 08050, USA.

Insight Diagnostics Inc. 3658 N. Rancho Dr., Las Vegas, Nevada, 89130, USA.

出版信息

J Occup Med Toxicol. 2011 Jan 5;6(1):1. doi: 10.1186/1745-6673-6-1.

DOI:10.1186/1745-6673-6-1
PMID:21208428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3022622/
Abstract

Electrodiagnostic Functional Assessment (EFA) objectively evaluates injuries to muscles by incorporating surface electromyography (EMG) to measure myoelectrical signals of muscle groups recorded from up to 18 sensors placed on the skin surface while simultaneously assessing functional capacity at rest and during full range of motion. The evaluation is non-invasive and non-loading and provides measurements in real time. Soft-tissue damage of ligaments, tendons, and muscles, commonly referred to as sprains and strains, has proven to be very difficult to accurately diagnose and assess and represents the highest incidence rate, lost days and medical costs in the workers' compensation system. 100 patients presenting with work-related musculoskeletal injuries exhibiting physical complaints that persisted for at least two consecutive weeks for which no general medical explanation could be established after medical history and exam, were evaluated using EFA in our Occupational Clinic in New Jersey over a 36 month period. The results of this study demonstrated the clinical effectiveness of the EFA as an objective diagnostic aid for identifying and quantifying soft tissue injuries and devising site specific physical therapy treatment regimen to return the injured worker to full duty work release.

摘要

电诊断功能评估(EFA)通过整合表面肌电图(EMG)来客观评估肌肉损伤,从皮肤表面放置的多达 18 个传感器中测量肌肉群的肌电信号,同时评估在休息和全运动范围内的功能能力。该评估是非侵入性和非负荷性的,并提供实时测量。通常被称为扭伤和拉伤的韧带、肌腱和肌肉等软组织损伤已被证明很难准确诊断和评估,并且在工人赔偿系统中代表着最高的发病率、缺勤天数和医疗费用。在新泽西州的职业诊所中,我们对 100 名因工作相关的肌肉骨骼损伤而出现身体抱怨的患者进行了为期 36 个月的 EFA 评估,这些抱怨至少持续了连续两周,并且在病史和检查后无法确定一般医学解释。这项研究的结果表明,EFA 作为一种客观的诊断辅助工具,用于识别和量化软组织损伤,并制定特定部位的物理治疗方案,以使受伤工人恢复全面工作释放,具有临床有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/3022622/67f0e3e199d3/1745-6673-6-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/3022622/f62da11a4c38/1745-6673-6-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/3022622/67f0e3e199d3/1745-6673-6-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/3022622/f62da11a4c38/1745-6673-6-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f36/3022622/67f0e3e199d3/1745-6673-6-1-2.jpg

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