一种基于证据的腰痛诊断分类系统。
An evidence-based diagnostic classification system for low back pain.
作者信息
Vining Robert, Potocki Eric, Seidman Michael, Morgenthal A Paige
机构信息
Palmer College of Chiropractic, Palmer Center for Chiropractic Research, 5433 Bryant Ave, South Minneapolis, MS 55419;
出版信息
J Can Chiropr Assoc. 2013 Sep;57(3):189-204.
Abstract
INTRODUCTION
While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources.
METHODS
Based on evidence supported by diagnostic utility studies, doctors of chiropractic functioning as members of a research clinic created a diagnostic classification system, corresponding exam and checklist based on strength of evidence, and in-office efficiency.
RESULTS
THE DIAGNOSTIC CLASSIFICATION SYSTEM CONTAINS ONE SCREENING CATEGORY, TWO PAIN CATEGORIES: Nociceptive, Neuropathic, one functional evaluation category, and one category for unknown or poorly defined diagnoses. Nociceptive and neuropathic pain categories are each divided into 4 subcategories.
CONCLUSION
This article describes and discusses the strength of evidence surrounding diagnostic categories for an in-office, clinical exam and checklist tool for LBP diagnosis. The use of a standardized tool for diagnosing low back pain in clinical and research settings is encouraged.
摘要
引言
虽然临床医生普遍认为肌肉骨骼性腰痛（LBP）可能源于特定组织，但仍难以确定具体来源。
方法
基于诊断效用研究的证据，作为研究诊所成员的整脊医生创建了一个诊断分类系统、相应的检查方法和基于证据强度及门诊效率的检查表。
结果
诊断分类系统包含一个筛查类别、两个疼痛类别：伤害感受性、神经性，一个功能评估类别，以及一个用于未知或定义不明确诊断的类别。伤害感受性和神经性疼痛类别各分为4个子类别。
结论
本文描述并讨论了围绕用于门诊LBP诊断的临床检查和检查表工具的诊断类别的证据强度。鼓励在临床和研究环境中使用标准化工具诊断腰痛。
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