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使用肌动觉系统治疗腰痛的患者预后分析:病例系列

Analysis of Patient Outcomes Using the MyoKinesthetic System for the Treatment of Low Back Pain: A Case Series.

作者信息

Brody Kari, Nasypany Alan M, Baker Russell T, May James M

机构信息

Sports Medicine, McNeese State University, Lake Charles, LA.

Department of Movement Sciences, University of Idaho, Moscow, ID.

出版信息

J Chiropr Med. 2017 Jun;16(2):111-121. doi: 10.1016/j.jcm.2017.01.002. Epub 2017 Mar 18.

Abstract

OBJECTIVE

The purpose of this case series was to test the feasibility of using the MyoKinesthetic (MYK) System as a treatment-based classification system and intervention for a sample of patients with low back pain.

METHODS

This within-subject intervention was completed in a university athletic training clinic. Nine participants (mean age: 31 years) with a primary complaint of LBP were evaluated and included. An athletic trainer performed the initial assessment, which contained the following components: patient history, palpation, range of motion testing, lower quarter neurologic screening, MYK System posture screen, orthopedic special tests, and baseline data for pain intensity, disability, and function. All participants were treated with the MYK System. The primary outcomes were pain, disability, function, active range of motion, posture, and global efficacy of treatment.

RESULTS

The mean number of MYK treatments administered was 12.11 (SD = 6.25), and the mean number of days until discharge was 28.67 (SD = 9.38). A repeated-measures analysis of variance revealed statistically significant and clinically meaningful improvements in pain, disability, function, and posture from the initial evaluation to discharge and from the initial evaluation to a 1-month follow-up ( < .01).

CONCLUSION

This study determined the feasibility of further evaluation of the MYK System as a treatment-based classification system and intervention for patients with low back pain.

摘要

目的

本病例系列的目的是测试使用肌动觉(MYK)系统作为基于治疗的分类系统和对一组腰痛患者进行干预的可行性。

方法

本受试者内干预在大学运动训练诊所完成。对9名以腰痛为主诉的参与者(平均年龄:31岁)进行了评估并纳入研究。一名运动训练师进行了初始评估,其中包括以下内容:患者病史、触诊、活动范围测试、下肢神经系统筛查、MYK系统姿势筛查、骨科特殊检查以及疼痛强度、残疾和功能的基线数据。所有参与者均接受了MYK系统治疗。主要结局指标为疼痛、残疾、功能、主动活动范围、姿势和治疗的总体疗效。

结果

接受MYK治疗的平均次数为12.11次(标准差=6.25),出院前的平均天数为28.67天(标准差=9.38)。重复测量方差分析显示,从初始评估到出院以及从初始评估到1个月随访,疼痛、残疾、功能和姿势在统计学上有显著且具有临床意义的改善(<.01)。

结论

本研究确定了进一步评估MYK系统作为基于治疗的分类系统和对腰痛患者进行干预的可行性。

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