Washington University School of Medicine, Program in Physical Therapy, St. Louis, USA.
Universidade Cidade de São Paulo (UNICID), Masters and Doctoral Programs in Physical Therapy, São Paulo, SP, Brazil; Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil.
Braz J Phys Ther. 2017 Nov-Dec;21(6):391-399. doi: 10.1016/j.bjpt.2017.08.001. Epub 2017 Sep 27.
Diagnoses and treatments based on movement system impairment syndromes were developed to guide physical therapy treatment.
This masterclass aims to describe the concepts on that are the basis of the syndromes and treatment and to provide the current research on movement system impairment syndromes.
The conceptual basis of the movement system impairment syndromes is that sustained alignment in a non-ideal position and repeated movements in a specific direction are thought to be associated with several musculoskeletal conditions. Classification into movement system impairment syndromes and treatment has been described for all body regions. The classification involves interpreting data from standardized tests of alignments and movements. Treatment is based on correcting the impaired alignment and movement patterns as well as correcting the tissue adaptations associated with the impaired alignment and movement patterns. The reliability and validity of movement system impairment syndromes have been partially tested. Although several case reports involving treatment using the movement system impairment syndromes concept have been published, efficacy of treatment based on movement system impairment syndromes has not been tested in randomized controlled trials, except in people with chronic low back pain.
基于运动系统障碍综合征的诊断和治疗旨在指导物理治疗。
本专题研讨会旨在描述运动系统障碍综合征的基础概念和治疗方法，并提供运动系统障碍综合征的最新研究。
运动系统障碍综合征的概念基础是，持续处于非理想位置的排列和向特定方向的重复运动被认为与多种肌肉骨骼疾病有关。已经为所有身体区域描述了运动系统障碍综合征和治疗的分类。该分类包括解释来自排列和运动的标准化测试的数据。治疗基于纠正受损的排列和运动模式，以及纠正与受损的排列和运动模式相关的组织适应性。运动系统障碍综合征的可靠性和有效性已经得到了部分检验。尽管已经发表了几篇涉及使用运动系统障碍综合征概念进行治疗的病例报告，但除了慢性腰痛患者外，基于运动系统障碍综合征的治疗效果尚未在随机对照试验中进行检验。
