Daniels James M, Arguelles Cesar, Gleason Christopher, Dixon William H
Department of Family and Community Medicine, Southern Illinois University School of Medicine, 612 North 11th Street, Quincy, IL 62301, USA.
Department of Family and Community Medicine, Southern Illinois University School of Medicine, 612 North 11th Street, Quincy, IL 62301, USA.
Prim Care. 2020 Mar;47(1):147-164. doi: 10.1016/j.pop.2019.10.008. Epub 2019 Oct 17.
When searching for evidence-based answers about treating athletes with low back injury/pain, there are some difficulties. The first is defining who is an athlete. The second problem is that the lifetime prevalence of low back pain in the general population in our country approaches 100. Last, most studies published only deal with a narrow population of athletes, often performing very different types of physical activity. We searched the literature for studies that specifically evaluated athletes longitudinally. This article reviews the demographics, diagnostic challenges, history and physical examination, imaging choices, treatment, and controversies encountered when treating this population.
在寻找关于治疗腰伤/腰背痛运动员的循证答案时,存在一些困难。首先是界定谁是运动员。第二个问题是我国普通人群中腰背痛的终生患病率接近100%。最后,大多数已发表的研究仅涉及范围狭窄的运动员群体,他们通常进行非常不同类型的体育活动。我们在文献中搜索了专门对运动员进行纵向评估的研究。本文综述了在治疗这一人群时所遇到的人口统计学特征、诊断挑战、病史与体格检查、影像学选择、治疗方法及争议。