Choo Yoo Jin, Chang Min Cheol
Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea.
Yeungnam Univ J Med. 2020 Apr;37(2):84-89. doi: 10.12701/yujm.2020.00150. Epub 2020 Mar 24.
Spinal pain is a common patient complaint in clinical practice. Conservative treatment methods include oral medication, physical therapy, injections, and spinal orthoses. The clinical application of orthoses is debated because of potential complications associated with long-term use, such as muscle weakness and joint contracture. We reviewed the orthoses most frequently used to manage spinal pain. We review the use of soft cervical and Philadelphia collars, lumbosacral corsets, and thoracolumbosacral orthosis to manage spinal pain. Spinal orthoses can help reduce pain by protecting the muscles and joints of the injured spinal region, preventing or correcting malformations, and limiting trunk flexion, extension, lateral flexion, and rotation. The short-term use of spinal orthoses is known to improve pain and disability during the treatment period without significant adverse effects. Spinal orthoses are expected to alleviate pain and improve patients' lifestyle.
在临床实践中，脊柱疼痛是患者常见的主诉。保守治疗方法包括口服药物、物理治疗、注射治疗以及脊柱矫形器。由于长期使用脊柱矫形器存在潜在并发症，如肌肉无力和关节挛缩，其临床应用存在争议。我们回顾了最常用于治疗脊柱疼痛的矫形器。我们探讨了软质颈托和费城颈托、腰骶部束腹带以及胸腰骶部矫形器在治疗脊柱疼痛中的应用。脊柱矫形器可通过保护受伤脊柱区域的肌肉和关节、预防或纠正畸形以及限制躯干的前屈、后伸、侧屈和旋转来帮助减轻疼痛。已知短期使用脊柱矫形器可在治疗期间改善疼痛和功能障碍，且无明显不良反应。脊柱矫形器有望减轻疼痛并改善患者的生活方式。
