J Orthop Sports Phys Ther. 2020 Jul;50(7):350-372. doi: 10.2519/jospt.2020.9971. Epub 2020 May 21.
The International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) led the development of a framework to help clinicians assess and manage people who may have serious spinal pathology. While rare, serious spinal pathology can have devastating and life-changing or life-limiting consequences, and must be identified early and managed appropriately. Red flags (signs and symptoms that might raise suspicion of serious spinal pathology) have historically been used by clinicians to identify serious spinal pathology. Currently, there is an absence of high-quality evidence for the diagnostic accuracy of most red flags. This framework is intended to provide a clinical-reasoning pathway to clarify the role of red flags. .
国际矫形运动物理治疗联合会（IFOMPT）牵头制定了一个框架，以帮助临床医生评估和管理可能患有严重脊柱疾病的患者。虽然罕见，但严重的脊柱疾病可能会产生毁灭性的、改变生活或限制生命的后果，因此必须及早识别和适当治疗。临床医生历来使用“红色警报”（可能提示严重脊柱疾病的体征和症状）来识别严重的脊柱疾病。目前，大多数红色警报的诊断准确性缺乏高质量证据。该框架旨在提供一个临床推理途径，以阐明红色警报的作用。
