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报告和跟踪客观功能结局测量指标:步态和平衡测量综合报告的实施。

Reporting and tracking objective functional outcome measures: implementation of a summary report for gait and balance measures.

机构信息

Texas Back Institute, Plano, TX, USA.

UNT Health Science Center, Fort Worth, TX, USA; John Peter Smith Hospital, Fort Worth, TX, USA.

出版信息

Spine J. 2021 Jul;21(7):1193-1204. doi: 10.1016/j.spinee.2021.02.015. Epub 2021 Feb 23.

Abstract

The aim of this manuscript is to describe knowledge gaps in the literature, future directions, and emerging applications of gait and balance analysis in spine surgery with regard to functional outcomes measurement. Functional outcome measurement has been established as a useful clinical and research investigational tool in musculoskeletal disease. Evidence currently supports its use in the diagnosis, treatment, and outcome measurement of multiple musculoskeletal disease states, including spinal disease, and its usefulness continues to grow as literature develops. Gait and balance analysis has proven to be broadly applicable, but most clinicians remain unfamiliar and untrained in its usage. The logistical and communication barriers are also described with the potential solutions that are on the near horizon of research. This article describes our methodology for improving conveyance of functional outcome measures in spine surgery. Additionally, we provide a case example of an adult patient with spinal deformity who is examined pre and post operatively using our methodology.

摘要

本文旨在描述在脊柱外科中,步态和平衡分析在功能结果测量方面的文献知识空白、未来方向和新应用。功能结果测量已被确立为肌肉骨骼疾病的一种有用的临床和研究工具。目前有证据支持其在多种肌肉骨骼疾病状态(包括脊柱疾病)的诊断、治疗和结果测量中的应用,随着文献的发展,其用途也在不断增加。步态和平衡分析已被证明具有广泛的适用性,但大多数临床医生在使用方面仍然不熟悉和未经训练。本文还描述了其中存在的逻辑和沟通障碍,以及即将出现的潜在解决方案。本文描述了我们在脊柱外科中改进功能结果测量的传达方法。此外,我们还提供了一个成年脊柱畸形患者的病例示例,该患者使用我们的方法进行了术前和术后检查。

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