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姿势的端正与狭窄:当前的临床概念。

The straight and narrow of posture: Current clinical concepts.

机构信息

BPhysio, GCert SportsPhysio, Physiotherapist, Lively Physiotherapy, Mackay, Qld.

BPhysio, MPhysio (Musc), Physiotherapist, Thompsons Road Physiotherapy, Lower Templestowe, Vic.

出版信息

Aust J Gen Pract. 2021 Nov;50(11):807-810. doi: 10.31128/AJGP-07-21-6083.

Abstract

BACKGROUND

'What is "good" posture?' is a common question from patients and a contentious topic among health professionals that is further complicated by commercial interests. Reconciling the evidence regarding posture with a patient's individual context is important to optimally manage presenting patients.

OBJECTIVE

The aim of this article is to provide a summary of the latest evidence regarding posture and spinal pain and its clinical applicability to individual patients.

DISCUSSION

This article provides a viewpoint on the mounting yet established research evidence suggesting posture deserves less focus when managing pain, and the importance of understanding when to provide specific postural advice. It argues that, in general, posture is less relevant than movement itself, and creating change in patients' behaviour and beliefs requires understanding, physical examination, clear communication and not necessarily deeming the role of posture as irrelevant.

摘要

背景

“什么是‘好’的姿势?”是患者常见的问题,也是健康专业人士争论的话题,商业利益使问题更加复杂。协调与姿势相关的证据与患者的个体情况对于最佳管理就诊患者很重要。

目的

本文旨在提供关于姿势和脊柱疼痛的最新证据的概述及其对个体患者的临床适用性。

讨论

本文就不断增加的既定研究证据提出了一种观点,即认为在管理疼痛时,姿势的重要性应降低,并且理解何时提供特定的姿势建议很重要。它认为,一般来说,姿势比运动本身的相关性更小,要改变患者的行为和信念,需要理解、体检、清晰的沟通,而不一定认为姿势的作用是无关紧要的。

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