Kaps David, Siebers Hannah L, Betz Ulrich, Pfirrmann Daniel, Eschweiler Jörg, Hildebrand Frank, Betsch Marcel, Huthwelker Janine, Wolf Claudia, Drees Philipp, Konradi Jürgen
Center for Mental Health, Hospital Stuttgart-Bad Cannstatt Hospital, 70374 Stuttgart, Germany.
Department of Orthopaedics, Trauma and Reconstructive Surgery, Uniklinik RWTH Aachen, 52074 Aachen, Germany.
Life (Basel). 2023 Jun 14;13(6):1392. doi: 10.3390/life13061392.
The rise in the occurrence of musculoskeletal disorders, such as thoracic hyperkyphosis (THK) or lumbar hypolordosis (LHL), is a result of demographic changes. Exercise therapy is an effective approach that can reduce related disabilities and costs. To ensure successful therapy, an individualized exercise program adapted to the severity of the disorder is expedient. Nevertheless, appropriate classification systems are scarce. This project aimed to develop and evaluate a severity classification focused on exercise therapy for patients with THK or LHL. A multilevel severity classification was developed and evaluated by means of an online survey. Reference limits of spinal shape angles were established by data from video rasterstereography of 201 healthy participants. A mean kyphosis angle of 50.03° and an average lordosis angle of 40.72° were calculated as healthy references. The strength of the multilevel classification consisting of the combination of subjective pain and objective spinal shape factors was confirmed by the survey (70% agreement). In particular, the included pain parameters were considered relevant by 78% of the experts. Even though the results of the survey provide important evidence for further analyses and optimization options of the classification system, the current version is still acceptable as therapeutic support.
肌肉骨骼疾病发生率的上升，如胸椎后凸（THK）或腰椎前凸减少（LHL），是人口结构变化的结果。运动疗法是一种有效的方法，可以减少相关残疾和成本。为确保治疗成功，制定适合疾病严重程度的个性化运动计划是很有必要的。然而，合适的分类系统却很稀缺。本项目旨在开发和评估一种针对THK或LHL患者的、以运动疗法为重点的严重程度分类方法。通过在线调查开发并评估了一种多级严重程度分类方法。根据201名健康参与者的视频光栅立体摄影数据确定了脊柱形状角度的参考限值。计算得出健康参考值为平均后凸角50.03°和平均前凸角40.72°。由主观疼痛和客观脊柱形状因素组合而成的多级分类的有效性通过调查得到了证实（一致性为70%）。特别是，78%的专家认为所纳入的疼痛参数是相关的。尽管调查结果为分类系统的进一步分析和优化选项提供了重要证据，但当前版本作为治疗支持仍然是可以接受的。
