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矫形器在慢性脊柱轴向疾病中的作用。

The Role of Orthoses in Chronic Axial Spinal Conditions.

机构信息

Mayo Clinic Department of Anesthesiology, Phoenix, AZ, USA.

Anesthesiology Department, University of Wisconsin, Madison, WI, USA.

出版信息

Curr Pain Headache Rep. 2024 Jun;28(6):501-506. doi: 10.1007/s11916-024-01233-7. Epub 2024 Feb 26.


DOI:10.1007/s11916-024-01233-7
PMID:38407764
Abstract

PURPOSE OF REVIEW: Bracing represents a prevalent conservative, non-surgical approach used in the management of chronic spinal conditions such as spondylosis, degenerative disc disease, and spondylolisthesis. A wide variety of orthoses are available to aid in addressing cervical, thoracic, lumbar, thoracic, and SI joint pain. In this review, we aim to comprehensively examine brace types with their current applications and implications of usage. RECENT FINDINGS: There are multiple cervical bracing options, such as soft and rigid collars, to assist in managing acute trauma and chronic degenerative conditions. The review highlights the nuanced decision-making process between hard and soft collars based on the severity of bone or ligamentous injury and neurological findings. Orthoses for low back pain are commonly used. The review highlights the challenges of chronic neck and lower back pain, emphasizing the importance of clinicians exploring all treatment strategies including braces which can improve function and reduce pain.

摘要

目的综述:支具是一种广泛应用的保守治疗方法,适用于治疗慢性脊柱疾病,如颈椎病、椎间盘退行性疾病和脊椎滑脱等。有多种矫形器可用于治疗颈椎、胸椎、腰椎、胸腰椎和骶髂关节疼痛。在这篇综述中,我们旨在全面检查各种支具的类型、其当前应用以及使用的影响。

最新发现:有多种颈椎支具选择,如软颈围和硬颈围,以帮助治疗急性创伤和慢性退行性疾病。综述强调了根据骨或韧带损伤和神经学发现的严重程度,在硬颈围和软颈围之间做出细致决策的过程。腰痛矫形器也常用。综述强调了慢性颈部和下腰痛的挑战,强调了临床医生探索所有治疗策略的重要性,包括支具,这可以改善功能和减轻疼痛。

相似文献

[1]
The Role of Orthoses in Chronic Axial Spinal Conditions.

Curr Pain Headache Rep. 2024-6

[2]
Spinal orthoses.

J Am Acad Orthop Surg. 2010-11

[3]
Spinal orthoses.

Am Fam Physician. 1984-3

[4]
Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: brace therapy as an adjunct to or substitute for lumbar fusion.

J Neurosurg Spine. 2005-6

[5]
Decision making in surgical treatment of chronic low back pain: the performance of prognostic tests to select patients for lumbar spinal fusion.

Acta Orthop Suppl. 2013-2

[6]
Lower thoracic degenerative spondylithesis with concomitant lumbar spondylosis.

Clin Neurol Neurosurg. 2014-3

[7]
Short-term pain evolution in chronic low back pain with Modic type 1 changes treated by a lumbar rigid brace: A retrospective study.

Ann Phys Rehabil Med. 2018-7-24

[8]
Assessing range of motion to evaluate the adverse effects of ill-fitting cervical orthoses.

Spine J. 2009-3

[9]
PREPARE: Pre-surgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial protocol.

BMC Musculoskelet Disord. 2016-7-11

[10]
A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data.

BMC Musculoskelet Disord. 2020-2-8

引用本文的文献

[1]
The impact of surgeons' experience and practice on postoperative cervical collar use after single-level anterior cervical discectomy and fusion: a cross-sectional survey in Heilongjiang province, China.

BMC Musculoskelet Disord. 2025-7-4

[2]
A Compact Orthosis Compliance Monitoring Device Using Pressure Sensors and Accelerometers: Design and Proof-of-Concept Testing.

Sensors (Basel). 2025-2-22

[3]
3D Printing for Personalized Solutions in Cervical Spondylosis.

Orthop Res Rev. 2024-10-17

本文引用的文献

[1]
Minimally Invasive and Conservative Interventions for the Treatment of Sacroiliac Joint Pain: A Review of Recent Literature.

Orthop Rev (Pavia). 2022-4-25

[2]
Review of Current Spinal Robotic Orthoses.

Healthcare (Basel). 2021-1-13

[3]
Non-rigid lumbar supports for the management of non-specific low back pain: A literature review and meta-analysis.

Ann Phys Rehabil Med. 2022-1

[4]
Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain.

Int J Spine Surg. 2020-2-10

[5]
Personal and Societal Impact of Low Back Pain: The Groningen Spine Cohort.

Spine (Phila Pa 1976). 2019-12-15

[6]
Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results.

Orthop Rev (Pavia). 2018-12-6

[7]
The Effect of Lumbosacral Orthosis on the Thickness of Deep Trunk Muscles Using Ultrasound Imaging: A Randomized Controlled Trial in Patients With Chronic Low Back Pain.

Am J Phys Med Rehabil. 2019-7

[8]
Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis.

Semin Neurol. 2018-12

[9]
Muscle Control and Non-specific Chronic Low Back Pain.

Neuromodulation. 2018-1

[10]
The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis.

Spine J. 2017-6

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