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一种用于为髋部相关疼痛患者开具保守治疗方案的新临床检查算法。

A New Clinical Examination Algorithm to Prescribe Conservative Treatment in People with Hip-Related Pain.

作者信息

González-de-la-Flor Ángel

机构信息

Faculty of Sport Sciences, Universidad Europea de Madrid, Calle Tajo s/n, 28670, Villaviciosa de Odón, Madrid, Spain.

出版信息

Pain Ther. 2024 Jun;13(3):457-479. doi: 10.1007/s40122-024-00604-7. Epub 2024 May 3.

DOI:10.1007/s40122-024-00604-7
PMID:38698256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11111658/
Abstract

Hip-related pain is a common issue in active adults affecting their quality of life, mobility, and overall function, and it can lead to persistent disability. However, diagnosing hip-related pain is challenging due to the many potential sources and causes, including intra-articular and extra-articular pathology, and referred pain from other areas (lumbar or groin related pain). To address this, there is a need for a clinical algorithm based on the best available evidence and expert consensus. This algorithm could guide healthcare professionals in assessing and managing patients with hip-related pain, during the diagnosis, test selection, intervention, monitoring, and promoting collaboration among various healthcare providers. This clinical algorithm for hip-related pain is a comprehensive, flexible, adaptable to different settings, and regularly updated to incorporate new research findings. This literature review aims to establish a clinical algorithm specifically for prescribing exercise treatment to patients with hip-related pain, addressing their individual needs and enhancing their overall care.

摘要

髋关节相关疼痛是活跃成年人中的常见问题,会影响他们的生活质量、活动能力和整体功能,并可能导致持续性残疾。然而,由于存在许多潜在的疼痛来源和病因,包括关节内和关节外病变以及其他部位(腰部或腹股沟相关疼痛)的牵涉痛,诊断髋关节相关疼痛具有挑战性。为了解决这一问题,需要一种基于现有最佳证据和专家共识的临床算法。该算法可以指导医疗保健专业人员在诊断、检查选择、干预、监测以及促进不同医疗服务提供者之间的协作过程中,对髋关节相关疼痛患者进行评估和管理。这种针对髋关节相关疼痛的临床算法是全面的、灵活的、适用于不同环境的,并且会定期更新以纳入新的研究结果。这篇文献综述旨在建立一种专门为髋关节相关疼痛患者开具运动治疗处方的临床算法,满足他们的个体需求并加强整体护理。

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Phys Ther Sport. 2023 Nov;64:41-47. doi: 10.1016/j.ptsp.2023.09.002. Epub 2023 Sep 17.
2
Clinical examination for athletes with inguinal-related groin pain: interexaminer reliability and prevalence of positive tests.针对腹股沟相关腹股沟疼痛运动员的临床检查:检查者间可靠性及阳性检查结果的患病率
BMJ Open Sport Exerc Med. 2023 Jan 11;9(1):e001498. doi: 10.1136/bmjsem-2022-001498. eCollection 2023.
3
Validity and Test-Retest Reliability of the Spanish Version of the International Hip Outcome Tool (iHOT-12Sv).
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J Clin Med. 2022 Oct 22;11(21):6232. doi: 10.3390/jcm11216232.
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BMC Musculoskelet Disord. 2022 Oct 29;23(1):944. doi: 10.1186/s12891-022-05907-4.
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