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不同脊柱矫形器对骨质疏松性椎体骨折疼痛管理、功能改善及生活质量的疗效:一项小型综述

Efficacy of different spinal orthoses for pain management, functional improvement, and quality of life in osteoporotic vertebral fractures: a mini review.

作者信息

Borg M B, Battaglia M, Invernizzi M, Baricich A

机构信息

Department of Health Sciences, Università del Piemonte Orientale "Amedeo Avogadro", Novara, Italy.

Physical Medicine and Rehabilitation Unit, AOU Maggiore Della Carità University Hospital, Novara, Italy.

出版信息

Front Rehabil Sci. 2024 Dec 23;5:1506279. doi: 10.3389/fresc.2024.1506279. eCollection 2024.

Abstract

Osteoporotic vertebral fractures (OVFs) significantly impair the quality of life in older adults. Spinal orthoses are commonly used, but their effectiveness is debated. Thus, we aimed to evaluate the impact of different spinal orthoses on pain, functionality, and quality of life in patients with OVFs. A review of PubMed, Scopus, PEDro, and Cochrane Library was conducted, covering studies from 2000 to 2024. Studies assessing spinal orthoses' effects on pain, functionality, and quality of life in adults with OVFs were included. Ten studies involving 970 participants were included. Several studies reported significant improvements in pain, functionality, and quality of life with spinal orthoses. Dynamic hyperextension orthoses, such as Spinomed® and Spinfast®, showed potential benefits, particularly in enhancing trunk muscle strength. In conclusion, spinal orthoses may help manage pain and improve functionality and quality of life in OVFs. However, further high-quality trials are needed to confirm their efficacy.

摘要

骨质疏松性椎体骨折(OVF)严重损害老年人的生活质量。脊柱矫形器常用,但效果存在争议。因此,我们旨在评估不同脊柱矫形器对OVF患者疼痛、功能和生活质量的影响。对PubMed、Scopus、PEDro和Cochrane图书馆进行了综述,涵盖2000年至2024年的研究。纳入评估脊柱矫形器对成年OVF患者疼痛、功能和生活质量影响的研究。纳入了涉及970名参与者的10项研究。多项研究报告称,脊柱矫形器可显著改善疼痛、功能和生活质量。动态过伸矫形器,如Spinomed®和Spinfast®,显示出潜在益处,尤其是在增强躯干肌肉力量方面。总之,脊柱矫形器可能有助于管理OVF患者的疼痛,并改善其功能和生活质量。然而,需要进一步的高质量试验来证实其疗效。

相似文献

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Exercise for improving outcomes after osteoporotic vertebral fracture.运动对改善骨质疏松性椎体骨折后的预后作用
Cochrane Database Syst Rev. 2013 Jan 31(1):CD008618. doi: 10.1002/14651858.CD008618.pub2.
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Prospective study of spinal orthoses in women.女性脊柱矫形器的前瞻性研究。
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