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臀肌肌腱病大师班:破除谬论,基于证据

Gluteal tendinopathy masterclass: Refuting the myths and engaging with the evidence.

作者信息

Grimaldi Alison, Ganderton Charlotte, Nasser Anthony

机构信息

University of Queensland Physiotherapy, St Lucia, Queensland, Australia.

RMIT University, School of Health and Biomedical Sciences STEM College, Australia; Shanghai University of Health and Medical Sciences, China.

出版信息

Musculoskelet Sci Pract. 2025 Apr;76:103253. doi: 10.1016/j.msksp.2025.103253. Epub 2025 Jan 3.

DOI:10.1016/j.msksp.2025.103253
PMID:39854929
Abstract

INTRODUCTION

Gluteal tendinopathy is a prevalent and impactful condition. For many decades clinical practice has been guided by 'myths' that developed around clinical beliefs. It's time to examine these myths and engage with the substantial evidence base.

PURPOSE

This masterclass aims to: (i) engage with the evidence to refute the most common myths associated with gluteal tendinopathy and trochanteric pain, and (ii) provide clinicians with guidance around contemporary, evidence-based clinical practice.

IMPLICATIONS

It is time to put aside traditional beliefs that focused on anti-inflammatory treatments, including rest and corticosteroid injections as first line management for trochanteric pain. Contemporary management of tendinopathy takes an active approach that empowers the individual to manage their own condition through education, load management, progressive exercise and optimisation of their general health. The body of evidence for gluteal tendinopathy supports health professionals in employing such principles with greater confidence.

摘要

引言

臀肌肌腱病是一种常见且影响较大的病症。几十年来,临床实践一直受围绕临床观念形成的“误区”所引导。现在是时候审视这些误区并参考大量证据依据了。

目的

本大师班旨在:(i)参考证据以驳斥与臀肌肌腱病和转子疼痛相关的最常见误区,以及(ii)为临床医生提供有关当代循证临床实践的指导。

启示

是时候摒弃那些专注于抗炎治疗(包括将休息和皮质类固醇注射作为转子疼痛的一线治疗方法)的传统观念了。肌腱病的当代治疗采用积极的方法,通过教育、负荷管理、渐进性锻炼和整体健康状况的优化,使个体有能力管理自己的病情。臀肌肌腱病的证据体系支持医疗专业人员更自信地运用这些原则。

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