Boeglin E R
Milton Orthopaedic & Sports Physical Therapy, P.C., Milton, MA 02186, USA.
J Orthop Sports Phys Ther. 1995 Dec;22(6):267-71. doi: 10.2519/jospt.1995.22.6.267.
Lumbar dysfunction is a common diagnosis that the physical therapist encounters on a daily basis. The etiology of the patient's symptoms can be mechanical or systemic, and this must be discerned so that appropriate care may be provided for the patient. When signs and symptoms are present that do not suggest a mechanical etiology, the physical therapist must be able to recognize this and refer the patient appropriately. This case study describes lumbar pain of an insidious onset in an otherwise healthy 32-year-old male and the evolution of systemic signs and symptoms which were initially thought to have a mechanical or nonsystemic etiology. Discussion is directed toward the clinical presentation of osteomyelitis, the importance of a thorough review of a patient's medical history, and a complete physical examination in determining if the presenting complaints are mechanical or systemic in etiology.
腰椎功能障碍是物理治疗师日常工作中常见的诊断。患者症状的病因可能是机械性的或全身性的，必须对此进行辨别，以便为患者提供适当的护理。当出现的体征和症状不提示机械性病因时，物理治疗师必须能够识别这一点并适当地转诊患者。本病例研究描述了一名32岁健康男性隐匿性发作的腰痛以及最初被认为具有机械性或非全身性病因的全身体征和症状的演变。讨论的方向是骨髓炎的临床表现、全面回顾患者病史的重要性以及在确定现有主诉的病因是机械性还是全身性时进行全面体格检查的重要性。
