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首页> 外文期刊>South African Journal of Physiotherapy >Neck pain in South Africa: An overview of the prevalence, assessment and management for the contemporary clinician
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Neck pain in South Africa: An overview of the prevalence, assessment and management for the contemporary clinician

机译：南非的颈部疼痛：当代临床医生的患病率，评估和治疗概述

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Background: Neck pain is a prevalent condition and is associated with high levels of disability and pain. The long-term prognosis can be poor, and therefore effective management in the acute stage is important. Objectives: To provide an overview of the prevalence of neck pain and physiotherapy management and to provide evidence-informed recommendations for clinical practice within a South African context. Method: The literature was reviewed considering prevalence, risk factors and examination. Management recommendations were derived from the highest levels of evidence of clinical practice guidelines, systematic reviews and randomised clinical trials. Results: Neck pain is classified into four grades, and three trajectories of recovery have been identified. Although the incidence of neck pain globally is high, in the South African context the majority of the population have limited access to physiotherapy management. Sound clinical reasoning is important in the assessment and decision-making process for management. Exercise, and mobilisation or manipulation are effective treatment options in the management of most types of neck pain. Other physical modalities such as needling, transcutaneous electrical nerve stimulation, laser and intermittent traction may be used as an adjunct to management. Conclusion: The burden of neck pain globally is high; however, there is a lack of information on current practice, prevalence and burden of neck pain in the South African context. Sound evidence-informed clinical reasoning to inform a working diagnosis and to enable patient-centred management is important. Clinical implications: A thorough assessment is essential to gather information to formulate hypotheses regarding diagnosis and prognosis for neck pain. Exercise, and mobilisation or manipulation are effective management options.
机译：背景：颈部疼痛是一种普遍的疾病，与高水平的残疾和疼痛有关。长期预后可能很差，因此在急性期进行有效治疗很重要。目的：概述颈部疼痛的发生率和理疗方法，并为在南非范围内的临床实践提供循证知情的建议。方法：回顾文献，考虑患病率，危险因素和检查。管理建议来自临床实践指南，系统评价和随机临床试验的最高证据水平。结果：颈部疼痛分为四个等级，并且已经确定了三种恢复轨迹。尽管全球范围内颈部疼痛的发生率很高，但在南非，大多数人口接受物理治疗的机会有限。合理的临床推理对管理的评估和决策过程很重要。运动，动员或操纵是大多数类型颈部疼痛的有效治疗选择。其他物理方式（例如针刺，经皮电神经刺激，激光和间歇性牵引）也可以用作管理的辅助手段。结论：全球颈部疼痛负担高;然而，在南非情况下，缺乏有关当前做法，颈部疼痛的患病率和负担的信息。合理的循证医学推理有助于进行有效的诊断并以患者为中心的管理。临床意义：进行全面评估对于收集信息以制定有关颈部疼痛的诊断和预后的假设至关重要。锻炼，动员或操纵是有效的管理选择。

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