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首页> 外文期刊>Journal of Brachial Plexus and Peripheral Nerve Injury >Pre- and post-operative gait analysis for evaluation of neck pain in chronic whiplash
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Pre- and post-operative gait analysis for evaluation of neck pain in chronic whiplash

机译:术前和术后步态分析以评估慢性鞭打者的颈部疼痛

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IntroductionChronic neck pain after whiplash is notoriously refractory to conservative treatment, and positive radiological findings to explain the symptoms are scarce. The apparent disproportionality between subjective complaints and objective findings is significant for the planning of treatment, impairment ratings, and judicial questions on causation. However, failure to identify a symptom's focal origin with routine imaging studies does not invalidate the symptom per se. It is therefore of a general interest both to develop effective therapeutic strategies in chronic whiplash, and to establish techniques for objectively evaluation of treatment outcomes.MethodsTwelve patients with chronic neck pain after whiplash underwent pre- and postoperative computerized 3D gait analysis.ResultsSignificant improvement was found in all gait parameters, cervical range-of-motion, and self reported pain (VAS).ConclusionChronic neck pain is associated with abnormal cervical spine motion and gait patterns. 3D gait analysis is a useful instrument to assess the outcome of treatment for neck pain.
机译:引言鞭打后的慢性颈部疼痛以保守治疗难以治愈,且放射学检查结果阳性以解释症状很少。主观投诉与客观调查结果之间明显的不成比例对于计划治疗,损害等级和因果关系的司法问题具有重大意义。但是,常规的影像学检查未能识别出症状的病因,并不能使该症状本身无效。因此,开发针对慢性鞭打的有效治疗策略,以及建立客观评估治疗效果的技术,具有普遍的意义。方法:对十二名患有鞭打后慢性颈部疼痛的患者进行术前和术后计算机化3D步态分析。在所有步态参数,颈椎活动范围和自我报告的疼痛(VAS)中。结论颈慢性颈痛与子宫颈脊柱运动和步态异常有关。 3D步态分析是评估颈部疼痛治疗效果的有用工具。

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