...
首页> 外文期刊>Physiotherapy theory and practice >Clinical diagnosis and treatment of a patient with low back pain using the patient response model: A case report
【24h】

Clinical diagnosis and treatment of a patient with low back pain using the patient response model: A case report

机译:使用患者反应模型的腰背痛患者的临床诊断和治疗:病例报告

获取原文
获取原文并翻译 | 示例
           

摘要

The medical management of low back pain (LBP) can be approached in a multitude of ways. Classification via subgrouping is increasingly common in orthopedic literature. Clinical diagnosis and treatment of LBP using the patient response model (PRM) can assist clinicians in hypothesizing the origin of pain and providing beneficial interventions unlike the widely used pathoanatomical model. This case report involved a 52-year-old female with sudden onset of right-sided LBP that radiated to the foot. These symptoms were accompanied by occasional paresthesias in bilateral lower extremities. Magnetic resonance imaging (MRI) confirmed disc bulges at levels T11-T12 and T12-L1. On the first of seven visits, she reported 9/10 on the Numeric Pain Rating Scale (NPRS), scored a 24/50 on the modified Oswestry disability index (mODI), and demonstrated lumbar flexion range of motion (ROM) of 10 degrees. Using the PRM, the patient was classified as an extension responder and was instructed to perform 10 repetitions of standing lumbar extension every 2 waking hours. After 4 weeks of therapy, the patient reported a 1/10 pain localized to the low back, scored 20/50 on the mODI, and improved flexion ROM to 45 degrees. Classification using the PRM yielded positive outcomes with this patient's symptoms and daily function.
机译:下腰痛(LBP)的医疗管理可以通过多种方式进行。通过分组进行分类在整形外科文献中越来越普遍。与广泛使用的病理解剖模型不同,使用患者反应模型(PRM)进行LBP的临床诊断和治疗可以帮助临床医生推测疼痛的起源并提供有益的干预措施。该病例报告涉及一名52岁女性,其右侧LBP突然发作并放射到足部。这些症状伴有双下肢偶发性感觉异常。磁共振成像(MRI)确认椎间盘膨出水平为T11-T12和T12-L1。在七次就诊中,她的数字疼痛评分量表(NPRS)为9/10,改良的Oswestry残疾指数(mODI)为24/50,腰椎活动度(ROM)为10度。使用PRM,将患者分类为伸展反应者,并被指示每2个醒来时进行10次站立腰部站立重复。治疗4周后,患者报告了1/10疼痛局限于腰部,mODI评分为20/50,屈曲ROM改善至45度。使用PRM进行分类可产生该患者的症状和日常功能的阳性结果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号