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Spondyloarthritis: clinical suspicion, diagnosis, and sports.

机译:脊柱关节炎:临床怀疑,诊断和运动。

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摘要

Spondyloarthritis (SpA), a family of inflammatory back diseases including ankylosing spondylitis, is an important and under-recognized cause of chronic back pain in younger patients who are likely to participate in sports and athletic activities. These diseases are characterized by the presence of inflammatory back pain--lumbar or buttock/hip pain lasting longer than 3 months associated with improvement with activity, worsening with rest, relief with non-steroidal anti-inflammatory drugs (NSAIDs), and morning stiffness lasting longer than 30 min. There are also characteristic radiographic findings involving the sacroiliac joints, vertebrae, and in certain diseases, the peripheral joints. Exercise has long been recognized as a key component of the therapy of SpA, yielding benefits in mobility, pain, stiffness, functionality, and depression. Sports also pose a risk to patients with SpA as these patients are at high risk of spinal fracture and spinal cord injury.
机译:脊柱关节炎(SpA)是包括强直性脊柱炎在内的炎性背部疾病家族,是可能参与运动和体育活动的年轻患者慢性背痛的重要且未被充分认识的原因。这些疾病的特征在于存在炎症性背痛-持续超过3个月的腰部或臀部/臀部疼痛与活动能力改善,休息加重,非甾体抗炎药(NSAIDs)缓解和早晨僵硬相关持续超过30分钟。还存在涉及radio关节,椎骨以及某些疾病的外周关节的特征性影像学表现。长期以来,运动一直被认为是SpA治疗的关键组成部分,可在活动性,疼痛,僵硬,功能性和抑郁症方面产生益处。运动也对SpA患者构成风险,因为这些患者极易发生脊柱骨折和脊髓损伤。

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