关键词: Case Reports Low Back Pain Neck Pain Photogrammetry Posture Rehabilitation

来  源:   DOI:10.1016/j.jcm.2022.07.003   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this study was to analyze short-term variations in posture and intensity of neck and lower back pain in women undergoing lipoabdominoplasty.
UNASSIGNED: This prospective case series study involved 17 women (age 43 ± 12 years, presurgical body mass index 27.0 ± 3.7 kg/m2). Participants were assessed preoperatively (T0) and at 15 (T15) and 30 days (T30) after surgery for clinical data (number of pregnancies, number of deliveries, presurgical body mass), neck and lower back angles calculated by photogrammetry, and pain intensity by numeric pain rating scale. Postoperative complications were assessed at T15 and T30.
UNASSIGNED: After adjusting for age and presurgical body mass index, there was an increase in forward head position in T15 and a return by T30 (marginal R2 = 0.411). The lower back showed an increase in flexion at T15 and return by T30 (marginal R2 = 0.266). No statistical evidence of significance was observed for changes in the intensity of neck (P > .355) or lower back (P > .293) pain. Complications were mild and common at T15; most of them resumed at T30.
UNASSIGNED: A transient, nonlinear compensatory change in neck and lower back lordosis was observed 15 days after lipoabdominoplasty, with almost full recovery in the short term (30 days). No systematic change in pain intensity was observed within this period. Postsurgical complications were mild and common, and most of them resumed shortly after surgery.
摘要:
这项研究的目的是分析接受脂肪腹成形术的女性颈部和下背部疼痛的姿势和强度的短期变化。
这项前瞻性病例系列研究涉及17名女性(年龄43±12岁,术前体重指数27.0±3.7kg/m2)。术前(T0)和手术后15天(T15)和30天(T30)评估参与者的临床数据(怀孕次数,交货数量,术前体重),通过摄影测量法计算的颈部和下背部角度,和疼痛强度的数字疼痛评定量表。在T15和T30评估术后并发症。
调整年龄和术前体重指数后,T15的前头部位置增加,到T30时返回(边际R2=0.411)。下背部在T15时显示屈曲增加,在T30时返回(边际R2=0.266)。对于颈部(P>.355)或下背部(P>.293)疼痛的强度变化,没有观察到有意义的统计学证据。T15时并发症轻微且常见;其中大多数在T30时恢复。
瞬态,脂腹成形术后15天观察到颈部和下背部脊柱前凸的非线性代偿性变化,短期内(30天)几乎完全复苏。在此期间未观察到疼痛强度的系统性变化。术后并发症轻微且常见,他们中的大多数在手术后不久就恢复了。
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